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. Last session before Spring Break week and Richard asked to do work outside. We began therapy on mat doing mat exercises geared to integrate the ATNR reflex using MRNI techniques. Richard participated well and enjoyed the outdoor time. We continued with chalk play to review all learned letters in cursive. Lastly, we joined peer and another teacher to play a game of Bocci ball. Richard enjoyed the time with peer and interacted well. He also demonstrated great sportsmandship.