Richard was greeted in his room at 9:00am. He reportedly missed his alarm to wake up. Richard did appear tired in today's session. There was frequent yawning and moderate verbal assistance to remain on topic and attend to task. As of recently, Richard's more advanced language and executive function skills have been targeted more in combination with speech/articulation. Today, possessive ('s) was worked on in structured and unstructured task. As expected, Richard demonstrated increased difficulty with unstructured tasks. Past tense verbs is often difficult for Richard, especially when recalling personal events. Richard often attempts to retell events however uses present tense verbs. Today, we began targeting that goal as well. Vocabulary enrichment and executive functioning is always a goal in therapy. Richard did well with date/day of week/orientation tasks today. He is becoming more comfortable with this. Rate of speech and /s/ in conversation is continuously inconsistent depending on the topic at hand. Rate of speech increases and intelligibility decreases with a topic of high interest. When asked to slow down or correct the /s/ production, he does so for the immediate following word/sentence but then quickly returns to his baseline. He continues to require frequent prompting. I have been in contact with Andrea (his other SLP) and Willow (OT) to maintain a collaborative and multidisciplinary approach.