Pencil grip is the first visible sign of handwriting difficulties that can cause teachers and parents to ask for the assistance of an occupational therapist. But, as important as an efficient pencil grip is to handwriting skills, it is not always the cause of handwriting needs. Research studies have concluded that an efficient pencil may not always look like one – although it is functional, nonetheless. My article, “Should we worry about pencil grip?” shares important research conclusions and their implications for an occupational therapy assessment and remediation plan for handwriting development skills. Please share your feedback!