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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 Importance of Play for Children

April 1, 2020 By admin

Play is flexible, fun, intrinsically motivated, spontaneous, and has no set of specific rules.

Why Do Children Play?

  • To release excess energy
  • To support child development of skills and develop cognition
  • Promote emotional and physical well being
  • To gain mastery of a game or skill
  • To connect with other children

Why is Play Important?

  • Builds critical thinking skills
  • Problem solving skills
  • Allows for creativity
  • Gives the child the ability to suggest alternative uses for an object
  • A way to express oneself nonverbally

Communicating Through Play:

  • Use a playful tone
  • Sing songs
  • Repeat sounds
  • Vary the pitch and loudness of one’s voice
  • Imitate sounds and motions that are used by the child
  • Use humor

Stages of Play:

  • Unoccupied Play (birth-3 months): the baby is discovering how their body moves and are making a lot of movements with their hands, feet, legs and arms
  • Solitary Play (birth-2 years): the child plays alone and are not interested in playing with others
  • Onlooker Behavior (2 years): a child begins to watch other children play, but does not engage with them quite yet
  • Parallel Play (2-3 years): a child plays alongside or near other children, but does not play with other children   
  • Associative Play (3-4 years): the child starts to interact with other children during play but there is not a large amount of communication or physical interaction
  • Cooperative Play (4+ years): children play together and all have an interest in the same activity, this is where turn taking and games with rule start to evolve

Development of Play Skills

  • 2-4 months: hands often clasped together
  • 4-8 months: transfers objects from one hand to the other, puts toys in mouth
  • 8-12 months: uses both hands to hold toys and pick up toys with pincer grasp
  • 1-2 years: stacks 3-5 1” blocks, scribbles, tosses a small ball, turns the pages of a book, and enjoys banging and throwing objects
  • 2-3 years: uses winds wind-up toys, strings large beads, snips with scissors, colors large forms
  • 3-4 years: builds with construction toys, dresses dolls, cuts out large shapes with scissors
  • 4-6 years: completes puzzles up to 20 pieces, enjoys building with construction toys (legos), manages a computer mouse to play games
  • 7-10 years: engages in competitive sports, video games, more mature arts and crafts, and more


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As a pediatric occupational therapist, I often tal As a pediatric occupational therapist, I often talk about going deeper than just “take a deep breath.” Deep breathing is more than a simple instruction—it’s a powerful tool that helps children connect with their bodies, regulate their emotions, and calm their nervous systems.
One of my favorite ways to teach this is with a breathing ball. It’s simple, colorful, and engaging, giving children a visual and hands-on way to understand what’s happening inside their bodies.
As you slowly open the ball, encourage your child to take a slow, deep breath in through their nose, imagining their lungs filling up just like the ball expands. This helps them become aware of how their body feels when they breathe in.
Then, as you slowly close the ball, have them gently blow all the air out through their mouth until their “chipmunk cheeks” are completely empty. Encourage them to keep blowing until every last bit of air is out. This full exhale is just as important as the inhale—it helps release tension and signals the body to relax.
Repeat this several times. The movement of the ball helps children pace their breathing and stay focused, making it much easier than simply telling them to “take a deep breath.” Over time, this builds body awareness, supports self-regulation, and helps children learn how to calm themselves when they feel overwhelmed.
This is an easy strategy to use at home, in the classroom, before homework, before bed, or anytime a child is feeling anxious, frustrated, or needs a reset.
Sometimes the simplest tools can make the biggest difference. 💙
#explorepages  #SelfRegulation #DeepBreathing #Sensory #Interoception
The Wilbarger Deep Pressure and Proprioceptive Tec The Wilbarger Deep Pressure and Proprioceptive Technique (DPPT)
Also known as the Wilbarger Brushing Protocol
The Wilbarger Protocol is a sensory-based occupational therapy intervention developed by Patricia Wilbarger to provide deep pressure and proprioceptive input that helps organize the nervous system, improve body awareness, and reduce tactile defensiveness. It should only be taught and initiated by a trained occupational therapist.
Who may benefit?
• Sensory defensiveness or tactile sensitivity
• Difficulty with clothing, grooming, or touch
• Emotional dysregulation and meltdowns
• Transition, attention, and body awareness challenges
• Sensory seeking or avoiding behaviors
• Some children with sensory processing differences, ADHD, autism, or developmental delays when clinically appropriate
Potential benefits
✅ Improved self-regulation
✅ Better attention and focus
✅ Increased body awareness
✅ Reduced tactile defensiveness
✅ Improved participation in everyday activities
How it’s performed
🖐️ Firm brushing is applied to the arms, hands, back, legs, and feet using a Therapressure Brush, followed immediately by joint compressions and, when appropriate, proprioceptive “heavy work” activities.
Never brush: Face, chest, or stomach.
The protocol is typically completed several times throughout the day, with the frequency determined by your occupational therapist. Some children may also benefit from the Oral Tactile Technique (OTT) when oral sensitivities are present.
DPPT is just one part of a comprehensive sensory integration program and should always be individualized and supervised by a trained occupational therapist.
💙 Every child deserves the opportunity to feel regulated, confident, and successful in their daily occupations.
#OccupationalTherapy #explorepages #SensoryProcessing #educationalcontent #WilbargerProtocol
Sometimes the most meaningful therapy doesn’t lo Sometimes the most meaningful therapy doesn’t look like “therapy” at all.
Through play, children are building the foundational skills they need for everyday life. During this activity, we’re targeting balance, core strength, coordination, motor planning, bilateral coordination, visual tracking, and postural control—all while keeping therapy engaging and fun.
Play isn’t a break from learning. For children, play is learning.
#OccupationalTherapy #PediatricOT #PlayBasedTherapy #PlayBasedLearning #ChildDevelopment
Did you know that visual perception is about so mu Did you know that visual perception is about so much more than eyesight? 👀

Visual perception is the brain’s ability to make sense of what the eyes see. These skills play a huge role in everyday activities like reading, handwriting, completing puzzles, finding items in a backpack, and even getting dressed.

Swipe through to learn:
✨ What visual perception is
✨ The 7 visual perceptual skills
✨ How these skills impact daily life
✨ How occupational therapy can help

Want to learn more? Our newest blog takes a deeper dive into visual perception and how OT supports these important skills. Check out the link in our bio!

#PediatricOT #OccupationalTherapy #VisualPerception #VisualPerceptualSkills #ChildDevelopment
My journey to find occupational therapy may have t My journey to find occupational therapy may have taken a bit longer than others, but I 'm grateful for each experience that got me to where I am today!

For those who don't know me, my name is Colleen McGuinness and I have been completing my fieldwork rotation at Building Blocks Pediatric Occupational Therapy as an OT student for the past 3 months. So before I go, I want to tell you about my journey into OT!

Check out our latest blog post using the link in our bio to read more about my journey into OT!

#OTStudent #JourneytoOT #PediatricOT #BuildingBlocksOT
✏️ Not sure which pencil grip is right for you ✏️ Not sure which pencil grip is right for your child?

Each pencil grip is designed to support different needs, and choosing the right one can make writing more comfortable and efficient. Check out this quick overview, then head to the blog (link in bio) to learn more about each grip and how to choose the best fit!

#OccupationalTherapy #PediatricOT #FineMotorSkills #Handwriting #pencilgrips
When you play on the floor with your child or foll When you play on the floor with your child or follow their lead in a game, you are actually engaging in part of an important pediatric occupational therapy method known as Floortime!

This is a relationship-based therapy for children that helps with emotional and developmental growth. 

Check out our latest blog post using the link in our bio to learn more!

#FloortimeMethod #PediatricOT #OccupationalTherapy #BuildingBlocksOT
When your child says they spent OT on the swings, When your child says they spent OT on the swings, they were doing much more than just playing. 😊
Therapeutic swings help children build the skills they need for everyday activities through movement, balance, and sensory experiences that are fun and meaningful.
Read our latest blog to learn about the different types of swings used in pediatric OT. Link in bio! 💙  Photo Credits: @theottoolbox 
#pediatricot #OccupationalTherapy #SensoryPlay
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