Libby was seen in her room for a 45-minute treatment session with the focus of therapy on fine motor skills specifically grasp patterns, ocular motor skills (saccades), self care skills, and handwriting. OT continues to encourage Libby to wear a variety of clothes and hairstyles via a sticker chart. Libby was happy and focused today. We continue to work on letter identification of the uppercase alphabet which has almost been mastered. She got 24/26 letters correct. Today Libby was introduced to "Print Island" which is a handwriting program that teaches children manuscript writing in a fun and creative way. It involves coconuts (starting visual cue for each letter), palm trees (visual cues for sizing of letters, and stories (auditory cues for formation of letters). Libby was introduced to the basic components of the program and seemed to understand the concepts well. These concepts will continue to be reinforced as she goes through the program. She did a practice worksheet of the pencil movement of the first group of letters which has the auditory cue of "fall down climb up". Then she did a worksheet in the program for lowercase letter "r" which she formed and sized well with the visual and auditory cues provided. She is making steady gains and is a pleasure to have in therapy.