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 outside playing basketball per Luke's request. As we played we discussed expected versus unexpected behaviors. Luke said to OT that when someone just takes the basketball from him that it makes him sad and that they should ask for a turn. OT asked him for a turn with the ball and he gladly shared it. He did a much better taking turns and sharing today during our session. He used manners and was pleasant throughout session. We continued working outside at the table on emotions, strategies, and reactions to different situations. Luke is becoming well aware of what is appropriate and knows strategies; however, his impulsiveness and maturity level make it difficult for him to implement at this time. Good session.