When should a parent pursue Occupational Therapy?

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
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3 months:
• Does not follow an object with their 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
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4 months:
• Does not swipe at or reach for objects
• Does not bring hands or objects to their mouth
• Frequently irritable for no apparent reason
• Does not place both hands on bottle while being fed
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5  months:
• Does not hold own bottle
• Doesn't smile at own image in a mirror
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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
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7 months:
• Does not transfer an object from one hand to the other
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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
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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 sounds of: siren, barking dog, vacuum cleaner, or other familiar loud noises
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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
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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 cubes
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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, untie shoes, or pull on pants without help
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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
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36 months:
• Cannot remove / pull on clothing after fasteners have been undone
• Does not imitate the actions of adults in the home
• Does not pretend during play