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Children & Teens Services

Occupational Therapy

CFC's occupational therapy team provides brain-based, neuro-affirming OT across the lifespan, working in two full-sensory gyms at our Pasadena and Duarte locations. Our bottom-up approach starts with the nervous system: behavior is communication, and lasting change comes from building foundational skills rather than targeting surface behaviors. We work with sensory processing differences, fine and gross motor development, self-regulation, writing difficulties, and daily living skills. Our ABA-alternative model emphasizes relationship, identity, and genuine belonging. Services include full evaluations, sensori-motor evaluations, writing evaluations, and one-to-one treatment.

About This Service

What Is Occupational Therapy?

CFC's occupational therapy team provides brain-based, neuro-affirming OT across the lifespan, working in two full-sensory gyms at our Pasadena and Duarte locations. Our bottom-up approach starts with the nervous system: behavior is communication, and lasting change comes from building foundational skills rather than targeting surface behaviors. We work with sensory processing differences, fine and gross motor development, self-regulation, writing difficulties, and daily living skills. Our ABA-alternative model emphasizes relationship, identity, and genuine belonging. Services include full evaluations, sensori-motor evaluations, writing evaluations, and one-to-one treatment.
Who Is It For

Who Can Benefit?

Children who receive OT at CFC develop stronger sensory regulation, better motor coordination, improved capacity for daily life participation, and greater confidence in their own abilities. Parents gain a clearer picture of their child's nervous system, concrete strategies for home and school, and a team that coordinates with other CFC practitioners to make support consistent and coherent. Many families describe a meaningful shift in how they understand their child's behavior after even a few months of OT.

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Understanding Occupational Therapy

When a child is struggling with behavior, sensory experiences, motor skills, or the daily tasks that seem to come easily to other kids, parents often feel both concerned and confused. Is this just a phase? Is something getting in the way? What kind of support would actually help?

Occupational therapy at the Center for Connection is one of the most powerful and frequently misunderstood services we offer. In our world, “occupations” simply means meaningful activities. For a child, that might be getting dressed in the morning, holding a pencil, playing alongside other kids, sitting through a school day, or falling asleep at night. When any of those things are consistently hard, OT can help us understand why, and what to do about it.

What Occupational Therapy Is

Our OT team practices in two full-sensory gyms at our Pasadena and Duarte locations. These are not typical clinical rooms. They are large, purposefully designed spaces with swings, climbing equipment, trampoline, weights, tactile bins, and a range of multi-sensory materials. Every piece of equipment is there for a reason: to give children the right kind of sensory input in the right amount to support nervous system regulation and skill development.

Key Insight

CFC’s occupational therapists are highly trained specialists who work with the body, the brain, and the nervous system. They assess and treat the foundational skills that make daily life participation possible: sensory processing, motor coordination (both fine and gross motor), self-regulation, visual-motor integration, self-care, and executive functioning.

Our Brain-Based Approach

The foundation of OT at CFC is a brain-based, bottom-up perspective on development. The nervous system develops from the bottom up: the more primitive systems that manage sensation, movement, and safety come online before the higher-level systems that manage thinking, problem-solving, and emotional regulation. This matters enormously for understanding children’s behavior.

Behavior is communication. When a child melts down at a loud birthday party, refuses to eat anything but a handful of foods, or cannot seem to sit still no matter how hard they try, those behaviors are telling us something about what is happening in their brain, body, and nervous system. Our job is not to change the behavior directly. Our job is to understand what the behavior is expressing and build the underlying skills that make it possible for the child to be more fully present in their own life.

This is what we mean by making change from the inside out. Lasting change in a child’s ability to function in daily life comes from building the foundational nervous system capacities, not from teaching the child to suppress or hide their responses.

How It Works

Sensory processing differences are at the heart of many OT referrals. A child may be over-responsive to sensory input (overwhelmed by touch, sound, light, or movement), under-responsive (seeking out intense sensory experiences, seeming not to notice pain or temperature), or both, in different sensory channels. These differences affect everything from getting dressed to participating in class to falling asleep at night.

Sensory Processing

Our OT team assesses each child’s unique sensory profile and builds an individualized treatment plan around it. We work with children to understand their own nervous system and give them language and strategies to advocate for what they need. We also work with parents and caregivers to understand the sensory environment at home and school, and to make adjustments that reduce overload and support regulation.

Motor Development

For children with writing difficulties specifically, CFC offers a dedicated writing evaluation that assesses all the underlying components: fine motor control, visual-motor integration, bilateral coordination, and the cognitive aspects of written language. From there, treatment targets the specific areas that are getting in the way.

What to Know

Motor challenges are another common reason families seek OT. Fine motor difficulties might look like poor handwriting, trouble with buttons and zippers, or difficulty with scissors and drawing. Gross motor challenges might appear as awkward running, difficulty on playground equipment, poor balance, or struggles with sports and physical coordination. Both are treatable with the right support.

Regulation and Daily Living Skills

Self-regulation (the ability to manage one’s own emotional and physiological state) is not a personality trait. It is a skill, and it depends heavily on the nervous system. Children who struggle with emotional regulation are often misread as oppositional, dramatic, or attention-seeking, when they are actually struggling with something their nervous system has not yet been able to build.

OT at CFC addresses regulation as a foundational skill. When a child’s nervous system has better support, their capacity to learn, connect, and participate in daily life expands. That shows up in smoother mornings, calmer transitions, better sleep, and more capacity in relationships.

When to Reach Out

Families often wonder how to know if OT is the right fit. Some signs that it might be worth a consultation:

A teacher, pediatrician, or psychologist has suggested an OT evaluation

Your child is significantly behind peers in motor development or self-care milestones

Your child has intense reactions to sensory input: clothing textures, sounds, food textures, or physical touch

Your child seeks out intense sensory experiences in ways that feel unsafe or disruptive

Handwriting is consistently difficult or painful

Your child struggles with emotional regulation beyond what feels typical for their age

Your child’s behavior is significantly affecting their participation in school, home, or social activities

If you are unsure whether OT is the right starting point, reach out. We are happy to talk through what you are seeing and help you figure out what kind of support makes sense.

Our OT Services

Our OT team provides brain-based occupational therapy across the lifespan, working with infants, children, teens, adults, and school teams in Pasadena and Duarte. We are an ABA-alternative practice, grounded in a neuro-affirming, relationship-first approach. We celebrate the differences in one another, and we build our work around honoring sensory processing needs and supporting each person’s full participation in the life that matters to them.

To schedule an initial consultation for occupational therapy in Pasadena or Duarte, click below. We look forward to working with you.

Key Insight

CFC’s occupational therapy services include a full evaluation (comprehensive assessment of motor skills, visual skills, sensory processing, regulation, and self-care), a sensori-motor evaluation (focused specifically on sensory processing and its impact on daily function), a writing evaluation, and one-to-one treatment as part of an ongoing treatment plan. We also offer parent consultation as part of treatment, because parents and caregivers are essential partners in helping a child generalize what they learn in sessions to real life.

Our Approach

The scientific lens that informs our work is interpersonal neurobiology, an exciting field of research about the neuroscience of change and of healthy, connected relationships.

Connection First

We know that connected relationships matter and play a role in how our brains and lives change, so that's where we start.

Brain Science-Based

Grounded in interpersonal neurobiology, our approach reflects the latest research on how relationships shape the developing brain.

Personalized Match

Clients are matched to a therapist based on areas of specialty, relational fit, and availability, unless otherwise requested.

Related Services

Our Approach

Brain-Based Occupational Therapy

The Center for Connection has brought together some of the finest occupational therapists in the Los Angeles area. Our highly trained team provides brain-based occupational therapy across the lifespan and practices in two full-sensory gyms.

Our ABA-alternative approach emphasizes relationship and supports infants, children, teens, adults, families, and school teams, as well as advocating for humans with neuro-differences.

Our Five Core Values

Identity

Everyone has the right to live as their true selves.

Accessibility

Everyone has the right to access their meaningful activities and seek the support they need.

Inclusion

Everyone has the right to feel a sense of deep belonging, not just of being tolerated.

Advocacy

We advocate for those whose voices are marginalized or silenced.

Connection

We believe in building spaces that are safe and connect people to one another.

Our Spaces

Full-Sensory OT Gyms

Our Pasadena and Duarte campuses each feature a full-sensory occupational therapy gym designed specifically for brain-based OT.

Pasadena Campus

Pasadena OT gym Pasadena OT gym Pasadena OT gym Pasadena OT gym
Visit Pasadena page

Duarte Campus

Duarte OT gym Duarte OT gym Duarte OT gym
Visit Duarte page
Our Specialists

OT Team

Common Questions

OT FAQ

Occupational therapy (OT) helps people of all ages participate in the activities (or "occupations") that matter most to them. For children, this might include play, school tasks, self-care, and social participation. For adults, it can encompass work, daily living, and meaningful activities. Our OTs use a brain-based, relationship-first approach.

Our OT team practices from a neurodiversity-affirming, ABA-alternative perspective. We believe behavior is communication. Rather than modifying behavior through external reinforcement, we work to understand what a child's actions are telling us and address the underlying sensory, motor, or emotional needs.

Sessions take place in our full-sensory gyms and are designed to look and feel like play. Your therapist will use purposeful activities — swinging, climbing, building, creating — to work on specific goals while keeping your child engaged and regulated. Sessions are typically 45-60 minutes.

CFC is a self-pay practice. OT session fees range from $175 to $350+ depending on the clinician. We provide superbills for clients seeking out-of-network reimbursement from their insurance provider. Sliding-scale options are available.

Contact our Director of Client Relations, Maura Cook, who will guide you through the intake process and help match you with the right OT based on your needs. You can reach us through our Get Started page or by calling (626) 385-6121.

For Medicare-Eligible Clients

Medicare law requires that medically necessary OT and SLP services be billed directly to Medicare. Because the CFC is not currently enrolled with Medicare for OT or SLP, we cannot provide those covered services privately. We can, however, through private pay, provide some educational or wellness-based services that fall outside Medicare coverage, following a brief screening and a signed Non-Covered Services Notice.

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