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 session with game to work on manipulation and dexterity with moving/translating small object in and out of hand to and from fingertips. We reviewed all previously learned letters which included capitals "A, B, C, D, E, F, G, H, I, J". Libby was able to successfully identify all except letters J and H today. Went over the next five capitals in the alphabet which included letters "K. L, M, N, and O". She was unable to identify K today but we made sparkle letter index cards which she will be able to take home for practice over the summer. Libby wore shorts today for the first time to school. OT and all the teachers told her how proud they are of her and seeing her wearing different things. Great session.