Richard seemed to be in a better spirits from the previous week. His language has seemed a little more disorganized than usual. He is having difficulty organizing verbal responses that are grammatically correct and make sense. Some of his other therapists are also noticing some of the language confusion. We focused on regulating his system so we went outside for some movement. We discussed how activity always helps our brain work better. He was happy to be outside with his peers but quickly got frustrated when he did not understand the rules of one of the games. We later discussed how using his voice to ask for clarification can help him feel a part of the group, especially when he does not understand.