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.

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★★★★★ Trusted by local families · 10+ years pediatric OT experience
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
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
01

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.

02

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.

03

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.

04

Workshops for schools and providers

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

Madiha Sultan, founder of Steady Ground Occupational Therapy
Steady Ground OTFounder-led occupational therapy practice
About me

Hi, I'm the OT behind Steady Ground

My name is Madiha Sultan, and I hold a Master of Science in Occupational Therapy from McMaster University. I bring over a decade of clinical experience working with children, teens, and adults with developmental disabilities, autism, ADHD, Down syndrome, and sensory processing concerns. My approach is grounded in the belief that individuals do their best work — at home, at school, and in life — when they feel safe and regulated in their own bodies.

Throughout my career, I have supported not only the individuals I work with directly, but also the people around them, including parents and caregivers, teachers, support workers, and school and day program staff. I have a particular interest in supporting individuals experiencing dysregulation related to sensory processing, helping them develop strategies that fit meaningfully into their everyday lives.

Outside of my practice, I enjoy staying active at the gym, reading, and hiking throughout 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.
Get in touch

Tell us a bit about your child

Fill out the form and we'll follow up to schedule your free 15-minute consult, or answer any questions first.

✉Email: hello@steadygroundot.com

We typically respond within 1–2 business days.

Ready to talk it through?

A free 15-minute consult, no pressure — just a chance to share what you're seeing and ask questions.

Contact Us