Alexandra had a great session today. Single words practice.
Initial L with minimal cues 70% accuracy
Medial L with minimal cues 65% accuracy
J, CH, and SH 50% accuracy
Alexandra had a great session. She was a little tired today but opened up. We worked on L tongue positioning behind top teeth rather than sticking out her tongue to produce L. She produced L correctly in the right position in 6/10 opportunities given a visual and auditory cue. She also worked on K/G in conversation with minimal cues.
The session commenced with Chris sharing that he was "super tired today." Within a few minutes, Chris was highly engaged, and actively participated as per usual. New topics were presented as a springboard for expanded conversational reciprocity, use of novel vocabulary, and increased linguistic organization. Chris provided strong contingent comments in order to sustain an exchange of 5-8 cycles given carrier phrases and "leading" comments across 6 topics. Review of the aspects of perspective taking and presupposition was provided as well. In addition, aspects of "filtering" were
highlighted within the framework of varied social dynamics. Strong session today.
Alexandra had her best session yet! She worked on initial L sounds while working on a dinosaur coloring page for motivation. Sent home L worksheet for practice with cues.
Alexandra had a great session today. Worked on initial L sound. She was a little resistant to trying new ways of saying words today but also seemed tired. Overall, great session!
The session commenced with Chris sharing that he had "a lot of stuff to talk about today." He presented with a rather melancholy demeanor as he proceeded to ask if he should share the good news first or the bad news first. He began to share the myriad of topics that he had on his mind. This afforded a wonderful opportunity to once more review aspects of mindfulness, perspective taking, presupposition and self awareness. Chris was quite pensive as reminders and strategies were shared. He subsequently posed thoughtful questions, and provided detailed comments. Allowance for speaker-listener reciprocity was strong today, demonstrated by an increase in appropriate pausing, decreased speaker-speaker overlap, and the expanded use of contingent question and comment within exchanges for the duration of the session. Topic transition was characterized by the use of familiar transition phrases, and increased use of cohesive ties and temporal links.
Review of the use of "filters" and the ability to navigate more complex social interactions was also highlighted this session. Strong session today.
Chris enthusiastically initiated conversation this morning. He was eager to discuss a myriad of topics, however, he was observably tired. Topic initiation and transition strategies were reviewed as shifting was rapid today. Increased attentional shifting and periods of internal distraction were noted today as well. Periods of pausing, phrase revision and use of familiar recall assist strategies such as "Um, what's it called?" were used following the provision of gentle self-awareness reminders. Speaker-speaker overlap was noted with increased frequency once again. Familiar cues and supports were provided, and Chris was observed to recognize subsequent periods of overlap, and demonstrate use of repair strategies.
Alexandra had a great first session. We played and got to know eachother. Some articulation/phonological errors were found. Will proceed with articulation evaluation next week.
