Libby seen in her room for a 45 minute occupational therapy treatment session. Focus of therapy on improving her ocular motor skills, visual perceptual abilities, fine motor development, visual motor skills, sensory motor skills and graphomotor skills. Began treatment with executive functioning exercises with identification and recall. Libby is now able to recognize 100% of the uppercase alphabet without pause. We worked on fine motor refinement while Libby colored wooden 3-inch letters using small distal movements. Today we learned how to form the lowercase letters "w and y". Libby was taught the specific line placement of these letters with adequate understanding. She has been forming the letter "y" from right to left versus left to right, making the "long stick" first. She was instructed today that "y" is formed by making a "short stick" then a "long stick". Good focus, good session.