Richard was greeted at the desk by SLP. He appeared happy and focused today! Initially, /s/ at phrase level was targeted with the following accuracy: initial position 85%, medial position 70%, and final position 85%. All other productions that were not independently accurate required verbal cues (which were minimal). Richard's self correction appears to continue to improve. He independently uses the tactile cue of his thumb under his chin to assist with lingual placement. With /s/ blends at the phrase level, accuracy decreased due to level of difficulty. The following accuracy was achieved: /sp/ initial position 2/6 trials, /st/ 4/6 trials, /sk/ 1/8 trials (increased difficulty), and /sn/ 5/6 trials. It was evident Richard had more difficulty with /sk/ due to the placement of the tongue for this production. With /z/ at the word level, Richard achieved 80% in initial position and 95% in medial position. Great improvement. I am proud of his efforts in today's session and look forward to continuing to monitor his progress in speech therapy.