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. Luke was happy and in good spirits today. Began session with visual discrimination/figure ground and visual scanning to find the hidden objects within the pictures. Luke was able to find approximately 75% of the hidden items without assistance. He enjoyed this activity and wanted to do more. Continued treatment with focus on listening skills and whole body listening. We are working on improving Luke's ability to follow multiple steps directions, stay on task, and teaching Luke how to use his whole body to listen. He participated in a Listening Skills worksheet. He was able to follow 3/5 two step directions without having to repeat. For 2/5 of the two step directions the directions needed to be repeated. We will continue to work on regulation, impulse control and listening skills in therapy. Glad to be back working with Luke.