Occupational Therapy for Neurodivergent Adults in Texas

Occupational therapists are known for the work we do with kids experiencing developmental delays or older adults recovering after an injury. But did you know that OTs can also provide life-changing services for neurodivergent adults? 

Whether someone has ADHD, autism, sensory processing differences, or intellectual disability, low support needs or someone that requires 24/7 supervision, occupational therapy can offer tools to improve daily living and participation in work and community life.

As a licensed occupational therapist in Texas, I am one of the few providers who have experience working with neurodivergent adults. My goal is to meet people where they are and support them in understanding their neurodivergence, focusing on nervous system and sensory regulation, executive function, school/workplace accommodations, self-advocacy and general life skills to make day to day life easier.

Let’s explore what that really means.

A Spectrum of Support

Neurodivergent adults have a wide range of needs. Some live independently and are able to work. Others may have a more pervasive disability and require some level of assistance and supervision.

Occupational therapy adapts to this full spectrum. For example:

• An adult with ADHD struggling with executive function may work with an OT to identify strategies so that they are not constantly coming to work late, or complete big projects with less overwhelm, or achieve work-life balance.
• An autistic adult who is sensitive to auditory input may want to explore various sensory regulation tools such as noise-cancelling headphones and calming routines.
• An adult with intellectual disability may focus on supported dressing, grooming, and meal prep routines to promote daily independence.

This is why OT is never one-size-fits-all.

Supporting Everyday Routines

Occupational therapy supports autistic adults across both ADLs (Activities of Daily Living) and IADLs (Instrumental Activities of Daily Living), depending on what each individual needs.

ADLs are the basic self-care tasks that people do every day, such as bathing, dressing, grooming, eating, and toileting.

IADLs are the more complex tasks that allow someone to live independently and participate fully in their community, such as cooking, cleaning, managing money, shopping, navigating transportation, and handling medications.

Some autistic adults with low support needs may find certain ADLs or IADLs challenging at times, often due to sensory differences or executive function demands. OTs work with each individual to identify what’s important to them, where the barriers are, and to develop personalized strategies, accommodations, or skill-building approaches to improve quality of life.

OT Interventions

In OT, we create systems that fit the person’s brain – not the other way around. That may mean visual schedules, a sensory-friendly work environment, or accountability strategies that support focus and follow-through.

For adults who may be more sensitive to busy environments than others, occupational therapists may use sensory assessments (like the Sensory Profile) to identify needs and recommend strategies e.g. clothing adjustments or workplace modifications.

Sometimes the smallest changes make the biggest difference.

Why Occupational Therapy Matters for Neurodivergent Adults in Texas

Neurodivergent adults deserve care that respects their strengths and individuality. Unfortunately, few providers specialize in this area. As a Texas-licensed occupational therapist dedicated to this population, I provide evidence-based, neuro-affirming, and trauma-informed care tailored to each adult’s unique goals.

Ready to take the next step? Book your free 30-minute screening today, and together we’ll explore how occupational therapy can support your unique goals and strengths.