Santino was once again seated, and "ready" as the session commenced. Use of quiet time preparation continues to be beneficial, supporting modulation and readiness. Santino presented with a softer affect today, much quieter and a significant decrease in unmitigated echolalia was observed. He appeared a bit fatigued and responses to varied cues was inconsistent and a soft vocal volume was utilized following cue supports. Periods of hyperemotionality were noted once more this session. Ingrid was supportive during these instances. Session was shortened due to Santino needing period of respite.