Tier 2 - Support
You may have arrived here if you…
Are noticing picky eating, food aversion, or mealtime stress
Want support for grasping, coordination, handwriting, or fine-motor skills
Feel your child may have retained reflexes affecting movement or behavior
Are concerned about milestone delays such as sitting, crawling, or early play skills
Want help building independence with dressing, feeding, tooth brushing, or age-appropriate routines
Are seeking focused, play-based OT support to help your child move forward
However you arrived here, we're so glad you’re here.
Let’s explore how OTier Pediatric Therapy can help your family reach new tiers together.
Tier 2
Explained
Direct occupational therapy support is embedded into daily routines, with guided caregiver involvement. Sessions focus on modeling, co-regulation, and practical strategies for feeding, sensory processing, and functional skills—designed to support carryover at home and in everyday life.
Tier 2 is not only teaching-focused. but also hands-on —your hands! Your OT teaches you exactly what to do with your child, in real time, during real routines (meals, transitions, play, bedtime, daily care). Sessions are hands-on and step-by-step—your OT models strategies, supports you while you practice, and helps you adjust the approach until it fits your child and your home.
You’ll leave each session with a clear plan you can repeat between visits, so progress doesn’t depend on the therapist being present. This tier is ideal for families who want practical, hands-on support that builds confidence, consistency, and lasting carryover.
Designed for
Families who want hands-on intervention to confidently support their child during daily routines
Children with sensory processing differences, regulation challenges, or feeding concerns
Children with fine- or gross-motor delays, grasping pattern differences, or visual-motor needs
Families who understand what to do but need support learning how to do it in real life
We offer support in…
SOS Feeding Therapy
Evidence-based support for a wide range of feeding challenges, including picky eating, food aversion, oral-motor differences, sensory processing differences, and mealtime stress.
Fine Motor & Visual-Motor Development
Targeted support for fine motor and visual-motor skills, including grasping, bilateral coordination, hand strength, motor planning, and visual-motor integration to support play, learning, and daily activities.
Reflex integration
Supporting functional movement patterns through a movement-based approach that gently addresses reflex integration and builds strong foundations for development
Early Childhood Development
Guidance for milestone delays for newborns and toddlers in sitting, crawling, transitions, and early play skills.
Self-Help & Independence Skills
Support for early self-help skills, including dressing, utensil use, tooth brushing, and building age-appropriate independence for children ages 0–5.
Not sure if this Tier fits you and your child? Let’s talk- Book a Free Clarity Call
A space to ask questions, get clarity and feel supported-no pressure to commit
Here at OTier Pediatric Therapy, we provide pediatric feeding therapy and sleep support for infants and toddlers across Texas, including Austin. Through sensory-informed occupational therapy, play-based support, and parent-centered coaching, we help children build the foundations of eating, sleeping, regulation, and everyday participation.
Whether your child is struggling with feeding, sleep, or early development, we’re here to support growth, confidence, and connection, empowering families at every developmental tier.
Contact Us
Follow Us