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 needed a break upon therapist's arrival so he was given three minutes and a visual timer to know when his time was up. Once his break was over he was able to participate in activities. We continued to work on visual scanning, visual figure ground and visual discrimination via the I Spy book activity. Luke had trouble with impulse control today and could not stick with looking at one scene. He was quick to turn page when he was unable to quickly locate items he was visually searching for. He seemed tired during today's session.