How it works

  • Free 15-minute consult. We talk about your child and see if I'm the right fit. You don't need a referral or a diagnosis to book this call.
  • In-home evaluation. A 60-minute visit where I get to know your child, learn your concerns and goals, and observe everyday activities. Plus asynchronous evaluation materials that you'll complete prior to the in-person portion. If your child has already had an evaluation, you may be able to move directly into treatment.
  • 50-minute in-home sessions. Each session flexes to your child's needs and can include one-on-one time with your child, hands-on practice with you, and/or time that's just for you and your questions. You leave each session with specific strategies that fit your real routines. Most families start with weekly sessions.
  • Graduate. You finish with the skills and plan to keep going on your own.

Request a free intro call

Please include in your message: - Your first and last name. - 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?

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Parent Testimonial

“Our family has experienced many therapists, but we have never encountered one like Megan. My son connected with her instantly. She is flexible and meets the child where they are. There is never any judgement, only guidance and support. She goes at our pace. We can feel how much she truly cares and how thoughtful her strategy is. We've made tremendous progress in just a few months. I love that she comes to our home, our safe environment. She just has an aura of acceptance that feels safe. Not only has my son learned from her, but I have learned so much just by watching her.”

What we work on

  • Big feelings and regulation. Supporting your child through meltdowns, hard transitions, and recovering after difficult moments, with co-regulation rather than compliance.
  • Sensory processing. Understanding your child's sensory needs and making daily life more manageable, from clothing and noise to grocery stores and family gatherings.
  • Daily routines and independence. Making mornings, bedtime, dressing, toileting, and other everyday tasks more doable.
  • Mealtimes. Building comfort with food textures and new foods, and building skills with utensils, cups, and straws.
  • Fine motor skills and coordination. Working on handwriting, clothing fasteners, and coordination.
  • Focus and follow-through. Helping your child focus, follow directions, and complete everyday tasks.
  • Play and participation. Helping your child share and join in with siblings, peers, and group activities.
  • Parent coaching. Showing you what I'm doing and why, then practicing it with you while I'm there to give feedback and answer your questions. You'll feel equipped to be proactive instead of reactive.

Sound familiar?

  • Morning and bedtime routines feel overwhelming, and your child still struggles to do them independently, even after you've walked them through the steps 1,000 times.
  • Getting dressed takes far longer than it should. Buttons, zippers, and shoelaces feel impossible.
  • Leaving the house is stressful, and family outings don't always go as planned.
  • Big emotional reactions seem to come out of nowhere, and recovering from hard moments takes a long time.
  • Big emotions make friendships and playing with siblings difficult.
  • Your child has strong reactions to clothing, food textures, sounds, or lights.
  • Mealtimes include the same 4 foods, no matter what you've tried.
  • You've tried the DIY sensory checklists, but they became overwhelming or didn't seem to make a difference.
  • You've been told to "wait and see," but your gut says it’s time to take action.

You're not alone! These challenges can be complex.

There is a way forward

I help children and families build the skills and confidence to get through everyday life with more ease. You'll get a doctoral-level look at your child's body, senses, routines, and history, and a plan built for you, your child, and your home.

Locations

I provide in-home OT within 10 miles of Syracuse, NY. If you're outside that area, reach out and we'll see if we can make it work.

Why in-home OT works well

Your child's challenges show up in your home and real life, not in a clinic. That's why I come to you.

You spend far more time with your child than I ever will. My job is to make sure what we build in 50 minutes carries into the other 10,030 minutes of your week.

You're part of the session, not sitting in a waiting room. You see exactly what I'm doing and why, then practice it in your own home with your child's own things.

OT coaching built around a family's daily routines has research behind it: in one study, this approach was linked to greater participation in everyday life for children with autism and greater parenting competence for their mothers (Dunn et al., AJOT 2012).

Getting to therapy shouldn't be another thing to manage

The traditional clinic model often comes with long waitlists, rotating therapists, drive time, and time away from work or school. Then parents can still be left wondering what happened during the session.

With in-home OT, there's no commute or waiting room, and you work with one consistent provider who knows your child. We can often begin within a week of when you're ready to get started.

Pricing

As a private-pay practice, I provide superbills that many families submit for out-of-network reimbursement. Many families also use HSA or FSA funds.

The goal: build the skills, then move on

This isn't OT forever. Many families begin seeing meaningful progress within 8-12 consistent sessions, but it depends on your child. After the evaluation, I'll give you my recommendations and a realistic timeline, and we'll reassess regularly as we go. Either way, the goal is the same: leave you and your child with skills that last long after therapy ends.

FAQ's

I chose to practice outside the insurance system so I can provide the quality of care your child deserves. This allows for longer sessions, flexible scheduling, and the freedom to focus on what your child actually needs—not just what an insurance company approves. I do provide superbills after evaluations and treatment sessions, which many families 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 for your child, I will coordinate with your child's pediatrician or other referring provider to obtain any required referral documentation for treatment services and collaborate as needed to support your child's care.

The evaluation is a 75-minute visit in your home. I'll spend time getting to know your child, learning about your concerns and goals, observing how your child engages in everyday activities, and gathering the information needed to create a personalized treatment plan. You'll leave with a clearer understanding of what's going on and practical next steps.

Most families start with weekly sessions because consistency helps build momentum and allows us to make adjustments as your child grows. However, recommendations vary based on your child's needs, your goals, and your family's schedule. We'll discuss what makes the most sense after the evaluation.

Every child is different, but many families begin seeing meaningful progress within 8–12 consistent sessions. After the evaluation, I'll give you my recommendations and a realistic timeline based on your child's specific needs. We'll reassess regularly as we go. My goal is always to equip you with the knowledge and strategies to support your child independently, so therapy is temporary, but the skills you and your child learn can last for years.

Progress looks different for every child and family, 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. Occupational therapy should never feel like you're doing the same thing over and over while hoping for a different outcome.

I understand that therapy is an investment. Many families 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 or coaching-focused sessions. The most important thing is finding a plan that works for your family.

I work with children ages 2–17 and their families. I especially love the early years, when small shifts can create big change, but I also work with older children and teens who need thoughtful, individualized support.

I provide in-home OT within 10 miles of Syracuse, NY. If you're outside that area, reach out and we'll see if we can make it work.

About Megan

Dr. Megan Matthews is a pediatric occupational therapist and Certified Autism Specialist. She has worked with children across a wide range of ages, abilities, and settings, including preschool, public school, and home-based environments. She is passionate about helping neurodivergent children build independence while staying fully themselves.