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. Began session outside with Luke providing him with deep proprioceptive input through various activities for 15 minutes.Worked on contralateral movements to get the two hemispheres of the brain to communicate during play. When back in his room noticed increased attention to task for longer durations.Worked at his desk to write CVC words with short e practice. For this activity I focused on his formations and line placement of the letters and mixed in some phonetics/reading work. Worked on visual motor control with higher level maze work. When the maze was difficult for Luke he got frustrated which resulted in impulsiveness which in turn made him go off the road/tracks of the maze. OT cued him to slow down, take a deep breath and to go for quality versus speed. Good session.