Big Change, Small Steps: How Occupational Therapy for Resilience Empowers Portland Adults

Table of Contents

Person walking on a forest path, representing occupational therapy for resilience through small, grounding steps in nature.

Change is a part of life, but some transitions can feel overwhelming—divorce, job loss, grief, or even positive changes like moving to a new city. These moments can disrupt routines, strain mental health, and make it hard to feel grounded. For many adults, the challenge isn’t just the change itself, but finding practical ways to keep moving forward.

That’s where occupational therapy for resilience comes in. Unlike traditional talk therapy, occupational therapy focuses on helping you rebuild daily habits, routines, and coping strategies so you can adapt in a way that feels manageable and empowering.

Why Small Steps Matter in Occupational Therapy for Resilience

When life feels unstable, it’s easy to get stuck in “all or nothing” thinking. Maybe you’ve said to yourself, “I should have it together by now,” or “I can’t handle even one more thing.” You might feel pressure to completely fix everything at once, but that’s rarely sustainable. Resilience isn’t about pushing through pain or bouncing back instantly. Instead, it’s about taking small, intentional steps toward stability.

An occupational therapist can help you:

  • Turn “getting it together” into real-life, doable habits like setting up your coffee the night before or prepping one lunch for the week
  • Rebuild confidence through real-life activities that feel meaningful
  • Develop coping skills that match your energy and circumstances
  • Create structure to support mental and emotional healing

How Occupational Therapy for Resilience Provides Practical Support

Occupational therapy provides action-based support for adults navigating major life changes. Instead of focusing only on talking about the problem, OT offers hands-on strategies that help you practice resilience in daily life.

Some examples include:

Real-Life Applications in Portland and Beyond

For Portland-based clients, this can look like meeting in local community spaces, trying a reset walk around Laurelhurst Park after a tough workday, or building a habit of Sunday meal prep using local produce from the PSU Farmers Market. For Oregon-wide virtual clients, sessions may focus on home-based strategies you can implement right away.

No matter where you are, the goal is the same: helping you feel capable, supported, and connected as you move through transition.

Small Steps Toward Big Change

Building resilience isn’t about ignoring pain. It’s about finding ways to keep going while honoring what you’ve been through. With occupational therapy for resilience, you don’t have to face life’s biggest changes alone. Even if it’s just brushing your teeth three days in a row, or finally organizing that one messy drawer, those wins count. By taking small, intentional steps, you can begin to feel more stable, confident, and ready for what’s next. With occupational therapy for resilience, you’ll have tools and support to move through change with confidence.

FAQs

  1. What does resilience mean in occupational therapy?
    Resilience refers to the ability to adapt and cope during challenging life transitions. Occupational therapy for resilience strengthens that process through routines, coping skills, and real-world support. This might mean working through changes like adjusting to a new diagnosis, managing tech burnout, or rebuilding energy after burnout.
  2. Can occupational therapy help with grief?
    Yes. OT can provide structure and gentle daily strategies to help you manage the emotional and physical impact of grief while rebuilding a sense of normalcy.
  3. How is occupational therapy different from counseling for resilience?
    Counseling focuses on emotional processing, while occupational therapy adds a practical, action-based layer by helping you rebuild daily life skills alongside mental health support.
  4. Is occupational therapy helpful for job loss or career transitions?
    Absolutely. OT can help you create structure during unemployment, manage stress, and develop routines that keep you grounded while planning your next steps.
  5. Do I need a referral to start resilience-focused occupational therapy?
    Not usually. Many clients in Portland and across Oregon begin directly with private-pay OT sessions to get started quickly.
  6. Can resilience be built virtually?
    Yes. Virtual OT sessions offer structured, evidence-based support that you can integrate into your daily routine, no matter where you are in Oregon.

Small and Slow Steps Can Lead to Big Changes

Life transitions—whether painful or hopeful—can feel overwhelming. But you don’t need to rebuild your life overnight. With occupational therapy, you’ll learn how to take small, practical steps that gradually strengthen your resilience. Over time, these small actions add up to meaningful change.

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.

If You’re Looking for Practical Support

If the challenges described in this article feel familiar, this is the kind of work we address in mental health occupational therapy.

We focus on daily function — routines, energy management, executive skills, and sustainable structure — while honoring identity and lived experience.

You can:

• Click “Get Started” at the top of the page to begin intake

• Ask a question below

• Call or text (503) 882-0988

You don’t need to have everything figured out before reaching out.

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.

Latest Posts