Begin by welcoming the student in a calm, private space. Introduce the Communication Choice Board and explain they can point or gesture to answer. Use simple yes/no questions (e.g., “Are you ready to start?”) to model nonverbal responses. Praise any attempt to engage.

Show the Emotion Thermometer Scale and describe each level of anxiety. Introduce two coping strategies from the [Coping Strategies Cue Cards](#coping-strategies-cue-cards) (e.g., deep breathing, grounding). Model each strategy, then guide the student through one practice of each. Finally, have them choose their preferred strategy via the Choice Board.

Use the Practice Prompt Cards to scaffold verbal attempts. Read a card aloud, model the response, then invite the student to speak or indicate readiness via the Choice Board. Provide immediate, specific praise for each attempt. Gradually reduce support as confidence builds.

Display the Progress Tracking Sheet and ask the student to mark their comfort and success levels. Acknowledge and celebrate any verbal efforts made. Use affirming language to reinforce progress.

Collaboration is key: ask the student to suggest a small goal for next time (e.g., “Say ‘good morning’ tomorrow”). Write it on an index card together. Remind them to practice their chosen coping strategy between sessions.