Occupational Therapy — Hamilton, ON

Write with Ease. Participate with Confidence.

Individualized occupational therapy for children in pre-K through Grade 5 who are experiencing challenges with handwriting, written output, fine-motor and visual-motor skills, and functional participation at school and at home.

Submit an Inquiry →
Child practicing pencil grasp during occupational therapy at The Durand Clinic
How I Can Help

Understanding What Makes Writing Hard

As an Occupational Therapist, Bela provides individualized therapy for children ages pre-K to Grade 5 who are experiencing challenges with handwriting (print and cursive), written output, fine-motor and visual-motor skills, attention, organization, and functional participation.

Her approach goes beyond handwriting mechanics to understand what is making a task difficult for the child and to develop practical, individualized strategies that build skills, confidence, and independence.

  • ✓ Handwriting assessment and intervention
  • ✓ Fine-motor and visual-motor skill development
  • ✓ Written-output support
  • ✓ Strategies to improve classroom and everyday participation
Submit an Inquiry →
Our Approach

Two Areas of Focus

Therapy is built around the skills behind the task — not just the handwriting itself.

Handwriting & Written Output

  • ✓ Comprehensive handwriting screening and assessment
  • ✓ Letter formation, sizing, spacing and alignment
  • ✓ Pencil grasp, paper positioning and posture
  • ✓ Writing speed, endurance and legibility
  • ✓ Fine-motor and visual-motor skills
  • ✓ Written-output difficulties and productivity
  • ✓ Developmentally appropriate intervention
  • ✓ Handwriting Without Tears® developmental framework

Functional Participation

  • ✓ Task initiation and completion
  • ✓ Sustaining attention during writing tasks
  • ✓ Planning, organization and sequencing
  • ✓ Writing endurance and workload
  • ✓ Regulation and self-management
  • ✓ Environmental and ergonomic factors
  • ✓ Practical strategies and accommodations
One-to-one occupational therapy session building motor skills at The Durand Clinic
What to Expect

Child-Centred. Collaborative.

Sessions are tailored to each child’s unique strengths, needs, and goals — combining assessment, skilled intervention, and practical strategies that carry over into daily life.

  • ✓ Individualized Therapy — sessions tailored to your child’s unique strengths, needs and goals
  • ✓ Evidence-Informed — assessment, skilled intervention and practical strategies
  • ✓ Family Involvement — parent education and home strategies to support carryover
  • ✓ Progress You Can See — building skills, confidence and independence in meaningful ways
  • ✓ Collaborative Care — communication with caregivers and other professionals as needed
A Holistic OT Perspective

Beyond the Handwriting

The goal is not simply to improve handwriting. The goal is to understand what is making the task difficult and provide the right supports so your child can participate more successfully.

This may involve considering handwriting mechanics, fine-motor and visual-motor skills, attention, task initiation, endurance, regulation, organization, self-confidence and environmental supports. Recommendations are individualized to your child’s strengths, needs and daily environments.

Who I Work With

Children Ages Pre-K to Grade 5

I work with children who:

  • ✓ Struggle with handwriting legibility
  • ✓ Tire easily when writing
  • ✓ Have difficulty with letter formation, spacing or alignment
  • ✓ Avoid or resist writing tasks
  • ✓ Have fine-motor or visual-motor skill challenges
  • ✓ Need support with written expression
  • ✓ Have difficulties with organization, planning and task completion
  • ✓ Benefit from support with attention, regulation and motivation
Clinic-Based Private OT Services

One-to-One Therapy in a Child-Friendly Environment

Sessions focus on building skills, confidence and strategies that help your child succeed at school, at home and in daily life.

Your Occupational Therapist

Meet Bela Bratch

Bela is an Occupational Therapist helping children build the skills and confidence to write with ease and participate fully in everyday learning. Accepting new patients.

Bela Bratch — Occupational Therapist at The Durand Clinic

Bela Bratch

Occupational Therapist

Submit an Inquiry →
No Referral Required

Submit an Inquiry

Tell us a bit about your child and we’ll be in touch to schedule an assessment.