Libby was seen in an office for a 45-minute treatment session with focus of session on improving her fine motor skills especially in the area of grasp patterns, ocular motor skills (saccades), self care skills, handwriting, as well as improving her flexibility for wearing different clothing and wearing her hair different ways. Today was Libby's first OT session. She easily separated to join OT. Began session with clothespin activity to increase grip and finger strength for improved grasp patterns and distal control. Continued with Bunchem's stick ball game for tactile input and showed Libby her rainbow sparkle chart. Explained that she would get a star every time she wore shorts, short sleeve shirts, or a dress and her hair up (any way she chooses). Libby asked if she could wear different clothes starting at home not at school. OT said that is okay but Mom has to send a picture. Continued OT with introducing Libby to Print Island. She was instructed on the lower case letter "r" today and was given the auditory cue of "fall down, climb up, hook". After practicing big on glitter paper to practicing small on index cards Libby was able to form the letter "r" correctly. She will need continued practice to change the established motor memory for this letter and all the letters she has learned to form incorrectly. Great first session.