1/21/2025 12:36PM-1:26PM
S: Alexandra was seen at the Batt School for an initial rapport building session. She was initially reserved with the SLP, but it is noted that she opened up more as the session progressed. Play-based therapy techniques and informal assessment were utilized to assist in building rapport as well as developing an appropriate plan of care for Alexandra. Formal assessment was initiated toward the end of the session. Alexandra enjoyed playing with dinosaurs, unicorns, and kinetic sand throughout the session. O: Through play-based therapy and informal assessment, a variety of speech sound difficulties, as well as difficulties with utterance length and use of modifiers were noted. Speech sound difficulties such as production of /r/ across positions and substitutions of /d/ for /g/ and /t/ for /k/ (fronting) were seen in informal assessment. During formal assessment, these error patterns were also noted. A: Alexandra presents with both speech sound and language difficulties that may impact her both socially and academically. These difficulties are as follows: utterance length, use of modifiers, and a variety of speech sound errors. P: Continue formal assessment and develop plan of care.