Speech therapy was broken up into two sessions today. We did feeding therapy in the middle. I like breaking it up, it gives him a small break from structured tasks. Santino was a few minutes late today so we had a delayed start to the session but the transition was good. We started with a book activity, which Santino enjoyed. He does need cues to maintain visual attention to the book. Santino benefits from carrier phrases such as "It's a ___", "the frog is ___". Echolalia typically isn't as prevalent when given carrier phrases rather than asking questions without cues. yes/no questions were targeted and Santino did show improvement today. He answered simple yes/no questions in 4/10 opportunities. Following simple directions was targeted using preferred objects. Santino followed 3/8 directives independently, 5/8 with visual and verbal cues. An iPad app called "My Play Home" was utilized for many language purposes in today's session. Santino enjoys the iPad/digital activities. This was used for verbs, auditory bombardment of language, increased MLU, and following directions. Sabotage activities were used for requesting. Overall, it was a good session with Santino.