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 our session outside with 10 minutes of a heavy work activity for proprioceptive input. Set a timer to help with a smooth transition back inside. Used Rol-n-Write to practice letter formations of the lowercase alphabet. Luke's sessions continue to focus on refining his graphomotor and visual motor development. He is making steady progress in these areas. Sessions also continue to focus on increasing listening skills, attention span to task, and regulating emotions. He is improving slowly in all areas.