Richard was a little mentally tired from morning testing when I met with him. He kept asking me to repeat myself and was having a hard time focusing. We moved our session down to the floor so he could move around and attempt to use alternative seating. Our first task was to use /th/ words in initial and final positions in sentences. At first, he was creating long run on sentences and losing his train of thought throughout. We used a visual to create simple sentences including a subject and a verb. This allowed him to decrease his rate of speech, increase his accuracy of production and create grammatically correct sentences. We continued with an auditory identification task. I provided Richard with a list of words and he was to tell me if /th/ was in that word. He did this with 60% accuracy. Sometimes he seemed to be guessing and sometimes he was overgeneralizing /th/.