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Common Developmental Delays

Developmental delays range from very mild to severe. Say your two-year-old isn't making circular scribbles when all the other children in day care are, yet she has developed her other fine motor skills. She may be scribbling circles soon enough with time and opportunity to observe and practice. On the other hand, a child who still cannot stand on one foot for a few seconds by age four is more significantly delayed. So in some cases, delays are minor and may be overcome naturally over time with the process of normal maturation and with a little extra help, while others are severe and require intensive intervention.

How can you tell the difference between a simple delay that will resolve itself and one that won't? You can't know for certain, so the best thing you can do is to get an evaluation. Even then, the evaluator may be unable to predict whether your child will "grow out of it" if your child has subtle delays and is quite young. In such a case, the evaluator will probably recommend therapy to address mild delays or to monitor development.

Another aspect to consider is how many age-appropriate tasks are too hard for your child within a particular skill area. If your five-year-old can string beads, assemble a jigsaw puzzle, build a fort out of Legos, and button her shirt, but can't use scissors, does she truly have a fine motor delay? Also, a child who is delayed in one area is quite likely to have other delays as well. At the same time it's quite common for a child who is delayed in one area to be ahead of the game in another area. It can all be very confusing, and for a parent, upsetting. With so many variables, it's essential to get professional help to identify and sort out your child's strengths and weaknesses, and to provide appropriate interventions.

We'll give you a few developmental benchmarks here (based loosely on a combination of developmental scales), but keep in mind that age expectations vary between scales, evaluation is subjective, and most developmental delays are not an irreversible, major catastrophe.


From Raising a Sensory Smart Child by Lindsey Biel, M.A., OTR/L and Nancy Peske. Copyright © 2005. Used by arrangement with Penguin Group (USA) Inc.

If you'd like to buy this book, click here or on the book cover.


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