The problem we have found is that not many OT's are Sensory Based OT's. We worked with a private OT for about 2 years and then finally said enough - the last handful of sessions the OT had resorted to physically holding down my then 4 year old in a chair and forced him to complete worksheets to work on fine motor skills with crayons. Yes, he did a handful of sensory things with him but none of the sessions seemed to be catered to his specific needs - it was like a one therapy fits all thing - after we got more educated and more information started to come out about SPD, we quickly left that OT. We have been getting school based OT since he was 3 - so that is going on 3 years for that - but they honestly don't do much of anything in his 30 minute session and are not allowed to focus on his SPD just his handwriting....we have been searching non-stop to find a Sensory based OT or even one who is aware of SPD and there are none in our community - the closest is an hour away and they are not on our insurance plan..so we can't afford the drive over or to be able to pay full price fees...so we are kind of stuck trying to make due the best we can. So it is sad to say that after 3 years we haven't seen much progress. We started when he was 3 and he will be 6 in Jan. I know that if we could find the correct OT we would be golden!
