My Services

I offer individual telehealth and outdoor occupational therapy and Nature-Based Expressive Arts Coaching for neurodiversity-affirming mental health and wellness to adults with mental health concerns such as anxiety, depression, and stress management; and ADHD, Autistic*, and neurodivergent adults. See FAQ section for more info.

Schedule a free 20 minute consultation

*A language note: The overwhelming feedback I have seen from autistic adults is that they prefer identity-affirming language. I will always defer to individual clients on their preferred language in all aspects of their identity. See resource section for more info.

Occupational Therapy

OT provides concrete, practical solutions by focusing on client strengths and concerns along with skillful adjustment of the environment and daily activities to better support client needs. Mental health OTs use many of the tools of talk-based therapy with an action-oriented approach. The goal is to foster your growth and healing by engaging in activities that are meaningful to you.

OT can help with:

  • Building a satisfying daily routine & healthy habits

  • Addressing sensory differences

  • Increasing understanding of mental, cognitive, and physical health needs

  • Nervous system regulation tools

  • Executive function support

  • Medication management and health maintenance

  • So much more!

Nature Therapy

“We often forget that we are nature. So when we say that we have lost our connection to nature, we have lost our connection to ourselves.”

-Andy Goldworthy

Also called Eco Therapy or Green Therapy, Nature Therapy is founded on the idea that being outdoors in natural environments can have a profoundly positive influence on body, mood, and behavior.

I meet clients outside, with nature as a co-facilitator to address sensory sensitivities, nervous system regulation, mental health, and well being. I can also incorporate natural items, concepts, and sensory experiences into online sessions

Nature therapy can help you:

  • Understand and regulate your nervous system

  • Experience feelings of safety, peace, and calm

  • Practice & experience mindfulness skills

  • Deepen your relationship with nature and bring more nature into your daily life

  • Heal effects of trauma, stress, anxiety, and depression

Expressive Arts Approaches

Expressive arts approaches combine somatic (body-based) therapies, mindfulness, and creativity to promote healing.

Rather than focusing on the final product, the process of creation via nonverbal language is the emphasis. Clients might journal, dance, paint, collage, or make art with natural items.

Expressive arts can help you:

  • Process and communicate difficult feelings non-verbally

  • Feel more present and embodied

  • Understand and regulate your nervous system

  • Experience feelings of safety, peace, and calm

  • Build self esteem and self efficacy

  • Practice & experience mindfulness skills

  • Deepen your relationship with creativity and bring more creativity into daily life

  • Heal effects of trauma, stress, anxiety, and depression

  • Tap into intuitive, spiritual, or less concrete understandings of self and relationships

Megan Black, OTR/L (she/her)

I completed my Master of Occupational Therapy (MOT) at University of Washington in 2021 and my Nature-Based Expressive Arts Practitioner Certification is currently in progress. My eclectic approach includes expressive, somatic & nature therapy modalities, nervous system education, and cognitive skills training. With a background in job coaching with people with developmental disabilities and neurodivergent clients, I have experience with neurodiversity-affirming support to help clients attain their goals and dreams. My aim is to empower clients to engage meaningfully in their everyday life with ease, confidence, and authenticity.

About me

F.A.Q

  • I provide online sessions for clients in Washington state and in person outdoor sessions in the Seattle area.

  • Yes! I accept Regence, Premera, and First Choice Health Network!

    I also accept private pay. I am an out of network provider and can provide a superbill. Some clients are able to receive partial reimbursement from their insurance using a superbill.

  • If you have Regence or First Choice insurance, you will only pay your occupational therapy copay.

    Normal rate for private pay is $160. If this presents a financial hardship, I offer sliding scale fees of $100-$150 for a limited number of clients.

    I can provide a superbill so you can pursue reimbursement through your insurance.

  • Online sessions are 50 minutes by default.

    Alternative session lengths of 25 minutes or 75 minutes are available for individual client need & preference.

  • I generally schedule appointments 9am-3pm weekdays.

  • I believe that everyone has intrinsic value that is most effectively bolstered through strengths-based, neurodiversity-affirming and intersectional social justice -informed support. I strive for a client-centered practice that values client perspectives, lived experiences, and beliefs.