Occcupational Therapy Milestones

Parents often ask how their child’s strengths and weaknesses compare with their age-matched peers. While it is important to respect our children as individuals who grow and develop at their own pace, with their own unique gifts, it can be helpful to reference general guidelines of development that are based upon scientific data.

By 24 months

  • Scribbles spontaneously
  • Turns over container to pour out contents
  • Builds tower of four blocks or more
  • Might use one hand more frequently than other

2 to 3 years

  • Makes up-and-down, side-to-side, and circular lines with pencil or crayon
  • Turns book pages one at a time
  • Builds a tower of more than six blocks
  • Holds a pencil in writing position
  • Screws and unscrews jar lids, nuts, and bolts
  • Turns rotating handles

3 to 4 Years

  • Copies square shapes
  • Draws a person with two to four body parts
  • Uses scissors
  • Draws circles and squares
  • Begins to copy some capital letters

4 to 5 years

  • Copies triangle and other geometric patterns
  • Draws person with body
  • Prints some letters
  • Dresses and undresses without assistance
  • Uses fork, spoon, and (sometimes) a table knife
  • Usually cares for own toilet needs