Richard presented with an increased arousal level today and more difficulty remaining on task. He began with room/material organization by setting the timer for 2 minutes for Richard to clean up trash and place items where they belong. Moderate verbal cues needed to stay on task and guidance of where to place certain items. Noticed improved fine motor dexterity during a shading task, however he continues to struggle with right to left shading, without moving his entire wrist or arm and thumb mobility, as he uses a thumb wrap over his writing utensil when a pencil grip is not used. He continued to work on keyboarding skills and visual perceptual skills while completing 2 mazes with good accuracy, only drawing outside the line 2 times each maze.