Richard was seen in his room for a 45-minute treatment session. His session focuses on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Began treatment with reviewing "The Monkeys Eat at the Island Grill" group. Richard was instructed on lowercase letter "b"and wrote the letter well in cursive. He was able to connect previous learned letters to create words in cursive with moderate to max. verbal cues provided. He wrote words such as "bill, bit, bye, and boo". Richard does best when he is given small breaks because at times this type of work can be difficult and frustrating form him. Next, we worked on Ann Arbor tracking program to work on his visual pursuits and saccades. For the first sentence he tracked in jumbles paragraph it took 35 seconds to find 10 words after three attempts (he asked to start over three times). His second sentence it took him 37 seconds to find 8 words with only one attempt. Good session with hard work.