Occupational Therapy

Occupational therapy is the use of purposeful activity to maximize the independence of a child who is limited by a physical injury or illness, neurological or cognitive impairment, a developmental or learning disability, or sensory processing disorder.

For a child, purposeful activities such as playing, dressing, and writing are considered their “occupation.” Our occupational therapists help children develop the skills needed to perform everyday tasks by using engaging and evidence-based treatment methods so they can achieve their maximum potential.

Our services are provided by licensed and experienced pediatric occupational therapists who specialize in working with a wide range of conditions including:

  • Autism spectrum disorders
  • Fine and gross motor delays
  • Handwriting difficulties
  • Sensory processing disorder
  • Sensory feeding issues
  • ADHD
  • Auditory processing disorders
  • Cerebral palsy
  • Down syndrome
  • Visual impairments
  • Developmental delay
  • Genetic syndromes
  • Dyspraxia

We offer the following services:

  • Comprehensive evaluations
  • Individual treatment sessions
  • Individualized home programs
  • Parent/caregiver education and training
  • Co-treatments with Speech Therapy
  • Collaboration with Pediatric Audiology
  • Independent educational evaluations for local school systems
  • Free 15 minute screenings
  • Screenings completed at area preschools

Special programs offered include:

Sensory Integration Therapy
Treatment for Sensory Processing Disorder helps a child process all the senses so they can work together. This improves a child’s ability to produce adaptive behavior which leads to improved sensory processing. As a result improvements are seen in a child’s motor coordination, focus/attention, self-regulation, learning, social interaction and performance in school, home and within their community.
Interactive Metronome®
An evidence-based therapeutic program for adults and children that works on training your body and your brain to work better together using a computerized system. IM training helps clients in OT improve their coordination, balance, motor planning, sequencing, self-regulation, and cognitive skills.
SOS Approach to Feeding®
A program that integrates posture, sensory, oral motor, cognitive and behavioral strategies to comprehensively evaluate and treat children to promote developmentally appropriate feeding and mealtime skills.
Therapeutic Listening®
An evidence-based auditory intervention which uses electronically modified music to treat individuals who have difficulty with attention, processing sensory information, listening and communicating.
Astronaut Training - “A sound activated vestibular-visual protocol” by Vital Links
Astronaut Training: Astronaut Training is a therapeutic protocol that is designed to develop optimal vestibular function, an essential foundation for all sensory processing and movement control. If a child does not have good vestibular function their eyes and ears cannot participate efficiently in tasks such as copying from the promethean board at school, listening, reading, writing and catching a ball.
Handwriting Without Tears®
A multisensory handwriting program for children pre-k through grade 5. They also have a K-5 web-based keyboarding program.
Animal Assisted Therapy
Therapeutic intervention provided by a therapist incorporating a trainer and therapy dog from Heeling House to address a child’s goals. It is used to enhance and complement the benefits of traditional therapy.
Our Occupational Therapists

Trisha Crawford, OTR/L, Therapeutic Services Director

Sarah Mabie , MS, OTR/L

Sarah Spicer, MS, OTR/L

Sam Smeltzer, COTA

Blue Ridge Speech & Hearing Center is very passionate about the children and adults we serve.


19465 Deerfield Ave, Suite 201
Lansdowne, VA. 20176
Phone: 703-858-7620
Fax: 703.858.7657
Email: info@speechhearing.org

Loudoun County Chamber of Commerce


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