RxOutside · The Mobile Clinic

Therapy that comes to you.

One-to-one pediatric occupational therapy delivered in concentrated blocks — in your home and in the places your child needs to build real skills.

The backyard, the trail, the park, camp.

No waiting room. No clinic gym. No open-ended Tuesday appointment stretching into next year.

San Luis Obispo County · Santa Barbara · Bay Area · Private pay · Intensive blocks, limited caseload

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You already know something is going on but getting someone to take a real look has been a struggle.

The waitlist was eight months, and that was just for the evaluation.

The evaluation came back and said your child is fine. Doesn't qualify. Within normal limits. And you sat in the car afterward wondering whether you were the problem.

Or you got a slot — and now you drive forty minutes each way so your child can do the same obstacle course in a room full of equipment, and you're not sure what any of it has to do with the thing that happens every morning when it's time to get dressed.

Or the therapist saw a child who was polite, focused, and cooperative for fifty minutes, and you went home with nobody having seen the part you needed them to see.

It's not you. And it's not your child.

It's the location and the model.

A clinic is a controlled environment. That is the entire point of it — and it is also why it can mask the behavior you came in for.

Bringing your child to a strange place where they complete activities that are disconnected from the things they do everyday, adds to the fracturing attention our children are dealing with.

Under fluorescent light, in a room with one adult and a defined task, most children can hold themselves together for fifty minutes. What you get back is a child performing. Not the child on a Tuesday at 4 pm melting down in the kitchen, not the child at the trailhead who refuses to move, not the child who shouts at you when plans change last minute.

Skills learned in a room often stay in the room.

The strategy that works on the clinic mat has to survive your kitchen, your car, your driveway, your Saturday. Most of them don't — not because they were bad strategies, but because they were practiced where your child doesn't do life.

So I don't work in a clinic room.

Thirty years of watching children who don't make sense on paper.

I'm Kathleen Lockyer, a licensed pediatric occupational therapist. For three decades I've worked with children whose behavior confuses the adults around them — the ones who do "good enough" on a test, who hold it together at school, whose parents are told they'll grow out of it.

In 2007 I trained at the STAR Center for Sensory Processing in Denver, under Dr. Lucy Jane Miller. What I took from that training has shaped how I practice: that sensory processing is real and assessible, that families belong at the center of the work, and that concentrated treatment is more effective than treatment spread-apart.

I've spent my years in clinics, in schools, in homes, and outdoors. What I know from all of it is simple: the environment isn't a backdrop for your child's behavior. It's half the explanation and solution. Change where you look, and you see a different child — usually the real one.

Registered and licensed occupational therapist (OT/L), State of California
30 years in practice
Trained at the STAR Institute for Sensory Processing, Denver (2007)
Author, Wild Inside: How Nature Protects Your Child's Mental Health and Restores Yours — foreword by Holly Ringland, endorsed by Richard Louv
Founder, the NatureLed™ Institute · AOTA Approved Provider
Co-Founder of a non-profit "Outside Now!" (2004)
Specialist in sensory processing, regulation, and family systems
Highly trauma informed and ACES aware

Three phases. About twelve weeks, start to finish.

Not an open-ended weekly appointment. A defined arc with an endpoint we plan for from the beginning.

Phase One

Foundation

Two observation sessions — one in your home, one outdoors — plus a parent interview without your child present.

You receive a written explanation: what I think is driving the behavior, in plain language, with goals we set together. Some families stop here, and that is a legitimate outcome.

Phase Two

The Intensive

Two to three sessions a week across three weeks. A defined block with a start and an end, not a standing appointment.

Parent coaching is built into every session — you're in the room, doing the thing, while I'm there to catch it. We review via phone after the session when your child is not present.

Phase Three

Integration

Three sessions spaced across the following six to eight weeks, as the gains move into ordinary life without me there.

Final written summary, and coordination with school or other providers if you want it. Then we're done — which is the point.

included in phase one and two

Ongoing support

During phase one and two, you have unlimited text and email support and up to one extra phone call a week if needed.

Two settings. One purpose.

Home-based

Where the day often breaks down

Morning routine. Homework. Dinner. Bedtime. The doorway between the car and the front door.

I work in the places it all happens, with the siblings present and the dog underfoot and the tools you have. We look at the physical setup of your home, the sequence of your morning and evening, and where your child's system is losing the thread — then we trouble shoot together.

You are present and participating. If I give a family a fish, I feed them for a day. If I teach them to fish, I feed them for life! You're the one who's there at seven AM and four PM and bedtime and Saturdays and... forever.

Park and trail-based

Where your child stops performing

Uneven ground. Unpredictable footing. Weather. Other children. No formal script.

Outdoors, a child's nervous system does things a clinic only attempts to elicit — balance and body awareness get tested honestly, and social moments arrive unrehearsed. I can see regulation, motor planning, and recovery in a way that a padded room simply cannot show me.

It's also where children are most willing. Most kids don't experience this as therapy, which is exactly why it works. And, most importantly, we are laying the groundwork for your child to access nature as a place of healing for the rest of their lives.

Why three times a week, and not once?

The standard model is one session a week for an indeterminate stretch — sometimes years. It's familiar, it's what insurance authorizes, and it is not what the research on sensory intervention points toward.

The STAR Institute in Denver, where I trained, argues the opposite: that therapy delivered in concentrated bursts — two to five sessions a week over a fixed period — achieves more than the same sessions spread thin, and finishes sooner. Weekly work can shift behavior. Intensive work is where they argue lasting change happens. And I witnessed it countless times.

A nervous system learns from repetition close together, not from a reminder every seventh day.

Is this right for your family?

This is likely a fit if:

Your child's hardest moments happen at home, and nobody has ever seen them.
An evaluation came back inconclusive, or you were told to wait and see.
You've done weekly clinic therapy and the gains didn't transfer home.
Transitions, meltdowns, sleep, or sensory issues are shaping your whole household.
You can protect three appointments a week for a three-week stretch.
You want an explanation and an endpoint, not an indefinite arrangement.

This may not be the right fit if:

You need services billed directly to insurance.
Your schedule can't accommodate a concentrated block right now.
You're looking for a standing weekly appointment that continues indefinitely.
You're seeking a formal diagnosis or a psychoeducational evaluation.
Your child requires intensive medical or feeding intervention, or there are active safety concerns needing a higher level of care.

If that's where you are, say so on the call. I know this county's providers well and I'd rather send you to the right person than take the work.

Ready to begin?

Click Here To Get Scheduling and Pricing Information

Why Now?

Because you are ready for change. You are ready for four o'clock to stop being something you brace for.

You want to see the meltdown coming — to understand the early signs and know how to help your child grow, so the meltdowns stop happening.

You want your child to experience feeling successful and you want to see them make and keep friends.

And when the next professional tells you your child is fine, or difficult, or needs to make better choices, you'll have language for what's actually happening — and the confidence to advocate for your child.

The goal is not a longer relationship with me. It's a child who doesn't need me.

Let's start with a conversation.

No cost, no obligation, and no pressure at the end of it.

Tell me what's going on. I'll tell you honestly whether I think I can help, what it would look like, and roughly what it would cost. If someone else in the county is a better fit for your child, I'll say so.

Request a consultation

Please don't include detailed medical information in this form — we'll cover that securely once we're in touch.

In Joy and Stillness,

Kathleen Lockyer, OTR/L
RxOutside, LLC · San Luis Obispo County, California

Licensed occupational therapist, State of California. Information on this page is general and does not constitute medical advice or establish a therapist–client relationship.