Occupational Therapy for Autism | Play2Learn Plant2Grow

Maybe you have a folder of therapy lists and a quiet worry that you are supposed to be doing more. If you are tired, you are not failing. You are a parent who loves a child whose nervous system works differently, and that deserves support, not pressure.


I am Erika, and I work with families through Play2Learn Plant2Grow, an in home pediatric occupational therapy practice. I am a pediatric occupational therapist and a former elementary school teacher, and I believe support works best when it fits your child and your home. On this page I will walk you through what this work looks like, who it fits, how sessions feel, and how we can begin gently.

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What is occupational therapy for autism?

Occupational therapy for autism is support for the everyday "jobs" of childhood: playing, getting dressed, eating, bathing, moving through the day, and feeling okay in your own body. Autism is a lifelong way of being, not something to be fixed. My work is about reducing friction, so daily life feels more comfortable.


It matters because daily routines are where many autistic children and their parents feel the most strain. When sounds, textures, transitions or body signals are overwhelming, a nervous system can tip into overload, and what looks like "behavior" is often a child doing their very best. OT does not diagnose and does not replace medical care. I work alongside your pediatrician, school and other providers.

Most common signs a child may benefit from OT support

  • Sensory sensitivities: a child may cover their ears, refuse certain clothes or foods, or avoid messy play. Inside, everyday sensations can feel too loud, scratchy or strong, which makes ordinary routines exhausting.

  • Sensory seeking: crashing, spinning or chewing. Inside, the body wants input to feel organized.

  • Difficult transitions: leaving the park or turning off a show may bring tears or shutdown. Inside, the shift feels unpredictable, and the cost shows up at bedtime and in the morning rush.

  • Daily living and eating struggles: dressing, toothbrushing, bath time or limited food textures can take a long time. Inside, the sensations can be hard to tolerate, so simple tasks take the family's energy.

  • Motor planning and coordination: a child may seem clumsy, avoid new movements or struggle with buttons and utensils. Inside, they know what they want to do but find the steps hard to plan.

  • Missed body signals: a child may not notice hunger, thirst or the need to use the toilet until it is urgent. Inside, those internal signals can be faint, which can lead to accidents and sudden meltdowns.

  • Big overload moments: meltdowns or shutdowns after school or in busy places. Inside, the nervous system has hit its limit, and the family may begin avoiding outings.

How do I know if my child may need occupational therapy for autism?

Look for patterns over time rather than single hard days.


  • Do the same daily moments keep becoming a struggle, even when you have tried gentle routines?

  • Are you changing your family's life to avoid triggers, such as skipping restaurants or haircuts?

  • Do you feel unsure how to help in the moment?

You don't need a diagnosis to deserve support. If you are wondering, that is enough reason to talk.

How I approach occupational therapy for autistic children

I believe therapy should feel like an extension of childhood, not an interruption of it. I follow your child's interests, because play and connection are where trust grows. I am not aiming for compliance, only comfort, curiosity and confidence.


In sessions we use play based sensory motor activities, heavy work and movement, graded challenge, visual supports for transitions, and co regulation, where I stay calm and present so your child can borrow that steadiness. We build sensory diet plans that fit your home, and we practice real routines: zipping, brushing, pausing, noticing hunger or thirst. We also use calming sensory rituals, like a slow wall push, to help the body settle.


Progress is rarely a straight line. Growth is messy, and that is part of the process. You may notice a calmer transition or a shorter meltdown.

Who this support is for

This support may be a strong fit if:


  • You have an autistic child, or you suspect your child may be autistic, between about 2 and 12 years old.

  • You want support that respects your child's way of being instead of trying to change who they are.

  • Daily routines like dressing, eating or bath time feel heavy.

  • You want to be included, learn what is happening in your child's body, and feel more confident.

This may not be the best fit if:


  • Your child needs urgent medical care or has safety concerns. Please reach out to your pediatrician first.

  • You are looking for a diagnosis. OT does not diagnose, but I can point you toward the right professionals.

  • Your child's main need is outside OT, such as speech or feeding medical needs. I will gladly refer and work alongside those specialists.

What working together looks like

We begin with a free discovery call, where you can tell me about your child and ask anything. If we decide to move forward, we start with a comprehensive OT evaluation. Many families begin weekly, and we build the plan together. Sessions happen at home, a familiar space with real routines. Here is more about in home occupational therapy.


If you would like to know what the first visit involves, this blog explains what an OT evaluation is and what families can expect. When you are ready, you can reach out through the contact page.


Parent coaching is built in. You are not outsourced, you are included. I coordinate with speech therapists, schools and other providers, and respect your family's choices. Play2Learn Plant2Grow is an out of network provider, and superbills are available on request.

Ready to get started?

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Step 1


A full in home or on site assessment to understand your child's strengths, challenges, and daily environment.

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Step 2


A personalized therapy plan focused on meaningful goals, whether it's hitting developmental milestones, improving focus, or building independence.

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Step 3


Ongoing hands on sessions and parent coaching so progress sticks at home, school, and in the community.

Meet Erika

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I am Erika Valdés, a Certified and Licensed Occupational Therapist (OTR) with over 15 years of experience helping children and families thrive. I am also a former elementary school teacher, and that background taught me to see each child's way of learning and moving as valid. My occupational therapy for autism work starts with listening to your child and to you. I know how tiring it is to be the parent holding everything together, so you will never be judged here for a hard day, a messy house or a meltdown at the door. I help people bloom where they are planted.

What can we work on together?

  • A calmer home rhythm: we shape sensory friendly spaces and predictable routines so the day asks less of your child's nervous system.

  • Daily living skills: dressing, toothbrushing, bath time and mealtimes, broken into steps your child can tolerate and own.

  • Body awareness and interoception: noticing hunger, thirst and toileting signals with simple cues and routines.

  • Smoother transitions: visual schedules and timers so your child knows what comes next.

  • Co regulation and recovery: helping you become the safe base your child can return to after overload.

Tips for coping with hard moments at home

  • Lower the sensory load first. Dim lights, quiet the room and offer a soft place before you talk. Words often come later, once the body settles.

  • Treat meltdowns as overload, not defiance. Stay close, stay calm and say very little. Your steady presence is the support.

  • Give a warning before transitions: five minutes, then two, then one, with a visual cue.

  • Offer heavy work before a tough moment, such as carrying laundry or squeezing a pillow.

  • Breathe out slowly and drop your shoulders. You do not have to solve it all today.

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Hi, I’m Erika Valdés Certified and Licensed Occupational Therapist (OTR)

Erika Valdes, OTR/L is a licensed occupational therapist with over 15 years of clinical experience supporting children and adolescents across school, home, and community environments.

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Payment Plans & Details

  • Investment: $160 per 1-hour session (packages available for savings)

    Includes:

    • Personalized 1:1 occupational therapy (in-home or community-based)
    • Activities tailored to your child’s milestones, sensory needs + developmental goals
    • Follow-up recommendations so you can keep progress going at home
    • Ongoing email support for quick check-ins between sessions
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  • Evaluations: Comprehensive OT Evaluation – $450 (60–90 minutes)

    Includes:

    • Full developmental + functional skills assessment
    • Written report with individualized recommendations
    • Treatment plan + home + school suggestions
    • Review of findings + action plan with caregivers
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  • Popular Packages

    Includes:

    • 10-Session Growth Package – $1,450 (Save $150)
    • 5-Session Starter Package – $750 (Save $50)
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  • Additional Options

    Includes:

    • 45-minute sessions available depending on your child’s need
    • Step up for students provider
    • Sensory schedules + daily routines 
    • School support & collaboration

    START NOW

FAQ

What can an occupational therapist do for autism?

I support your child's participation in daily life. That can mean helping with sensory needs, dressing, eating, bath time, play, coordination and emotional regulation. I also coach you on routines, visual supports and co regulation so the progress carries into your real days. I do not diagnose, and I do not aim to change who your child is.

Why would an autistic child need occupational therapy?

Many autistic children experience the world through a very sensitive or very seeking nervous system, and everyday routines can take huge energy. OT can help when sensory differences, transitions, motor planning or body signals make daily life harder than it needs to be. It is always your family's choice, and when it fits, it can bring more comfort, confidence and calm to home.

What does OT for autism look like?

At home, it often looks like play. We might build an obstacle course, explore textures, practice a bath routine with visual steps, or set up a calm sensory corner together. I follow your child's interests, watch their cues and adjust the challenge so it feels doable. You are part of every session, learning what each activity does and how to repeat it in your own rhythm.

Is aba or OT better for autism?

They have different focuses, so one is not simply better than the other. OT supports participation in daily life, sensory processing, motor skills and regulation. I do not provide ABA, and families choose what fits their child and values. If your child has other providers, I am glad to coordinate with them and respect the decisions your family makes. You know your child best, and you do not have to choose alone.

Can kids with mild autism get better?

Autism is a lifelong way of being, not something to be solved. Children can absolutely build skills, comfort and confidence with the right support, and that growth matters. I would also gently say that "mild" does not mean a child is not working hard inside. Support can make that effort lighter, so your child feels understood.