Compassionate,
Holistic Care for
Sensory Challenges

At Spivak Personal Growth Services, I’m not just your occupational therapist—I’m your partner in unlocking comfort and confidence. Working with adults experiencing tactile defensiveness and complex sensory needs, I offer an approach grounded in empathy, understanding, and your unique lived experience.

Why Work with Me?

Client-Centered & Holistic at
My Core

My practice honors you as the expert of your own experiences. I listen deeply, tailor interventions to your needs, and integrate mind-body wellness into every step of our journey.

Specialized Training & Expertise

Beyond my 25+ years of experience as an occupational therapist, I bring advanced training that directly supports sensory regulation and nervous system healing. I am certified in Therapeutic Listening, and trained in Reflex Integration and Polyvagal Theory—approaches that allow me to address not just the surface symptoms, but the underlying patterns in your body and nervous system. This integrative perspective helps create lasting change and greater ease in daily life.

Sensory
Support That
Resonates

Tactile defensiveness isn’t just about touch—it’s about how your nervous system responds to the world. We’ll explore gentle, intentional pathways to help you regulate, adapt, and feel more at ease in your skin.

Guidance
You Can
Trust

Whether it’s navigating sensory overwhelm in daily life, dealing with intimacy challenges due to tactile discomfort, managing social settings, or building self-advocacy tools, I’m here with respect, clarity, and commitment to your growth.

Steps to therapy
with Rikki

How we begin

Step 1

Complimentary Phone Consultation

We'll start with a 30-minute phone conversation at no charge. You can share what’s causing you difficulty and we’ll see how I might support your needs.

Step 2

Personalized First Session

Rather than relying on standardized testing, I use conversation, observation, and functional activities to understand what works best for you. We build from your strengths and your goals.

Step 3

Collaborative Treatment Planning

Every plan is guided by what matters to you. We'll co-create strategies tuned to your rhythm, preferences, and lifestyle. You remain central in every choice we make together. You are always in the driver’s seat and I work hard to ensure that you feel safe and supported through the whole process.

Step 4

Your Pace, Your Process

Therapy isn’t a sprint—it’s your journey. We proceed with your comfort and pace in mind. Expect thoughtful exercises and sensory strategies to practice in your daily life, with regular check-ins to ensure progress feels right.

Ready to Embark on
a Better-Feeling Life?

If you’re tired of sensory overwhelm and ready for a nurturing, collaborative path forward, you’re in the right place. I’m here as your ally—whenever you’re ready.

Schedule your free consultation today.
Let’s open the door to greater ease, self-understanding, and well-being.

Compassionate, Holistic Care for Sensory Challenges