Frequently Asked Questions

  • Occupational therapists are registered and licensed healthcare professionals that help their clients live as independently as possible. Think of it as building “skills for the job of living!” We are uniquely qualified to address physical, cognitive, and psychiatric conditions to help our clients achieve their goals.

  • I provide in-home services, as opposed to having an office. Appointments are completed in the comfort of your own home at your convenience. Prefer not to have me come to your home? We can chat about choosing a location that you feel safe in so I can provide you the best possible care.

  • ~Urinary and fecal incontinence

    ~Strong or frequent urges to urinate or defecate

    ~Constipation or difficulty starting a urine stream

    ~Pain or discomfort during urination or defecation

    ~Pain or discomfort during sex

    ~Pain with tampons or during gynecological exams

    ~Severe cramping during periods

    ~Sharp pain in the abdomen or rectum

    ~”Heaviness” or pressure in the vagina or rectum

    ~Feeling like something is “falling out” or bulging in the vagina

    ~Pain or tightness around Cesarean scars

    ~Diastasis Recti (separation of the abdominal wall)

    ~Preparations for and healing after gender affirming bottom surgery

  • I will listen to your concerns and obtain a detailed medical and lifestyle history. Depending on your individual needs, I may complete several assessments that try to recreate your symptoms to determine a cause. This may include an internal exam to closely examine the muscles of your pelvic floor, which involves inserting a gloved finger into the vagina or rectum. Internal exams can be a useful tool; however my clients always have complete control over their bodies during any session and may refuse or stop any assessment or treatment at any time. No assessments or treatments will be done without your consent!

  • Each treatment plan is tailored to the individual based on my assessment of your unique needs. I’m not just going to give you Kegels and send you on your way! Many people have pelvic health issues relating to overactive muscles or dyscoordination of the pelvic floor muscles. My goal is to give you meaningful treatment sessions and provide individualized home programs that you can incorporate easily into your daily routine.

  • It’s completely up to you! I am prepared to keep you clean and comfortable during our session if we are completing internal work. However, if you are someone who experiences increased sensitivity or pain during menstruation, you may choose to avoid internal work during your period.

  • It depends. Sometimes a friend or family member can make clients more comfortable. However, sometimes a second person can be distracting or overbearing. Pelvic floor work is very intimate and is most successful when clients are able to be open and honest. I prefer initial evaluations to be one on one with clients, and then we can plan how to make future treatments most effective.

  • No, I do not bill insurance directly. Payment is due at time of service, but I will provide superbills (detailed receipts) that you can submit to your insurance company for reimbursement. Insurance companies are notorious in the therapy world for dictating things such as conditions therapists can treat, length of sessions, and number of sessions. By not billing insurance, I give my clients more control over their own care.

  • No! Although there are some circumstances where I will request permission from physicians (for example, medically complex issues or after surgery around the pelvic floor), generally I do not require a referral. Please note that some insurance companies will require a referral before they reimburse a superbill. It is your responsibility to know your insurance requirements.

  • I certainly would never refuse treatment to someone based on anatomy, identity, or life experiences; however, I may not be able to provide you with the best possible care. I will happily talk with you about your concerns, and if we agree I’m not the right therapist for you, I’ll help you find one that is.

Occupational therapy practitioners ask, “What matters to you?” not, “What’s the matter with you?”
— Virginia "Ginny" Stoffel
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