Puzzle Pieces | Family-Centered Therapy | Quincy MA

Support for Children, Families, and the Professionals Who Care for Them

Puzzle Pieces provides relationship-based, play-based therapy for children and families. Our team supports children with autism, communication delays, feeding challenges, sensory needs, and emotional differences using a family-centered approach grounded in DIRFloortime®.

For Children

Puzzle Pieces offers individualized therapy for children with a wide range of developmental, communication, sensory, feeding, and emotional needs. Our therapists use play-based, relationship-focused approaches to help children build important developmental skills.
Autism-Services

Autism Services

Relationship-based autism therapy using the DIRFloortime® model to support engagement, communication, social development, and emotional growth.

speech-therapy

Speech Therapy

Play-based speech and language therapy for children with communication delays, articulation challenges, social communication needs, and developmental speech differences.
Occupational-Therapy

Occupational Therapy

Occupational therapy supports sensory processing, motor skills, emotional regulation, attention, and daily living skills.
Feeding-Therapy

Feeding Therapy

Feeding therapy using the SOS Approach to Feeding to help children develop comfort, confidence, and flexibility with food.

Mental-Health-Therapy

Mental Health Therapy

Play-based and child-centered therapy to support emotional regulation, anxiety, behavioral challenges, self-esteem, and social skills.
Feeding-Therapy

Feeding Therapy

Feeding therapy using the SOS Approach to Feeding to help children develop comfort, confidence, and flexibility with food.
Mental-Health-Therapy

Mental Health Therapy

Play-based and child-centered therapy to support emotional regulation, anxiety, behavioral challenges, self-esteem, and social skills.

For Parents
& Families

Families play a central role in a child’s development. Puzzle Pieces works closely with parents and caregivers to provide guidance, support, and strategies that extend beyond therapy sessions.

Services include:

  • Parent coaching and collaboration
  • Family therapy
  • Support for parenting children with developmental differences
  • Guidance for supporting regulation, communication, and behavior at home

Our goal is to help families feel confident supporting their child’s development in everyday life.

Educators & Care Teams

Puzzle Pieces collaborates with educators and other care providers to support children across environments.
We work with teachers, therapists, and other professionals to help create consistency and shared understanding of a child’s developmental needs.
Collaboration may include:
* Consultation and communication with schools
* Coordination with outside providers
* Sharing strategies to support engagement, regulation, and communication

FAQs

Most of our services with the exclusion of groups are eligible for insurance coverage.  We are happy to have our billing team help to verify your benefits at the time of inquiry.

Services are tailored to the individual needs of the client and also subject to availability.  Typically sessions are 1-2 times weekly, unless otherwise indicated.

Services offered in schools are limited to being only relevant within the academic environment and are often 20-30 minutes and/or within a small group.  Outpatient therapy is often essential to supplement school services to involve the family/home component as well as to give much more specific, individualized attention to the areas of need.

A child’s occupation is play, daily living and participation in school. OT is a functional therapy to support a child in their occupation including self-regulation, sensory processing, executive functioning, attention, feeding, dressing, handwriting, cutting, motor planning, balance, visual perceptual skills and more.

While many therapeutic interventions for children exist, very few fully include the family into the process in a meaningful way.  To us, Family-Centered practice means that we work closely with parents to hear their concerns, support the most individualized treatment and find ways we can improve the family experience overall.  Our goal is to not only work 1:1 with the child, but to empower the family with ways to support their child’s development between therapy sessions.

Play is the medium through which therapy occurs with children. This is because play is the primary vehicle for learning in childhood. It is literally a child’s job to play! This allows our clinicians to tailor the play to the child’s interests, making the session fun and engaging for our clients. When therapy is fun, children meet their goals in more meaningful and long lasting ways.

Have questions about services?

Our team is happy to help you understand the next steps and determine the right services for your child or family.