Luke 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. Upon arrival to session Luke was all excited about playing pickleball during recess which had just ended. He was able to settle in and work at table. Began with putty activity to strengthen intrinsics of the hands. Continue therapy with working on manipulation and dexterity skills through a rolling dice game. Luke enjoyed that game and stayed engaged throughout this activity. Luke needed a break during session and hugged his avocado plush toy. OT pointed out it is okay to take a break like this and when he needs a break during his school day he should ask for it to help him stay in the green zone. Continue to work in his Print Island workbook. Luke was focused and engaged in writing today and practiced the uppercase letters F, E, L, K, and H. Great session.