Interesting point, aculady. This is a different take that makes sense.

Yeap, we've stopped at the first OT. No home program except to bring him into their offices more often. The initial 2 years, it was 2x a week mostly. We're now with a kinesiologist specializing in neuromuscular coordination, 3x a week. It's early days yet but I see him using both hands together at mealtimes without a reminder from me. That is a vast improvement! DS finds it tough going but he is game.

I'm struggling to understand where his APD affects him. In functional tests, he's a disaster. But there is no effect academically as far as I can tell. I'm tempted to ignore the diagnosis but worry about what I could be missing out. According to the speech therapist, the pathways for change close at 12yo. Would anyone know if simply improving on functional skills like dichotic listening help anywhere?