I originally wrote this post on 9/27/2011, there is an update at the bottom.

Last week we received T’s evaluation after 18 months of OT and it showed some significant improvements. It also showed several areas that hadn’t improved at all, and some that had even gotten worse. His OT suggested a few things to try, a PT evaluation, a full function vision evaluation and starting a cognitive program called, “How Does Your Engine Run?”

His biggest improvements were in his fine motor skills. This makes sense because he gets two OT sessions a week dealing with fine motor skills. Once in school and part of his private weekly OT appointment covers the fine motor stuff.  He also improved slightly in the length of time he was able to focus.

Pretty much all of the other issues he has have either stayed the same, or in some cases gotten worse. Now, to be fair, I don’t actually think he’s really gotten worse. Here’s my hypothesis on why he’s showing some sliding in certain areas: now that we’ve had the label of SPD, I’m more educated on what is SPD related, and what is normal kid stuff. So when I filled out the parent questionnaire this time, I was able to provide more complete answers, so in reality, I’ve gotten better at recognizing SPD symptoms. Ones that he has had all this time, but I never included them on the parent evaluation form before. …continue reading