Sensory Processing

  • Overly sensitive or heightened reactivity to sound, touch, or movement

  • Under-responsive to certain sensations (e.g., high pain tolerance, doesn't notice cuts/bruises)

  • Constantly moving, jumping, crashing, bumping

  • Easily distracted by visual or auditory stimuli

  • Emotionally reactive

  • Difficulty coping with change

  • Inability to calm self when upset

Fine Motor Skills

  • Manipulating toys and puzzles

  • Holding a pencil

  • Using silverware or straws at an age-appropriate time

  • Using scissors

  • Using zippers, buttons, shoelaces

  • Coloring, drawing, tracing, prewriting shapes

  • Poor handwriting, letter/number formation

  • Not developing a hand dominance at an age-appropriate time

  • Avoiding tasks and games that require fine motor skills

Body Awareness

  • Going up and down stairs at an age appropriate time

  • Coordinating both sides of the body

  • Understanding the concept of right and left

  • Poor ball skills

  • Poor balance

​Their muscle tone, or muscle tension and resistance, could be higher or lower than the appropriate developmental milestone. They might also:

  • be fearful of feet leaving the ground

  • doesn't cross midline of his or her body during play and school tasks

  • avoids tasks and games that require gross motor skills

Visual Processing

  • Difficulty with the spacing and sizes of letters

  • Difficulty with recognizing letters

  • Difficulty with copying shapes or letters

  • Difficulty with visual tracking and crossing midline

  • Difficulty finding objects among other objects

  • Difficulty with copying from the board or another paper

  • Difficulty with the concept of right and left

Prewriting / Graphomotor Skills

  • Trouble remembering how to spell words

  • Trouble recognizing or naming words or letters on a page

  • Inability to remember how to form letters or words on the paper

  • Sloppy or illegible handwriting

  • When writing is legible, it's slow and difficult to create

  • Awkward pencil grip

  • Poor spatial planning and/or inconsistent spatial relationship between letters or words

  • Cramping or pain in the hand when writing

  • Inability to multitask when writing, such as being unable to listen and write at the same time

  • Preference for oral delivery over written

  • Avoidance of writing assignments

ADL / Self help Skills

  • Be unable to feed themselves independently.

  • Require more help than others of their age to get dressed or undressed.

  • Find it difficult to tolerate wearing certain clothes.

  • Struggle to use cutlery.

  • Need adults to open food packaging in their lunch box.

  • Refuse to eat certain foods.

  • Be unable to coordinate movements to brush teeth.

  • Require extensive help to fall asleep.

  • Choose to toilet only at home where there is adult support.

  • Be late to develop independent day time toileting.

  • Show limited motivation for independence in self care, waiting for adults to do it for them instead.

Motor Planning Skills

  • Struggle to identify the steps needed to complete a task, and the correct order to do them in

  • Frequently bump into things due to a lack of spatial awareness 

  • Fail to hit age-appropriate milestones, like hopping or kicking

  • Be slow to perform simple tasks

  • Have issues with handwriting

  • Struggle to learn new tasks

  • Struggle with consistency in performance

  • Appear uncoordinated and clumsy

  • Have poor hand-eye coordination

  • Lack timing and rhythm 

Core and Upper Body Strength

  • Slumped or slouched posture

  • W-sitting position

  • Frequently changing body positions or difficulty sitting still

  • Hold their head up with their hand

  • Poor attention skills

  • Difficulty with fine motor tasks, such as holding a pencil or doing up buttons

  • Difficulty with gross motor activities or frequently losing their balance e.g. on a balance beam or riding a bike


Is your child in need of Occupational Therapy?

Their journey towards a brighter
future begins with a simple call.

1 - Consultation

Book a free 15-minute phone or video consultation to decide which OT services are a good fit for you and your child.

2 - Plan of Action

A therapist is paired to work with your child and gets in touch to collaborate on a holistic plan which takes into account the unique needs of your child.  

3 - Implementation

The treatment process begins and therapist, parent, and child start out on the path to creating success and independence in your child's life.