Occupational Therapy Family Support
Support Beyond Therapy Designed for Real Life
Support your child’s development at home, even when services are limited, changing, or are just beginning.
Virtual pediatric occupational therapy consultations with Akemi McNeil, MA, OTR/L, help families navigate sensory needs, developmental strategies, intentional play, daily routines, and everyday challenges with confidence.
Bringing Expertise to You
Founded by Akemi McNeil, MA, OTR/L, a pediatric occupational therapist and educator, Nurture by Design offers thoughtful support for children and families.
With over 20 years of experience, her approach blends sensory-informed developmental care, meaningful play, and practical strategies designed for real life.
Custom services focus on inclusive, family-centered support for every child and every family.
Specialized virtual support
Designed for real life
And the moments that therapy doesn’t fully reach
Access expert, therapy-informed guidance from your own space.
Allow Nurture by Design to support your needs during gaps such as:
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Waiting for services to begin
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Strategies at home need more focused
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Not enough therapy hours
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Changes in providers or funding
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You want to add specialized support to your child’s team
Build a Custom Plan
Find the level of support that fits your family,
whether you’re just getting started or filling a gap between services.
Quick, practical tools you can use right away, at home or in your community. See our Blog and Resource list for more.
Learn how to support development through everyday routines and purposeful play.
Personalized guidance to understand your child's needs and support to develop a plan that works in real life.
A clear, supportive path forward
The Nurture By Design Process
Thoughtfully designed. Relationship-centered. Grounded in play.
Turn Concerns into
Action Steps
We begin by listening & Evaluating
Share your concerns
Get thoughtful next steps
Natural Developmental Approach
Connection first. Growth follows.
Recommendations are Relationship-centered, play-based strategies for you
Focus on regulation, engagement, communication, and independence.
Learn about the
Family-Focused Support
Confidence in everyday moments.
Transform daily routines with meaningful strategies
Focus on your family's goals
Get support specifically for your home
Support
for the areas that matter most
Focused on real-life skills, connection, and daily routines.
Let's design a custom plan for your child!
Foundational Skills
Sensory Processing
Self-Regulation
Transitions & Safety
Gross Motor Skills
Fine Motor Skills
Self Care
Dressing
Feeding & Eating
Bathing
Toileting
Cleaning up
Social Interactions
Following Directions
Engagement in Family Activities
Social Play with Friends
Everyday Play Skills
Exploring New Activities
3 ways to get support
Flexible support designed to meet your family where you are — whether you’re getting started, navigating gaps in services, or looking for practical tools you can use right away.
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Session packages are available for families who would like ongoing support.
Stay Connected
Join for Updates & Access to Free Resources
Get practical, therapist-designed strategies delivered to your inbox, including helpful updates, resources, and support to help you confidently navigate your child’s development at home.
Get the Nurture by Design™ Starter Guide
An introduction to a therapist-created approach for supporting your child through everyday life.
This thoughtfully designed guide includes practical strategies to help you get started.
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