Serving Children and Families on the Eastside since 2006

Occupational Therapy

Stepping Stones Therapists care for children with many types of challenges, with or without diagnoses. Treatment may include:
  • Fine motor coordination activities to improve grasping, hand strength and dexterity
  • Therapeutic Handwriting Programs
  • Kindergarten readiness skills
  • Activities to help develop age appropriate gross and fine motor skills
  • Self-help strategies for greater independence in everyday activities such as dressing and using utensils
  • Speech Therapy to improve articulation, expressive language and listening skills
  • Feeding therapy - Sensory based approach
  • Treatment to improve visual perceptual skills
  • Sensory Integration (SI) techniques that focus on self-regulation and “sensory diet” strategies
  • A customized Integrated Listening System (ILS®). We offer ILS Focus,and Interactive Language programs - Integrated Listening
  • Cognitive training to help children improve their attention, direction following and problem solving
Therapist expertise includes, but is not limited to working with:
  • Developmental Delay
  • Handwriting Remediation Needs
  • Learning Disabilities
  • Attention Deficit Disorders
  • Autism Spectrum Disorders
  • Sensory Processing Disorder
  • Treatment to improve visual perceptual skills
  • Communication and Phonological Disorders
  • Traumatic Brain Injury
  • Low Vision
  • Other psychological and neurological conditions

Speech Therapy

If your child is experiencing 3 or more of these problems, speech therapy intervention may be helpful:
  • Usually cooperative but doesn't follow instructions or often needs instructions repeated
  • Poor concentration especially when listening. Easily distracted
  • Has difficulty responding to question types (Who? What? Why? Where? When? How?)
  • Struggles with reading
  • Difficulty understanding the relationships of words within a sentence
  • Difficulty with word order, grammar and sentence structure
  • Limited word knowledge or vocabulary for their age. Reduced complexity and/or length of sentences when speaking or writing
  • Word finding or naming difficulties. Talks around the word or uses lots of "fillers" and non-specific words (e.g. umm, thing)
  • Poor eye contact
  • Does not take turns in conversation or game. May frequently interrupt other speakers
  • Has difficulty using the right intonation or voice
  • Has difficulty maintaining a conversation or difficulty changing the topic of conversation. May have poor awareness of the listener’s needs
  • Difficulty pronouncing sounds, syllables or words correctly at an age appropriate grade level. Listeners have difficulty understanding what is being said

Therapeutic Handwriting Services

Does your child struggle with...
  • Writing neatly
  • Hand fatigue during writing tasks
  • Disinterest or frustration during coloring and written work
  • Holding a pencil correctly
  • Sizing and spacing of letters
  • Staying on the lines
  • Copying from the board
Stepping Stones Handwriting Treatment Philosophy
  • Providing a caring and positive learning environment
  • Using a sequential, kinesthetic and multi-sensory approach
  • Practice: Repetition strengthens neurological pathways. The ultimate goal is to help handwriting become automatic so your child can write those great ideas without having to think of how to form letters
  • Homework: In order to solidify skills, we recommend 10 minutes of daily handwriting or movement and visual activities
  • Teamwork: Collaboration between parents, therapists and teachers to support your child's success
What does a therapeutic handwriting program include?
  • Office based visits for children pre-K to teen
  • Pre-writing skills for preschool aged children
  • Kindergarten Readiness Program
  • Standardized assessment
  • Treatment plan and goals
  • Home and school program ideas
Stepping Stones provides personalized handwriting instruction
A comprehensive evaluation will determine your child's individualized program.  Evaluation may include an assessment of fine motor and dexterity skills, eye hand coordination, visual perceptual skills and sensory processing skills.
How can my child improve handwriting skills?
Our Therapeutic Handwriting Program goes beyond traditional handwriting programs because it focuses on hand coordination skills, the mechanics of handwriting and visual spatial strategies necessary for success.  Therapist coaching encourages students to track their progress and use self-check strategies for written work.
What is a typical session like?
A typical treatment session starts with a warm up of eye-hand coordination exercises and often includes sensory strategies to promote attention and focus.  Children work on improving underlying hand function with activities to strengthen grasp, pinch and dexterity. Handwriting is then practiced using a structured writing program using adaptive equipment as needed.  Alternatives to handwriting such as keyboarding and computer use may also be explored.
Handwriting Samples (click to enlarge)

Feeding Therapy

Eating and Sensory Integration
Sensory integration is a concept that describes the process of receiving and organizing sensory information from our bodies and the environment. Difficulties related to sensory integration can have a serious impact on a child’s eating patterns and behaviors.
Our program serves children who display any or all of the following sensory-based behaviors:
  • Avoids certain foods based on textures or colors
  • Eats less than 15 foods
  • Refuses entire food groups
  • Has behavioral challenges or meltdowns at meals
We offer support and education for mealtime routines at home to encourage a positive experience with food for all members of the family.
Expectation for parents during a feeding program
In order to make your child's feeding session as personalized as possible, we ask that you bring in the following to each weekly session.
  • One preferred food item
  • One non-preferred item
  • One variable food item
Alternate the types of foods that you bring in each week, and we will collaborate with selecting different textures and foods to bring in based on your set of values and priorities.
What to expect during a mealtime treatment session
During a mealtime treatment session, the use of sensory-rich activities prior to and during eating will be incorporated to promote mealtime success.
  • Your child will be encouraged to smell, touch and play with foods in efforts to develop a readiness to tolerate different types of foods
  • Any contact with food is a step in the right direction
  • Eating is aimed to be a pleasurable and fun experience, as foods will be progressively introduced into your child’s diet
  • Developing new eating skills is a process that will take time and practice in therapy and at home

About our School Therapy Program

Our community outreach includes free teacher trainings focused on early identification and intervention for children with learning challenges or disabilities.  Our clinical outreach provides therapy to an under-served population of children who do not have easy access to OT/PT or speech therapy, but they need additional support to be successful in their educational environment. These are the children who attend private schools, yet are not eligible to receive therapy in the public schools.  They are struggling to meet grade level expectations, yet may  not be eligible to receive state funded services.  Stepping Stones provides on-site satellite therapy programs in Bellevue.   Our partnership with these local schools has proven to be an amazing therapy program for the students, who without help, would have a lower probability of success in school.  We currently have established therapy programs at Sacred Heart, Saint Louise and Eastside Christian School.  If your child attends a private school and you are interested in developing a program at your school, please contact

School Screening Consent Form  * - indicates required field

Your child's teacher may have recommended this screening to help determine if further comprehensive evaluation or treatment is needed for OT or Speech Services. This consent form indicates your permission for a Stepping Stones therapist to screen your child at school.  Screenings are free of charge and may occur in the classroom or on a pull out basis for 20-30 minutes.  Please note that our therapists are not employees of the school, but rather independent consultants.

It is important to note that our screening tools do not provide evidence of developmental delays and do not result in a diagnosis. Once the screening is completed you will receive a follow up results form with the therapist's recommendations.  If additional standardized testing and further formal evaluation is recommended, please contact our intake coordinator to schedule an initial evaluation and/or therapy sessions. Initial evaluations and therapy sessions are billed to your insurance or billed on a private pay basis.

I have read the above information, and I give permission for Stepping Stones Therapy Staff to:

  • Interact with my child as part of regular classroom activities.
  • Observe my child’s ability completing classroom activities.  Review work samples.
  • Answer questions the teacher may have regarding my child.
  • Provide suggestions for my child.

I understand that the therapist will not formally assess or treat my child during this time. A copy of the completed OT/Speech screening form will be provided to me, the teacher and learning specialist (as needed).

Please feel free to contact us with any questions at:
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