How it works
- Free 15-minute consult. We talk about what you are dealing with and see if I'm the right fit. You don't need a referral to book this call.
- Functional evaluation. A 60-minute video visit to assess your baseline level of function, strengths, and identify areas of need. In-person functional evaluation available in Central New York for additional cost - inquire for details.
- 50-minute telehealth sessions. Each session is built around your symptoms, your energy, and your real routines. You leave each session with specific strategies you can use right away. Most patients start with weekly sessions.
- Graduate. You end with retesting and a plan for working towards/maintaining independence and quality of life after we conclude occupational therapy services.
Request a free intro call
Please include in your message: - Your first and last name. - If you are reaching out for your child, your child's first name and age. - In 2-3 sentences, what is the main concern or reason you are reaching out now? - Best hours to reach you: weekdays around noon, weekdays after work, or another time?
What We Work On
Functional evaluation to assess your baseline level of function, strengths, and identify areas of need. In-person functional evaluation available in Central New York for additional cost - inquire for details.
- Energy & Fatigue Management -- real-life pacing, activity planning and modification, crash-cycle prevention and management, energy conservation
- Sleep and morning routines
- Body-awareness and Nervous System Regulation work so you can catch your symptoms earlier, giving you more time to prevent a flare
- Daily Routines & Self-Care -- Showering, dressing, cooking, working, going to school
- School and Workplace Participation -- Return-to-school/work planning, accommodation recommendations and coaching to obtain reasonable accommodations
- Exercise & Nutrition -- Guidance and support with implementing the exercise or dietary protocol your physician has prescribed
You end with: retesting and a plan for working towards/maintaining independence and quality of life after we conclude occupational therapy services.
Sound familiar?
- Showering, getting dressed, or standing to cook leaves you lightheaded, exhausted, or needing to lie down.
- You push through on good days and pay for it with a crash for the next several days.
- Mornings are the hardest part of the day.
- School or work has become hard to keep up with, and you are not sure what accommodations to ask for.
- You have been told to increase fluids and salt, wear compression, or start an exercise program, but fitting it into real life feels impossible.
- Heat, standing in line, or busy environments trigger your symptoms.
- You are waiting months to see a specialist and need support with daily life now.
You're not alone! Dysautonomia can be complex.
There is a way forward
I help children and adults with dysautonomia get through everyday life with more ease. You'll get a doctoral-level look at your body, energy, routines, and history, and a plan built for your real life.
Locations
I provide telehealth OT to children and adults anywhere in New York State. You need to be physically located in New York during sessions. In-person functional evaluations are available in Central New York for an additional cost.
Why telehealth works well for dysautonomia
Your symptoms show up in real life: the shower, the kitchen, the classroom, the workday. That's where we work.
No driving to appointments on a hard symptom day. You can join from home, seated or lying down if you need to.
There is a shortage of providers who specialize in dysautonomic condition management. Telehealth means patients anywhere in New York State can get this support, and new patients can usually start within a week.
What you'll need: a device with a camera and a stable internet connection.
Working with your medical team
Your doctor prescribes occupational therapy as part of your medical treatment plan. I don't diagnose, prescribe medications, or prescribe exercise.
Referring physicians/providers will receive:
- A progress report every 12 weeks, with goal progress reporting
- Coordinated patient care
- A patient with weekly support while they wait for their next visit with you
Pricing
As a private-pay practice, I provide superbills that many patients submit for out-of-network reimbursement. Many patients also use HSA or FSA funds.
The goal: build your plan, then move on
This isn't OT forever. After the evaluation, I'll give you my recommendations and a realistic timeline, and we'll reassess regularly as we go. You end with retesting and a plan for working towards and maintaining independence and quality of life after we conclude occupational therapy services.
FAQ's
I chose to practice outside the insurance system so I can provide the quality of care you deserve. This allows for longer sessions, flexible scheduling, and the freedom to focus on what you actually need—not just what an insurance company approves. I do provide superbills after evaluations and treatment sessions, which many patients submit to their insurance company for out-of-network reimbursement.
You do not need a referral to schedule a free consultation or to do an evaluation. If we decide that my services are a good fit, I will coordinate with your physician or other referring provider to obtain any required referral documentation for treatment services and collaborate as needed to support your care.
The functional evaluation is a 60-minute video visit to assess your baseline level of function, strengths, and identify areas of need. You'll leave with a clearer understanding of what's getting in the way of your daily life and practical next steps. In-person functional evaluation available in Central New York for additional cost - inquire for details.
Most patients start with weekly sessions because consistency helps build momentum and allows us to adjust as your symptoms change. Recommendations vary based on your needs, your goals, and your schedule. We'll discuss what makes the most sense after the evaluation.
Everyone is different. After the evaluation, I'll give you my recommendations and a realistic timeline based on your specific needs, and we'll reassess regularly as we go. You end with retesting and a plan for working towards/maintaining independence and quality of life after we conclude occupational therapy services.
Progress looks different for everyone, and we'll talk about realistic goals during the evaluation process. I monitor progress regularly and will always be transparent about what I'm seeing. If something isn't working, we adjust.
I understand that therapy is an investment. Many patients use HSA or FSA funds, and some receive partial reimbursement through their out-of-network benefits. If weekly sessions aren't the right fit financially, we can discuss options such as a biweekly schedule. The most important thing is finding a plan that works for you.
I work with children and adults with POTS and dysautonomia.
I provide telehealth OT to children and adults anywhere in New York State. You need to be physically located in New York during sessions. In-person functional evaluations are available in Central New York for an additional cost.
About Megan
Dr. Megan Matthews, OTD, OTR/L, CAS is an occupational therapist who helps children and adults with POTS and dysautonomia. She lives with dysautonomia herself, and she sees patients by video anywhere in New York State.
