Chistopher was online and waiting for our session time to begin as the clock read 7:30. He was eager to talk, although he clearly was not feeling well. He shared how difficult and upsetting it was to take the test for the illness. He quickly shifted topics and allowance for increased conversational reciprocity was stronger today. Comment/comment cycles were noted with increased frequency of 2-3 exchanges and increased use of cohesive ties within topic shifts. Familiar strategies were utilized to support the use of ongoing linear sequential linking. As the session neared the 45-50 minute mark his cough began to irritate him and attention subsequently drifted, as his overall affect appeared fatigued. We closed the session at 50 minutes. Hope he's feeling better soon.