In our earlier spotlight, we explored the dynamic and diverse world of pediatric occupational therapy—where sensory integration was just the tip of the iceberg. Since then, Meg Gruber has continued to evolve, stepping into leadership and mentorship roles, deepening clinical expertise, and helping shape the next generation of therapists.
Growing Alongside M Street
Reflecting on the journey, she shares, “I think my role has evolved as the company has evolved. I enjoy sharing this space with new providers who are just starting their careers. Early on, I was the new provider in Early Intervention, and now it feels full circle to be part of that onboarding and support process.”
In addition to her clinical work, Meg has taken on more administrative responsibilities, focusing on improving internal systems and helping fellow providers navigate family communication and documentation. It’s a natural extension of her passion for both people and process.
Finding Meaning in the Everyday
While she doesn’t single out one particular moment as most memorable, it’s the daily connections with families that continue to make the work so meaningful. “Each small moment can be something special. The warm welcomes I receive from families are something I truly cherish,” she shares.
Deepening Clinical Expertise
This dedication to both clinical excellence and family support is backed by ongoing professional development. Since her last feature, she has completed trainings in General Movements Assessment (GMA), Test of Infant Motor Performance (TIMP), and Hammersmith Infant Neurological Examination (HINE)—important tools for early identification of developmental challenges. She also earned her Certified Lactation Counselor (CLC) credential and completed a course on the Cognitive Orientation to daily Occupational Performance (CO-OP) approach—an exciting intervention that focuses on empowering children to problem-solve and achieve their own goals.
Partnering With Families Through Meaningful Goals
At the heart of her work is a deep respect for collaboration. She uses tools like the Canadian Occupational Performance Measure (COPM) to co-create goals with families in a way that is structured, evidence-based, and meaningful.
“This process gives everyone a strong sense of ‘why’ during sessions. It’s not just about doing the activity—it’s about understanding what the family wants to see and working toward that together.”
“We don’t always have the answers, but we need to know how to find them and provide families with evidence-based options. That skill is invaluable.”
Empowering Caregivers in Real-Life Contexts
Empowering caregivers doesn’t stop when the session ends. She emphasizes connecting families to local resources and peer support, and often brings therapy into real-world environments. “Sometimes just practicing routines in the community and problem-solving with the parent in the moment can make a huge difference,” she explains.
Excitement About the CO-OP Approach
One technique that has her especially energized right now is the CO-OP approach. “It’s a cognitive strategy for motor planning that promotes carryover and prioritizes goals that are meaningful to the client,” she says. It’s this kind of client-led, evidence-based therapy that she finds most impactful.
Looking Ahead
While the future may include pursuing a doctorate or PhD, for now, she finds joy in guest lecturing for local OT programs and mentoring early-career therapists. It’s clear she’s committed not only to her own growth, but also to uplifting the field.
Advice for Aspiring Pediatric OTs
Her advice to new therapists? “Learn to love the grey.” Pediatric therapy is constantly evolving—just like the children and families it serves. “We don’t always have the answers, but we need to know how to find them and provide families with evidence-based options. That skill is invaluable.”
From clinical excellence to community connection, Meg continues to redefine what it means to be a pediatric occupational therapist. Her journey is a powerful reminder that with growth, collaboration, and curiosity, there’s no limit to the impact one therapist can make.
Want to see where it all began? Read Meg’s original feature, Occupational Therapy: It’s So Much More Than Sensory Integration Activities, and celebrate how far she’s come!
