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 treatment session with fine motor exercises with putty and finding hidden toys/little objects to increase hand strength. Continued with visual discrimination and tracking tasks to work on ocular motor skills via mazes and "I Spy" book. Libby enjoyed doing mazes - with minimum to moderate difficulty. When maze got difficult and she had trouble figuring out the way she wanted to "quit". OT helped her stick with it and get through maze before going to next one. Libby needs encouragement when things have increased difficult but with encouragement she is able to be successful. We continue to work on handwriting and reviewing/practicing letters she has already learned. Today we focused on the "c" first letter group and specifically the letters "d, g and q". Libby continues to need max. assistance to write the lower letter "d" with a "c" first. She practiced "g and q" and wrote them adequately; however, they need more practice. Libby worked well today!


rapper snappers which are tubes you have to pull with two hand to make longer. Once Libby pulled the tubes we made different letters with these tubes. Reviewed the letters we previously learned which were "r, n , m, f, h, p , b , f, a, c, o, and d." Libby did best with visual cues, visual boundaries and auditory cues. She has the most trouble forming the letter "d" using the "c" first method. Libby was excited to show OT how she could write words today. Good session.