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Karen Smith, OTR/L is a pediatric occupational therapist with more than 30 years of experience supporting children, families, educators, and school teams across clinical and educational settings.
Her approach is collaborative, strengths-based, and grounded in curiosity. Rather than focusing only on the behavior or skill that is difficult, Karen looks beneath the surface to understand the barriers affecting participation and identify practical ways to help.
Through her Brain Builder approach, Karen helps children understand how their brains work, strengthen regulation, executive functioning, flexible thinking, and confidence — while partnering with parents, educators, and school teams so the adults around the child feel equipped to support continued growth.
Connection before correction. Curiosity before judgment. Build skills, not dependence. Empower the adults who support the child.
Frequently Asked Questions
We've compiled answers to some of the most common questions we receive. If you don’t find what you’re looking for, feel free to reach out—we’re always happy to assist!
Karen Smith Pediatric OT | Empower Together
karen@ksmithOT.com (208) 697-6565
mattoon, illinois 61938
© 2026 Karen Smith Consulting and Occupational Therapy, LLC |
Empower Together. All rights reserved.

I help children and families shift from chaos and frustration to calm and empowered.
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