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. Began today's session going over her hair and dress from last week. She told OT that she wore a dress to church. She let the OT put her hair up during session for a star on her star chart. She is continuing to work on getting a prize. For today sessions, OT worked on only five letters of the uppercase alphabet to improve recognition and recall. Libby's session involved a multisensory approach to learn the letters "A,B,C,D and E". At the beginning of the session Libby accurately was able to identify B,C and E. She didn't know A and was confusing D with B. We made each letter on an index card, traced them with glue and sprinkled then with glitter. She enjoyed learning this way. Once dry she will be able to reinforce the movement pattern and identification of the letters by saying the letter name, sound while forming them with her finger. Lastly, worked on Libby's tracking by having her participate in game where she had to follow little object with her eyes without moving her head. Great participation and concentration during today's session.