Libby was seen in her room for a 45-minute treatment session with the focus of therapy on fine motor skills specially grasp patterns, ocular motor skills (saccades), self care skills, and handwriting. Began today session reestablishing rapport which Libby which was easy to do. Libby was excited to share what she wore over the summer and was interested in putting back up her reward chart for her hair and clothes. She further reported that she only put on her braids when she was in camp otherwise she wore it down. Continued treatment with ocular motor activity that worked on convergence. Libby was asked to draw a small nose on ladybug faces hung on vertical plane. She continued to work on depth perception with straw and small stick activity. She did well with both tasks. Lastly, we went over alphabet to determine which uppercase letter she was able to identify from recall. She was able to recall 17/26 letters correctly. She was unable to identify the following letters: F, E, H, J, M, O, S, U, and V". Great first session.