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Building Blocks Pediatric Occupational Therapy Services

Fairfield Connecticut Occupational Therapist

203-341-0178
943 Post Rd E Suite A
Westport, CT 06880
bbpedot@yahoo.com
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The Baby Blueprint: Exploring Developmental Milestones

May 3, 2026 By admin

Your baby grows so much within the first year and every little movement is a big win! Exploring the pediatric developmental milestones will provide you with a guideline to monitor your baby’s development. So let’s take a look at the fine and gross motor developmental milestones your baby will experience in their first year of life!

Let’s start by reviewing the difference between fine and gross motor:

  • Fine motor: The movement of small muscle groups (i.e. fingers, wrists and hands)
  • Gross motor: The movement of large muscle groups (i.e. coordination of arms, legs, and torso)

Now let’s break these milestones down month by month:

1 month

Fine motor:

  • Baby’s hands are fisted near their face

Gross motor:

  • Baby will start to raise their chin when lying on their tummy
  • They are able to turn their head when lying on their back

2 months

Fine motor:

  • Baby can bring their hands to the middle of their body
  • They will start to open their hands briefly
  • You will see them holding their hands together too

Gross motor:

  • Baby will start to lift their chest up when lying on their tummy
  • Baby is now able to move both their arms and legs
  • Their head will bob when you hold them in a sitting position

3 months

Fine motor:

  • Baby will start to bring their hands to their mouth
  • They will continue to open their hands more
  • They will start to bat at objects near them

Gross motor:

  • Baby will prop themselves up on their forearms when lying on their tummy
  • You will see your baby start to roll on their side

4 months

Fine motor:

  • Baby will begin reaching for objects
  • They bring their hands and objects to their mouth
  • Their hands will be open most of the time

Gross motor:

  • Your baby can now hold their head steady without support
  • They will start to roll from their tummy to their back
  • You will see them push onto their elbows and forearms when lying on their tummy

5 months

Fine motor:

  • Baby will grasp objects with their palm
  • They can transfer objects from their hand to their mouth, and back
  • They can reach and grab dangling rings

Gross motor:

  • Baby can sit with your support at their pelvis
  • Baby can now roll from their back to their tummy
  • Your baby will develop the protective reflex to put their arms out front when falling

6 months 

Fine motor:

  • Baby will move objects from one hand to the other
  • They can hold two objects simultaneously
  • They will start to feed themselves easy foods (i.e. crackers)

Gross motor:

  • Baby will bear weight through their hands when on their tummy
  • They can sit unsupported for brief periods of time
  • You will see them lean on their hands for support when sitting

7 months 

Fine motor:

  • Baby will start to grasp objects using the side of their palm near their thumb and their first few fingers on that side

Gross motor:

  • Your baby will bounce when you hold them
  • They can now sit steadily without support
  • They develop the next protective reflex of putting their arms to the side when falling

8 months

Fine motor:

  • Baby can bang a spoon after a demonstration
  • They can hold their own bottle
  • Baby will use a scissor grasp to pick up cubes

Gross motor:

  • Baby can get into sitting by themselves
  • They will start to use their arms to move themselves forward, but their legs and tummy will remain on the ground
  • They can pull themselves into kneeling

9 months

Fine motor:

  • Baby can now play with toys while sitting up
  • They will use fingers to “rake” food towards them
  • They will grasp with their thumb, index, and middle fingers

Gross motor:

  • Baby will start to “stand” on feet and hands
  • They can pull themselves to stand
  • They will start to “bear” walk using all four limbs

10 months

Fine motor:

  • Baby will have a clumsy release of cubes
  • They will grasp objects with the pads of their thumb and index finger
  • They can now use their index finger to point

Gross motor:

  • Your baby will be cruising around holding on to furniture with both hands
  • They can stand while you hold one of their hands
  • They can now walk while you hold both of their hands

11 months

Fine motor:

  • Your baby can now throw objects (watch out!)
  • They can stir using a spoon

Gross motor:

  • Baby will pivot while sitting
  • They can now cruise around using one hand to hold on to furniture
  • They can now walk while you hold one of their hands

12 months

Fine motor:

  • Baby will grasp objects using the tips of their thumb and index finger
  • They can finger feed themselves by pinching food with their thumb and index finger
  • They can hold a crayon and scribble after a demonstration

Gross motor:

  • Baby can now stand well with their legs apart and arms outstretched
  • They develop the next protective reflex of putting their arms back when falling
  • They are starting to take some steps independently

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🧠✨ Does your child struggle with executive fu 🧠✨ Does your child struggle with executive functioning or motor planning?

Difficulty getting started, following directions, staying organized, getting dressed, learning new movements, or completing routines may reflect developing skills—not a lack of motivation.

🧠 Executive functioning helps children plan, organize, focus, manage emotions, and complete tasks.

🤸‍♂️ Motor planning helps children figure out how to move their bodies for everyday activities, play, sports, and new skills.

Occupational therapy can help children:

✅ Break tasks into manageable steps
✅ Improve planning, coordination, and independence
✅ Build problem-solving and self-regulation skills
✅ Gain confidence at home, school, and during play

✨ Small steps lead to big accomplishments!

📲 Swipe through our parent guide to learn more. Save and share with a parent, teacher, or caregiver!

#OccupationalTherapy #ExecutiveFunctioning #MotorPlanning #PediatricOT #explore
🦷🚫 TEETH ARE NOT FOR BITING PEOPLE! 💛 Do 🦷🚫 TEETH ARE NOT FOR BITING PEOPLE! 💛

Does your little one bite when they’re frustrated, overwhelmed, excited, or just need some extra sensory input? 😬🫣

You are definitely not alone! 💕

SO many parents come to me looking for help with biting, and it’s something I address frequently as a pediatric occupational therapist! 🌈🧠

Here’s what I want parents to understand. Biting is often a form of communication! 💬

Sometimes it means:
🌀 My body feels overwhelmed!
😤 I’m frustrated!
🦷 My mouth needs sensory input!
🥺 I don’t know how to tell you what I need!
⚡ I need help regulating my body!

And here’s something SO important! ❤️

We want children to understand that biting is not okay, but having big feelings IS okay! 💕

Instead of children thinking, “I’m bad” or “I’m not good,” we want to teach them what their bodies need and what they can do INSTEAD of biting! 🙌

✨ That’s why I created this simple, parent-friendly guide! ✨

It’s filled with practical pediatric OT strategies to help you understand WHY biting happens, support regulation, and teach safer replacement behaviors. 🧸🦷🌈

Because our goal isn’t just to STOP the biting. It’s to understand what’s driving it and help children develop the skills they need to succeed! 💪💛

👉 SWIPE through for simple strategies you can start using today!

💬 Have you dealt with biting at home or in the classroom?

📌 SAVE this post for later!
💕 SHARE it with a parent, teacher, or caregiver who could use these tips!

💛 Building Blocks Pediatric Occupational Therapy

#PediatricOT #Sensory #ParentingTips #Biting #Explore
What if we stopped asking, “What sensory activit What if we stopped asking, “What sensory activity should a child do at a specific time?” and started asking, “What is this child’s nervous system telling us right now?”

That is the shift.

Sensory supports can be incredibly helpful, but children do not always need the same input at the same time every day. Sleep, stress, transitions, noise, hunger, emotions, school demands, and the environment can all change what the nervous system needs in a given moment.

We should shift from following a rigid sensory schedule to observing first, then choosing regulation supports that match the child’s current needs.

Sometimes that may be heavy work or deep pressure. Sometimes it may be movement and alerting input. Sometimes the child may need less stimulation, a quieter space, or simply time to reset.

The goal is not just to “do sensory.” The goal is to support regulation, participation, body awareness, independence, and confidence.

Different moments. Different needs. The right regulation supports. 💛

#PediatricOT #SensoryProcessing #Explore #OccupationalTherapy #RegulationSupports
I thought this was so true and so funny 😂🧩 I thought this was so true and so funny 😂🧩

Scheduling OT clients around school, sports, siblings, therapies, cancellations, makeups… and then somehow fitting in your OWN kids’ lives and schedules too. 🤪

Basically one giant game of Tetris where the pieces never stop moving!

Who can relate? 😉🤪😜

#OccupationalTherapy #PediatricOT #OTLife #TherapistHumor #Explore
Here’s a simple visual for therapists to share w Here’s a simple visual for therapists to share with parents as a helpful handout on the developmental sequence of pencil grasps. ✏️

As a seasoned professional, one of my goals is to get practical, easy-to-use tools into the hands of as many therapists, parents, teachers, and caregivers as possible. If something I create can make a concept easier to understand or support a child’s development, I want it shared.

Please feel free to use it, share it, save it, and pass it along. I hope it helps! 💛
#PediatricOT #PencilGrasp #FineMotorSkills #Handwriting #Explore
Cutest William — a day in his OT session! 🤩 Cutest William — a day in his OT session! 🤩

Such huge growth today and such a gift to witness his progress in feeding and regulation skills. 💛 We are seeing him trying new texture foods, expanding his repertoire, and feeling more confident. He is also beginning to move toward more rotary chewing patterns, building upon all of the foods he already feels comfortable eating. His trach was removed a few months ago, and although he still has a G-tube, we are continuing to work on building safe and confident oral feeding skills.

We always start with high sensory input prior to feeding to help his body feel ready to learn. Today William wore his weighted vest and engaged in calming, organizing input including vibration plate + therapeutic music from Vital Links to support regulation and attention.

We also did gentle body massage and oral-motor input to the outside of his cheeks before moving into Z-Vibe work to help prepare his mouth for feeding success.

🥄 Then we moved into feeding!

We incorporated an acrylic stand mirror during feeding practice to support visual feedback and body awareness while eating. This helped William better understand mouth movements and positioning as we worked on oral control and coordination.

We are also introducing more intentional tongue and oral-motor awareness work, helping William become more comfortable handling food inside his mouth and learning how to use his tongue to move and manage food. We are working on tongue lateralization, positioning food onto the chewing surfaces, progressing from a munching pattern toward rotary chewing, and learning how to gather food together to form a manageable bolus for swallowing. 🤩

💡 OT TIP:
High sensory input before feeding or other challenging tasks can make a big difference. Movement, vibration, deep pressure, therapeutic listening, a metronome, or other calming and organizing input can help prepare the nervous system for participation.

✨ Small supports = big growth ✨

#Explore #PediatricOT #FeedingTherapy #SensoryIntegration #OTTips
FINE MOTOR + HANDWRITING STRATEGIES: A THERAPIST-F FINE MOTOR + HANDWRITING STRATEGIES: A THERAPIST-FRIENDLY GUIDE! ✨✏️

I know how much time therapists spend creating parent handouts, finding pictures, explaining tools, and putting together home programs — so I thought I would start sharing some of mine! 💛

My goal is to create resources that therapists can easily share with families and that parents can actually use at home — one less thing on your plate. 🌈

This guide focuses on the skills that support successful handwriting and everyday fine motor development, including:

🌟 Fine motor skills
🌟 Hand strengthening
🌟 Pencil grasp and pencil control
🌟 Visual motor integration
🌟 Visual perceptual skills
🌟 Bilateral coordination
🌟 Weight-bearing and proprioceptive activities
🌟 Handwriting strategies

You’ll also find some of my favorite tools and simple strategies for home, including different pencil grips, the HandyWriter, weighted writing tools, writing slant boards, adapted scissors, visual guides, spacing tools, and activities to strengthen the entire hand. ✋✏️

One of the biggest things I remind families is that handwriting is about so much more than holding a pencil!

Before we expect a child to sit down and write, we want to look at the foundations: shoulder stability, core strength, hand strength, bilateral coordination, visual attention, visual perception, motor planning, and the ability to coordinate what the eyes see with what the hands are doing.

Sometimes the best “handwriting practice” doesn’t involve a pencil at all. 💪🌈

Think:
✨ Animal walks
✨ Wheelbarrow walking
✨ Crawling
✨ Weight-bearing through open hands
✨ Playdough and resistive activities
✨ Clothespins and tongs
✨ Cutting activities
✨ Vertical surface play
✨ Visual scanning and visual perceptual games

SAVE this guide for your therapy toolbox and SHARE it with a parent, teacher, or therapist who could use a few new fine motor and handwriting ideas! 💾📤

These strategies are meant to provide general ideas and are not a substitute for an individualized occupational therapy evaluation when concerns are impacting a child’s participation or development.

#PediatricOT #FineMotorSkills #Handwriting #VisualMotor #explore
🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHER 🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHERS & THERAPISTS 🌈

Occupational therapy is personal to me. I truly love what I do, I love the children and families I work with, and I want to help as many people as I can. ❤️

After 25 years as an occupational therapist, I’ve learned there isn’t one strategy that works for every child or every moment. That’s why I created this Social-Emotional Handout & Toolbox for parents, teachers, therapists, caregivers, and anyone supporting children.

It’s filled with quick, practical tools you can reach for in the moment—recognizing body signals, emotional regulation, anxiety and worry, frustration and anger, transitions, flexible thinking, friendships, sensory strategies, movement, calming tools, and repairing after a hard moment.

My hope is that you save it, share it, and use it when a child needs a little extra support. Sometimes having the right tool at the right time can make all the difference. 💛

Please reach out anytime with questions, for additional resources, or if you’d like me to become part of your child’s team. Helping children, families, teachers, and fellow therapists is truly why I love what I do. 🌈

#PediatricOT #SocialEmotionalSkills #TeacherTools #TherapyTools #Explore
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