Vierat was seen for an one-hour after school occupational therapy treatment session. Focus of treatment was on improving his fine motor development (grasp patterns, dexterity, amd manipulation), sensory processing, motor planning/processing, bilateral coordination, ocular motor skills and upper extremity coordination. Vierat came to this late afternoon session happy and alert. We began treatment with hand strengthening exercises in which Vierat had to find hidden objects in a resistive putty. We continued therapy with various fine motor activities to improve refined distal hand skills and to improve processing speed for this type of skills. Motor planning, bilateral coordination and upper limb coordination was addressed through various activities such as Simon Says and Basket catch game. Throughout the session voice volume was addressed with Vierat. Pretended that he had a volume knob and when his voice got "way" too loud indoors OT said we have to turn down the volume of your voice. Vierat understood and tried to modulate his volume to the appropriate level. Lastly, we worked on keyboarding using typing.com. Vierat was instructed on the home row letter "f" and "j" today. His processing speed to look at the screen and type the letter was delayed; however, this will improve with practice. His average typing speed just for these two letters was 4wpm. Great first session.