Sensory processing
Sensitivity to sound, texture, movement, or touch, and the meltdowns and avoidance that follow. We work out what your child's system needs and how to give it to them.
Pediatric occupational therapy for children and families
Some days are harder than they should be. You don't have to figure it out alone.
Getting dressed. Sitting through dinner. Making it through a noisy classroom. When these everyday things become a struggle for your child, there's usually a reason, and there's usually something that helps. My job is to find both, and to send you home with something you can actually use.
Book a free 15-minute consultationTelehealth in Massachusetts, Texas, and Florida. In-home sessions in Massachusetts. Sessions in English and Portuguese.
Are you a parent or caregiver going through any of this?
"Mornings take an hour and end with both of us in tears."
"The school says he's fine academically, but something isn't working."
"Tags, seams, socks, certain foods. I don't know what's a preference and what's a real problem."
"She melts down at birthday parties and I can't predict when."
"Handwriting is a battle every night and I've run out of ideas."
"I've been told to wait and see. I've been waiting."
You don't need a diagnosis or a referral to start. If the day feels harder than it should for your child, that's enough reason to have a conversation.
What we work on
Pediatric occupational therapy focuses on the skills a day is made of.
Regulation and big feelings
Recognizing what happens in the body before a meltdown, and building strategies your child can actually use in the moment.
Fine motor and handwriting
Grip, letter formation, endurance, scissors, buttons, and zippers. Practical skills, practiced in ways that don't feel like more homework.
Self-care routines
Dressing, feeding, toileting, sleep routines, and bathing. The tasks that shape a family's morning and evening.
Attention and transitions
Starting a task, staying with it, and moving from one thing to the next without the whole day derailing.
Coaching for parents
You're with your child all week. Much of the work is giving you strategies, language, and small environmental changes that hold up at home.
What working together looks like
01
A short conversation first
Fifteen minutes by phone or video, at no cost. You describe what you're seeing, and I tell you honestly whether occupational therapy is the right direction. Sometimes it's not, and I'll say so. A referral from your child's pediatrician is needed before we begin, and I'll walk you through how to request it.
02
Evaluation
A comprehensive appointment looking at how sensory, motor, cognitive, and emotional factors are affecting your child's daily participation. You receive a written report and a plan, not just a score.
03
Sessions and home strategies
Regular treatment sessions built around your child's goals, paired with specific things to try at home. Progress in OT happens between appointments as much as during them.
04
Reviewing progress with you
We check in on goals regularly and adjust. When your child has met what we set out to do, we say so and finish. This isn't meant to be open ended.
When I'm not the right fit
Saying this plainly saves you time and money.
- Your child needs a medical diagnosis. Occupational therapy assesses function, not medical conditions.
- Your child needs speech and language therapy, physical therapy, or a neuropsychological evaluation as the primary service.
- You need an evaluation specifically for a school district's special education process. I can often support that, but the district's own evaluation is a separate requirement.
- You live outside Massachusetts, Texas, or Florida. Licensure follows where your child is, not where I am.
Start with a conversation
Fifteen minutes, no cost, no pressure. Tell me what you're seeing at home, and we'll work out together whether this is the right next step.
Book a consultation