S: Noah was seen at the Batt School for treatment. It is noted that he was sleeping upon entry to session. Babysitter, Michael, noted that Noah did not nap on Tuesday, Wednesday, or Thursday. When woken up, Noah began to cry and cling to Michael. Michael assisted with transition to speech room. Noah was noted to cry and attempt to hit at self and SLP at initial portion of session. Calm down strategies such as taking a walk, deep breaths, and rocking were utilized throughout treatment. Once in a calm state, Noah was eager to work with the SLP and worked until the end of the session via play-based, child led therapy. Noah was able to successfully transition out of session with verbal reminders and advanced warning. O: Modeling of calm down strategies as well as increased utterance length utilized throughout session. Color identification briefly worked on. Task completed with 20% accuracy. A: Minimal formal targeting of goals noted due to heightened state throughout session. Color identification appears to be at baseline, though minimal data noted. P: Continue updated POC.