The Early Start Denver Model (ESDM)

The Early Start Denver Model (ESDM) is a behavioral therapy for children with autism between the ages of 12-48 months.  It is based on the methods of applied behavior analysis (ABA).


Parents and therapists use play to build positive and fun relationships.  Through play and joint activities, the child is encouraged to boost language, social and cognitive skills.

  • Based on understanding of normal toddler learning and development
  • Focused on building positive relationships
  • Teaching occurs during natural play and everyday activities
  • Uses play to encourage interaction and communication


ESDM therapy can be used in many settings, including at home, at a clinic, or in schoool.  Therapy is provided in both group settings and one-on-one.


It has been found to be effective for children with a wide range of learning styles and abilities.  ESDM can help children make progress in their social skills, language skills, and cognitive skills.  Children who have significant learning challenges can benefit just as much as those without learning challenges.


Parent involvement is a key part of the ESDM program.  Therapist should explain and model the strategies they use so that families can practice them at home.


You can find more information on ESDM here.



Upcoming Events

Strategies for Picky Eaters

Presented by Cara Snell, MS, OTR/L

How your child interprets sensations in the world also impacts thier experience with food.  We will discuss some small changes and strategies to help build their confidence and comfort as an eater.  

When: May 9, 2023

9am to 10am


Free Parent Webinar

Click here to register.

Sensory Defensiveness: A Comprehensive Approach

Presented by Julia Wilbarger, PhD, OTR.

Sponsored by APT

Sensory defensiveness is a serious sensory modulation
problem that is rarely correctly identified and
infrequently treated directly and effectively. This
workshop will introduce an in-depth, clinical approach
to treating sensory defensiveness.  

When: May 19-20, 2023

8:30am to 5pm


APT Vancouver Clinic

Click here to register.

Parent Support Groups

APT partners with Swindell's Resource Center to provide Sensory Seminars PDX once a month at Providence. For more info go to:  to view next event.  Please be sure to register online!

Closure Updates

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