So Much Screen Time

How are you all doing? I am sure many of us thought that by this point we would start seeing things go back to some kind of normal after nearly six weeks, right? Each day we're learning that our social distancing efforts are working, but it's hard not to wish that things were back to normal, especially when it comes to remote learning and therapy.

This has been an eye-opening experience for me as both a parent and a therapist and I've learned a lot in the last six weeks that will forever alter my expectations on parents (myself included).  I want to applaud each and every one of you reading this....you're doing an amazing job. You have been handed a giant bag of lemons and are making lemonade out of them. It's not always easy, but you are giving this your all and your kids are going to come out of this not only okay, but great.

One of the things I am hearing from the parents of the kids I work with is that the amount of screen time is almost unbearable. This is especially true for the younger children and those with sensory issues. So many of the kids that I work with were used to screen time being limited to weekends and special events so this is a whole new world for them and they are having a hard time with the adjustment. The thing that makes this so tricky is that some schools are requiring children to be on a screen for the entire school day with the exception of lunch while others have you check in a couple of times a week for meetings and then they expect you to get your work done at your own pace.

Today, I'm going to offer up some tips to help you and your children get through the rest of this remote learning adventure. Keep in mind that every child is different and what works for some won't work for others so try them and see what helps your day more smoothly. Let me be clear about one thing....nobody should be expected to do any or all of these. You are already being asked to do so much more than normal. If you pick one thing to focus on to help you and your child, that is enough. 

1. Make a schedule with your child each day so they know exactly what is expected from them. One of the first things I did when this whole thing started was pick up a dry erase board that we hung up behind my daughter Quinn's work station. Each morning, she signs onto her Google Classroom and writes down her flow of the day. This includes what assignments she has to get finished, any teacher meetups and any extra-curricular lessons that are scheduled for the day. By writing this down, we are finding that she has some control of her day and knows exactly what is expected of her. We also don't have to be on top of her to make sure she is doing what she needs to.





2. Keep a daily routine. This is certainly easier said than done on some days, but consistency and routine will help things feel as normal as possible in this absolutely abnormal time. Breakfast and lunch are at the same time in our house. We also try and build in times for movement for her throughout the school day. What's worked for us is that Quinn knows that every day at noon she has an hour to eat, read, play a video game, etc.. This is her hour to do what she wants (for the most part).

3. Make sure that your child is in a comfortable place with as few distractions as possible. I know that this might be hard in small living spaces and if you have multiple children, but limiting the visual and auditory distractions will help your child get the most out of their lessons. If your child has to be in their room at their desk for their remote learning, make sure that toys aren't strewn about making it more desirable to go and play with them while they should be in class. If possible, make sure all toys and distractions are out of sight before their school day begins. If your child is out in an open space where parents and siblings are also working, make sure they have a good set of headphones to block out as much noise so they can focus on what their teachers/therapists are saying.

4. Make sure your child is wearing comfortable clothes. I know there are some schools that are requiring kids to get into their school uniforms (which I think is a bit ridiculous) but if there is any way to make your kids feel more comfortable in those uniforms, that could help your child sit for longer periods of time. I know I am having a lot of trouble getting my daughter to get out of her pajamas each day but I have found that when she is dressed in real clothes, she has more energy (she won't agree with me but I see a definite difference)!

5. Schedule movement breaks. I can't stress how important it is to get a child up and moving throughout the day. I have already blogged about the importance of this but it's worth repeating that movement has been proven to do the following:
*Improves cognitive skills as they complete these activities. Be sure to up the challenge for them as they become more successful with them.
*Improves focus and attention which helps with the learning process. We must allow time for movement opportunities in order for our children to learn.
*Helps "turn on" your brain (this is proven!).
*Helps a child better focus and attend and also better organize their work.

There are so many ways to add movement into your child's daily schedule. Play a game of Simon Says, run up and down stairs if you have them, create an obstacle course early in the morning that they can escape to when they feel like they need to move. Challenge your child to create an obstacle course using stuff you have around the house. Here are some things you can have them do:
*Find something to jump over (see how many times they can do it in 30 seconds)
*Find something to jump on
*Find something to crawl over or through
*Find something to climb over

Also, use materials you already have in your house. Masking tape makes a great balance beam, colored paper makes great jumping spots and tables make great tunnels!



6. Set up a sensory diet. Like most things, children's sensory needs are drastically different from one another. While some of your children are still getting their occupational therapy services, some are not so you may find that your child is presenting with regression in this area. You may find that your child is seeking more input than usual. This makes total sense given the amount of time your child is spending sitting in front of a screen (therefore fewer opportunities to play outside). Even if your child isn't getting occupational therapy right now, reach out to their therapist and ask them to help you set up a sensory diet that works into your schedule. A sensory diet helps kids get in a "just right" state so they can pay attention and learn. Activities in a sensory diet can help kids who are overreactive feel calmer and unrreactive kids feel more alert. By providing your child with appropriate sensory input, you will find their ability to focus and attend to tasks will improve. It will also help with their ability to handle more challenging activities that are being thrown at them and help with improving their frustration tolerance. 



7. Create a sensory box. This is especially important for older children who feel like their life is completely out of control right now. Like I have already mentioned, the sensory needs of each child are different so deciding what to put in a sensory bin will depend on what their sensory needs are. Here are a handful of common sensory box tools that help improve sensory processing skills in your child. If possible, have your child's occupational therapist go over with you and your child how to and when to use all of the tools. Please be sure to eliminate anything you worry about your child using. For example, if you have a kid who likes to put things in his/her mouth, I would avoid things like putty, kinetic sand or Mad Mattr. Here is a great kit you can get on Amazon that includes some of the following:
*Sensory/squeezy balls-I am a huge fun of the Schylling squeezy balls
*Bubbles
*Theraband
*Putty (my favorite is Crazy Aaron's Thinking Putty)
*Fidget toys
*Kinetic sand
*Mad Mattr
*Stretchy string
*Monkey noodles



8. Set aside a few minutes each day to talk about feelings/emotions. You are probably noticing that your child's emotions are all over the place these days. I know from personal experience that my daughter who is usually able to maintain her calm (for the most part) when she is challenged or confused is having a much harder time controlling her emotions. The most important thing we can do for our children is validate these big feelings they are feeling because it is totally normal right now. It is okay that they are feeling scared, angry, frustrated, sad or a ton of other feelings. Their lives have changed in ways that they may never forget and their parents, who are supposed to be able to tell them everything will be okay, can't tell them when this will end and their lives will return to normal. Make sure your children know how to identify their feelings. There are a lot of great children's books out there that talk about feelings including some of my favorites The Color Monster, The Way I Feel, Today I Feel (An Alphabet of Feelings), The Boy With Big, Big Feelings and My Mixed Emotions. I have learned through my social skills group at The Meeting House that children learn so much through these kinds of books and since the characters are struggling with similar things that children are, they are able to better talk about and problem solve through these tricky times.

9. Be your child's advocate. Parents have this unique opportunity to really see what is and isn't working for their children with this kind of learning. You are seeing things that are helping them be successful with remote learning but you are also seeing what isn't working. Please don't be afraid to reach out to teachers or school administration if you feel like you aren't being listened to. As parents, you have the ability to help your child be as successful as possible during this crazy time. If you find that your child isn't getting anything from hours and hours of online learning, tell their teachers. If you find that they are working better on their own schedule, make sure the teachers know that as well. Honestly, there is NO reason a child should be in front of a computer for hours on end being taught.

10. Know when you need to quit. This is incredibly important for both parents and kids. You are going to find that there will be days where your child has just had it and making them push through with all the screen time and remote learning will end up proving to be more stressful all around. It's also very important to keep in mind that once a child check's out, they are no longer going to learn. If you are finding that your child has had enough for the day, take control and tell them they are done and that you will let their teacher know. We need to make sure our kids know that we are just as concerned about their emotional wellbeing as their academics. Actually, this might be a time that we need to be more concerned with their emotional wellbeing over academics. Our kids are going to be okay if they don't finish all of their assignments every single day. We need to take the pressure off of them. Being on top of our kids all day, every day isn't good for anyone and will only cause tension at home to increase at a time where you need to be be maintaining the calm in our households.

11. Take time for you-the most important thing I have to say is that you must find ways to take care of yourself during these crazy times. We are expending an awful lot of energy on our kids, as we are meant to be doing, but we must find ways to take care of ourselves. Nail salons are closed, we can't get our hair done and we can't go carefree shopping these days. Find ways to take care of you for a small amount of time each day. For me, listening to my favorite podcasts or music while taking a daily walk does more than I can explain for my soul than I ever knew was possible. I am seeing things in my neighborhood and appreciating the little things more than I could have ever imagined. I know that this isn't always easy, especially if you are working and caring for your children full-time, but if we don't take care of ourselves, it becomes much more difficult to properly care for all the other people in our lives.

While this new way of life comes with many challenges, I do feel like we will all come out of this better parents, teachers, therapists, etc.. We will have a whole new level of appreciation for things that we took for granted just a few months ago. While we all long for things to return to normal, we must continue to learn and grow in the moment. I end each of my tele-therapy sessions telling parents how great their children are doing and thank them for their support in making each session go smoothly. I need them to know that we are a team and that I appreciate them.

I would love to hear from any and all of you with some things that you have learned through remote learning and therapy. I know that other parents and professionals would love to hear what's working for your family during this crazy time. I am always a click away and love hearing from all of you. One of the greatest things that has come out of this whole situation for me is that I have been collaborating with parents and professionals on a whole new level. I've always understood how important it is to work together in order for the greatest amount of improvement and success to happen, but have so much more appreciation for it these days.

Remote Therapy Tools

It's hard to believe how quickly things shifted for us as therapists, parents, teachers, etc. in such a short time. For kids, they may be feeling scared about how many things in their life have changed and as their grownups, it's our responsibility to offer them comfort and consistency. While I am preparing to move towards remote therapy sessions, I am trying to gather ideas and tools on how to make this as successful as possible. This is definitely going to be challenging, but I am looking forward to expanding my skills and helping parents through this time. One of the things I am doing is trying to think about what parents might have lying around their houses or what might still be easy to get. I know that stores are closed to foot traffic and browsing, but are still open for deliveries or curbside pickup. I urge parents to take advantage of these stores and the personalized care they can provide to you. For my New York City folks, check out places like Lulu's Cuts and Toys, Norman and Jules, Little Things Toy Store, Stationary and Toy World and Stoopher and Boots (follow on Instagram to see her awesome toys).


Here are more than 20 of my favorite and most commonly used therapy tools:

PopTubes-I think any therapeutic gym you go to will have a bag of these. Used for working on improving grasp strength and manipulation skills, encourages hand eye and bilateral coordination skills. One of our favorite activities to do at our gym is to set up our sorting bears and cups, have the kids stretch out the poptube and use it as a slide for the bears.







Stickers-I use stickers for SO much. Kids love them as a reward at the end of a session, but I find them to be so useful for therapeutic activities. Here are a few things I use stickers for:
-find stickers of your children's favorite characters and put them on a piece of paper and have them write their names next to them (I make boxes for my early writers)
-draw lines and put stickers at the top of them and have kids practice cutting. Make curved or zigzag lines to increase the challenge


Bag of Beads-there are so many things you can do with a bag of beads! There are a variety of sizes of beads. Typically I recommend larger beads for smaller hands and smaller beads for bigger, stronger hands. Obviously stringing beads are great for working on developing fine motor, grasping and manipulation skills and improves hand eye and bilateral coordination. You can simply string beads or add some challenges by doing the following:
-make pattern cards and have kids follow them
-add a sensory component and hide the beads in a bucket of rice and have them dig through and find them
-when using smaller beads, like these alphabet beads from Norman and Jules, pick up all the beads you are going to use with kids chopsticks

Squeeze Popper Toys-these have been a huge favorite of mine for a while. Definitely check out your local toy stores for these as I have seen them everywhere! Kids really get a kick out it but don't realize that there are a ton of occupational therapy goals that can be worked on using them. Let them choose their favorite animal or food and then let them play. These are a perfect toy to work on improving fine motor, grasping and manipulation skills, increases grasp strength and encourages hand eye and bilateral coordination skills. Make a game out of this and set up a target (think something like a dart board) and see how many points you can get by aiming at different numbers or colors worth different points.



Fiskars Scissors-there are a lot of kids scissors out there but many of them are poorly made which could lead to kids getting really frustrated and giving up easily when you present them with cutting activities. The Blunt Tip (made in both left and right hand options) have been my go-to since I started as an occupational therapist. Some people thing I am crazy, but teaching preschoolers to learn how to cut in a safe and appropriate way is a very important thing to me. As a pediatric OT how many times I have seen kids walk into my sessions with chopped up bangs and wished that more schools taught kids the appropriate ways to use scissors in order to avoid this. I have a lot of great cutting activities and resources that I will be sharing with my families as I begin remote therapy. If you want to

Discovery Putty-Fun and Function's Discovery Putty is another one of my favorite and most recommended items when parents ask for activities to do at home. Theraputty is perfect for working on increasing grasp strength, improves fine motor, manipulation and grasping skills and encourages bilateral coordination skills. There are a bunch of different themes to choose from with different resistance depending on your child's hand strength. Kids have just as much fun finding the hidden objects as they do when I challenge them to hide them for whoever is going to use it next. Putty can also be used for other things. If you remove all the hidden objects, you can roll it into a snake and practice cutting it into pieces. You can also use putty to practice making letters, numbers and shapes.



Colored Paper-don't underestimate how helpful a good supply of colored paper can be. I like to use thicker card-stock weight paper because it doesn't tear so easily and I also find it is easier for kids to cut through if we are practicing cutting. I plan on having kids set up some easy obstacle courses during our remote sessions and will be using colored paper for this.



Legos-I have spent hours and hours scouring Pinterest and so excited to find that there are a million ways to incorporate them into my soon to be remote therapy sessions. My daughter had a thing for a long time with Legos so we have a massive amount of them lying around and it's amazing what you can do with them. We all know that Legos are a motivating hand strengthening tool, especially if you pick out the right set (we have a new Trolls set that we are going to tackle during our time at home) but there are so many other things you can do with them. Here are just a few things:
-practice making letters and numbers with Legos on a baseplate
-solve a secret code: using 26 different Lego pieces and a baseplate, assign a letter to each piece
-this 31 Day Spring Lego Calendar provides you with a whole bunch of other things you can do with your Legos

JaqJaq Reusable and Washable Paper-these are my new obsession and I can't think of a better time for us all to be trying to use less paper than now. Especially when doing handwriting or drawing apps, I always have kids practice when pen and paper immediately after practicing on the iPad. For example, when using LetterSchool, I have the kids practice the letter first on the iPad and then have them do hands on writing practice using this amazing product. You can use chalk, chalk markers, JaqJaq Butter Stix, or ooly Dustless Chalk Crayons. Easy to clean with a wet paper towel and can be used over and over again.




Wikki Stix-another classic, inexpensive and really versatile therapy tool that I have been using for years. I have been using these for as long as I can remember to and the kids love them and could be used for so many things. Wikki Stix are pieces of yarn dipped into a safe, non-toxic wax that can be manipulated for open-ended creating. One of my favorite things to do with Wikki Stix, other than making a pair of eye-glasses, is to have kids practice making shapes, letters and numbers. Make sure to have a pair of scissors handy so you can cut them into the smaller pieces. It's amazing to see how motivated kids are to practice these things when they have fun, sensory materials to engage in more challenging activities.


Zoo Sticks-love, love, love these and I know that you can buy them at Stationary and Toy World and Lulus in Park Slope. Another one of my most favorite and most recommended tools for parents. These child-friendly chopsticks have different objects on the top that connect the sticks together. There are a variety of animals, car, etc. so if you find the right one, your kids will love using them. They are a great way to improve grasp strength and manipulation skills, encourages hand eye and bilateral coordination and can work on motor planning skills. Kids can eat with them or they can be used to pick up small objects in games. For example, I like to use them when playing Kerplunk or Tumbling Monkeys instead of them using their fingers to pull the sticks out. One of the kids favorite things to do is to use them to pick up these Squishy Animals.

Dry Erase Board-I have a feeling that this is going to come in really handy with my upcoming remote sessions. Whether it be to write out the session plan, practice letters or play games, I know my dry erase board is going to come in very handy and have asked parents to make sure they have one handy for their children. I'm looking forward to playing Tic-Tac-Toe, Hangman and other games with my kids using this! An added benefit of using a dry erase board is that if it is hung up on the wall, working on a vertical surface is great for working on improving upper body strength and encourages proper wrist positioning when writing.




Playdoh-I have to admit that I have never been a fan of traditional Play Doh, but the kids love it and it is an easy to find and inexpensive sensory material that can be used in a ton of different ways. Playing with playdoh is great for improving grasp strength and manipulation skills, improves hand eye and bilateral coordination and encourages creativity and imagination skills. Practice cutting by rolling the playdoh into a circle and cutting out pizza slices. Roll the playdoh into snakes and turn them into shapes, letters or numbers. Throw out challenges and have them create different things: face, snowman, cars, buildings, etc..
Since parents have a lot of time to fill during the day with their kids right now, homemade playdough is a fun thing to do with them. There are SO many recipes out there but I have tried this one and it is great.
If you are looking for something more natural, check out my post last week featuring the almost too beautiful to use Land of Dough.

Pegboard-pegboards are a pretty common toy that you will find in a therapeutic gym because they can be used in a bunch of different ways and work on a ton of goals. Great for increasing grasping and manipulation skills, improves visual motor and visual perceptual skills and encourages hand eye and bilateral coordination. The pegboard I have linked comes with two double sided boards for different challenges such as matching and sorting. Add a gross motor challenge by having them stand on a balance board forcing them to go from standing to pick up pegs and squatting to place them in the board.




Bubbles-these are probably something that most of us have lying around and if not, go to your local drug store and get a giant bottle of them. First of all, kids just love bubbles and if you blow them for them, they can get some energy out by running around to pop them (great visual motor activity!). If you find that your kid's starting to feeling dis-regulated or anxious, taking deep breaths and blowing bubbles can help calm them down. A fun (outdoor) art activity would be to place a large piece of paper on the sidewalk or driveway, fill a bunch of paper cups up with bubble mix and add some food coloring to them and then blow different colored bubbles to make a picture.

Rainbow Indoor Tunnel-I like to make reasonable recommendations to families when it comes to gross motor toy ideas because the families I work with tend to not have a lot of space. This tunnel is great because you can do a lot with it and then fold it up and put it under a bed or next to the couch. A tunnel is a great thing to have to add to an indoor obstacle course and can be used with kids of all ages....new crawlers to big kids who need to move around and release some of their energy. Also great for increasing upper extremity strength, motor planning and coordination. Give it more of a sensory experience by putting it over beanbags, couch cushions, etc. and then having kids crawl through.

Balance Board-I tend to add a balance board to some simple activities for my kids at work like completing simple puzzles or doing sorting activities. There are a bunch of different ones to choose from, from a low price point to more expensive. At the gym I work at we have the Alex Monkey Balance Board  which is small and doesn't take up much room. The balance board is great for strengthening balance skills, improves trunk control, strength and coordination skills. While they are standing on the board you can play a game of catch for added fun. For my daughter, I have the Wobbel Board which I got from Norman and Jules and just printed out the Wobbel Cards to add to our daily routine to get her up and moving around.




Zoom Ball-this is one of my all time favorite therapy tools and one of my most highly recommended gross motor toys on my annual gift guide. Safe to play indoors or outdoors and even though it is meant for two players, there are ways to set it up for a single child to play. Kids can work on improving upper extremity strength, motor planning and motor organization and encourages self-regulation, focus and attention. Make a game out of it by counting how many times they can pass it back and forth without messing up. I like to add a little challenge by having kids answer questions while we go back and forth. For example, name the days of the week in order every time you send it back, name different animals, colors, foods, etc..


Sidewalk Chalk-we are all pretty fortunate that the weather is getting warmer and that we can spend some time safely outdoors. I am feeling very grateful for our little Brooklyn front yard and have been encouraging my own daughter to go out and draw and write messages of hope to those who are out for some social distance walks. Practice letters, play games, make hopscotch boards, draw pictures or make draw a picture on a fence or wall if you have it. This kind of drawing is great for working on building those upper body muscles

Hopscotch Board-keeping our kids moving, especially those of us in New York City who are more limited by our smaller living quarters, is going to be crucial. But space and storage is also limited so we don't want big and bulky things. I am a big fan of a hopscotch rug as it can be used in a bunch of different ways and doesn't take up any space. And if you are outside of the city and have a driveway, you can use sidewalk chalk and draw your own! Check out this article from Parents that teaches you how to play hopscotch and even provides some variations so you don't get bored!

Craft Box-crafting is going to become really popular during this time. I have always had a big collection of crafting materials for my daughter and in the office. I was inspired by Lizzie Assa from The Workspace for Children years ago and have started to encourage open-ended crafting with not only my own child, but with the kids I work with and my kids in The Meeting House Juniors group. Guys...I highly recommend following Lizzie on Instagram for some amazing ideas...like really can't recommend enough! The Arts and Crafts Supply Library from Kid Made Modern would be a great thing for you to have at home. It comes with fuzzy sticks, wooden pieces, pom poms, wooden and plastic beads, googly eyes, glue, scissors and SO much more in a sturdy case so you don't have to worry about making a mess.

Writing Journal-this could be a great time for your older children to start journaling. My 10 year old daughter received a blank journal for her birthday and when all of this started, she decided to keep a Corona Virus Journal. At the end of each day she writes about what she did and rates her day. Giving children an outlet to talk about this time, share their feelings and vent is a really important thing, especially if they don't want to talk to you about it.

 Preparing for remote therapy has been a really interesting and exhausting thing but it has also been very helpful in me feeling ready to start working with kids in this new format. I hope that this list of materials is helpful for all of you whether you are parents, teachers or therapists. I would love to hear from you guys on what materials and toys are most important to you. I am always a click away and love hearing from you all. I think one of the most important things is that we all help each other during this crazy time and look forward to reading about other peoples ideas and experiences.