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Infants and Toddlers (ages 1 to 36 mos)

  • Poor eye contact.

  • Excessive drooling.

  • Feeding problems, colic, or reflux.

  • Seldom smiles or laughs. Slow language development.

  • Doesn’t appear to recognize familiar faces.

  • Low muscle tone.

  • Difficulty lifting head, or pushes back with head.

  • Slow to roll over, crawl, sit, stand, or walk.

  • Doesn’t like being on stomach.

  • Keeps hands fisted or lacks movement.

  • Startles easily, difficult to console, unusually fussy.

  • Stiff extremities, arches back and/or stiffens legs.

  • Resists being held; dislikes being cuddled.

  • Dislikes baths, sensitivity to loud noises, and food textures.

  • Startles easily.

  • Unable to settle down, sleep difficulties.

  • Loss or regression of skills once acquired.

Preschoolers (3 through 5 years)

Any of the previous, or:

  • Poor eye contact. Difficulty communicating. Limited language.

  • Picky eater.

  • Breaks toys or crayons easily.

  • Trouble coloring inside the lines, doing puzzles, or cutting with scissors.

  • Poor body awareness. Frequently bumps into objects or people.

  • Clumsy, trips and falls often. Underdeveloped motor skills for age.

  • Low muscle tone, appears weak or “floppy.”

  • Limited play preferences.

  • Avoids swings and other playground activities. Tires easily.

  • Shows fear when feet are off the ground or head is tipped backwards.

  • Walks on tiptoes. Appears stiff.

  • Jumps in place, flaps hands, and/or rocks in place to soothe self.

  • Seeks out excessive movement or avoids movement.

  • Avoids age appropriate self care or play activities.

  • Overreacts to touch, tastes, sounds, or odors.

  • Dislikes bathing, cuddling, self grooming and/or hair cuts.

  • Overly active, unable to settle down, has sleep difficulties. Trouble transitioning.

School-age (6 years & older)

Any of the previous, or:

  • Difficulty paying attention. Restless. Trouble sitting still.

  • Finds it hard to follow instructions, especially with multiple steps.

  • Needs more practice than other children to learn new skills.

  • Over-focused and resistant to shifting to the next task.

  • Delays in fine motor work. Messy handwriting.

  • Breaks pencils frequently, writes with heavy pressure.

  • Dislikes handwriting, tires quickly and/or avoids written class work.

  • Continues to reverse letters such as b and d; trouble spacing letters on the lines.

  • Low muscle tone, clumsy, tends to lean on arms or slumps at desk.

  • Does not enjoy jumping, swinging, or having feet off the ground.

  • Avoids physical education and/or sports activities.

  • Overly active, unable to slow down.

  • Over reacts to touch, taste, sounds or odors.

  • Dislikes bathing, hugs, and haircuts.

  • Sensitive to tags, seams, and fabrics.

  • Hard to make friends, prefers playing with adults or younger children.

  • Poor self-esteem, lack of self-confidence.

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