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 Libbys session with hand strengthening activities to create a more stable base for fine motor tasks. Libby does well with different exercises/games to increase her hand strength. We want to build the strength of the intrinsic muscles in her hands and endurance for writing and other fine motor tasks. We continue to work on learning handwriting through Print Island. When provided with visual and auditory cues Libby is able to write approximately 50% of the lower case alphabet well. She is being taught these lower case letters using a multi-sensory approach which encompasses auditory, visual tactile and kinesthetic cues. She learn well with this approach. She continues to make gains with letter recognition of both upper case and lower case letters. Progress has been steady this school year and she continues to be a pleasure to work with.