Occupational Therapy Services

Therapeutic Healing LLC offers the highest quality evaluation and treatment to children within the fields of Occupational Therapy and Speech and Language Therapy.  This page describes the different types of evaluations that are offered here.  Which evaluation you receive depends on the unique needs of the child. On this page you will also find information describing individual Occupational Therapy and Speech and Language Therapy as well as the variety of specialized areas in which many of our therapists have expertise that complement individual therapy. I will be able to discuss with you which type of evaluation and treatment approach is appropriate. 

Comprehensive OT Evaluation

Most children require a full, comprehensive evaluation in order to begin occupational intervention services. Our comprehensive evaluation requires 12 hours of therapist time. This evaluation will give you a complete picture of your child’s sensory processing and motor needs along with recommendations for services and accommodations. It includes 2 1/2 to 4 hours of direct assessment, a comprehensive detailed written report, and an evaluation feedback meeting. The assessment tools used for this evaluation vary depending on the child’s age, abilities and needs but may include the Sensory Integration and Praxis Tests (SIPT), the Miller Assessment for Preschoolers (MAP), the OTA-Watertown Sensory Modulation and Discrimination Evaluation, the Bruininks-Oseretesky Test of Motor Proficiency, or a number of other assessment tools.

Specialty OT Evaluation

On occasion children may require a detailed evaluation that is focused on a specific need area such as fine motor/handwriting skills, oral motor skills, listening, visual-vestibular integration, or Interactive Metronome. These specialty evaluations are tailored to meet the needs of the child. They are most appropriate for examining, in depth, specific problems that may have been identified in another evaluation, emerged as particularly problematic during therapy services or appear to be an isolated difficulty identified by yourself or your child’s school.

Individual Occupational Therapy Intervention

Therapy is based on the unique needs of each child and can address difficulties with self-regulation, sensory processing, body awareness, motor planning, and development of gross motor and fine motor skills. The first therapy session will be focused on building a rapport between the child and therapist. Some children require their parents to be present during this session while other children will perform better without their parents watching. Your therapist will happily discuss with you which option will be most appropriate for your child.

Your therapist may decide initially to work with your child in a smaller, quieter room to support engagement in appropriate activities and may then move to a larger room where peers may also be working one-on-one with therapists. When appropriate, children are encouraged to interact with peers to promote problem solving, negotiation and social skills.

Therapy is playful and follows a child led, adult guided approach where the therapist encourages the child to participate in fun but purposeful activities that stimulate sensory systems that may not be working as effectively as they should be. Therapy is fun for the child and is skillfully managed by the therapist to ensure it is appropriate for the child and is set to the “just right challenge,” where the activity is not too difficult so that the child no longer wants to play but is not too easy so they lose interest quickly. It is this “just-right challenge” that ensures the child forms an adaptive response that will develop the functions in which the child is having problems.

No one can organize a child’s brain for him. He has to do it himself. Though a therapy session looks like casual play, both therapist and child are in fact working very hard. All of the activities that your child will engage in during the therapy session are purposeful; they are all directed toward a goal of self-development and self-organization.

The development of specific therapy objectives for each child is a very important part of the treatment planning process.  We look forward to meeting with you during the first month of therapy to establish goals and objectives that will be measured by improvement in day-to-day skills and activities.

Our occupational therapy services treat a variety of pediatric diagnosis including:
  • Autistic Spectrum Disorders
  • Learning disabilities
  • Attention deficit disorder
  • Fine and gross motor coordination disorders
  • Developmental Delays
  • Other psychological and neurological conditions
And a variety of challenges including:
  • Difficulty paying attention in class
  • Difficulty carrying out daily activities such as getting dressed
  • Avoidance of playground activities
  • Frequent tumbles and falls
  • Difficulty engaging at birthday parties or play dates
  • Needing to be constantly on the move
  • Heavy handed with toys and peers
  • Poor sleep patterns
  • Sensitive to clothing or becoming upset at bath time
  • Easily frustrated with new activities