Speech Therapy
Session Date
Lesson Topic
Speech and Language Therapy
Lesson Outline
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.
Session Minutes
47
Minutes Student Attended
45
Session Date
Lesson Topic
Speech Therapy
Lesson Outline
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.
Session Minutes
90
Minutes Student Attended
90
Session Date
Lesson Topic
Speech Therapy
Lesson Outline
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.
Session Minutes
45
Minutes Student Attended
45
Session Date
Lesson Topic
Speech and Language Therapy
Lesson Outline
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.
Session Minutes
45
Minutes Student Attended
45
Session Date
Lesson Topic
Speech Therapy
Lesson Outline
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
Session Minutes
45
Minutes Student Attended
45
Session Date
Lesson Topic
Speech therapy
Lesson Outline
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.
Session Minutes
45
Minutes Student Attended
45
Session Date
Lesson Topic
Speech and Language Therapy
Lesson Outline
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.
Session Minutes
45
Minutes Student Attended
45
Session Date
Lesson Topic
Speech Therapy
Lesson Outline
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.
Session Minutes
45
Minutes Student Attended
45
Session Date
Lesson Topic
Speech Therapy
Lesson Outline
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!

Words worked on:
Last
Long
Lion
Leaf
Love
Session Minutes
45
Minutes Student Attended
45
Session Date
Lesson Topic
Speech and Language Therapy
Lesson Outline
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.
Session Minutes
45
Minutes Student Attended
45