Richard was seen in his room for a 45 minute treatment session today. Focus of treatment was on improving fine motor skills (hand strength, grip strength, dexterity and manipulation), visual motor integration, ocular motor skills, and graphomotor skills/keyboarding as an alternate means to written communication. Began treatment outside on mat to work on reflex integration using MNRI technique. Richard continues to work on integrating his ATNR reflex which was considered active when last assessed. Continued with ocular motor exercises for tracking a marble on an infinity 8 track. Lastly, reviewed cursive writing letters "i, u, w, and p". He was able to write them with good visual memory only needed verbal assistance with the letter "p". Good session.