Mia has her weekly half-hour occupational therapy session on Friday mornings. Tighter school security means I can no longer observe. Fortunately, Mia’s therapist takes time to describe what they did together, sometimes using pictures as she did this past Friday. The sequences are so compelling that I want to share them.

Mia chooses where she wants to start and the therapist goes with Mia’s preferences while still keeping her goals in mind.

On Friday, Mia wanted to start in the gross motor area, throwing balls from inside the ball-pit Jump-o-lene into an inner tube with righty.

Here, Mia is carefully using her right hand to pick up a ball. Notice how she is concentrating.

Really beautiful extension with her right arm as she throws a ball.

Cleanup time. Mia spontaneously used both arms to help put all the balls back in the ball pit!

Fine motor practice next. Mia was feeding the ball pennies. She initially tried to pick up the ball and squeeze it with her right hand but that was too challenging so she switched hands and held the ball with her stronger left hand while practicing pincer grasp with righty.

Picking pennies up off the table with pincer is tricky so you can see in the final picture that Mia got creative using righty pointer to slide the penny to the edge of the table.