Clinical pathway

Visual processing

The student confuses similar letters or shapes, struggles with puzzles and diagrams, or cannot find items in busy fields.

Step 1

Occupational performance problem

The student confuses similar letters or shapes, struggles with puzzles and diagrams, or cannot find items in busy fields.

Step 2

Clinical reasoning

  • Name which processing demand is failing — discrimination, figure-ground, closure, memory, or spatial relations.
  • Test the same skill in two contexts before concluding it generalizes.

Step 3

Likely limiting level

  • Level 3: Visual Processing

    Direct contributor.

  • Level 2: Visual Efficiency

    Unstable fixation degrades the input processing depends on.

Step 4

Intervention options

Nothing tagged for this step yet.

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Step 5

Movement-based options

Nothing tagged for this step yet.

Step 6

Teacher strategies

  • Simplify the visual field before simplifying the content.
  • Pair visual material with verbal description during instruction.

Step 7

Parent carryover

  • Matching, sorting, and hidden-picture games at a level that is fun, not frustrating.

Step 8

Progress monitoring

  • Accuracy on a consistent matching or figure-ground probe.
  • Teacher report of independence with diagrams and maps.

Step 9

Reassessment

Re-screen the limiting level after 6–8 weeks of consistent intervention. If the occupational problem has not changed while the contributing level has, look upstream for a different limiting factor. If neither has changed, or symptoms are worsening, refer out rather than continuing to treat.