In this episode of Growing OT, host Claire O'Byrne welcomes an extraordinary mother-daughter occupational therapy duo: Rosemary White and Zoe White. Rosemary, who has been practicing since 1971, brings legendary clinical insight having trained directly with the pioneering founders of pediatric OT—the Bobaths (NDT), Dr. A. Jean Ayres (Sensory Integration), and Dr. Stanley Greenspan and Serena Wieder (DIR Floortime). Zoe shares her unique perspective of growing up immersed in the clinic before establishing her own distinct path as an OT specializing in sensory feeding, DIR, and early intervention. Together, Rosemary and Zoe unpack the true heart of the DIR (Development, Individual Profile, Relationships) model. They discuss why relationships are the primary engine of human development, how to shift from prescriptive problem-solving to "empathetic inquiry," and how reframing dysregulation and stimming as self-organizing behavior honors neurodiversity. Packed with practical wisdom, reflective video analysis tips, and real-life clinical stories spanning infancy to young adulthood, this conversation is an inspiring masterclass in relational, strengths-based occupational therapy. Key TakeawaysThe Evolution of Foundational OT Models: Trace how Neurodevelopmental Treatment (NDT) and Ayres Sensory Integration naturally culminate in DIR Floortime—shifting the goal from motor normalization to emotionally connected, relational responses.The Therapist-Parent-Child Triad: Understand why the caregiver-child relationship must take center stage, and how therapists can support parents through "empathetic inquiry" and collaborative exploration instead of handing down unilateral solutions.Reframing Stimming & Dysregulation: Learn to recognize behaviors as vital communication and self-organizing tools, investigating environmental or bodily triggers rather than attempting to extinguish them.The Five Cs of Regulation: Discover the clinical value of cultivating Comfort (safety/neuroception), Competence, Confidence, Control, and Communication within therapeutic interactions.Goal-Setting Without Pressure: Explore how to write measurable, functional goals that satisfy system requirements while maintaining child-led curiosity, emotional engagement, and lifelong developmental progress. Resources & Links MentionedPediatric Physical and Occupational Therapy Services (Seattle, WA): Rosemary White's clinic website and resources at rosemarywhitepediatricservices.com.Profectum Foundation: Professional training, certifications, and resources on DIR Floortime and developmental models at profectum.org.Upcoming SAOT Workshop: "DIR Informed Therapy for Neurodivergent Individuals and Their Caregivers" facilitated by Rosemary White and Zoe White on November 13 & November 20, 2026. Register via saot.ca.Society of Alberta Occupational Therapists (SAOT): Discover more episodes and clinical education resources at saot.ca.