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 treatment with a cutting activity in which Luke had to cut a 5-inch by 5 inch character. He has better control and no longer exhibits associated mouth movements or drooling when he cuts. He colored his character with rainbow colors and was able to use dynamic finger, hand and wrist movements for refined coloring. Worked on role playing with the Zones of Regulation, gave Luke a scenario and he would have to say which zone he was in, problem size, and reaction size and one way to help regulating himself if needed. Example one was Dad is going to a NBA game but he can't take you - Luke said this would be a big problem and he would be sad and disappointed. We went over ways to feel better and discussed how this is not a big problem. We went over four more scenarios and he did well saying which zone he would be in but less well with determining size of problem, reaction and regulation. We will continue to work on Zones and regulating oneself in therapy.