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). Upon OT's arrival Libby was wearing her hair in a barrette. It was falling out a little bit and she let OT fix it without complaint. Began treatment with ocular motor task to work on tracking and saccades. Libby had to find her way through a maze with moderate difficulty. She required moderate assistance but demonstrated increased task endurance and persistence. Worked on kinesthetic awareness of letters. OT had Libby close her eyes while she took her hand and drew the previously learned letters on sandpaper to see if she could identify the letter based on the movement used to form it. Libby was able to recall the letters "m, c, o, g, s, f and "r" based on movement alone. She required the movement to form the letter and auditory cues to recall and identify the letters "b, a, q, n, and d". With vision occluded confused the lowercase "p" with the letter "d". Today she was instructed using Print Island on a new group of letters called "Fall Down, Jump Up" letters. She was instructed on the lowercase letters "l, i, and t" which she formed well. Great session, Libby worked hard.