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). Began session warming up her hands with discovery putty to find hidden objects all having to do with a farm. Libby had her hair down and OT asked if she could put it up in a barrette. Libby agreed without hesitation. Continued working on instruction on lowercase alphabet. Libby is more than halfway through with instruction and is making steady process with visual recall for the lowercase letters. Today she was instructed on the the "fall down jump up letters" - j and k. She was instructed that "j" is a root letter and goes under the writing line and that "k" is a tall leaf letter and starts by the top line. She need assistance in making "k" in a fall down, jump up fashion. She has a incorrect motor memory for how it is made. By the end of the session and with verbal cues, demo, and visual cues, she was able to make a "k" adequately. We will continue to practice this in therapy sessions.