S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP at the beginning of the session. Decreased compliance noted as session continued. O: Noah was asked to follow a variety of 1-2 step related directions. He completed the activity with 67% accuracy. Noah was then asked to sequence 3 visuals of common activities (i.e. baking cookies). He completed the activity with 66% accuracy. After, Noah answered mixed “wh” questions about an activity completed given a field of 3 visual answer choices. He completed the activity with 68% accuracy. Lastly, he was asked to identify spatial concepts in a field of 3 answer choices. He completed the activity with 61% accuracy. A: Both increases and decreases displayed across POC goals. Decreased compliance displayed as session progressed. P: Continue with current POC. Monitor goals displaying decreases.