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. We discussed the concept of probelm size and reaction size today. Gave him different scenarios and said how would you feel if.....and what size is this problem.....i/e/ Carolina scribbled on your homework, there is a lion in your room, Mom's away for work, overslept and can't eat breakfast, starving and lunch was still 20 minutes away. Luke does an adequate job identifying the size of problems when given these scenarios and is able to say correct reaction and reaction size. At this time, Luke is better able to label and say these things but has difficulty carrying them out in everyday life.