Nicholas arrived for the session stating he was very tired; however he perked up considerably when he saw some home-made cookies and was permitted to eat a few. We then tackled his math homework assignment in his Go Math book (Common Core Standard CC.10A.4), which focused on understanding and applying the properties of operations and demonstrating the relationship between them. Nicholas worked on several problems involving addition and subtraction to demonstrate the relationship between the two operations. He also worked on a word problem in which he was tasked with writing a number sentence to solve. Nicholas had some difficulty understanding this concept, therefore an abacus was used to help clarify and facilitate his understanding. When Nicholas had difficulty sustaining attention to the task, the game Twister was used to help him practice his addition and subtraction skills. Nicholas enjoyed the game and it also helped improve his ability to differentiate between left and right. He as yet needs reminders to understand that some terms may be interchanged with one another (i.e., subtraction is the same as take-away), but he is growing more familiar with these terms with increased practice. Overall, Nicholas followed instructions he was given although some prompts were necessary to keep him interested and engaged.