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.

Draw Honey Bear in a chair, create a story about Honey Bear. Drawing and rendering with colors.

Obstacle course: Jump, Rolls, dodge, hop, crawl, and finish each round with martial arts skills and drills.
Seld Defense against a grab, kick/punch and run

We played some melodic phrases on the keyboard, and played some rhythms using the percussion sounds.

Libby struggled to concentrate this morning because she was focused on her loose tooth. To try and ease her mind, she completed a coloring page with mixed addition and subtraction problems.

Begin with yoga flow, the sun Salutation.
Basic karate techniques: Kicks, Punches, and stances
Self Defense Drills.
Finish with positive meditation.
Ready for school..

Libby started out by recalling the words we worked on yesterday (-in, -it, and -is). Next, she used letters to create words using those roots. She formed dine, diner, finer, and miner. Then, she formed lit, bit, fit, and sit. Lastly, she created miss, kiss, and sis. Once, she was done, I asked her to be creative and create a few new words. She said queen, Jaqie, and lucky ducky. Then, we discussed how words that end with -y have the long e sound. We looked at her name tag and discussed that since both of her names end in -y, each says the long e sound. Next session, we'll work on rhymes.

Continue to practice knowing the letter symbols and their sounds out of order of the alphabet. Reread The Red Hen Fell. Point out sight words we have learned as well as decoding the short -e words. Use magnet letters to work on figuring out the initial and final sounds in the words from the story. Write the words as well.

1. Introduced new props and materials
2. Story telling and dramatic play with unicorns and treasure
3. Review and plan next ideas

Libby completed her interactive calendar. She read and discussed her vocabulary words. She finished her calendar talk. She worked on her phonics activities. She put together her daily sentence puzzle. She learned about the habitats of different animals and what they need from their environment to survive.