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. Began today's treatment with introducing Luke to a "storm starter cloud" activity/worksheet. This activity addresses anger and identification of "storm starters" which are things that make you angry. This helps the child idenify which things/situations bother them and trigger them and what things/situations do not. Luke was somewhat resistive to this activity but we will continue to work on this. Continued with working in I Spy book to find hidden pictures which addresses visual discrimination. Luke was made to work on his graphomotor skills while doing I Spy by having to write each object he needed to find in the hidden picture. He is able to find hidden objects well with minimum assistance provided. He continues to work on letter formations and line placement for print.