Luke was seen in his room for a 45 minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Began session with writing a visual schedule of session activities. We continued to work on recognition of expected versus unexpected behaviors. Also discussed what to do when we start to get into the yellow and red zones. Strategies were discussed and practiced. Luke seems to becoming better able to understand these concepts but unable to use them at this time.