Location: Las Vegas, NV

I am currently seeking a highly skilled Occupational Therapist who specializes in executive dysfunction, neurodevelopmental delay, and trauma-informed care. Specifically, I am in search of an OT who understands how to build external supports for impaired executive functioning, rather than relying on insight, willpower, or verbal strategies alone.

A little about the patient (my partner): adult female with documented frontal–subcortical executive dysfunction, ADHD, trauma-related limbic dysregulation, dissociative states, and developmental delay. As a result, she has significant difficulty with:

• ·         Task initiation and completion
• ·         Sequencing and transitions
• ·         Time awareness and prospective memory
• ·         Basic self-care routines (teeth, showering, medications, getting started)
• ·         Emotional regulation under demand
• ·         State-dependent judgment and vulnerability when overwhelmed.

A prospective OT candidate should have experience or strong interest in adult executive function impairment, neurodevelopmental delay, ADHD with complex trauma, brain injury / hypoxic injury effects, dissociation-informed or autonomic-informed care, and sensory processing and visual/sensory fatigue. In terms of clincal approach, I am seeking

• ·         Externalized executive supports (visual, tactile, environmental)
• ·         Task initiation and sequencing scaffolds

• ADL support that reduces cognitive load
• Proceduralization of routines (not just teaching steps)
• State-based planning (working with regulation, not against it)
• Real-world, practical intervention (not just discussion)

Conversely, if you rely primarily on verbal instruction or insight, shame or compliance-based models, emphasize motivation/accountability, expect linear progress, or view dissociation as avoidance, this may not be a good fit for you.

As it stands now, I am looking for daily support in the mornings and evenings, at least initially. That said, this is expected to be a long-term in-home support role. I also welcome collaboration with the rest of my health care team. With respect to payment, she has BCBS Anthem Silver EPO insurance, and we are open to private pay.

If this work aligns with your training and clinical values, I would welcome hearing from you. Please include your background with executive dysfunction, trauma-informed OT, and adult neurodevelopmental conditions when reaching out.