At Optimal Therapy Works (OT Works), everyone is the lead in their own story.
We offer individual and group occupational therapy services grounded in Ayres Sensory Integration and child-led play-based practice.
Through play, movement, and guided sensory experiences, we support children, adolescents, and adults in organizing sensory information, strengthening motor skills, and building confidence in everyday life. Our approach honors each person’s unique interest and needs while fostering regulation, agency, and meaningful participation.
We celebrate neurodiversity, value strengths, and partner with individuals and families to support growth that is functional, lasting, and personally meaningful.
Clinical Services
Therapy and evaluations to support individual growth, regulation, and participation in what matters most.
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Personalized sessions for children, teens, or adults addressing sensory, motor, emotional, and functional needs.
Pediatric Therapy
Play-based OT and sensory integration support to help children regulate, learn, and thrive in daily life. Therapy session often involves siblings and always include caregivers and or parents.
Adult Therapy – Specializing in Late-Diagnosed Women
Targeted support for adults navigating sensory, emotional, and executive challenges after a late neurodiverse diagnosis.
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Group Therapy
Structured sessions where participants practice social, motor, and regulation skills together in a supportive environment. Text goes here
Peer Treatment Groups
Opportunities for children or adults to build social skills, practice adaptive responses, and gain confidence through peer interaction
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Evaluations & Assessments
Comprehensive, evidence-based assessments to guide therapy, education, and accommodations.
Why We Evaluate
Evaluations are designed to:
Initiate individualized therapy programs
Support Individualized Education Evaluations (IEEs)
Guide school accommodations and professional recommendations
Inform clinical, functional, and sensory goals
What We Assess
Our OT team provides evidence-based occupational therapy and sensory integration evaluations, including:
Sensory modulation, discrimination, and motor planning
Functional participation and adaptive responses
Emotional regulation and developmental skills
School performance, daily routines, and occupational engagement
Evaluation Process
Standard Evaluations: Typically completed in 2 sessions
Comprehensive Assessments / IEEs: May take 3–5 sessions depending on complexity
Assessments include observation, standardized tools, parent/caregiver interviews, and functional testing
Results are summarized in a comprehensive report with recommendations for therapy, school supports, and accommodations
How It Supports You
Provides a clear roadmap for therapy and skill development
Offers objective data for school teams, IEPs, or accommodations
Helps families understand strengths, challenges, and next steps
Guides professionals with actionable recommendations based on current evidence
Online Booking
Now Offering Free 15 Minute Phone Consultations
At Optimal Therapy Works, we understand that family life is busy — between school, work, and activities, your time is valuable. That’s why we offer convenient online booking, making it easy to schedule your child’s or family’s occupational therapy sessions.
Please note that Hippotherapy sessions are reserved for existing clients and will be scheduled directly by your therapist after your initial evaluation.
Community & Professional Services
Resources, mentoring, and education for families, schools, and professionals.
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Clinical guidance and mentoring for OTs, therapists, and educators on evidence-based sensory integration and neurodiverse-support practices.
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Workshops, webinars, and events designed to increase understanding of sensory integration, neurodiversity, and inclusive practices.
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Safe spaces for caregivers to share strategies, gain guidance, and connect with other families navigating neurodiversity
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Tailored recommendations for homes, schools, and therapy spaces to create sensory-friendly, developmentally supportive environments.
Why Families Choose OT Works
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Neurodiverse-led and inclusive approach
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Evidence-based, play-centered therapy
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Grounded in Ayers Sensory Integration®
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Family-focused collaboration and education
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Personalized built on individuals special interest
Our Therapy Environments
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GroWild Boutique Playroom, Camas WA
A dynamic, fully equipped space designed with fidelity to Ayers Sensory Integration® principles—encouraging climbing, swinging, balancing, and exploring through purposeful play. Built with divergent design principles, GroWild is thoughtfully created to meet the unique needs of the neurodiverse nervous system. This one-of-a-kind environment supports both individual and group therapy, as well as supported recreation and community groups.
Services offered in partnership with GroWild Boutique Playroom.
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The Fathom Collective Ridgefield, WA
A serene, natural setting where clients connect with horses, nature, and community to build body awareness, coordination, confidence, and emotional regulation, sensory integration, through equine-assisted occupational therapy. Our facility includes an Olympic-size indoor arena for year-round sessions, outdoor trails, and a heated viewing room with a kitchen and shower-equipped restroom.
Services offered in partnership with the Fathom Collective