Santino was greeted by clinician at 2:00pm. With verbal direction, Santino closed his computer from previous lesson. A choice of Cheerios and Cheezits were provided ("Santino, would you like to play with circle or squares?). Santino chose Cheez-its. He initially presented with visual aversion by gazing away from the food when opened and placed into his visual field. With a model from clinician and verbal cue, Santino made a "square tower" of Cheez-its with fading visual aversion. When SLP tapped cracker to her lips to model kissing, Santino demonstrated aversion and visually refused. With each success interaction with the cracker, Santino independently requested to play a "fishing game" in the SLP's therapy bag. When the rice and beans were presented (preferred at home, however not at school), Santino demonstrated maximal aversion by immediately pushing it away from him. He independently requested "Pop Pig". With SLP model and reinforcement, Santino would interact with the spoon on the plate with SLP utilizing hand over hand with minimal resistance. While playing Pop the Pig, Santino interacted with the rice and beans as he was comfortable with "tap tap tap" from his fingers, his arm, and cheek. When modeled to kiss/tap to lips the rice and beans (in efforts to bring closer to his mouth ) - Santino verbally refused and turned away. He did indeed allow SLP to tap the spoon with rice and beans to his lips 3x, immediately followed by wiping off with ease. When mini muffins were presented, Santino independently took them out of the bag and began to mash them on a paper with his palm. He appeared to enjoy the tactile sensory input from that as he was calm and smiling. When SLP modeled bringing the muffin closer to her face, Santino refused and turned away. In efforts to continue to keep feeding therapy/meal time positive, activity was discontinued. With verbal and visual cues, Santino cleaned up the area by kissing 15 Cheez its and placing them in an "all done" bowl. At that time, the session was complete. Overall, Santino did well participating in therapy however increased aversion in comparison to last session. I will see him Monday! Continue to visually present new foods without expectation of eating them, it will keep feeding positive!

Thank you,
Ms. Amanda