Signs to Look For

Is your child struggling to connect, move, or communicate?

Every child develops at their own pace and identifying minor hurdles early allows us to provide the right tools at the right time. Early intervention is key to long term progress. If two or more of the below challenges resonate with your experience at home or school, it may be time for a formal evaluation by one of our Occupational or Speech Therapists, or a Board Certified Behavior Analyst.

Challenges Related to Sensory Processing or Modulation

  • Craves movement and/or constant motion; is impulsive in actions
  • Has difficulty maintaining attention, staying focused, and is easily distracted
  • Avoids getting messy or smears messy textures all over self
  • Takes risks and lacks safety awareness, or fears climbing, swinging, moving fast, roughhousing, etc.
  • Is sensitive to noise, smells, food textures, touch (e.g., tags in clothing or brushing teeth)
  • Purposefully bumps into others / objects or falls onto the floor; is aggressive with peers, etc.
  • Has decreased awareness of clothing on their body, i.e., leaves shirt half out, pants tucked in socks, etc.

Challenges Related to Gross Motor / Postural Skills

  • Has delayed developmental milestones, e.g., rolling, sitting, crawling, or walking, etc.
  • Seems weaker than their peers, i.e., fatigues easily
  • Is clumsy, i.e., falls frequently or has poor balance
  • Avoids playground equipment and prefers playing in the sandbox or with a group of children on the side
  • Has / had difficulty learning how to ride a bike, skip, or jump rope
  • Has difficulty or avoids playing team sports that require coordination

Challenges Related to Fine, Visual Motor, and/or Perceptual Skills

  • Avoids or dislikes writing, drawing, arts and crafts; has difficulty drawing shapes
  • Presents with messy drawing and handwriting; holds the pencil incorrectly
  • Has difficulty with cutting or coloring within given lines and using utensils
  • Has difficulty with buttons, snaps, zippers, tying shoes
  • Has difficulty learning the alphabet and letters
  • Has difficulty putting together puzzles

Challenges Relating to Oral Motor / Feeding Skills

  • Has difficulty learning to latch on / breastfeed or transition to solid foods
  • Is a picky or messy eater
  • Avoids eating certain textures
  • Drools
  • Eats too fast or overstuffs mouth
  • Avoids hard-to-chew foods, i.e., meat
  • Chews with mouth open

Challenges Related to Social Skills

  • Has difficulty making and keeping friends
  • Has difficulty reading social cues
  • Has difficulty initiating and maintaining conversations with peers; becomes overly silly or shuts down
  • Has difficulty playing games, losing or working as a team
  • Has difficulty sharing, taking turns, or waiting in line
  • Has poor eye contact and ability to stay attentive during games / conversations, etc.
  • Has poor problem-solving or conflict resolution skills with peers

Challenges Relating to Underlying Cognitive Processing Weaknesses

  • Has difficulty with math, reading, spelling, reading comprehension, writing, or processing auditory information
  • Seems smart, but is not able to apply self to the fullest and earn appropriate grades
  • Homework takes too long; has poor organizational skills
  • Has difficulty with multi-step directions and forgets what is told to them
  • Dislikes school or avoids and has difficulty completing homework

Challenges Relating to Underlying Ocular Motor Weakness

  • Avoids reading and writing or is a slow reader
  • Complains of their eyes hurting or being tired during reading / homework
  • Skips words / lines or misreads words while reading
  • Loses their place frequently when copying or takes too long to copy information
  • Has difficulty catching a ball coming towards them and may have difficulty playing sports
  • May have challenges with writing neatly

Challenges Relating to Activities of Daily Living and Instrumental Activities of Daily Living

  • Has difficulty using utensils while eating
  • Has difficulty dressing / undressing
  • Has poor grooming and hygiene skills or tolerance
  • Has difficulty learning how to hang and fold clothes
  • Has difficulty organizing time to get ready in a timely manner
  • Has difficulty opening and closing containers, Ziploc bags, etc.
  • Has difficulty sequencing steps to make a simple snack or to make a bed, etc.

Challenges Relating to Speech or Language

  • Is delayed in talking / using expressive vocabulary
  • Has difficulty following simple directions / Receptive Vocabulary
  • Has difficulty understanding auditory information / Auditory Processing Challenges
  • Uses poor articulation (i.e., saying sounds or pronouncing words correctly) / has Apraxia
  • Has difficulty carrying on a 2-way conversation
  • Has difficulty understanding conversations
  • Has difficulty retrieving words when talking

Challenges Relating to Behaviors

  • Experiences frequent temper tantrums or meltdowns over seemingly trivial matters
  • Becomes extremely upset or angry when told no or when they can’t do something they want to do
  • Demonstrates rigidity with routines, inflexible thinking, and difficulty with transitions
  • Encounters difficulty attending, listening, or following directions or rules
  • Cries, whines, hits, pushes, yells, kicks, or screams frequently when they don’t get their way
  • Demonstrates impulsive or self-injurious behaviors
  • Behaves with disrespect or defiance, throws toys or objects, or are mean to pets
  • Has a difficult time following school routines and doesn’t listen to their teacher or peers
  • Is unable to participate appropriately in childhood activities and extracurriculars
  • Presents with significant safety concerns

Trust Your Instincts and Don’t Wait to Support Your Child’s Potential

You are the expert on your child. If your gut is telling you something isn’t quite right, listen to it. When it comes to development, there is no such thing as being too early. Clinical research shows that the early years represent a golden window where the brain is like a sponge and most responsive to therapy. Acting now and not waiting to see gives your child the strongest advantage!