Occupational Therapy

We provide services to children, teens and young adults with developmental, neurological and congenital impairments. Services can be habilitative (learning a skill for the first time) or rehabilitative (becoming more proficient at a skill or relearning a skill).

Therapy visits focus on helping kids with everyday activities, staying organized and focused in the classroom or playground, managing sensory input and their own behaviors, as well as stretching and strengthening their muscles.

Who it's for

If you notice difficulties in one or more of these areas, an evaluation and treatment may be appropriate:

Behavior

Developmental Skill Acquisition

Delayed motor or self-care skills

Feeding

Motor Planning

Visual Perception

girl on slide tossing ball in hooplittle hands holding plastic fruittoddler with toy next to therapy ballbaby in highchair smiling at therapist

How we address it

Constraint Induced Movement Therapy

Craniosacral Treatment (CST)

Feeding Groups

Handwriting Without Tears® (HWT)

Kinesiotaping

Multidisciplinary Feeding Clinic

Neuro-Developmental Treatment™ (NDT)

Neuromuscular Electrical Stimulation (NMES)

Saebo® Arm Training Program

Sensory Integration

Sequential Oral Sensory Approach™ (SOS) to feeding

Therapeutic Listening®

Total Motion Release® (TMR)

Visual Processing

Zones of Regulation

In their own words

We have been coming to Child and Family Development for many many years and can’t recommend Marion enough! She is an amazing OT and does an incredible job addressing my son’s goals while making it a fun experience for him. He’s made so much progress and we attribute so much of that to working with Marion!

Lindsy M.

Questions from Parents

What is occupational therapy? My child doesn’t have an occupation.

Occupational Therapy (OT) for children is all about helping kids most effectively engage in daily activities, that are meaningful to them, these are deemed ‘occupations. For children, occupations are generally based in daily self-care skills, accessing academics, and engaging in play. Our job as pediatric OTs is to help children develop the skills they need to succeed in these activities.

Does my child need a diagnosis to benefit from occupational therapy?

Not at all. Many children who benefit from OT don’t have a formal diagnosis. Occupational therapy can help kids who are struggling with things like motor skills, sensory challenges, coordination, self-care, or emotional regulation—regardless of whether there’s a label attached.

We work with children who may have:

  • Developmental delays
  • Sensory processing differences
  • Autism Spectrum Disorder (ASD)
  • ADHD
  • Fine or gross motor delays
  • Cerebral Palsy or neurological conditions
  • Feeding or picky eating concerns (including ARFID)
  • Handwriting challenges
  • Toileting or pelvic floor difficulties
  • Emotional or behavioral regulation struggles

Because every child is unique, we create individualized therapy plans that focus on their strengths, needs, and goals.

Why does occupational therapy focus on sensory processing?

Assessment and intervention within OT builds upon different levels of skills, It’s not just about reaching a specific result, but rather supporting a child’s development step by step, each level of growth contributing to the next.

Sensory processing is how your child’s brain understands and responds to information from their senses—things like sound, touch, movement, or body awareness. If a child has trouble processing this input (maybe they’re very sensitive, or maybe they don’t notice input as much), it can affect everything from focusing in school to playing with friends to learning new skills.

Think of sensory processing as the foundation for development:

  • First level: Regulation of sensory input (staying calm, alert, and ready to learn).
  • Next level: Motor skills like coordination, balance, and planning movements.
  • Then: Perception and cognition—being able to focus, problem-solve, and interact.
  • Finally: Independence—successfully using all of these skills to take care of daily tasks.

When we address sensory processing in OT, we’re building the strong foundation your child needs for learning, playing, and thriving in everyday life.

What makes occupational therapy different from other therapies?

In a multidisciplinary team approach (speech, physical therapy, counseling, etc.), every therapy plays a unique role. Occupational therapy is often the “bridge” that helps connect those skills together so children can use them in real life.

For example:

  • OT helps a child develop self-regulation so they can engage better in speech therapy.
  • OT builds body awareness and coordination that supports progress in physical therapy.
  • OT addresses sensory processing so children can fully participate in play, school, or counseling.
  • OT focuses on daily life skills—like dressing, eating, handwriting, and social interaction—so kids can apply what they’re learning across all therapies.

In short, occupational therapy is about the “how”—how your child uses all their developing skills to confidently take part in home, school, and community life.

  • OT addresses sensory processing to engage in play or communication utilized as the therapeutic medium in counseling services,
  • OT develops executive functioning and cognitive organizational skills to follow instructions in educational intervention

Our team

All of our occupational therapists are licensed by the state of North Carolina.

Kati Kendrick

MOT Lenoir Rhyne University
BS University of North Carolina at Chapel Hill

Pineville

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Eliza Brooks

OTD Thomas Jefferson University
B.S Health Sciences Philadelphia University

Midtown

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Mallory Barkes

MSOT Tennessee State University
BA DePauw University

Pineville

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Caroline Crilly

MSOT Duquesne University
BS Duquesne University

Pineville

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Meghan Davidson-Palmer

MSOT Boston University
BS University of Connecticut

Midtown

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Sarah Evanko

MSOT East Carolina University
BA North Carolina State University

Midtown

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Sophia Evatt

OTD Medical University of South Carolina
BS Western Carolina University

Pineville

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Emily Ford

OTD Medical University of South Carolina, BA North Carolina State University

Midtown

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Shannon Gaetke

OTD Washington University in St. Louis
BS College of Charleston

Pineville

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Sadie Brewster

MOT Saint Louis University
BS Saint Louis University

Midtown

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Eleanor Hodge

MSOT East Carolina University
BA UNC Chapel-Hill

Midtown

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Shannon O'Leary

OTD University of Pittsburgh
BS University of Pittsburgh

Midtown

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Danielle Peets

MSOT Gannon University
BS Gannon University

Pineville

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Caroline Ward

OTD Medical University of South Carolina
BS Western Carolina University

Pineville

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Marion Wilm

BS Western Michigan University

Pineville

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Anne Wood

MSOT East Carolina University
BA Elon University

Pineville

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Kathryn Wright

MSOT Texas Tech University Health Sciences Center
BS Texas Tech University

Midtown

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Insurance for Occupational Therapy

C&FD accepts the following Insurance for Occupational Therapy:

· Aetna
· Aetna State Health Plan
· Blue Cross Blue Shield of NC Cigna
· Healthgram
· Medcost
· Medicaid
· NC Direct
· NC Health Choice
· Healthy Blue NC
· Carolina Complete Health NC
· Wellcare NC
· Amerihealth Caritas NC
· United Healthcare
· Will file with out-of-network plans

Book a Free Consultation

Your first step: Schedule a free consultation with an Occupational Therapist to talk with an expert.

Contact Us