ND-Affirming Occupational Therapy for Autism—telehealth & in-person OT support for Autistic kids, teens, and adults. Vancouver, Victoria, & now Canada-Wide!

Whether you're a caregiver, child, teen, or adult, we offer a clear path after Autism identification. Using Autistic-led frameworks, voices, and research, we help you understand strengths, identify support needs, and build self-compassion. We tackle the Double Empathy Problem by challenging misconceptions and validating Autistic ways of thinking and communicating. Caregivers receive ND-affirming education and practical guidance for age-appropriate diagnosis disclosure, while Autistic teens and adults receive personalized support with processing a new diagnosis, ND-identity exploration, and self-determinism.

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Knowing and sharing what you need isn’t always easy—especially in schools, workplaces, or systems not built for Autistic people. We help clients figure out what they want and need, navigate formal processes like funding use, IEP meetings, or work accommodations, and make choices around partial or full diagnosis disclosure. Our approach uses Autistic-informed strategies to manage power dynamics, reduce self-doubt, and build lasting confidence.

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Our clients want to build and maintain authentic friendships and family relationships. We explore ND communication styles and how to navigate neurodiverse relationships at home, school, and work with more ease. We unpack topics like masking and what makes a space feel socially safe, with support for interest-led groups and neurodivergent-only spaces. We offer supports for decoding neurotypical communication. For minimally or non-speaking individuals, we teach alternative communication methods such as Rapid Prompting Method (RPM) to solve for AAC abandonment.

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Sensory needs are access needs—not just preferences. We create personalized Sensory Profiles that validate lived experience and highlight strengths and support needs beyond standardized scores or hyper- and hypo- labels. We focus on how sensory input affects energy, learning, and connection, and explore changes in the environment that can help. We support clients in building practical strategies and sensory routines that increase comfort and autonomy. We also coach educators and employers to move beyond basic compliance and create spaces that truly work for ND people.

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Being neurodivergent in a world built for neurotypicals takes constant effort. Invisible sensory, social, motor, and cognitive demands add up—and many Autistic people feel pressure to “handle it all” without support. They’re told to self-regulate, but not shown how, or given the right tools. We help unpack what drains or overstimulates you, how others can support co-regulation, and how to manage energy in a sustainable way. We name the impact of internalized ableism, shame, and Autistic burnout—and offer supports to protect your energy and build a life that works for you.

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It’s not that you’re unmotivated—you want to get things done. But starting feels impossible, and transitions take more energy than people realize. For many Autistic and AuDHDers, inertia, monotropic focus, and bottom-up processing aren't flaws—they're part of how attention and energy move. Prioritizing feels foggy, and progress is hard to see without clear benchmarks. Support doesn’t mean doing it for you—it means having the right structure, shared momentum, or even just a visual or body double. That’s systems and functional interdependence.

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Whether you call it “life skills” or “adaptive functioning,” it’s about building the skills to navigate daily life—at any age. Self-care, meal prep, transit, phone and email use, online safety, handling emergencies, and more. For adults, it might include parenting, running a household, financial literacy, or filling out forms. These tasks are made harder for most ND people due to sensory, social, executive functioning, or motor support needs. This is the figurative OT "wheelhouse": gentle, task-focused skill building, accommodations, and modifications that adapt to where the client is at.

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Differences in coordination, body awareness, and movement needs are common for our clients. This can impact fine motor tasks like writing, speaking, or using utensils, as well as gross motor efforts like team sports, or navigating busy spaces. Movement also plays a key role in regulation—including stimming, fidgeting, or using alternate postures to focus or feel grounded. We support clients in building motor confidence, exploring supportive environments, and recognizing co-occurring factors like hypermobility or pain that may affect access to joyful or effective movement.

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Not that question again: "How do you feel?" Alexithymia, interoceptive differences, or hyper-empathy can make emotions hard to interpret or manage. Shutdowns, meltdowns, and Autistic burnout are signs of chronic overload—not failure. We use ACT-based tools to build awareness, support and expand regulation strategies without shame.

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