Therapy Outside the Box

Welcome! Therapy Outside the Box provides neurodiversity-affirming occupational therapy services to children, teens, and adults. Miranda is a certified DIRFloortime® Expert and multiply neurodiverse herself. Our approach is client-centered, following the child or adult’s interests, gradually challenging them physically, emotionally, and cognitively within the context of a trusted and attuned relationship. Miranda received her Bachelor's degree in Human Development from Cornell University and Master's degree in Occupational Therapy from the Washington University in St. Louis School of Medicine. Miranda has 12 years of experience working in outpatient sensory integration clinics with children and teenagers and is certified in sensory integration assessment and treatment through USC. She has expertise and a passion for working with Autistic families, particularly those with a PDA profile. Miranda also provides consultation for Functional Neurological Disorders. In addition to being an Expert DIRFloortime® provider, Miranda has extensive training in sensory processing, particularly vestibular and visual processing, and is certified and experienced in a variety of modalities including Therapeutic Listening, iLs, Astronaut Training, the SOS Approach to Feeding (specializing in ARFID), Wilbarger Brushing Protocol, Handwriting Without Tears, and Lifestyle Redesign. Miranda embeds The Interoception Curriculum throughout sessions to support growth in self/emotional regulation and advocacy. As of Summer 2026, Miranda is no longer adding weekly clients. She is still available for comprehensive evaluations and consultations, as well as parent coaching. To prospective clients, Miranda will reach out to you when she has increased availability.