Understanding the Difference: Pediatric OT, Speech Therapy, and ABA

Why Our Clinic Chooses a Relationship-Based, Developmental Approach

At our clinic, we’re often asked about the difference between occupational therapy (OT), speech-language therapy, and applied behavior analysis (ABA). While all three services aim to support children in learning and growing, the how and why behind each approach can be quite different.

We believe that families deserve clear, compassionate information so they can make the best decisions for their child—and that begins with understanding the philosophies behind each type of therapy.

Pediatric Occupational and Speech Therapy: Supporting the Whole Child

In pediatric OT and speech therapy, our goal is to understand why a child is struggling—not just to change what we see on the surface.

We look at the child as a whole person: their sensory experiences, communication patterns, motor skills, emotional regulation, play skills, and relationships. Through play-based, child-led therapy, we build on their strengths and interests.

For example:

• A speech-language pathologist may follow a child’s lead in play to help them find motivation to communicate.

• An occupational therapist might use sensory play to help a child feel regulated and ready to engage with others.

Both disciplines view behavior as communication—a message about what a child needs, feels, or is trying to express. Instead of focusing on compliance or “correct” behaviors, we focus on understanding the underlying cause and supporting meaningful, lasting growth.

What About ABA?

Applied Behavior Analysis (ABA) is based on behaviorist principles—rewarding desired behaviors and discouraging undesired ones. While this approach can lead to observable changes in behavior, it often focuses on compliance rather than connection.

Many families and professionals have expressed concern that traditional ABA can unintentionally teach children to mask their natural communication styles or emotional expressions to earn approval, rather than helping them develop internal understanding, self-regulation, and autonomy.

Why We Choose a Developmental, Relationship-Based Approach

We believe that connection drives growth.
Children thrive when they feel safe, valued, and free to explore the world at their own pace. Our therapists prioritize building trust and joy, because we know that learning follows connection.

Our approach:

• Child-led: We follow the child’s interests and motivations.

• Strength-based: We highlight what’s going well and build on it.

• Collaborative: We work closely with parents and caregivers as partners.

• Respectful: We honor each child’s unique communication style, sensory needs, and personality.

We’ve seen again and again that when children feel seen and supported—not controlled—they make remarkable progress.

Our Belief

Every child is capable. Every behavior has meaning. Every connection matters.
We are proud to offer occupational and speech therapy services that nurture the whole child—their mind, body, and heart.

If you have questions about your child’s development or want to learn more about our approach, we’d love to connect with you.