Richard was seen in his room for a 45-minute treatment session. His session focuses on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Richard was absent on Tuesday this week because he was experiencing some stomach issues (per Richard). He reported he felt better today but was not 100%. Today we began treatment working on manuscript handwriting with bright line paper. OT had Richard participate in an activity that is called "correct the sentence". He needed to look at a short sentence with a grammatical error (i.e. no punctuation, proper noun not capitalized, etc.) and rewrite with corrections. OT observed Richard using a thumb wrap grasp pattern with no web space. He reported he no longer wanted to use his grip. OT explained to Richard that when writing becomes longer in the future that his hand with be quick to fatigue with this grasp pattern. We will continue to try to figure out which grip will meet Richard's needs. Richard is unable to fix the grammatical errors of the sentence which were a capital to start the sentence and capitalizing a proper noun. Reviewed cursve letters "n" and "m" today. He was able to write the following words in script : am and man. Good session.