Santino was back in the program today after a two day absence. He was still under the weather and acting lethargic and a bit irritable. He did not wish to remain in the lunchroom to participate in the holiday party according to the tutor he had prior to me, so we instead spent time reinforcing the concepts of up and down, and over and under, and the like, using objects in the classroom and equipment outdoors. Santino and I explored some sensory-motor activities in the classroom, played the guitar, and I read a book to him, 'Count to Christmas.' He was unresponsive when I attempted to work on the communication book with him, pushing the book away and increasing the frequency and volume of his vocalizations indicating his displeasure with the prescribed activity. He grew more lethargic by the end of the session and lay down on the floor.