At Thera-play Pediatrics, your child’s comprehensive wellness is important to us. Our team of therapists is dedicated to providing you with unique therapy treatment for your child. Our goal is to ensure that every patient receives the attention they deserve. We also strive to give you the resources you need to understand your child’s issues and how to help.


 Occupational Therapy: Warning Signs & Diagnosis

Common occupational therapy issues involve sensory processing and regulation problems, motor coordination difficulties, feeding and eating concerns, and challenges with planning and organization. Red flags such as frequent, unusual tantrums, poor body awareness, avoidance of eating utensils, and difficulty completing basic, independent tasks, may suggest that your child may need skilled occupational therapy. After a thorough evaluation, we’ll develop a plan to work with your child and reduce or eliminate the problem behaviors. Learn more about warning signs on our occupational therapy page.


Parents should consider seeking an evaluation with an Occupational Therapist if their child demonstrates any of the following:

Birth to 2 months:
– Does not grasp objects placed near palm

3 months:
– Does not follow an object with her eyes
– Hands remain closed almost all of the time
– Frequently resists being held
– Becomes upset when moved, as when being picked up, laid down, or handed from one familiar person to another

4 months:
– Does not swipe at or reach for objects
– Does not bring hands or objects to his mouth
– Frequently irritable for no apparent reason
– Does not place both hands on her bottle while being fed

5 months:
– Does not hold own bottle
– Doesn’t smile at his image in a mirror

6 months:
– Involuntarily drops objects after only a few minutes
– Does not actively grasp large finger foods such as teething cookies when they are placed on the highchair tray
– Is excessively and consistently upset by leaving the home

7 months:
– Does not transfer an object from one hand to the other

10 months:
– Not beginning to pick up small objects
– Does not poke with index finger
– Is not accepting a variety of food textures
– Is excessively upset by being dressed, diapered, bathed, or having hair groomed

12 months:
– Isn’t able to pick up a cheerio or other small object with tip of the thumb and the tip of the index finger
– Is not sleeping through the night most of the time
– Is not interested in exploring toys made for one year olds
– Is excessively upset by sound of siren, barking dog, vacuum cleaner, or other familiar loud noises

15 months:
– Cannot put a one inch object into a container with a slightly bigger opening
– Cannot stack two cubes
– Cannot put a round form into a round shape on a puzzle

18 months:
– Cannot point to a few of the following body parts: eyes, nose, mouth, hair, tummy, legs, feet, and hands
– Cannot turn pages of a cardboard book, or regular small book two or three pages at a time
– Cannot stack four books

24 months:
– Play with toys only by tapping, shaking, or throwing
– Cannot unscrew top of a one inch or two inch bottle
– Cannot remove socks, untied shoes, or pull on pants without help

30 months:
– Cannot imitate drawing a vertical line or a circular scribble on paper immediately after seeing an adult draw these lines
– Cannot stack eight to ten cubes
– Cannot imitate drawing a horizontal line immediately after seeing an adult draw a horizontal line

36 months:
– Cannot remove all pull on clothing after fasteners have been undone
– Does not imitate the actions of adults in the home
– Does not pretend during play