Pediatric occupational therapy

Solid ground to feel your best, every day.

Grounded care for growing minds. Every child has areas where a little support helps them move closer to their full potential — with or without a diagnosis. Most families reach out because their child has autism, ADHD, or sensory processing differences, but the goal is the same for everyone: we partner with you and your child to build the skills and confidence that help them thrive.

Schedule a free 15-minute consult See how sessions work

★★★★★ Trusted by local families · 10+ years pediatric OT experience

Who we work with

Wherever you're starting, we're building toward real progress.

Families come to us at all different points — right after a diagnosis, in the middle of one, or long before any paperwork exists. Wherever you're starting, our work is the same: practical strategies that create visible, lasting change.

Parents of a child recently diagnosed with autism, ready to build daily routines, smoother transitions, and confidence around sensory needs.

Parents of a child with ADHD, looking to grow stronger self-regulation, focus, and follow-through at home and school.

Parents who sense their child could benefit from sensory support — with or without a formal diagnosis — and want a clear next step.

Families already working with a school-based OT who want more consistent, individualized support outside school hours.

Schools, daycares, and group homes looking for staff training or a trusted referral partner.

Services

What a session actually looks like

No jargon, no guessing at clinical terms — just a clear picture of what to expect.

Child coloring at a table during a play-based OT session

Individualized home-based sessions

One-on-one sessions in your own home, built around play-based assessment and observation — watching how your child (or family member) moves, regulates, and engages in their everyday environment, then shaping a plan around what we see.

Parent coaching, built in

Every session includes time to talk through what's working at home, so strategies travel with you — not just with us.

Free 15-minute consult

A short, no-pressure call to talk through what you're seeing and whether we're a good fit — before anything is scheduled.

Workshops for schools and providers

Staff training for daycares, schools, and group homes on sensory-informed, regulation-focused care.

OT Services

Areas we work on together

Every plan is individualized — these are the areas a service might target, and the kinds of goals we build toward within each.

Fine motor

Fine Motor Skills & Handwriting

Pencil grasp and control
Letter formation and legibility
Scissor skills and cutting accuracy
Buttons, zippers, and other fasteners
Hand strength and endurance for writing tasks
Coordinating both hands together on a task

Gross motor

Gross Motor Skills & Coordination

Balance and postural control
Core strength for sitting and standing tasks
Coordination for running, jumping, and climbing
Motor planning for multi-step physical tasks
Coordination for sports, play, and recreation
Body awareness in space

Regulation

Self-Regulation

Identifying and naming emotions
Coping strategies for frustration or anxiety
Transitioning between activities and environments
Impulse control, turn-taking, and waiting
Calming strategies for meltdowns or shutdowns
Building independence using regulation tools

Sensory

Sensory Function

Reducing sensitivity to touch, sound, or textures
Building tolerance for clothing, grooming, and hygiene tasks
Addressing sensory-seeking behaviors safely
Building a personalized sensory diet for daily regulation
Supporting food exploration and mealtime sensitivities
Creating sensory-friendly routines at home, school, or work

Daily living

Daily Living Skills

Dressing independently — fasteners, shoes, layering
Feeding and mealtime skills
Toileting and hygiene routines
Grooming — brushing teeth, hair, washing
Age- and ability-appropriate home responsibilities
Skills that support independence at work or in volunteer roles

Steady Ground OTFounder-led occupational therapy practice

About me

Hi, I'm the OT behind Steady Ground

My name is Madiha Sultan, and I graduated from McMaster University with a Masters of Science in Occupational Therapy. I'm an occupational therapist with over a decade of experience working alongside children, teens, and adults with developmental disabilities, autism, ADHD, Down syndrome, and sensory processing concerns. I believe people do their best work — at home, at school, and in life — when they feel safe and steady in their own bodies.

Throughout my career, I've supported not just the individuals I work with directly, but the people around them: parents and caregivers, teachers, support workers, and school and day program staff. I'm particularly passionate about supporting individuals who experience dysregulation related to sensory processing, helping them find strategies that actually fit their day-to-day lives.

When I am not working, I love going to the gym, reading, and hiking around the GTA.

10+

years of OT experience

All ages

children, teens & adults

15 min

free intro consult

Before you reach out

Frequently asked questions

We are a private, pay-out-of-pocket practice, and have set fees for assessment and follow-up sessions. Most private extended health insurance plans (e.g. Manulife, Sun Life, Canada Life, Ontario Blue Cross, etc.) include OT coverage under "Paramedical services." We'll provide you with an invoice after payment that you can submit to your insurance provider for reimbursement.

Sessions are play-based and one-on-one, usually 45–60 minutes, with a few minutes at the end to talk through what's working at home.

We start with your free 15-minute consult, followed by a longer intake session to get to know your child and build a plan together — no diagnosis required to get started.

Yes — staff trainings and parent education nights for schools, daycares, and group homes. Get in touch for topics, pricing, and scheduling.