With a title like “The Anonymous OT”, I can guess that your expectations of the “About Me” section are pretty low…but allow me to explain myself.

The reason I’ve chosen to remain anonymous is to make this blog completely different from anything you’ve ever read. I want a way to discuss topics openly without unintentionally upsetting, offending, pressuring anyone that I directly work with, or have ever worked with in the past. I want to remain completely uninfluenced, to only offer the most candid advice from my own experiences, whether those have been good, bad, or indifferent.

With that said, you might be thinking, “why in the world should I listen to you in the first place?” Well, I applaud your skepticism. There is no looming reason why my opinions are better than anyone else’s. However, I will say that you should read on because I am willing to be completely frank and open about everything I’ve seen in my career. Or, you could always stick around to argue your own opinion. I always appreciate a good rebuttal. I should also stop at this point to remind you that all of the postings here are purely based on my general opinions and observations, and you should always consult a professional for individualized clinical advice for your child.

The important things to know are the following:

  • I hold a Master’s degree in occupational therapy.
  • I have been working with children with special needs since 2007.
  • I have had experience working as an occupational therapist in home health, community, school, and clinic-based outpatient facilities.


The information, including but not limited to text, graphics, images and other material contained on this website are for informational purposes only. This website is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health care provider for any questions you may have regarding you or your child’s health concerns, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.


43 Responses to About

  1. Heidi Kay says:

    Thanks for your blog. I thought I would let you know we featured a snippet and link to your post on our blog. Feel free to email me at heidi at pediastaff dot com.

    • Thanks, Heidi! That’s great news!

      • Del says:

        Hi there I have a friend who’s son uses 2 hands to write he is 6 years of age. He starts writing with his right hand but brings in his left hand to control the pencil after a couple of minutes writing. I have noticed that he is lax ligaments and holds his pencil with his thumb wrapped aroound the barrel and his index, middle and ring finger on the stem.He also utilises an awkward grip when using utensils and tools e.g paint brush, scissors. Any suggestions why this is happening and how can this may be reduced. I am a fellow OT and have never come across this. My initial thinking is that it may be fatigue and lack of stability in his grip due to lax ligaments at the end range of his fingers???

        Any sugestions would be welcomed.

        Anonmymous OT from the UK !!

  2. Sherry says:

    I LOVE your blog! I am a “Motor Therapy Assistant” in my school district. That means I work with the OT and the PT to aid students in reaching the IEP goals set for them. .In the course of my 28 hour workweek, I see 47 students from Pre-K to Post High. I appreciate your helpful articles and feel that they contribute greatly to my ability to deliver quality services to my students. Kudos! And keep the posts coming!

    • Sherry,
      That sounds like a really awesome job! Thank you for your wonderful comments and for reading the blog! I am so glad to hear that what I post is somewhat helpful! 🙂 Thanks for what you do for all those kiddos!

  3. Tracey Davis says:

    This is a great blog. I’ll be sharing it myself.
    Tracey Davis
    sensorycorner dot com

  4. Carol says:

    I’m a homeschool mom (gasp! LOL!) to a 6yo with Down syndrome. I was googling “pencil grips” and your stuff came up. Love what I’m seeing here ….. this will help as I work with my guy and follow through with our OT’s instructions.

  5. Nicole says:

    Do you have any suggestions on how to properly assess a child using the PDMS and BOT 2? I am an OT student and am struggling doing the assessments, specifically what to look for during each subtest. I am doing my clinicals now and could use some advice. Thank you!

  6. John Welch says:

    Hello, AnonOT,

    I am a 66 year old computer programmer with a mal-functioning index finger; I’ve decided to test the “quad” grip. I learned the “tripod” back in kindergarten, in the ’50s, although I developed a sloppy cursive writing…wrote too fast. About ten years ago, I noticed that my index finger tended to fly off my ballpoint or pencil, and I compensated by using thicker pens and pens woith a rubberized grip. Also noticed that my index finger would fly up when I shook hands.

    My thumb tends to overpower my index finger.

    My hunch is that I have been using a mouse for too long…my writing hand tends to shape itself like a Microsoft mouse (two button…most action a left-click).

    I have shifted to a fountain pen as much as ppossible, and found that the old Parker 51 seems most comfortable. (An FP slows me down).

    Next step: the quad-grip. I tried it this morning, and then found your site. So…at east others use the quad grip!

  7. John Doe says:

    yeah you gotta keep doing this blog. I’m a student and I love the stuff you put on here. Bookmarked. Gonna be reading this throughout the next 2 years.

  8. PreK Teacher says:

    I was wondering if you would give permission to share your pencil grip descriptions from “when to fix a pencil grip” with parents in my classroom? The information you have is laid out very clearly and is a great learning tool. Thank you for sharing your knowledge!

  9. Loretta Grad says:

    Have you ever read the website Neurobollocks? It basically “debunks” neuroscience programs out there (such as interactive metronome, brain balance centers, etc.) Just was wondering if we could get a blog going on that… My opinion: I certainly do not mind listening/reading constructive criticism (which they often lack eloquence) but they do not give me any acceptable alternatives. Apparently it is all bogus. They all seem to have false credentials, want to make fast money, none of it works, etc. Quite depressing actually. After reading it, I felt quite gullible for believing it… In fact, I have read Disconnected Kids by Dr. Mellio (spelled wrong). He has various exercises in his book/program, which are a lot of what we as OTs do… So are we neuroscience-bollocks also? I have also read on a website called Bad Science… where he/she totally puts down Brain Gym. I know there are many OTs, schools, teachers out there that use brain gym. Is it really that bad? Anyway, I would love feedback on this! Thanks!


  10. OTinCT says:

    Great blog! I recommended two articles to my teachers for my daily April is OT month emails. I feel much the same way you do and love the fact you pull no punches! Look forward to reading more

  11. David W says:

    Nice sensory vs. behavior article; very well stated; appreciated the article and I personally continue to work to help staff and parents alike with facing that there are many times where there are both behavioral and sensory based issues (and sometimes other issues such as medical issues) all working together. I must say one of the most challenging (and fascinating and fun) parts of the job is to be “Sherlock Holmes” and work with staff and parents to best figure out how to best address problematic issues and help kids learn new ways to get needs met and new ways to behave (especially when working with kids who struggle with communication issues that cant accurately tell you “whys” or answer the question of “what’s wrong?”) Thanks again for the article

  12. AW says:

    Love this site! I’ve been a practicing OT for almost 6 years working primarily in a SNF and inpatient rehab. I am considering transitioning to school based OT but frankly I’m not confident in my ped and especially handwriting skills. Any recommendations for courses to take? I’m taking HWT this summer but I would love some suggestions for new pediatric therapists?

  13. greysam15 says:

    Hello! Can you blog about treating your friends’ kids? I would love to hear your thoughts on this!!!

  14. Tamara says:

    Loving this site….just came across it while studying for the NBCOT! I look forward to reading more and using some of these great ideas soon. Thanks for sharing all of your ideas as an experience OT!

  15. Kara says:

    Love your blog – can I have permission to use some of your info for teaching purposes? You have great resources/pictures that will really help students. I of course give credit on everything to you.

  16. Virginia says:

    Hi there.. Just wanted to let you know that i have nominate you for the Very Inspiring Blogger Award. Please check the details on my website! Thank you for inspiring me.. I have been enjoying reading your posts.. Xoxo

  17. Sandra says:

    Hello, I just found out about your blog by researching sensory proccessing dissorder. I’m curious about it, because it may be the origin of my current problem: Misophonia. You seem very caring and interested in what you are doing. So I just wanted to drop the word misophonia your blog and perhaps you could look into it..? It’s a not so rare condition but very unknown.
    Here is a website +forum about misophonia with a lot of information about it. Sadly it gets worse and worse with age and there is no known cure or therapy out there yet.
    (sorry for my bad english)

  18. Anthony Edwards says:

    Hi, I am a fourth year Product Design student at Bournemouth University. For my final major project I am currently designing an assistive device; to help young children with mobility issues explore their home environment. I feel my project would benefit from knowledge in OT esspecially paediatrics. I was therefore wondering if you would spare some time to fill in my online survey https://www.surveymonkey.com/s/9JRXB6G Or email me at: i7904193@bournemouth.ac.uk Any time you could spare would be greatly appreciated. Kind Regards, Anthony Edwards

  19. Dr. Ione Fine says:


    I’ve found your blog the most useful and informative thing on the web – many, many thanks from a very grateful parent.

    I have a question of whether to move away from an ‘alternative’ grasp once the child gets older – I’m sure it’s one faced by a number of parents.Could you give me a bit of advice (myself, my husband and our teacher at our loggerheads so we need a tie-breaker :-).

    After difficulties writing/drawing when he was 5/6 we moved our kid to an adapted tripod grasp (placement of the pencil in the space between middle and index fingers supported by the thumb, index and middle fingers) which he did better with. Now he’s seven and almost caught up on his handwriting skills the school wants to move him to a more traditional grasp. Is there any reason to switch him or should he just focus on catching up his skills using his adapted tripod. We’re English, so being able to write quickly and efficiently is still a useful skill.

    Many thanks

  20. Marina says:

    Any suggestions for furthering studies??? I am considering a new area and have an assiciate’s… I am really tired of all the red tape and for me, stagnancy and lack of opportunities. Thanks in advance. (currently in Peds setting)

  21. Matt says:

    Hello AnonymousOT! Thanks for this great blog. I’m a middle-aged man thinking about pursuing a Masters in OT but need to know more about the career. Would you be willing to participate in an informational interview online?

  22. Mimi says:

    What a great blog! Thank you for all the information and work you put into sharing your knowledge. So many topics are pertinent to what we are going through with our daughter. I would love to read your article on OT vs. Vision Therapy.

  23. Danielle says:

    I am not sure if this is the right area to put this, but do you know anything about being a graduate assistant in an MOT program? Do jobs care at all about it on your resume or is it really just a case of the schools think it is prestigious because they themselves are research based. I am debating taking the job as I fear that it will overload my schedule. I just want to know if you had any experience or even just your opinion on it whether or not you have experience.

    Thank you

  24. K says:

    as a fellow OT…. Can we be best friends ? Please !???

  25. Amanda says:

    Hi Anonymous OT,

    I have been reading your blog and I’m very interested in the field of pediatric OT. I am a recent COTA graduate (just graduated in May), but I could only find a full-time position in a SNF. If I wanted to switch to pediatric OT in a year or two, would that be possible?

    I am not sure if I would even get interviews since neither of my Fieldwork II settings were in pediatrics–our fieldwork coordinator claimed that pediatric fieldwork sites “were too difficult to find.”

    Just wondering how I would go about trying to switch practice areas?

    Thank you for all of your posts and good information!

  26. Erin says:

    I am an OT student right now and I found your blog on pinterest….I LOVE it. Thank you for all the great insight for this profession.

  27. Kendal says:

    Good afternoon Anonymous OT,

    Your Blog is great! My name is Kendal, I am contacting you from the Pencil Grip Inc. We would love to work with you!

    If you could email me so we can talk about details that would be great!


  28. Hello, I just read your article, “The Handwriting Debate: Which Program is Best?”
    I would like to have you look over and review the Letter Leaders program. This is a handwriting program that I developed. It is based on the motor learning and developmental theories. It is a multi-sensory approach that begins with pre-writing skills. It took over 10 years to develop with the intention of being easy to teach and easy/fun to learn.
    I would be happy to send you a copy of the curriculum if you are interested

  29. Kara says:

    I have a student who has difficulty with visual perceptual tasks including figure ground, closure, and form constancy. What type of evaluation would you recommend? services? and do you know of any other type of service/help that would be available to a child struggling with this besides OT? any and all information/resources would be great!

  30. Julia Anderson says:

    I was “shopping” for slightly-different goals when I ran across your blog. AnonymousOT: You are a very gifted writer…. Your posting about writing goals was spot-on and I actually laughed out loud a couple of times…. which is NOT a good thing to do when you’re supposed to be writing a student’s IEP :-O Keep us the good work! Entertaining AND informative!

  31. michele thompson says:

    Anonymous, thanks for the blog posts. I think your ideas are very helpful and honest. So, I’m a little older than you…ok, alot, but I’m now in the virtual world about to begin my first virtual OT job. I have a masters in sped (BA in OT-yeah one of those back in the old days 🙂 ) and masters in technology, I had been doing sped teaching and OT in brick and mortar for 8 years before moving to the virtual setting and now I’m going to be an OT and teacher online. While some of the OT therapy is completed face to face related to individual need, what I will do will be online using a camera and the hands of a Learning Coach/parent. I’ve been blessed to be an OT/teacher doing OT all day long (because I never switched hats, I just did what I did and do what I do) and now I’m back to the 2 x week structure which, sadly, I used to refer to as hit and run OT. You know, God Bless you with your 30 minutes and now I’m off to see the next kid for 30 minutes in the next school….Anyway, it wasn’t that bad, but you get the idea. So any new cool, fresh online technology ideas in upcoming blogs….love to hear ’em.

  32. Susan says:

    Great blog. I so appreciate your honesty, your comments and facts based on realistic experience, and your positive attitude and perspective.

  33. mshanot2000 says:

    Love your blog and appreciate the humor in your title! I often have OT thoughts that I think need to be anonymous too, especially with regards to consistency regarding service provision and frequency recommendations between therapists at the same school or within a district, the true value of push-in vs pull-out. Anyways, I’m a newish blogger and need a favor/help. I’m using WordPress as you are, but can’t see to figure out how to get my Print button visible as you have yours following a blog. Right now, if someone presses the More button they can then choose to print. I’d appreciate a tip if you are willing. Thanks, Molly Snannon, MS, OTR/ATP http://www.atandot.com

  34. M says:

    Hi, As an OT with three years experience in the community hospital setting and now transitioning to pediatrics, I am so appreciative for your insight and opinions! Thanks for being a great resource.


Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s