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Children's handwriting difficulties

Find out how we can help

Good handwriting is an essential life skill, and the building block for success at school

A child struggling with handwriting may soon become frustrated and lose motivation. Proactive, early action ensures that their difficulties are addressed quickly and minimises the impact on their progress at school.

We regularly assist children with handwriting difficulties and have developed our own programme which can be delivered at home and/or school. And when we help a child with their handwriting, we typically observe improvements in other areas of development too, including their academic progress and behaviour.

How OT's help

Whether your child's school has identified that their handwriting is falling behind that of their peers, or you have noticed such difficulties yourself, we can help. Parents contact us for a variety of reasons related to handwriting, but some of the most common difficulties to which it may contribute include:

  • Difficulty remembering how to form letters or in copying from a book or whiteboard
  • Poor spacing and positioning of letters and words
  • Discomfort in gripping a pencil for any length of time
  • Weak fine motor skills, hand strength and dexterity
  • An unwillingness to complete written homework
  • Difficulties concentrating, or poor behavior in the classroom that is less evident in the playground
  • Excessive tiredness after short periods of writing

Our assessment process allows a specialist occupational therapist to identify the nature of your child's difficulties with handwriting, and the reasons for them. Once identified, we can work with you and your child to put in place a plan to address them.

Packages of care

We are flexible around the needs of your child and family and have a variety of handwriting treatment packages to ensure we provide the right solution for you. All of our interventions are oriented towards ensuring that you and your child see measurable improvements.

This might include one or more of the following:

  • An eight-week block of one-to-one bespoke handwriting treatment sessions, delivered to your child at home or school, after which we will review and plan the next steps with you
  • An intensive block of treatment delivered over the holidays - this is popular with overseas families, or those with limited weekend or after-school capacity in term time
  • A home and school programme providing practical, everyday techniques, with advice and support to ensure that the approach is consistent throughout your child's day
  • Attendance at a handwriting group at weekends or over the holidays

Common areas we work on

Through our assessment we will identify the specific areas of handwriting that your child is struggling with, and the source of these difficulties, allowing us to plan a targeted treatment programme.

Some of the most common areas that we would expect to be working on include:

  • Developing a mature pencil grip
  • Assuming and maintaining an effective seating posture
  • Correct letter formation
  • Development of pre-writing and copying skills
  • Activities to increase core and shoulder stability
  • Fine motor skills, hand strength and dexterity
  • Organisation and presentation of work on the page
  • Working with parents and schools to ensure that the right approaches to handwriting continue even when the OT is not present

Schools, LEAs and businesses

Is your organisation looking for professional OT services?

Find out more

Common conditions we help with

Find out more about how our OT’s can help by visiting our pages dedicated to specific conditions associated with handwriting difficulties.

Why The OT Practice

We recognise the importance of knowing that you and your child are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated paediatric team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

  • We visit you and your child at home or school at a time convenient for you, with no clinics or waiting lists, offering after-school and weekend appointments where necessary
  • We devise home and school-based treatment plans to ensure that our assessment and advice is relevant to each child’s unique environment
  • Our nationwide network of registered children’s occupational therapists allows us to find you the right local therapist
  • Intensive treatment available during the school holidays
  • We believe our role is to equip you and your child to become as autonomous as possible – ultimately independent of, and not dependent upon, the help we provide

Services for businesses, organisations and the public sector

Schools

Delivering individual or group therapy for children, or advice and training to up-skill members of staff.

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Local education authorities

Occupational therapy provision at home or school as recommended in an EHCP or Statement on behalf of LEA's.

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Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our paediatric client management team, who will be able to understand what your child's difficulties are, provide information and advice on our services and identify the right OT from our team.

Quote

If therapist input is recommended, we will send you a detailed quote via email or in writing explaining what, after a full assessment, we propose and how much it would cost, as well as rates for further work that might be recommended in the future.

Referral

Once you have had time to consider the options and costs, and if you would like to go ahead, the next step would be to fill in our online referral form. In the meantime, if you have further concerns or questions then our client manager will be happy to discuss them with you.

Assessment

Our therapist will then contact you within 24 hours to arrange an assessment visit at home or school, a mixture of formal and observational methods - as well as conversation with yourself, your child and their school - after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations, together with practical advice on how to help your child. Where additional involvement is required, we will follow up the report with a detailed quotation so that you have all the information needed to make an informed decision.

As Private Occupational Therapists our aim is to provide choices and guidance to help you decide what the best options are for you

A few of our handwriting specialists

Meet a selection of our occupational therapists who specialise in helping children with hand writing difficulties

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Ganga

Kent, South East of England

Ganga is a highly experienced OT delivering specialist rehabilitation for adults and children across the South East of England.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, Surrey, West Sussex, London - South, London - East, Brighton

Specialisms

Paediatrics, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Social integration

Katy

Birmingham, West Midlands

Katy is a dedicated Occupational Therapist specialising in pediatrics, sensory integration, and sensory attachment. across the Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Warwickshire, West Midlands, Birmingham, Coventry, Derby

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Self care, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Julia

Kent, South East of England

Julia is a dedicated Paediatric Occupational Therapist with extensive experience in working with children from infancy through school age.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Paediatrics

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, School Based Therapy/Support, Learning disability

Jo

London

Jo is a paediatric physiotherapist providing expert assessments and treatment for children across London and the home counties.

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Profession

Physiotherapy

Regions covered

London, South East of England, Berkshire, Buckinghamshire, Hertfordshire, London - West

Specialisms

Paediatrics

Further qualifications

BOBATH

Specialist skills

Gross motor skills, School Based Therapy/Support

Roxanne

Bath, Avon

Roxanne is a skilled Occupational Therapist, specialising in rehabilitation, adaptations, and paediatrics, supporting diverse needs across South West England.

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Profession

Regions covered

West and South West of England, Avon, Bristol, Somerset, Wiltshire, Bristol, Bath

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

AMPS

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Planning & execution, Self care, Social integration, School Based Therapy/Support, Wheelchair accreditation, Learning disability, Mental Health

Terri

Coventry, West Midlands

Working in the Midlands Terri is a highly skilled OT specialising in paediatrics, sensory integration, behavior management, and mental health.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Leicestershire, Lincolnshire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Behaviour management, Anxiety management & relaxation, Mental Health

Diana

Birmingham, West Midlands

Trained in Sensory Integration techniques, Diana provides specialist Paediatric Occupational Therapy in schools and patient’s homes.

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Profession

Occupational Therapy

Regions covered

West Midlands

Specialisms

Paediatrics

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care

Donna

Tyrone, Northern Ireland

Donna is a dedicated occupational therapist based in Northern Ireland, specifically serving the Tyrone region.

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Profession

Occupational Therapy

Regions covered

, Armagh, Londonderry, Tyrone, Belfast

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management

Further qualifications

Sensory Integration

Amanda

Hampshire, South of England

Based in Hampshire, Amanda is an experienced Paediatric OT helping children and their families with a wide range of needs.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Hampshire, Surrey

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Learning disability

Lynne

Middlesbrough, Durham

Lynn, an Occupational Therapist, specialises in seating and postural management and works in the North of England.

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Profession

Occupational Therapy

Regions covered

North East England, Durham, North Yorkshire, Tyne and Wear, Sunderland, Newcastle upon Tyne, Middlesbrough

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

Sensory Integration, AMPS, CBT, Train the trainer

Specialist skills

Daily living skills, Community access, Postural management, Learning disability, Mental Health

Julie

London - West, Berkshire

Julie, an Occupational Therapist, specialises in functional rehabilitation, neurology, complex paediatrics, and handwriting assessments.

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Profession

Occupational Therapy

Regions covered

London, Berkshire, London - West

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Handwriting assessment & treatment

Alexis

Norfolk, East Anglia

Alexis provides Occupational Therapy services in Rehabilitation, Housing and Equipment, Moving and Handling, Paediatrics, and Neurological Rehabilitation across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Cambridgeshire, Lincolnshire, Norfolk, Suffolk

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, TBI

Marie

Liverpool, Merseyside

Based in Merseyside, Marie provides expert neurological occupational therapy and rehabilitation to adults and children at home.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, West Midlands, Wales, Cheshire, Lancashire, Merseyside, Shropshire, Conwy, Flintshire, Isle of Anglesey, Wrexham, Liverpool

Specialisms

Paediatrics, Housing and Equipment, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Fran

Newcastle upon Tyne, Northumberland

Working in the North East of England, Fran is a dedicated Occupational Therapist specialising in housing & equipment.

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Profession

Occupational Therapy

Regions covered

North East England, North Yorkshire, Newcastle upon Tyne

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments

Natiq

London - East, Essex

Qualifying in 2011, Natiq specialises in housing & equipment, rehabilitation and seating & postural management for adults and children.

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Profession

Occupational Therapy

Regions covered

London, Essex

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, School Based Therapy/Support, Mental Health

Jo

London - South, Surrey

With over 10 years of experience, Paediatric Occupational Therapist Jo provides expert assessment, advice, and treatment across London and Surrey.

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Profession

Occupational Therapy

Regions covered

London, Surrey, London - Central, London - North, London - South, London - East, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Mental Health

Marie

Worcestershire, West Midlands

Based in Evesham, Worcestershire, Marie is a Paediatric OT specialising in neurological conditions and brain injury.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Gloucestershire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics, Housing and Equipment

Further qualifications

BOBATH

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, School Based Therapy/Support, Learning disability

Nikki

Renfrewshire, Scotland

Based in Renfrewshire, Nikki is a highly skilled Paediatric OT with over 25 years’ experience.

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Profession

Occupational Therapy

Regions covered

Scotland, Argyll and Bute, East Ayrshire, East Dunbartonshire, East Renfrewshire, Falkirk, Glasgow (City of), North Ayrshire, North Lanarkshire, Renfrewshire, South Ayrshire, South Lanarkshire, Stirling, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, Postural management, School Based Therapy/Support, Learning disability

Rachel

Shropshire, West Midlands

Based in Shrewsbury, Rachel is an experienced Paediatric OT offering assessments and care to children at home and school.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, Wales, Cheshire, Shropshire, West Midlands, Powys, Wrexham, Birmingham, Liverpool, Wolverhampton

Specialisms

Paediatrics

Kathy

Londonderry, Northern Ireland

Based in Northern Ireland, highly skilled occupational therapist Kathy specialises in paediatrics where she helps children with various conditions.

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Profession

Occupational Therapy

Regions covered

Northern Ireland

Specialisms

Paediatrics

Rose

Bedfordshire

Rose conducts assessments with clients, providing intervention to improve their safety and independence within their home environment.

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Profession

Occupational Therapy

Regions covered

East Anglia, Buckinghamshire, Hertfordshire, Northamptonshire

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

BIA

Specialist skills

DFG Assessments

Lucy

Cambridgeshire, East Anglia

Lucy delivers expert Functional Rehabilitation and Housing & Equipment assessments for clients across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Isobel

Southampton, Dorset

Isobel delivers expert Paediatric Occupational Therapy assessments and intervention to children in and around the South West.

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Profession

Occupational Therapy

Regions covered

South of England, Dorset, Southampton

Specialisms

Paediatrics

Shivangi

London - South, Kent

Shivangi is an experienced Paediatric OT based in London who supports children with a wide range of conditions and disabilities.

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Profession

Occupational Therapy

Regions covered

South of England, South East of England, Kent, London - South

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, School Based Therapy/Support

Claire

Hertfordshire, East Anglia

Trained in advanced handwriting and sensory integration techniques, Claire is an experienced Paediatric OT helping children across the South East.

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Profession

Occupational Therapy

Regions covered

East Anglia, South East of England, Buckinghamshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Counselling, Routine planning, Daily living skills, Sensory integration, Fine motor skills, Behaviour management, Handwriting assessment & treatment

Sam

OT Sam has 25 years experience, and specialises in pediatrics, brings a wealth of experience to her clients.

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Profession

Occupational Therapy

Regions covered

Specialisms

Paediatrics

Amy

Sheffield, South Yorkshire

Specialising in paediatrics and sensory integration, OT Amy possesses expertise in fine and gross motor skills.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire, West Yorkshire, Sheffield

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution

Amitav

London - South, Surrey

With over two decades of experience in paediatrics, Occupational Therapist Amitav provides therapy services to children throughout London and Surrey.

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Profession

Occupational Therapy

Regions covered

London, Surrey, London - Central, London - South, London - East, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support, Splinting

Chia-Chien

London - South, Surrey

Chia is an occupational therapist fluent in Mandarin who specialises in paediatrics and neurology.

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Profession

Occupational Therapy

Regions covered

London, Surrey, London - North, London - South, London - West

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling, Neurological rehabilitation

Further qualifications

CO-OP Practitioner

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Splinting, Sensory attachment intervention, Learning disability, TBI

Sue

Gloucestershire, West and South West of England

As an OT with nearly 40 years of experience, Sue is an expert in paediatrics; vocational and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Avon, Bristol, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Pain management, Motivational issues, Financial management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Learning disability

Client feedback

Further reading

Our Experts' Blog

Addressing Handwriting Challenges in School-Aged Children

Occupational therapists are well-trained for analysing contributing factors impacting handwriting development and creating bespoke interventions and support plans for a child when required. In this article we look at the challenges and explore some of the solutions.

Read more

Interested in Private Practice

Pocket Guide to Fine Motor Development in Early Years

Our Clinical Lead Emma shares with the paediatric OT community a helpful check list for fine motor skill development in 2-5 year olds. This provides useful guidance and example activity ideas that paediatric OTs can use to when observing children interacting with their environment.

Read more