Why Child Development is MORE Complicated than a Developmental Milestone Checklist
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Why Child Development is MORE Complicated than a Developmental Milestone Checklist

Why More is Needed than a Developmental Milestone Checklist to Evaluate a Child’s Development For years I have said to families and friends…… Pediatricians are developmental screeners. THEY ARE NOT THE EXPERT. Neither do I want them to be. I want my pediatrician to be able to diagnose my child if they have a serious…

Symmetrical Tonic Neck Reflex (STNR)
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Understanding the Symmetrical Tonic Neck Reflex (STNR)

Understanding the Asymmetrical Tonic Neck Reflex (ATNR)The Symmetrical Tonic Neck Reflex (STNR) and Asymmetrical Tonic Neck Reflex (ATNR) are two reflexes that are critical for a child’s learning and motor development.  These two reflexes are the reflexes I assess most for integration and retainment as a pediatric occupational therapist. Primitive reflexes are present at birth and integrated…

OT Home programs with lots of choices do not increase compliance
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Home Programs with Lots of Choices Do NOT Increase Compliance!

A big mistake I see many pediatric occupational therapists who work with children make is taking a lot of time developing a home program (HEP) with a lot of activities. And I get it.  Everyone tells you that people love choices! It’s easy to fall into that trap. Does every OT who provides their families home…

Maintaining Professional Boundaries
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The Importance of Maintaining Professional Boundaries

Setting up professional boundaries in healthcare that include not becoming too “friendly” or too forgiving with canceled sessions, etc, with clients is very important in our professions. I have seen this happen and it is not pretty. When it happens I believe therapists become too invested in not only the therapy outcome but their overall…