Libby was seen in her room for a 45-minute treatment session after two week winter break. Libby was happy and worked well during today's sessions. 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 today's session with warming up hands and increasing hand strength using "rapper snappers" which are tubes you pull to elongate and you can bend them and connect them to make a "o". Libby and the OT both made letters from these toys and we had to say which letter was made. Libby was able to identify and make several letters from both the upper and lower case alphabets. Continued therapy with review of the previously learned letters of the lowercase alphabet. Libby used a pencil to write each letter from the "Fall Down Climb Up" group individually on an index card. Then squeezed glue and sprinkled them with glitter to make glitter letters. She enjoy this multi-sensory activity and reviewed her lowercase letters with fair recall. OT also introduced and made the first three letters from the "Swing Around the Tree" group which were "c, o, a and d". When provided with min verbal and physical cues Libby was able to form the letters well today which included "r, n, m h, b, p, f, c ,o, a and d". Libby had a great first session back from break.