Richard was greeted in the lobby. He walked to his room very slowly, requiring verbal cues to keep walking forward. SLP initiated the session with enthusiasm as usual however Richard was sluggish in the beginning of the session. With time, he warmed up. Since last week, I have noticed a difference in attention and impulsivity. Told he was asked 5x to please set the object in his hand on the table. After completing the orientation/date task, he was given the choice of a book or /s/ sounds. He chose to do a book activity. During the book activity, he interrupted 4 times (which he does not usually do). He did well answering questions regarding what was read aloud. He did well with inferencing, sequencing, and understanding more prediction/abstract concepts. Speech intelligibility was fair today. RIchard's speech was "muffled" at times, requiring cues to reduce rate. He often did not respond to those cues and continued to speak at a rapid/muffled rate. However, his /s/ in conversation was great. He made 3 errors in the entire session, which is significant progress. At the end of session, we targeted social skills - responding to scenerios with peers, turn taking, feeling and emotions. Overall, Richard required more cues to remain on agenda/task at hand but still was considered productive.