Luke was seen in his room for a 45-minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Upon arrival Luke was non-complaint with most presented tasks. Luke was seen in his room for today's session. Provided Luke with vestibular input on spooner board as we went fishing for sight words. Luke enjoys moving and learning and was able to stay on task with fair to good success for reading his sight words. Continued in his room working at table on impulse control and turn taking with "Connect Four" travel game and the 5-second rule game. He is getting better at turn taking and waiting his turn but continues to struggle with having his opponent get points and definitely has a difficult time if he thinks he is losing or is going to lose. Lastly, met with Luke's mother go over his standardized test results on the BOT and progress over the school year. We discussed what he has to work on moving forward in regard to occupational therapy treatment.