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). Libby was happy today and participated well during her 45 minute session. Began treatment session with resistive putty to work on intrinsic hand strength. Libby is observed to use a immature grasp pattern on her writing utensils at times and by increasing her hand strength she was have more control and stability for fine motor tasks. Worked on visual motor development and executive functioning skills by going on previously learned print lower case letters. Libby does best when provided with some verbal and visual cues to recall form of some of the lower case letters she has previously learned. She review the first group of letters learned which included "r,n,m,p,f,b, and h" and worked on "c,o and a" today. Good session.