Noah initially transitioned well into the session. About 5 minutes in, he had a difficult time. During his difficult time, the clinician asked him to use the restroom. He did not make it to the bathroom and had an accident. He recovered well and had his best session yet! He was focused and engaged very well with the clinician. He worked on multi syllabic words (2,3, and 4) in phrases and sentences. He also worked on action picture cards using the present progressive form in short sentences. Wh - questions were the most challenging as it appeared that he had difficulties on what type of answer was expected with a who or what. Noah did a nice job with eye contact and engaging in some attempts at conversational speech. He answered questions about halloween. At the end, during free play with the clinician, he used 3-4 word phrases consistently. 'I like the trains,' 'I going to sit now' 'I need money' 'I all done now' and 'Clean up trains' -