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 has also focused on sensory processing and having Libby be more comfortable with wearing a variety of clothes (weather appropriate) and different hairstyles (only wants to wear her hair one way which is down). Began session with building hand strength with various exercises. Libby worked on ocular motor function by visual scanning to locate hidden items in an I Spy book. She enjoys this activity but requires moderate assistance to find 50% of the hidden things, minimal assistance for 25%, and can independently find 25%. Lastly reviewed previously learned letters from script island. She needed some assistance for recall of the lowercase letter "n" today. She is making steady gains in therapy.