My guess would be that it's all potentially related, and I'll second all of cdfox's advice.

I'll also add that it's quite possible to have fine motor challenges in some areas and not in others - our ds who has dyspraxia (developmental coordination disorder) was creating amazing drawings and could make incredibly detailed clay figures when he was 3-4 years old, but couldn't button his shirts or tie his shoes, and later on struggled tremendously to learn how to write. I also wonder from the notes re jumping *down* and going down stairs if there isn't a vision component mixed in for your ds. Crossing the midline is an issue for my ds with dyspraxia but also for my dds who both have vision challenges.

What does your ped think about the quality of OT evals and services through the school district vs private? I'm just curious - if you lived in our area, I'd recommend getting another eval privately.

polarbear