During our second session after lunch Richard reported having a stomachache but was still willing to continue with speech. During this session we focused on coarticulation of words containing the /th/ phoneme in the medial position of words. Richard demonstrated difficulty with this and required max cues to slow down his speech and accurately produce medial /th/ in words such as bathroom, something, toothpaste, birthday etc. He is capable of this but gets ahead of himself and lacks attention to detail. We continued by working on very short story comprehension. Richard answered these age appropriate story questions with only 50% accuracy. We will continue to work on this to build up his stamina in listening comprehension and joint attention.