Beyond Talk Therapy: What Mental Health Occupational Therapy Looks Like

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How Mental Health Occupational Therapy Looks Like Beyond Talk Therapy

 

When you think about therapy, you probably imagine sitting on a couch and talking through your feelings with a therapist. Talk therapy can be incredibly valuable. But if you’re navigating trauma, neurodivergence, or mental health challenges that affect how you function in everyday life, talk therapy isn’t always enough.

When you think about therapy, you probably imagine sitting on a couch and talking through your feelings with a therapist. Talk therapy can be incredibly valuable. But if you’re navigating trauma, neurodivergence, or mental health challenges that affect how you function in everyday life, it’s not always enough.

That’s where mental health occupational therapy comes in.

At Holistic Community Therapy, we offer an integrative, trauma-informed approach to mental health, one that’s practical, affirming, and centered around your real life. Whether you’re trying to cook for yourself again, show up in your relationships more fully, or just get through the day without shutting down, we’re here to support you with care that goes beyond the couch.

What Is Mental Health Occupational Therapy?

Mental health occupational therapy focuses on how your emotional and psychological wellbeing impacts your daily functioning. It helps you identify the root causes of your mental health issues and develop a personalized plan for moving forward with your day-to-day. It’s not just how you feel, but how you live and why.

This can include:

  • Managing executive dysfunction or sensory overload
  • Returning to work or school after burnout or illness
  • Building emotional regulation skills
  • Navigating relationships, including alternative relationship structures
  • Relearning self-care in a way that’s sustainable for your body and brain

Occupational therapy can help you develop functional wellness. These compassionate mental health strategies allow you to engage in life with more agency and less overwhelm.

Why “Just Talking” Isn’t Always Enough

For some people, especially those with developmental trauma, neurodivergence, or complex life experiences, traditional therapy can feel like it’s all in your head. You might be able to talk about what’s wrong but still not know how to fix it.

That’s because trauma and chronic stress live in the body, not just the mind. When you’re in survival mode, you may need more than insight. You need tools, nervous system support, and a safe relationship to practice doing things differently.

What Trauma-Informed OT Can Offer

Occupational therapy (OT) in a mental health context is not about “fixing” you. It’s about co-creating systems, routines, and supports that honor your body’s needs and your mind’s capacity.

Our trauma-informed approach means we:

  • Prioritize safety, consent, and collaboration in every session
  • Recognize how power, systems, and past trauma affect your present experience
  • Help you regulate your nervous system with sensory and somatic strategies
  • Focus on doing, not just processing—whether that’s preparing meals, making a medical appointment, or structuring your day in a way that doesn’t drain you

Affirming Mental Health Support Matters

Your mental health provider should affirm all of who you are, including your gender identity, sexual orientation, and relationship structure. We offer:

  • Neurodiversity-affirming care for ADHD, autism, and sensory processing
  • Support for folks in non-traditional or marginalized communities who are often underserved or misunderstood in traditional therapy models

You deserve a space where you don’t have to over-explain or mask your identity to get support.

Real Life, Real Progress

One client came to us after years of feeling stuck in talk therapy. They could name their trauma, but still couldn’t get out of bed most days or maintain consistent routines. Through trauma-informed OT, we co-created a structure that honored their energy levels, regulated their sensory input, and helped them connect with pleasure and self-trust again.

Healing didn’t look like a weekly appointment where they rehashed their past. It looked like getting back into their body, reconnecting to daily life, and finally feeling like they had tools that worked.

You Deserve Care That Meets You Where You Are

Mental wellness isn’t about fitting into a mold. It’s about feeling safe, supported, and capable in the life you actually live. If traditional therapy hasn’t worked for you, or if you’re looking for something more embodied, affirming, and action-oriented, mental health occupational therapy may be the next step.

We’re here to walk with you, whether that’s through sensory-friendly coaching, trauma-informed OT, or collaborative wellness support that centers you.

Ready to move beyond talk therapy? Let’s build a care plan that supports your real life.

Schedule a free consultation with Holistic Community Therapy.

About the Author

Elizabeth photo

Dr. Elizabeth Martin, OTD, MHA, OTR/L, QMHP-C, CCTP-II, SEP™

Dr. Elizabeth Martin is the founder and clinical director of Holistic Community Therapy, a mental health occupational therapy practice serving Portland, Oregon.

With advanced training in trauma, somatic experiencing, and public health, Dr. Martin bridges the gap between mental health care and daily function—helping clients translate insight into action. Her work centers on accessibility, equity, and the belief that healing is most powerful when it empowers people to participate fully in their communities.

As a licensed occupational therapist and qualified mental health professional, Dr. Martin has spent over a decade supporting BIPOC, LGBTQIA2S+, and neurodivergent adults in creating sustainable, meaningful change in their lives. Through HCT, she continues to redefine what holistic, functional mental health care can look like.

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ABOUT HOLISTIC COMMUNITY THERAPY

We believe healing happens through action, connection, and care that meets you where you are—literally and emotionally. Our team blends mental health and occupational therapy to help you move beyond talking about change to actually living it.

Whether you’re rebuilding routines, finding balance, or learning to prioritize yourself, we walk beside you every step of the way. Together, we’ll create practical, sustainable shifts that make daily life feel more grounded, confident, and whole.

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