The session commenced with Chris sharing that he was once again "super tired." In addition, he shared that he had a "tough morning." He briefly shared minimal details about what had transpired, and then fairly rapidly shifted into the preferred topics that typically are highlighted during our sessions. Speaker -speaker overlap was strong today, and multiple cue supports were provided to enhance increased reciprocity. Topic expansion was minimal this session, as internal distraction was significant. Chris was noted to inquire about the tools that have been utilized to support attention and attention shifting in previous sessions, as he thought he
"might need them today." Chris asked if we could close a few minutes early today, as he was needing some time to "feel calmer, like we talked about." His request was honored, and we closed the session.
Chris presented with a melancholy demeanor once again this morning. He immediately shared that he was "so tired," and that he wanted to share some "positive news" first, followed by "not so good news." Strategies to expand topic variation as well as conversational reciprocity were facilitative, however, internal distraction was evident throughout the duration of the session. Topic preference did however afford an excellent opportunity to highlight the familiar aspects of presupposition, timeline clarification and detail related to recall of events. Additional focus was placed on aspects of "attention" and self advocacy within episodes of distraction, and attentional shifting. Chris remained somewhat passive once again, as responses to both questions and comments were characterized by brief contingent verbalizations. Chris' overall affect was noted to shift as the session progressed, allowing for brief periods of expansion.
Alexandra had a difficult transition into the session today but slowly warmed up. She was resistant initially but enjoyed coloring and working on initial and medial L sounds.
Sent home following words:
Lion
Love
Light
Look
Lemon
Balloon
Dolphin
Melon
Alexandra had a great session. She worked on a variety of dinosaur names in order to practice her sounds today. She was highly motivated by working on dinosaur sounds. She did great.
Parent meeting with Alexandra’s family via zoom to discuss report and goals. Referral to ENT.
Chris presented with a melancholy demeanor once again today. He initiated conversation rapidly however, and shared that he was "super tired." He also shared that he was getting involved in "modding" once again. Additional topics were subsequently introduced as a springboard for expanded conversational reciprocity. It is significant to note that pausing, and clearly latent responses were observed today across topics. Allowance for pause time was provided, and Chris utilized familiar repair strategies of question or comment stimulus repetition to support attentional shifting that was strongly evident. This afforded an opportunity to revisit aspects of self- awareness, attention and repair of conversational breakdown. Chris shared that he remembered "all of that attention stuff we talk about." He also shared that his "brain is loud inside, and is jumping away like it used to today." Familiar support strategies such as breath work, and movement sequences adapted from the Brain Gym literature, and the Reflex Integration literature were reviewed. Additional familiar supports, compensation techniques, and self regulation strategies were provided as well. Self- awareness and self advocacy were reviewed as well to best support interactions across his school day.
As this morning's session commenced, Chris was observably pensive. His body language, affect and overall arousal state were clearly impacted on what appeared to be a fairly large scale.
Chris quickly shared that he had "a lot going on still." Upon inquiry, Chris expanded upon events that had transpired over the last week. Clarification of event timeline and detail was supported by direct questions and the provision of familiar cue strategies. Today's session afforded an opportunity to review "emotional states" that had been discussed in previous sessions. He subsequently shared that he remembered "talking about that stuff together," and that he "feels stuck on a thinking trail that doesn't feel good." Review and expansion of varied concepts adapted from the "Social Thinking" literature, as well as key aspects of presupposition, and problem solving were provided. He remained somewhat passive, although his affect shifted, and he was clearly more responsive to "solution strategies" as the session progressed.
Alexandra had a great session today. It took her a little bit to warm up and then she had her best session! She worked on initial and medial L as well as SH/CH. She had her tongue in the correct place for L. Needed max cues for SH/CH placement.
Alexandra worked on SH, CH, and J today in single words. She also worked on L in the initial position of words. She was a little resistant to fixing errors today but worked through it.
Chris initiated the session by sharing that he was "happy to be together and talk today," and that had some "big stuff" to talk about. Chris proceeded to share details regarding recent events that had transpired over the last two days. Supports were provided to assist with linguistic organization and clarity of detail. This afforded an excellent opportunity to expand upon aspects of problem solving, making inferences, predicting outcomes and the impact of making choices. Chris was receptive and allowed for some conversational exchange with expanded verbalizations. The majority of responses consisted of acknowledgement and affirmation. Speaker -speaker overlap was notably strong today, with moments of acknowledgment by stating "huh?" Topic shift was characterized by the direct statement "I'm done talking about this now, and want to talk about other stuff." HIs request was respected, and subsequent topics were highlighted.
Subsequently, Chris was noted to provide increased contingent comments across 5 topics with increased vocabulary variation.
