Emotional episodes that seem atypical in intensity, frequency, or duration as compared to same-aged peers

Low frustration tolerance

Unable to calm child with standard verbal or physical guidance

Decreased social confidence

Poor self and social awareness

Lacks play skills

Resists typical social activities for that age (e.g. sports, parties, play dates)

Intelligent, but lacks the ability to organize self and materials, problem-solve, persist, be flexible, pay attention

Poor grasp on eating and writing utensils

Unable to manage fasteners on clothing (e.g. tying shoes, buttoning, zippering)

Poor handwriting

Resists coloring or writing

Appears clumsy or uncoordinated

Cannot keep up with others

Poor posture

Poor hand-eye coordination for throwing, kicking, catching

Is overly sensitive to certain sensations (e.g. feeling of clothing, texture of foods, loud noises) to the point it interferes with function

Is under-responsive or sluggish (e.g. need to call their name 5 times before they register you're speaking with them, low energy, unable to locate an item in a busy background)

Has endless energy and is impulsive in nature in an effort to move their body

Has a limited food repertoire that does not include all 5 food groups

Limited food repertoire impairs functional activities such as eating out at restaurants, eating a parties/social functions, going on vacation, etc.

Is functionally impaired by sensitivity to the food around them (e.g. eating in a lunch room)

Is unable to self-soothe to fall or remain asleep, or to resume sleep

Lack of routine impacting sleep

Increased energy at bedtime or in morning, impacting length of sleep

Struggles to complete visual-based tasks such as puzzles, iSpy games

Rejects reading despite knowing how to

Becomes overwhelmed and/or disorganized when a lot of information is on a page

Letter reversals are present past 7 or pervasively present when younger

Struggles to keep their words/letters on the line and with relatively appropriate sizing