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 with peer and other teacher playing ping pong outside with a focus on sportsmanship and regulation. It was hard for Luke not to feel sad when losing a point and overly celebratory when winning a point or game. In room worked on writing with Pokemon activity. Luke is writing a book about Pokemon called "Its Raining Pikachu". He wrote well and ended the session in a good regulated state.