I see everything
It took to get here.
Riane Wubbenhorst, MS, OTR/L
I became an occupational therapist because of the moments most people walk right past.
The refrigerator covered in art. The first trip across the monkey bars. The bike missing from the driveway because a child rode it to a friend’s house. The dinner where everyone stays at the table.
Most people see the moment.
I see everything it took to get there.
I’m Riane Wubbenhorst, OTR/L, a Raleigh-based pediatric occupational therapist, founder of Tailored OT, and mom of three.
Before entering pediatric practice, I oversaw quality operations and research for the UNC Department of Neurosurgery, with a focus on patient quality-of-life outcomes. I also competed as a Division I athlete. Those experiences taught me to look closely, trust the evidence, and understand that ability alone does not determine what someone can consistently do.
That is how I approach every child.
I notice the hesitation before the attempt. The movement that requires too much thought. The moment frustration becomes withdrawal. The small adaptations a capable child has made to get through a day that asks more of them than anyone realizes.
I want to understand why.
Because the goal is not a child who performs well in therapy.
It is the picture on the refrigerator. The bike leaving the driveway. The invitation in the mailbox. The family still gathered around the table.
It is hearing, “Wanna play?”
Childhood is measured in participation.
Why Tailored OT
Every evaluation starts the same way.
A parent sits down, takes a breath, and says something they have said a hundred times. I usually know the sentence before it ends.
I built a practice around it.
I started Tailored OT because “fine” is not an answer and “see you next week” is not progress.
Childhood is not a revolving door.
I keep a small caseload intentionally. There is space to slow down. To notice patterns. To understand what is actually getting in the way.
I work with children who are capable of more than their days are currently allowing.
And families who know it.
Because you knew they could
If something is getting in the way, I can help you figure out what.
