Parents With Disabilities Deserve Real Support, Not Pity or Praise

    Parenting is hard.  Everyone that has children or works with them knows that this is true.  Parenting when you have a disability is harder by far.  Like parenting… squared.  But instead of real support, many disabled people who become parents or are thinking of becoming parents face a lot of reactions from the non-disabled.…… Continue reading Parents With Disabilities Deserve Real Support, Not Pity or Praise

Hypermobile Child? Simple Dental Moves That Make a Real Difference in Your Child’s Health

    As the OTR on a treatment team, I am the ADL (Activities of Daily Living) go-to person.   Why then, do so few parents ask me what ideas I have about ADLs, especially dental care?  Probably because OT as a profession has developed this reputation as the therapist either focused on handwriting or…… Continue reading Hypermobile Child? Simple Dental Moves That Make a Real Difference in Your Child’s Health

Taping The Paper To The Table For Your Child? Stop!

Many young children between 2 and 5, especially children with low muscle tone or postural instability, will struggle with bilateral control.  In preschool, one way to notice this is to see the paper sliding around the table while a child colors.  The common response of teachers (and parents) is to tape the paper down.  Oops!…… Continue reading Taping The Paper To The Table For Your Child? Stop!

Hypermobile Toddlers: It’s What Not To Do That Matters Most

  Do you pick up your toddler and feel that shoulder or those wrist bones moving a lot under your touch?  Does your child do a “downward dog” and her elbows look like they are bending backward?  Does it seem that his ankles are rolling over toward the floor when he stands up?  That is…… Continue reading Hypermobile Toddlers: It’s What Not To Do That Matters Most

Infants With Sensory Sensitivity: When Your Fussy Baby Takes Over Your Life

fpsyg-08-00789   Parents are often the first to suspect that their infant’s constant and intense complaints are more than just fussiness.  Sometimes pediatricians pick up on a pattern of edginess that cannot be explained by all the usual suspects:  teething, food sensitivity, temperament.  Having a baby who complains bitterly about the most common events, such…… Continue reading Infants With Sensory Sensitivity: When Your Fussy Baby Takes Over Your Life

Child Writing Too Lightly on Paper? It Might Not Be Hand Strength Holding Him Back

If your child barely makes a mark when he scribbles or writes, most adults assume that grasp is an issue. Today’s post suggests that something else could be the real reason for those faint lines. Limitations in postural and bilateral control contribute far more to lack of pressure when writing  than most parents and teachers…… Continue reading Child Writing Too Lightly on Paper? It Might Not Be Hand Strength Holding Him Back

Low Tone and Toilet Training: Learning to Hold It In Long Enough to Make It to The Potty

  If your child can’t stay dry at night after 5, or can’t make it to the potty on time, there are a number of things that could be going wrong.  I won’t list them all, but your pediatrician may send you to a pediatric urologist to evaluate whether there are any functional (kidney issues,…… Continue reading Low Tone and Toilet Training: Learning to Hold It In Long Enough to Make It to The Potty

Why Dot-To-Dot Letter Practice Slows Down Writing Speed and Legibility

Most workbooks feature dot-to-dot practice for writing letters.  They shouldn’t.  Why?  The answer is obvious if you know how to teach handwriting.  The biggest problem is that so few people understand how children learn to write, and what gets in their way. There are 3 stages of learning:  imitating an adult, copying printed materials, and…… Continue reading Why Dot-To-Dot Letter Practice Slows Down Writing Speed and Legibility

Sensory Sensitivity In Toddlers: Why Responding Differently to “Yucky!” Will Help Your Child

Sensory sensitivity and aversive behaviors are among the most common reasons families seek occupational therapy in Early Intervention.  Their kids are crying and clinging through meals, dressing, bathing and more.  What parents often don’t see is that they can help their child by being both empathic and educating them throughout the course of the day.…… Continue reading Sensory Sensitivity In Toddlers: Why Responding Differently to “Yucky!” Will Help Your Child

Gifted and Struggling? Meet the Twice Exceptional Student, and How OT Can Help

      I work with two amazing children that could be diagnosed as “twice exceptional”.  Both boys, they have amazing intellectual gifts (one verbal, one in math) but they work with me on their handwriting and their behavior.  Neither can write a simple sentence without significant errors in letter placement or formation.  But both…… Continue reading Gifted and Struggling? Meet the Twice Exceptional Student, and How OT Can Help

Young Children With Dysgraphia Need Better Handwriting Instruction, Not Just Technology.

The diagnosis of dysgraphia is so vague that I almost hesitate to write about it.  The reason I am dipping a toe into these messy waters?  Almost every psychologist that gives a child this diagnosis recommends abandoning handwriting in favor of tablets and speech recognition programs.  I feel strongly that this does young children a…… Continue reading Young Children With Dysgraphia Need Better Handwriting Instruction, Not Just Technology.

Should Your Child Use A Pencil Grip?

I will be asked about pencil grips every time I teach a workshop or lecture on handwriting.  My popular post, The Pencil Grip That Strengthens Your Child’s Fingers As They Write. , partially explains when and why I would recommend the use of this excellent pencil grip with older kids.  I have a message for preschool teachers…… Continue reading Should Your Child Use A Pencil Grip?

Bringing Home Your Preemie: What Your Therapists Would Like You To Know

Discharge day for a preemie is special, but it is just the beginning of a journey that often includes therapy at home.  As an Early Intervention therapist, I thought parents could use some insights into what your team is really thinking when they begin to work with you and your baby. We know that you…… Continue reading Bringing Home Your Preemie: What Your Therapists Would Like You To Know

Why “Hand-Over-Hand” Assistance Doesn’t Work With So Many Special Needs Children

This method of teaching fine motor skills has never worked well for me in Early Intervention.  In my professional experience, it has been a popular technique for many special educators.  But they aren’t always getting the results they want.  Very often, the scenario is as follows:  I get a call from a concerned parent, telling…… Continue reading Why “Hand-Over-Hand” Assistance Doesn’t Work With So Many Special Needs Children

Does Handwriting Have An Uncertain Future in School?

I have read two reviews of Anne Trubek’s book The History and Uncertain Future of Handwriting, one of them in the New York Times The Story of How Handwriting Evolved, and May Soon Die Off.  I have not read her book yet, but since I work with young children, I spend plenty of time with “boots…… Continue reading Does Handwriting Have An Uncertain Future in School?

Low Tone and Constipation: Why This Issue Delays Toilet Training Progress

Kids with low tone and sensory processing disorders are not the only children who struggle with constipation, but it is more common for them.  The reasons are many:  low abdominal and oral tone, less use of available musculature because they use compensatory sitting and standing (the schlump, the lean, the swayback) patterns, and even food…… Continue reading Low Tone and Constipation: Why This Issue Delays Toilet Training Progress

What’s Really Missing When Kids Don’t Cross Midline?

If I had a dollar for every teacher who remarked on a child’s inability to cross the midline of his body (left-right midline, not top/bottom midline),  I would be writing this post from my beachfront condo in Hawaii.  Here is what problems crossing midline can signify, what other issues are often seen with these kids, and…… Continue reading What’s Really Missing When Kids Don’t Cross Midline?

Low Tone and Toilet Training: How Your Child’s Therapists Can Help You

Over the years as an occupational therapist, I have been giving parents hints here and there.  Writing my e-book  this fall, and preparing an e-course (coming soon) to support families makes me realize that some clients did not ask me very many questions while they were toilet training their child. So….Are there aspects of therapy…… Continue reading Low Tone and Toilet Training: How Your Child’s Therapists Can Help You

Vestibular Fun For Infants With Motor Delays

Picture this:  a dad swings his 6 month-old upside down, and she giggles and smiles from ear to ear.  What doesn’t daddy know?  He is stimulating her developing balance system and teaching her to love movement while they play. When babies have motor delays, whether due to prematurity, illness, or a brain injury such as…… Continue reading Vestibular Fun For Infants With Motor Delays

Your Best Pre-Writing Activities List: Target Key Skills And Have Fun!

The school year is coming up fast, and parents are wondering what skills their preschoolers are going to need.  Finding fun things to do with the rest of the summer that actually build skills, not just entertain the troops, isn’t easy, even for occupational therapists.  Here are my current favorites: Bring out the scissors and…… Continue reading Your Best Pre-Writing Activities List: Target Key Skills And Have Fun!