Tony was a little tired/restless this morning at 9:30am. Therapist had been arriving at 10am but came in earlier to get in more therapy. Tony immediately began peeling stickers and placing them in the designated squares (therapist pointed to the squares and then sometimes used hand-over-hand to get him started). The stickers were partially peeled and Tony peeled the rest. After a couple of stickers though Tony went to play with something else. He jumped from toy to toy for a half hour but settled down some and was able to peel more stickers. Tony really enjoys this activity and the verbal praise is a strong motivator for him. He also made a lot of eye contact, watching the therapist’s facial expressions during positve reinforcement.
Tony was still reluctant to pour things. Therapist used wooden food, clothes pins, blocks and poured them in baskets, soft containers, a bucket, and measuring cups. Tony poured with hand-over-hand and did it once by himself with verbal and visual prompts. But he will walk away from the activity or push the objects to the ground. He is simply not interested in this but therapist will continue to try different objects/containers. Tony looked at his mirror today and waved at it. Therapist pointed to his reflection and repeated “Tony”. Also, Tony jumped on his trampoline a lot while saying “jump”. The therapist would either place him on the trampoline (sometimes as redirection) or Tony would climb on it himself. Tony didn’t swing today because he didn’t want to do this unless his mom came outside with him. His mom is trying to say no to Tony more.
Tony used the sign “tickle” a few times today and he was shown his pics for “cup” and “food” during lunch. Later in the day the therapist showed Tony the pic for “cup” and Tony ran around looking for it until the therapist gave it to him. He immediately took the cup and drank. The therapist also took Tony’s hand to make the sign for “food” while he had a sandwhich. Only once today did he attempt it (at the end) but he used two hands and pointed them at his mouth. Tony lined up blocks on the floor with the therapist starting it and he threw rings onto a post (ring toss-which was tried many times during the session until he did it at the end). Tony then put the ring on his head and wore it for a while (his other therapy had him doing this so it carried over). It was a slow start today but Tony focused more as the session went on, even though he was still moving around the room a lot. All in all, today was an okay day.