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. Sat in small office to work today with excellent compliance and attention to tasks. Libby was able to identify the letters A,B,C,D and E today with 100% accuracy. We began to go over the letter formation and labeling of the letters "F,G,H,I and J" today. She was able to identify all the letters except for "F and H". Libby made sparkle index card letters for these five capitals. These sparkle letters can be used once they dry as tactile/kinesthetic input for Libby as she traces them with her finger. Her recall for the learned letters has shown steady progress. Great session.