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 upon therapists' arrival. She told OT that she moved into her new house and loved it. Began treatment session with writing and creating on a "Buddha Board". On this board Libby used a paint brush with water to write letters. She was excited to tell the OT that she could write some three letter words and wrote the following words in uppercase CAT, PAT and MAT. During todays session we reviewed the lowercase letters c, o and a. Libby was instructed on correct formation of the lowercase letters d and g today. She required hand over hand assistance at first to make the "d" with a "c" first. She required visual cues and visual boundaries to form the "g" correctly as well. She needs continued practice to form these letters correctly. Continued gamer with site word fishing game. She had difficulty with reading the site words so we practiced her recall for lowercase letters and she would read out the letters of the words if she was unable to read the word. Good session.