Therapy
At Integrate OT, we believe every child is unique, with their own strengths, challenges, and ways of engaging with the world. Our mission is to support children aged 0–15 in discovering their potential through evidence-based, meaningful activities that foster growth, confidence, and joy.
Our Approach
We utilize the DIR® Floortime framework to guide our interventions, focusing on:
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Developmental milestones to understand each child’s current stage.
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Individual Differences in sensory processing, motor skills, and emotional regulation.
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Relationships that nurture trust and encourage interactive learning.
This holistic model allows us to build strong foundations for social, emotional, and functional capacities, rather than focusing solely on isolated skills.
Our Six Pillars of Clinical Practice
1. Children Are
Seen, Heard and Understood
Every child deserves to feel valued exactly as they are. We strive to:
- Lead with curiosity before judgement.
- Understand the meaning behind behaviour.
- Presume competence and recognise strengths.
- Respect each child unique sensory, emotional and developmental profile.
- Ensure every child experiences joy, success and belonging.
We ask ourselves: Does this child leave our session feeling understood?
2. Relationships Are the Foundation
Relationships are the most powerful tool we have. We:
- Prioritise connection before challenge.
- Support co-regulation before expecting self-regulation.
- Follow the child’s lead while gently extending development.
- Create emotionally safe environments where children can take risks, explore and grow.
- Recognise play, shared enjoyment and authentic interaction as essential to development.
We ask ourselves: Have I strengthened this relationship today?
3. Evidence Informs Everything We Do
Our clinical decisions are guided by current evidence, thoughtful clinical reasoning and the
values of each family.
Our practice integrates knowledge from:
- Occupational Therapy
- Developmental science
- Sensory integration and sensory processing
- DIR®/Floortime™
- Neuroscience
- Attachment and relationship-based practice
- Neurodiversity-affirming care
We remain lifelong learners, continually reflecting on and refining our practice.
We ask ourselves: Can I clearly explain why I chose this intervention?
4. Families Are Our Partners
Families know their child best. We:
- Listen before we advise.
- Build on family strengths.
- Coach rather than direct.
- Work collaboratively with parents, carers, educators and other professionals.
- Respect each family’s priorities, culture and lived experience.
Our goal is to build confidence—not dependence.
We ask ourselves: Did this family leave feeling more hopeful and capable?
5. Participation Is Our Outcome
Our measure of success is not how well a child performs in therapy—it is how confidently they
participate in everyday life.
We focus on supporting children to engage meaningfully:
- At home
- At school
- In play
- In friendships
- In their community
Therapy should always connect back to real life.
We ask ourselves: Will today’s work make a meaningful difference outside the therapy room?
6. We Grow Through Reflection
Excellent therapists never stop learning.
We commit to:
- Reflective practice.
- Seeking feedback.
- Clinical supervision.
- Honest conversations.
- Continuous professional development.
- Supporting one another with kindness, humility and curiosity.
Growth is a shared responsibility.
We ask ourselves: What have I learnt today that will make me a better therapist tomorrow?
What is DIR Floortime?
DIR Floortime is a relationship-based therapy that supports neurodivergent children by encouraging emotional, social, and cognitive growth through play. It follows the child’s lead and uses their interests to build communication, thinking, and connection. “DIR” stands for Developmental, Individual-differences, and Relationship-based, reflecting its focus on each child’s unique development and the importance of meaningful interactions.
How does Floortime work?
Floortime is a relationship-based approach where adults—whether parents, therapists, or educators—join the child in their world by following their interests and cues during play and everyday moments.
By building connection through shared joy and curiosity, we support the child to expand their communication, thinking, and emotional capacities in a developmentally meaningful way.
Floortime encourages growth through six key developmental stages, from co-regulation and engagement to symbolic thinking and reflective problem solving.
Core Principles
- Following the child’s lead while gently encouraging interaction.
- Expanding circles of communication (e.g., helping a child express needs or respond to emotions).
- Building back-and-forth emotional exchanges, helping develop logical thinking and empathy.
How is it different from other therapies?
Compared to more structured or behavior-based approaches, DIR Floortime is:
- More child-led and relationship-based
- Focused on emotional connection and development, not just behavior modification
- Highly individualized
Nature-Based Occupational Therapy
Integrating skills from the home or clinic into the great outdoors, our nature-based sessions aim to:
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Develop gross and fine motor skills, imagination, and social skills.
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Improve emotional well-being, concentration, and adaptability.
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Cultivate an appreciation for nature.
Therapy Outcomes
Families often notice meaningful growth in their children, including:
- Increased engagement and ability to focus on activities that interest them
- Strengthened core stability and physical confidence in movement
- Growing independence and coordination in fine motor tasks
- Expanded sense of self-confidence and creative expression
- Readiness to participate in learning environments in ways that feel safe and supportive
- Greater adaptability and openness to new experiences and problem-solving
- Enriched capacity for connection, communication, and shared interactions with others
Our Commitment
We are dedicated to providing a neuro-affirming, child-led approach that celebrates individual differences. By immersing ourselves in each child’s world, we aim to create meaningful interactions and activities that support their growth and development.
“Differences are not deficits — they are the starting point for truly individualized support.”
Dr. Stephen Shore, autistic professor and neurodiversity advocate
Ready to Begin?
Connect with us today to learn more about how Integrate OT can support your child’s journey.
