A HUGE thank you for everyone for such informative and helpful replies.
My DS does have tremors, which I realized I never mentioned to the OT. Once a neurologist diagnosed it as a benign genetic tremor (identical to mine!), I forgot about it. (Before that, the concern was brain tumor, so benign tremor didn't seem that bad.)
He had had FIVE years of OT and has never colored, scribbled, etc. He HATES doing anything of the sort.
This OT is very seasoned. She's wonderful with an extremely intelligent little boy who hates to have anything in his hands. She impresses me as quite good. She did not, however, give him tests as part of the evaluation (perhaps believing she was experienced enough to discern his issues and thought she had a good grasp of the issues, given his extensive treatment history.) I'll ask her, though, if she would mind giving him a standardized test to parse the issues, so we can determine the need for further referrals.
I definitely will look into a behavioral optometrist because I know on his final test of visual-motor issues he and his twin sister were in something like 1st to 8th percentile.
Is a neurologist someone we should see, too? He hasn't really had the hypotonia worked up. We briefly saw a neurologist to determine if the tremors signified a tumor, and when they didn't, that was the end of it. (long story.)
