What We Do

Our services

Occupational therapy meets children where they are and helps them get where they want to go. Below are the primary areas we address — though every treatment plan is tailored to the individual child.

child on therapy swing at ethos
  • Ages 2–18
  • Individualized treatment plans
  • Rooted in evidence-based practice
  • Family-centered approach
child playing with therapy clay

Our Approach

More than treatment. 

Occupational therapists are trained to look at the whole picture — not just the skill a child is struggling with, but the environment they’re in, the routines they follow, and the activities that matter most to them and their family. Every service we offer is grounded in that holistic perspective. We work collaboratively with parents and, when appropriate, with teachers and other care providers, to ensure that progress in the clinic carries over into everyday life.

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Fine Motor Skills

Fine motor skills are the small, precise movements we use with our hands and fingers. For school-age children, these skills underpin nearly everything done in a classroom — and when they’re underdeveloped, it can affect a child’s confidence just as much as their performance.

We work with children on handwriting fluency and legibility, pencil grip and tool use, cutting with scissors, fastening clothing (buttons, zippers, snaps), and the hand strength and coordination needed for daily tasks. Sessions are activity-based and often feel more like play than work — which is intentional.

  • Handwriting development and legibility
  • Pencil grip and endurance
  • Scissor use and craft skills
  • Hand strength, dexterity, and bilateral coordination
  • Fastening and self-care tasks requiring hand skill

→ Full post: Fine Motor Skills in depth

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Gross Motor Skills & Coordination

Gross motor skills involve the larger muscles of the body — the ones used for running, jumping, climbing, and maintaining balance. When these skills are delayed or inconsistent, children may appear clumsy, tire easily during physical activity, or avoid the playground altogether.

Our therapy addresses coordination, body awareness, balance, and motor planning — helping children build the physical confidence to engage in sports, outdoor play, and the physical demands of the school day.

  • Balance and postural stability
  • Bilateral coordination (using both sides of the body together)
  • Motor planning and sequencing
  • Sports readiness and athletic development
  • Endurance and body awareness

→ Full post: Gross Motor Skills in depth

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Sensory Processing

Every child processes sensory information differently. Some kids are overly sensitive to touch, sound, or movement; others seem to seek out intense sensory input. When a child’s sensory processing system is out of balance, it can affect their ability to learn, concentrate, regulate their emotions, and feel comfortable in their own body.

We use a thorough evaluation and individualized sensory diet to help children understand and respond to the world around them — and to help families create environments where their child can truly thrive.

  • Tactile sensitivity (touch, textures, clothing)
  • Auditory processing and noise sensitivity
  • Vestibular, proprioceptive, and interoception, which organizes internal body clues to alert us to basic physiological needs (my stomach is growling, I must be hungry) and emotional states (my feet were stomping when I felt angry about losing).
  • Sensory-seeking behaviors
  • Sensory diet development for home and school

→ Full post: Sensory Processing in depth

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Daily Living Skills

Occupational therapy was built on the premise that being able to do the ordinary things in life — getting dressed, eating a meal, brushing your teeth — is fundamental to dignity and independence. For children, developing these skills builds self-esteem and eases the daily demands on families.

We work with children on the skills that make up their daily routines, adapting our approach to match each child’s strengths, sensory needs, and developmental level.

  • Dressing and undressing independently
  • Grooming and hygiene routines
  • Feeding and mealtime skills
  • Toileting and bathroom independence
  • Household tasks and age-appropriate chores

→ Full post: Daily Living Skills in depth

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Cognitive & Executive Function

Executive function is the brain’s management system — the set of skills that helps us plan, focus, remember instructions, manage emotions, and get things done. For many children, especially those with ADHD, learning differences, or anxiety, executive function is the invisible hurdle standing between their potential and their performance.

Our work in this area helps children develop practical strategies for organizing their time, managing transitions, staying on task, and handling frustration — skills that pay dividends well beyond the therapy room.

  • Attention and task initiation
  • Organization and time management
  • Working memory strategies
  • Emotional regulation and frustration tolerance
  • Transition support and routine building

→ Full post: Executive Function in depth

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Social & Play Skills

Play is the work of childhood — and for some children, the social demands of play feel overwhelming, confusing, or simply hard to navigate. Occupational therapy approaches social and play skill development through the lens of participation: what does this child need in order to engage meaningfully with peers?

We work on the foundational skills that support positive social connection, adapting our approach to the child’s age, communication style, and individual goals.

  • Turn-taking and sharing
  • Reading social cues and nonverbal communication
  • Cooperative and imaginative play
  • Peer interaction and friendship skills
  • Self-regulation during group activities

→ Full post: Social & Play Skills in depth

Not sure if OT is the right fit?

We’re happy to answer questions before you commit to anything. Reach out — it costs nothing to ask.

Monday–Friday · 44191 Plymouth Oaks Blvd, Suite 400, Plymouth, MI 48170 · (734) 463-3007 ext. 3