TBL Newsletter – September 8, 2020

Here are a handful of great ideas for pediatric therapy, business and life:


Here’s an article I go back to anytime I start a new project or business. It’s about the process of negative visualization, or visualizing all the bad stuff that can happen before it actually happens. The Harvard Business Review also has a good overview.

This is a really useful strategy because it helps you see past your rose-colored glasses. It gives you the opportunity to plan for the worst case scenario. 

Most of the time, if you plan for the worst case scenario it doesn’t happen. But when you don’t…

There are lots of proponents of positive thinking and affirmations, but I’ve never found those strategies helped me achieve goals. I like to be realistic and I don’t like bad surprises.

Using this approach has helped me see cracks in my plans and shore them up before they became an issue.

I also like using this approach with children who are impulsive, but who can still benefit from cognitive behavioral strategies. Making long lists of unwanted outcomes (no matter how ridiculous) can become a game with real-life benefits.


A recent study pretty convincingly makes that case that children (in this study the children were around 8 years old) who spend lots of time in front of a television or computer demonstrate decreased reading and math skills compared to peers who spend less time in front of screens.

The tremendous amount of downtime many of our kiddos have had during the COVID-19 crisis makes me really nervous. I can only imagine how far behind a lot of our already at-risks patients are going to be this time next year, thanks to too little face-to-face time and too much screen time.

I printed out this study to share with some of my families. I’m telling everyone who will listen.


Most of the milestones checklists and assessments we use in therapy haven’t been re-standardized in years. 

Because of the way our society works now (back-to-sleep, lots of screen time, less developmentally appropriate expectations in childhood education curricula), some of our thinking on milestones acquisition needs to be updated.

Tufts Medical Center developed the Survey of Well-being of Young Children. It’s a series of developmental milestones checklists for children ages 0-5.

The survey was given to tens of thousands of parents in recent years, and current norms were established. It’s a very handy resource you can use TODAY.

The baby checklists are the most thorough I’ve seen in a while.

The survey and administration manual are free to download. The age-specific norms sheets are an excellent resource for onboarding new EI patients.


“People who tell you to follow your passion are already rich.”
Scott Galloway, on this podcast


Who is in control of my attention? Me or my phone?

Have a great week!
Ashley King, MSR, OTR/L
Founding Editor

P.S. Baby’s first waterfall