Our Expert Therapies

Comprehensive Therapy Programs — EarlySteps Child Development Center

Detailed, compassionate, and evidence-based therapy descriptions to help you choose the right support for your child. Each program includes goals, techniques, real-life examples, and how families can participate.

Occupational Therapy

Occupational Therapy — Overview

Occupational Therapy (OT) at EarlySteps focuses on enabling children to engage meaningfully in daily life. OT addresses physical coordination, sensory processing, self-care tasks (dressing, eating, toileting), school skills (handwriting, attention), and play. Our work is child-centered and play-based — each session is tailored to the child’s interests so learning happens effortlessly.

Who benefits: Children with delayed motor milestones, sensory sensitivities, difficulties with self-care, coordination challenges, or low tolerance for classroom activities.
OT Benefits

Benefits & Goals — What OT Achieves

OT builds competence in areas that matter: fine motor control for writing and feeding, gross motor skills for balance and play, sensory processing for emotional regulation, and independence in daily routines. Goals are functional and measurable — we convert "can't do" into "can do" through progressive skill building.

  • Fine motor precision: pencil grasp, scissor skills, buttoning.
  • Gross motor coordination: balance, running, climbing safely.
  • Sensory regulation: tolerance for touch, sound, and movement.
  • Self-care independence: dressing, feeding, toileting routines.
  • Attention & classroom readiness: task persistence and sitting tolerance.
OT Process

Process & Approach — How We Work

Our process blends clinical assessment with playful intervention. We begin with a full evaluation (standardized tests, parent interviews, observation) and then build an individualized plan with short-term milestones, parent training, and environmental recommendations (home/school).

Assessment

Standardized measures + functional observation to identify strengths and barriers.

Goal Setting

Collaborative targets written in parent-friendly language and monitored weekly.

Therapy Sessions

Warm, play-based sessions using sensory equipment, fine-motor stations and adaptive tasks.

Home Program

Simple, practical strategies parents can use daily to generalize skills.

OT Outcomes

Real-Life Impact — Stories & Outcomes

OT outcomes are measured by daily life improvements: dressing with minimal help, participating in school activities, eating independently, and enjoying playground time. Below are examples that illustrate meaningful change.

School Success

Children who struggled to hold a pencil began writing legibly with improved posture and stamina.

Play Participation

Sensory strategies allowed a child to enjoy group play without meltdowns, improving peer relationships.

Self-Care Wins

Independence in dressing and feeding reduced morning stress for families and increased the child’s self-esteem.

Therapy is not just about skills — it's about freedom to participate, to belong, and to enjoy childhood.

ABA Overview

ABA Therapy — Overview

Applied Behavior Analysis (ABA) is a structured, evidence-based approach that teaches skills and reduces behaviors that interfere with learning. ABA focuses on observable behaviors and uses data-driven strategies to build communication, independence, and social interaction in children with ASD and related developmental differences.

ABA is individualized: programs are tailored to a child's current skills and family priorities, with measurable objectives and continuous monitoring.
ABA Benefits

Benefits & Goals — ABA Focus Areas

ABA helps children acquire communication skills, reduce challenging behaviors, and develop routines that support learning. Goals often focus on social skills, expressive language, adaptive living skills, and independence.

  • Functional communication — requesting, labeling, answering.
  • Social skills — turn-taking, joint attention, play routines.
  • Adaptive skills — following routines, self-care, safety awareness.
  • Behavior reduction — teaching alternative appropriate behaviors to replace challenging ones.
ABA Process

Process & Data-Driven Practice

ABA is meticulously measured. We start with a comprehensive Functional Behavior Assessment (FBA) and skill assessment, then design a teaching plan. Progress is tracked daily and modified based on outcomes — ensuring efficient learning and real-world generalization.

FBA & Assessment

Identify triggers and functions of behavior; map learning priorities.

Individualized Program

Clear objectives, session structure, and measurable mastery criteria.

Data Collection

Continuous monitoring enables us to visualize progress and adjust teaching intensity.

Generalization

Teach skills in multiple settings — therapy room, home, and school — so learning transfers.

ABA Techniques

Core ABA Techniques

ABA combines many teaching methods. Our clinicians select techniques appropriate for the child's age, learning style, and goals.

  • Discrete Trial Training (DTT): structured teaching with clear prompts and reinforcement.
  • Natural Environment Teaching (NET): teaching in play-based, real-life contexts.
  • Pivotal Response Training (PRT): child-led activities that increase motivation and generalized learning.
  • Functional Communication Training (FCT): replacing challenging behaviors with effective communication.
  • Visual Supports: schedules, social stories, and picture prompts to scaffold understanding.
ABA Outcomes

Outcomes — What Families See

Families often see improvements in communication, fewer meltdowns, better participation in routines, and increased independence. ABA outcomes are measurable — small gains accumulate into meaningful life changes.

Communication Gains

From single-word requests to short sentences and conversational turns.

Behavioral Improvements

Reduced tantrums and self-injury through teaching alternatives and reinforcing positive behaviors.

Educational Readiness

Improved classroom engagement, ability to follow instructions, and participate in group learning.

Parents are co-therapists: we provide training, home strategies, and weekly progress notes so gains extend beyond therapy hours.

CBT Overview

CBT — Overview

Cognitive Behavioral Therapy (CBT) focuses on the relationship between thoughts, feelings, and actions. For children, CBT uses age-appropriate tools—stories, games, role-play—to identify unhelpful thought patterns and teach practical coping skills that reduce anxiety and increase resilience.

When CBT helps: persistent worries, avoidance behaviors, low self-esteem, anger regulation, and difficulty coping with change.
CBT Goals

Goals & Expected Gains

CBT aims to empower children with tools to notice thought patterns, challenge unhelpful beliefs, and practice new responses. Goals are practical: reduced worry, improved problem-solving, better sleep, and calmer reactions to change.

  • Recognize anxious thoughts and use calming strategies.
  • Develop step-by-step coping plans for stressful situations.
  • Practice positive self-talk and increase self-confidence.
CBT Approach

Approach & Session Structure

CBT sessions are collaborative and playful. Therapists use stories, comic-strip conversations, thought charts, and role-play to help children externalize worries and test new behaviors. Parents are given tools to reinforce skills at home and in school.

Assessment

Understand triggers, intensity, and impact of anxious thoughts.

Skill Building

Breathing, grounding, re-framing, and graded exposure to feared situations.

Practice

In-session role-play combined with real-life homework to practice skills.

Review

Weekly measurement and adaptation of techniques to ensure progress.

CBT Techniques

Techniques & Tools

CBT is highly practical and tailored to a child’s developmental level. Techniques are presented as games or stories so children engage willingly.

  • Thought Journals: capturing worries and testing evidence for/against them.
  • Exposure Hierarchies: gradual, supported steps to reduce avoidance.
  • Relaxation & Grounding: breathing, sensory grounding, and body scans adapted for kids.
  • Problem-Solving Steps: structured approaches to tackle social or school challenges.
CBT Impact

Impact & Family Involvement

CBT empowers both child and family. Children develop better emotional regulation and confidence; families gain communication tools to respond calmly and reinforce coping skills. Over time, the child experiences fewer avoidance behaviors, improved sleep, and enhanced social participation.

Reduced Anxiety

Measured drop in worry scores and increased participation.

Better Sleep & Routines

Calming tools promote consistent bedtime and less nighttime anxiety.

Improved Social Confidence

Stronger peer interactions and willingness to try new activities.