Care that Supports Real Life
A whole-person approach for children, teens, adults, and families, focused on everyday regulation, routines, meaningful participation, and community engagement. In-person at 231 State St., Suite 5 (Ground Level), Petoskey, MI, with community-based and virtual options.
Regulation & Neurodiversity
Neurodiversity Affirming Therapy
Partnering with children, teens, and adults, including individuals who are newly diagnosed, self-identifying, or exploring neurodivergent traits. OT also supports neurodivergent parents seeking strategies for daily life, regulation, and executive functioning.
Supports clients with:
• ADHD
• Autism
• Sensory processing differences
• Developmental coordination disorder
• Executive functioning challenges
• Functional impacts of anxiety
Common functional needs addressed:
Emotional regulation • overwhelm or shutdown • transitions and routines • attention and energy regulation • executive functioning • masking fatigue and burnout
Sensory Processing, Interoception, and Regulation
Supports clients with:
• Sensory modulation differences
• Interoception challenges
• Emotional dysregulation
• Trauma-informed sensory needs
• Overwhelm, shutdown, or avoidance
• Behavioral challenges rooted in regulation
Common functional needs addressed:
Body awareness • calming or activation strategies • tolerance for sensory input • co-regulation • routines • emotional flexibility
Pain, Injury & Recovery
Pain Management Support
Through occupational therapy, we partner with children, teens, and adults living with ongoing pain. OT-informed support is offered within a team-based care approach, complementing medical pain management and supporting individuals as they move through pain with greater regulation, meaning, and participation in daily life.
Supports clients with:
• Persistent or chronic pain conditions
• Pain-related nervous system dysregulation
• Pain impacting daily routines, work, school, or self-care
• Pain-related fatigue or burnout
• Emotional and physical stress associated with ongoing pain
Common functional needs addressed:
• Nervous system regulation
• Activity pacing and energy conservation
• Daily routines and habit support
• Interoceptive awareness
• Adapting tasks and environments
• Supporting participation and quality of life despite pain
Services are participation-focused and intended to complement, not replace, medical pain management.
Neurological & Physical Injury Recovery
We specialize in functional recovery in real life.
Through occupational therapy, we partner with children, teens, and adults recovering from neurological and physical injuries. OT-informed support focuses on restoring function, adapting tasks and environments, and supporting meaningful participation in daily life following injury.
Supports clients with:
• Traumatic brain injury (TBI)
• Stroke and acquired brain injury
• Upper extremity injuries or orthopedic recovery
• Changes in strength, coordination, sensation, or endurance
• Cognitive, attentional, or executive functioning changes following injury
Common functional needs addressed:
• Functional use and recovery of the upper extremities
• Cognitive and executive functioning support for daily life
• Activities of daily living (ADLs) and functional independence
• Participation at home, work, school, and in the community
• Ergonomics, task modification, and environmental adaptations
• Support for return to work, school, and meaningful activities
Ergonomics & Workspace Support
We specialize in optimizing function in real-life environments.
Through occupational therapy, we support children, teens, and adults in reducing physical strain, painful patterns, and functional limitations related to home, school, and workplace demands.
Services are provided in person, with the option for OT to travel to your location to complete a worksite or home ergonomic analysis.
Supports clients with:
• Work-related pain or discomfort
• Repetitive strain or overuse patterns
• Poor workstation or home setup
• Fatigue or pain impacting productivity or participation
• Return to work following injury or medical change
Common functional needs addressed:
• Workstation and environmental setup
• Task modification and body mechanics
• Reducing pain-provoking or restrictive movement patterns
• Supporting comfort, endurance, and efficiency
• Ergonomic recommendations for home, school, or workplace
• Strategies to support sustainable participation and optimal functioning
Skills & Development
Executive Function and Daily Life Skills
Supports clients with:
• ADHD
• Autism
• Executive functioning disorder
• Learning differences
• Organization and planning challenges
• Functional impacts of anxiety
Common functional needs addressed:
Time management • task completion • initiation • organization • schedule building • habit formation
Pediatric Feeding and Mealtime Support
Supports clients with:
• Pediatric feeding disorder
• Sensory-based feeding challenges
• Oral-motor delays
• Limited variety or picky eating
• Mealtime overwhelm
• GI-related feeding struggles
Common functional needs addressed:
Expanding food tolerance • mealtime routines • sensory comfort • oral motor skills • caregiver coaching
Functional Vision and Oculomotor Therapy
Supports clients with:
• Tracking or scanning difficulties
• Convergence challenges
• Visual fatigue
• Reading-related visual strain
• Visual motor integration needs
• Oculomotor dysfunction
Common functional needs addressed:
Visual tracking • saccades • convergence • reading stamina • hand-eye coordination • posture for visual comfort
Motor Skills, Coordination, and Development
Supports clients with:
• Delayed milestones
• Fine motor delays
• Coordination difficulties
• Handwriting challenges
• Motor planning needs
• Weakness affecting participation
Common functional needs addressed:
Grasp • handwriting • bilateral coordination • visual motor skills • motor planning • developmental play
Environment & Support
Pediatric Pelvic Health and Functional Toileting
Supports clients with:
• Constipation
• Withholding
• Urinary urgency or frequency
• Daytime or nighttime accidents
• Delayed toileting skills
• Sensory-based toileting challenges
• Anxiety or fear related to toileting
Common functional needs addressed:
Toileting routines • posture and positioning • interoception cues • bathroom independence • caregiver coaching
Teen Pelvic Health
Supports clients with:
• Pelvic pain
• Pelvic floor tension
• Urinary urgency or leakage
• Abdominal wall tension
• Stress-related pelvic symptoms
• Functional impacts of trauma or anxiety
Common functional needs addressed:
Body awareness • pelvic routines • pacing strategies • regulation skills • posture and lifestyle supports
Family and Caregiver Support
Supports clients with
• Sensory-informed parenting needs
• Daily structure or routine challenges
• High-stress transitions
• Co-regulation needs
• Behavior rooted in sensory or emotional overwhelm
Common functional needs addressed:
Routines • expectations • transitions • emotion support • regulation strategies • communication tools
Home Safety Assessments and Training
Supporting safe, confident participation at home.
OT-informed home safety evaluations are available for individuals planning for surgery, recovering from injury or illness, or navigating changes in mobility or daily routines.
Supports clients who are:
• Planning for an upcoming surgery
• Recovering from injury, illness, or hospitalization
• Experiencing changes in balance, mobility, or endurance
• Aging in place or navigating new functional needs
• Adjusting to neurological or physical changes
Common functional needs addressed:
• Home safety and fall-risk reduction
• Environmental modifications and adaptations
• Bathroom, bedroom, and entryway safety
• Mobility and transfer considerations
• Supporting independence with daily activities
• Recommendations for safe routines and confidence at home
Community-Based and Natural Environment OT
Supports clients with:
• Functional challenges in real-life settings
• Home routine difficulties
• Community participation needs
• Social engagement challenges
• Independent living skill development
Common functional needs addressed:
Community confidence • environmental navigation • home routines • social participation • generalization of skills
Virtual Occupational Therapy
Supports clients with:
• Distance or travel limitations
• Sensory and regulation needs
• Executive functioning challenges
• Pelvic health education
• Home program carryover
• Need for flexible follow-up care
Common functional needs addressed:
Regulation skills • coaching • routines • visual supports • activation strategies • functional follow-through
Respite Support
Therapeutically-Informed Caregiver Support
Partnering with individuals and families during times of transition, recovery, or increased support needs. Respite Support is designed for clients who may be receiving therapy, awaiting services, or needing short-term, in-home or community-based support to reduce caregiver burden and support daily life.
Supporting clients during:
• Medical recovery or health changes
• Post-partum and family adjustment
• Periods of nervous system dysregulation or overwhelm
• Times of increased caregiving demand
• Transitions in routines, care, or environment
Common functional needs supported:
Regulation and co-regulation • daily routines • activities of daily living (ADLs) • household and life management tasks (IADLs) • energy conservation • following established therapy home programs • caregiver relief and supervision when a loved one needs support • participation in meaningful daily activities
Activities of Daily Living (ADLs) include everyday self-care tasks such as getting dressed, personal hygiene, eating, toileting routines, and getting ready for the day or bedtime.
Instrumental Activities of Daily Living (IADLs) include tasks that help daily life run smoothly, such as meal preparation, household organization, laundry, errands, and following routines or schedules.
Caregiver Support & Supervision
Respite Support may include supervision and support for a child, teen, or adult, allowing caregivers time to attend medical appointments, therapy sessions, work commitments, or personal care, while knowing their loved one is supported in a calm, predictable, and regulation-informed way.
Care Planning & Follow-Through
Intake, care planning, and progress updates are completed by a skilled therapist. Trained respite providers support follow-through and day-to-day implementation in alignment with the established plan.
Important to Know
Respite Support focuses on making daily life feel more manageable, predictable, and sustainable for both clients and caregivers. Services are non-therapeutic, private-pay services that support but do not replace therapy or medical care. Services follow existing therapy recommendations and do not include assessment, treatment, or modification of therapy plans.
Academic Intervention and Learning Support
In partnership with Amanda Goyings. We all need a plan, and sometimes we need a little extra support along the way.
Academic intervention supports children and teens who benefit from individualized, strengths-based learning support beyond traditional tutoring. Services focus on how a student learns, organizes, initiates, and sustains engagement with academic tasks in real life.
Academic intervention is provided as part of a collaborative care model. The interventionist works collectively with skilled therapists to develop a comprehensive plan and support follow-through across home, school, and daily routines. This ensures strategies are consistent, functional, and aligned with each client’s broader goals.
Supports students with:
• Learning differences
• Executive functioning challenges
• Attention, initiation, or task completion difficulties
• Academic stress, avoidance, or burnout
• Difficulty keeping up with school demands despite effort
• Need for individualized academic strategies and scaffolding
Common functional needs addressed:
Organization and planning • task initiation and follow-through • study strategies • workload management • confidence with learning • reducing academic overwhelm • building sustainable routines and habits
Academic intervention services complement occupational therapy and other supports by strengthening participation, regulation, and confidence within learning environments. Services focus on support and skill-building and do not replace school-based services or clinical therapy.
Growing a Collaborative Care Collective
We are intentionally building a collaborative, whole-person care model.
In addition to occupational therapy, we are in the process of welcoming aligned physical therapy and speech-language pathology providers, as well as academic interventionists, respite support, and in-person and virtual support groups.
We also collaborate with aligned community providers, including yoga instructors, massage therapists, and counselors, as part of a broader whole-person support network.
More to come as the collective grows.