Santino was seen for session 5 of 5 in Term 3 with this SLP and transitioned calmly between sessions. The daily, visual schedule was referenced and reviewed...Goals for the session remained consistent and included the following...1. to engage in forming a relationship with Santino that includes regulation, and shared attention and interest 2. to enter into two-way, purposeful interactions with gestures and intentional communication 3. to determine highly motivating/favorable, cause and effect activities, so that Santino may develop a feeling of control and predict/anticipate what will happen next 4. to imitate predictable action sequences and communication patterns through cause and effect activities. 5. to develop single-word requesting via eye gaze, picture exchange and/or verbalization...Consideration has been given to expand upon Goal 5 to include modifier + object/action in the phrase "I want..." via picture exchange and/or verbalization...Santino was directed to an array of 4 planned activities. He referenced the photos, selected one, then requested a novel yet similar activity via verbalization paired with photo exchange, "I want dinosaur!". The "Stegosaurus-Build and Play Dinosaur" was presented...A battery-powered "drill" option was labeled and demonstrated by this SLP. Santino verbalized immediately, "I want drill". He appeared intrigued by the tool. Maximum hand-over-hand assistance was provided to operate it throughout the activity. Santino disassembled and reassembled the dinosaur with maximum assistance and appeared frustrated by the minor changes in the process and function of the tool. He requested via photo reference/exchange paired with verbalization x 5: "I want...+ the following: dino head, tail, plates, front leg, back leg"...Santino assisted with clean-up, but appeared fatigued and possibly distressed due to the change of activity/routine. He lay on the pillows and fell fast asleep immediately. Attempts to wake him after 15 minutes in preparation for the next session were unsuccessful...Continue as planned with focus on use of communication book/photos across sessions/instructors and settings...