Santino was greeted by clinician and was brought to a new classroom as his room was being cleaned. A floor time session was conducted and Santino responded quite well. He did appear tired and had a bit of a congested nose throughout session. Santino was mildy agitated as we began. The preferred train tracks were presented and Santino immediately requested "tracks". SLP presented the (new) vanilla pudding.Pudding was chosen as Santino previously had a preference with yogurt (white, creamy, puree) - therefore, this food was chosen based on sensory components. SLP modeled partially opening the pudding, while offering him to assist in the process. He immediately turned away from the food and refused. SLP provided positive praise for visual attention ("good looking Santino"). While SLP began to scoop the pudding into the bowl, Santino would grimace and immediately turn away, requiring redirection 5x. The Z-vibe with spoon attachment was introduced and Santino demonstrated interest, verbalizing "tap tap tap" (recalling last sessions cues). Santino refused to place the z-vibe in the pudding requiring tactile assist to take it from my hand into the bowl 3x. With reinforcement, Santino eventually placed the spoon from one pudding cup to another 10x. This demonstrated Santino's improvement with desensitization quite rapidly. During these trials, Santino brought the spoon tip close to his mouth, and also smelled the pudding - showing interest. While playing with the train track, SLP wiped a small amount of pudding on his lips and he immediately licked off without aversion. This occurred 4 more times, with some guard however decreasing aversion. He licked off his lips without a grimace or gag, and started to look over at the spoon. When it was time to clean up, he was asked to "kiss" the pudding which he did 4x. ON the last trial, he opened his mouth for the pudding which was then placed intraorally without aversion! :)

Although Santino appeared tired and a bit irritable, he did very well! I'm looking forward to expanding his food repertoire in addition to decreasing sensory aversion to food. He did well interacting with this food today .