Chris was observably tired this morning, however he was eager to share the "list" of new plush toys
that he was intending on purchasing with the birthday money that he received. This offered a wonderful opportunity to further discuss his birthday. Conversational expansion was facilitated through use of direct question predominantly this session. Reciprocal exchange was supported with familiar cues as the dominant response was acknowledgement of clinician comment via affirmation ("yeah," "uh-huh.") Subsequent contingent responses were facilitated via use of carrier phrases. Topic shifting was strong this session, and rapid arousal shifts were noted as well. Recall, and verbal description of familiar events regarding this past weekend's birthday celebration were supported with scaffolding, binary choice presentation and verbal prompts in order to best support use of cohesive ties, temporal links and vocabulary expansion.