Noah transitioned well into the session today. No tears and came and hugged the clinician! He was excited and ready to work. First he worked on what questions with pictures and a choice of 3. Much improvement noted. He has started answering in 3-4 word phrases. 'A coat when raining' when asked 'what do you wear when it's cold?'When asked 'what opens a door?' Noah replied 'Open the door with key.' Noah transitioned to some pretend play with the doctor kit. He is doing a better job of explaining and communicating what he wants to do. 'I going to check.' 'I cut a finger.'
Next we focused on multi syllabic words. When Noah is focused and taps out the syllables, he is 90% accurate.
Overall his articulation seems to be improving significantly. Very little jargon or nonsense words are heard during sessions.
Noah found a pretend phone and said he was talking to his dad. He said 'Ok ok I call you back' and 'I got my phone'
Noah also did some pretend play with the kitchen. He had difficulties answering questions during this play like 'what are you cooking?' 'Who is dinner for?' etc. Continue to practice pretend play while asking open ended questions for him to answer. Can also work on choice of two..are you cooking spaghetti or chicken? This still allows him new vocabulary and to answer in a phrase.