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. Richard was seen in his office and had strep throat earlier in the week. He did not seem to feel 100% today and was somewhat fatigued. Began treatment with ocular motor exercises with tracking, depth perception, localization and timing activity involving a ball on a string in which Richard was required to poke the ball alternating between his right and left index fingers. To add another component to this activity OT had him say the alphabet while poking the ball. This was difficult for Richard with poor timing, losing track and not knowing order or forgetting order. We will continue to do this type of work to improve many visual and executive functioning skills. OT then read Richard a short story and had him come up with two sentences to write about the story. He wrote in print adequately. Continued with Ann Arbor tracking program in which Richard was timed scanning left to right, top to bottom to find words hidden in scrambled paragraph. Richard performed two trials and was able to find 12/12 words within 1 min. 2 seconds and 6/9 words in 55 seconds. Good session.