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 session using I Spy book to work on visual scanning, visual discrimination and visual figure ground. Had Richard write each item he needed to find in picture to incorporate graphomotor development into activity. He did best with print when provided with half-highlighted lines which provide visual cues for sizing of the letters. His sizing improved with this visual cue. Richard required verbal cues for formation of some of his letters. Lastly, we did a cursive review. Richard was able to recall the cursive letters "i, u, w, t, and a". He needed cues or full assistance to recall the letters "s, r, j, y, p, c, o, d, g, and q". We will keep working on these skils so they become a stronger motor memory for Richard.