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. Luke was seen at start of session outside for heavy work play before table top tasks. He participated well in both pickle ball and ping pong. We continued in Luke's room with writing activities to work on refined fine motor and visual motor skills. Luke's writing is showing improvement but he continues to need help with some formations, line placement and sizing. He continues to make steady gains in all areas addressed.