SERVICES
“Real‑World Kids OT brings neurodiversity‑affirming OT support right to your door – no waitlists, no clinic, just real‑life tools.”
Who this is for:
Families with newly diagnosed autistic children who are struggling to access timely support due to long Occupational Therapy clinic waitlists.
We eliminate critical delays by delivering immediate, tailored, family‑centered OT – in the comfort of your home -empowering you and anyone envolved in your child’s care with practical strategies to tackle everyday challenges like meltdowns, sensory overload, bedtime struggles, and more.
🏆 Why Real‑World Kids OT?
Our business won the 2025 “People’s Choice Award” with more than 3,500 votes.
With more than 28 years of combined experience, Sarah Fenrich and Heidi Watson offer a mobile, hybrid service model with on demand parent education programs and workshops combined with targeted 1:1 support (in-person and virtual), and group coaching—all rooted in nervous‑system regulation, emotional connection, and true parent‑child collaboration. They recognize families as the real experts, ensuring sustainable, real‑life change.
We help you understand your child’s unique strengths, the root cause of their challenges and teach you strategies on how to best support your child, so you move from “surviving to thriving”.
We consider YOU the expert on your child and we always work together as a team!

"REAL LIFE" OT FOR KIDS
In-person OT intervention EXACTLY WHERE your child needs it: Whether in your home, on the playground, at a recreational program, daycare, preschool, school or wherever life unfolds. When working with you, we take your child’s natural environment (people, places and activities) into account. As a result, progress is much faster and longer-lasting and can easily be transferred into other environments and situations. Our services include assessment, treatment and consultation. We are experienced working with children with a variety of neurodevelopmental delays and challenges, such as ASD, ADHD, anxiety, SPD and PDA. We take a holistic, neurodiversity affirming approach.

SLEEP COACHING
Sarah offers gentle, attachment-based sleep support for toddlers and school-aged children, in-person and virtually. Sleep challenges can have a significant impact on your child’s ability to be happy, regulated and thrive. This does not only affect your child but usually the whole family because if your child isn’t sleeping well, neither are you. Chronic sleep deprivation can affect our physical as well as our mental health. Children with ASD, ADHD, SPD, anxiety and genetic disorders often present with sleep problems. Getting the right tools and strategies can help optimize their sleep and regulation.
For residents of British Columbia: As a registered Health Care Professional our service is covered by many extended health care plans (ask your extended health care provider if Occupational Therapy is covered through your plan). If your child receives Autism Funding, this can be used toward our services as we are registered on the RASP list.