Additional Training Includes

  • Level One Theraplay and Marschak Interaction Method by Theraplay Institute 
  • Group Theraplay by Theraplay Institute 
  • 3 Steps to Improving Interoception: An Evidence Based Approach
  • ​​​Torticollis & Plagiocephaly: Assessment & Treatment of Infants & Children
  • ​Astronaut Training: Vision Screening, and Integrated Vestibular-Auditory-Visual Treatment Strategies presented by Mary Kawar, MS OTR
  • Social Thinking Conference: Zooming In - Strategies for Concrete Learners, instructed by Michelle Garcia Winner
  • Social Thinking Conference: Zooming In - Strategies for Subtle But Significant Social Problems, instructed by Michelle Garcia Winner
  • ​Vision Processing & Therapy: Collaborative Approaches for Individuals with Sensory Processing Disorders, ADHD, Autism, Traumatic Brain Injury & Other Special Populations, instructed by Dr. Christine Winter-Rundell, OD, FCOVD, FAAO 
  • Introduction to Basic Visual Efficiency and Visual Processing Skills, instructed by Dr. Christine Winter-Rundell, OD, FCOVD, FAAO
  • Reflex Integration to Support Education (R.I.S.E.)
  • Principles of Normal Movement and Facilitation: A Neurodevelopmental Treatment (NDT) Approach in Pediatrics
  • Sequential-Oral-Sensory (SOS) Feeding Approach Basic Level
  • Sequential-Oral-Sensory (SOS) Feeding Approach Advanced Level - Feeding the Child on the Autism Spectrum
  • Sensory Integration and Praxis Tests (SIPT) Course 1: Sensory Integration Perspective
  • Sensory Integration and Praxis Tests (SIPT) Course 2: Specialized Techniques for Measuring Sensory Integration
  • Sensory Integration and Praxis Tests (SIPT) Course 3: From Interpretation to Intervention
  • Sensory Integration and Praxis Tests (SIPT) Course 4: Sensory Integration Intervention
  • Handwriting Without Tears - Pre-K Readiness & Writing
  • Handwriting Without Tears - K-5 Handwriting

Ms. Cara Selway, MA, BCBA, HPC reg.


  • ADHD and Executive Functioning with Maude Le Roux
  • 3 Steps to Improving Interoception: An Evidence-Based Approach
  • Astronaut Training: Vision Screening, and Integrated Vestibular-Auditory-Visual Treatment Strategies presented by Mary Kawar, MS OTR
  • High-Risk and Special Needs Babies: Identification and Intervention
  • DIR 101: Floortime Principles
  • Emotional Processing in Children
  • Anxiety Exposed
  • From Sensory Processing to Executive Functioning
  • Sensory Integration and Praxis Tests (SIPT) Course 1: Sensory Integration Perspective
  • Sensory Integration and Praxis Tests (SIPT) Course 2: Specialized Techniques for Measuring Sensory Integration
  • Sensory Integration and Praxis Tests (SIPT) Course 3: From Interpretation to Intervention
  • Shifting Gears: Sound and Movement Strategies for Sensory Processing Disorder
  • Interactive Metronome Certified Provider​
  • ​Interactive Metronome: Advanced Pediatric Course
  • Handwriting Without Tears (HWT): Pre-Kindergarten Readiness and Writing

In addition to these additional trainings, Megan created an evidence-based and effective program titled "A Vestibular-Proprioceptive-Oculomotor Stimulation Program to Improve Reading Skills in School-Aged Children". 

Ms. Megan Bense, M.Sc. OT (S.A. Reg.), HPC Reg. 


As one of the co-founders of Cayman Theraplay, Joshua has been involved since the beginning and has brought a variety of skills and experience to the team. With having grown up with dyslexia and a speech impediment himself, Joshua has the passion to help create a better environment where children can get the support to help them reach their potential. He has a diploma in Accounting and Business through the ACCA and has over 10 years of experience with customer service and managing teams. Joshua brings warmth, understanding when working with families with special needs and is always happy to assist families with billing, accounts and insurance queries.  

Ms. Danielle Longden B.OT (UK. Reg.), HPC Reg., PGCert in Sensory Integration


Dr. Mona Kazemi OTD, OTR (U.S. Reg.), HPC Reg., SIPT cert. 


Our Team

Additional Training Includes

Nicholas grew up on the Brac and comes to our team with experience in banking and compliance, and with a passion for helping others. He is the first person you see walking through the door and the kind voice you hear behind the phone. Nicholas is always smiling, making our families and team laugh - spreading joy throughout the clinic.

  • Social Thinking: Thoughts And Feelings 
  • Social Thinking: Thinking With Your Eyes
  • Social Thinking: The Group Plan 
  • Social Thinking: Is Your Body In The Group?
  • Social Thinking: Smart Guess Flexible And Stuck Thinking 
  • Social Thinking: Size Of The Problem 
  • Social Thinking: Sharing An Imagination
  • Demystifying Executive Functions: What They Are And How To Teach Them
  • The Social Competency Model: Teaching Social Competencies More Than Social Skills
  • How To Use Core Social Thinking Materials
  • Zones Of Regulation: Newest Thinking And Teaching Tools
  • Understanding Self-Regulation
  • Social Anxiety: Breaking It Down To Build Up Social Competencies
  • The Therapeutic Relationship: How The Brain Learns, Developing Skills In Expressive Language, Receptive Language And Spelling
  • Assisting The Learning Process In Learners With Difficulties Including Learners With Dyslexia, ADHD, Language Learning Difficulties And ASD
  • Recognizing, Adapting And Embracing Neuro-Diversity With Integrity
  • Practical Strategies For Learners With Scholastic Difficulties: ADD, Dyslexia, Auditory Processing Disorder, Working Memory, Autism And Challenging Behaviors 
  • Executive Function And Academic Success In Learners
  • Social Media, Loneliness And Anxiety In Young People
  • ADHD In Focus
  • Depression And Anxiety In Children
  • Anxiety Exposed In Children And Parents
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Danielle is originally from the Lake District in the United Kingdom, and qualified in 2003 from Sheffield Hallam University with a BSC (Hons) degree in Occupational Therapy. She has specialized in pediatrics and has over 12 years of experience working with children and young people, both in education and health care community settings. Community teams have enabled Ms Danielle the opportunity to develop experience in working with children with a wide range of needs and differences comprising physical, cognitive, perceptual, sensory, social and emotional differences. This is inclusive of supporting children and adolescents from birth to 25 years old with a wide range of conditions and diagnoses including ADHD, autism spectrum disorder, developmental coordination disorder, attachment disorder, cerebral palsy, muscular dystrophy, Down’s syndrome, learning disorders and others. 

Cara's primary interest is assisting in the parent-child relationship to maintain homeostasis within the home and the community. Parenting can be difficult, whether it is your first child or not, or you have a child with special needs; which is why Cara utilizes a holistic, science-driven, family-oriented approach to support families and caregivers. 

phone: (345) 749-7529          email:           location: #9 Plaza Venezia on N. Sound Rd, Grand Cayman, Cayman Islands

Mr. Nicholas Laurendo

Front Office Coordinator

Additional Training Includes

Rachel was born and raised in Orange County, California. She received her Bachelor’s Degree in Psychology from Cal State Channel Islands. While in her undergrad, Rachel studied abroad in Copenhagen, Denmark for one year studying child education with an emphasis on multiculturalism and special needs. Denmark was where she was first introduced to occupational therapy and sensory integration. Rachel returned to California to complete her Master’s Degree in Occupational Therapy from Loma Linda University. During her time at Loma Linda, Rachel participated in a student team who designed a state of the art sensory room for Rim of the World Unified School District, furthering her experience in sensory integration. She also interned in school-based services with clients who had a wide range of diagnoses and needs.  

Leslie graduated with her Bachelors in Occupational Therapy in 2012 from the University of Southampton in England. She returned home to Grand Cayman upon the start of her career and entered the government setting, where she is currently working full-time as a pediatric occupational therapist. Leslie has worked with children with different needs in a variety of settings Including the pediatric special needs school, with primary and secondary schools, and with children from birth to 5 years in early intervention. A firm believer in evidence-based practice, Leslie has furthered her training through specialized post-graduate training, inclusive of assessment and treatment of sensory integration differences utilizing an Ayres Sensory Integration® framework. 

Additional Training Includes

  • Quickshifts
  • Finding Safety and Stability- Trauma-Informed Sensory Motor Approach
  • Administration, Scoring and Advanced Interpretation of the M-FUN
  • Interoception: The Hidden Sensory System
  • 3 Steps to Improving Interoception: An Evidence Based Approach
  • SPD Star Advanced Mentorship in Sensory Processing Level 1
  • Talk Tools Feeding Therapy: A Sensory Motor Approach                                        
  • Early Intervention: Fine Motor Review                                                           
  • Beckman Oral Motor Assessment and Intervention                     
  • Treatment of Picky and Problem Eaters/Food Chaining Therapy           
  • Building Healthy Brains
  • Rhythm and Neuro Plexus
  • Sensory Motor Play in Early Intervention                                                      
  • Enhancing Executive Functioning  

Megan started her occupational therapy career in 2009, graduating from the University of Pretoria in South Africa. To further her knowledge, Megan broadened her studies in occupational therapy in 2016 when she completed her Master of Science in Occupational Therapy from the University of Witwatersand in South Africa. Megan comes to Cayman with 9 years’ experience as an occupational therapist with her work experience primarily being with children with different needs in settings ranging from early intervention to school-based, to outpatient paediatrics for school-aged children, adolescents and young adults. Megan has worked on multi-disciplinary teams, using a sensory-based approach with children with mild to severe delays with a wide range of diagnoses ranging from anxiety, sensory processing disorders, dyspraxia, Autism, and other neurodevelopmental delays and diagnoses.

  • Assessment and Treatment of Sleep Disturbances in Children, instructed by Dana Gadaire, Psy-D, LCSW, BCBA
  • Attention Deficit/Hyperactivity Disorder: A Review of Selected Research for Practitioners, instructed by Jan Montgomery, MSc, BCBA
  • Sexuality and Sexuality Instruction with Teenagers with Autism Spectrum Disorders, instructed by  Peter F Gerhardt, Ed.D
  • Crisis Behavior Applications in Schools, instructed by Valerie Evans, BCBA
  • Stereotypy: There Are No Easy Answers, instructed by William Ahearn, PhD, BCBA-D
  • Supervisor Training: Components of Effective, Evidence-based Behavior Analytic Supervision, instructed by Jennifer Yakos
  • Functional Analysis Applications and Recent Research, instructed by Valerie Evans, BCBA
  • Use of Behavioral Skills Training in Supervision, instructed by Valerie Evans, BCBA
  • Non-Violent Crisis Intervention, instructed by Crisis Prevention Intervention
  • Picture Exchange Communication Systems (PECS) - Level 1, instructed by Pyramid Education Consultants

For an appointment please e-mail us at

Mr. Joshua Browne, Dip ABS


​Dr. Mona Kazemi brings in-depth knowledge about standardized healthcare practice and evidence-based practice in pediatric therapy services. She has received her clinical doctorate from  the University of Southern California and continues to have a  relationship with her mentors who are world-renown leaders in occupational therapy research. Dr. Mona Kazemi has resided in Cayman since 2013 and has since made strong connections and collaborates with healthcare centers in both the private and public sectors in Cayman and overseas.

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Hannah has also established speech and language therapy for remedial groups having difficulties with pre-literacy, literacy, comprehension and language concepts ranging from Grade 1 to Grade 3. In 2018, she went to Zambia with a team (occupational therapist and educational psychologist) to assess children ranging from ages 3 to 15 years. The assessments were followed by parent and teacher feedback meetings, teacher training and intensive home programs. She has experience working in early intervention with children as young as 1, helping late-talkers acquire the vital skills for communication.

Hannah absolutely puts her heart into ensuring that every client achieves their absolute optimum potential. She wants them to expand their ability in order that they may reach their goals. Hannah values the importance of early intervention, communication, ethical practice, teamwork with both the family and relevant teachers. In this way, she is able to achieve a completely holistic intervention. .

Prior to working for Cayman Theraplay, Danielle worked in a highly specialist position and as occupational therapy team leader within a specialist school and college provision for young people with Autism where she gained knowledge and skills in implementing and using autism friendly strategies such as TEACHH, visual schedules and PECs as well as utilizing school wide positive behavior support techniques. Ms Danielle comes to  us with experience in running individual, group and class based interventions; and has used the Zones of Regulation, Alert Program, Tools for Teens, Handwriting Without Tears, Teoderescu and Stickids programes, to embed strategies across both school and home settings. She has experience using the astronaut program to target vestibular-vision differences, and fun with food feeding programs to target picky eating. Additionally, over the years in her career she has delivered training workshops to teaching staff, parents and carers on occupational therapy strategies and in particular sensory processing difficulties. She is very excited to be able to share her wealth of knowledge and experience with us at Cayman Theraplay and with your family to help your little one grow!

Before joining our team at Cayman Theraplay, Rachel worked at an outpatient pediatric clinic where she coordinated comprehensive family-centered evaluations and provided direct treatment to children and their families ages 8 months to 25 years with a variety of disabilities including Autism, Developmental Delay, ADHD, Sensory Processing Disorder, Down Syndrome, DiGeorge Syndrome, Scoliosis, Low Vision, Fine Motor Delay, and Feeding Delay. She provided Early Intervention Services including screening, evaluations, and treatment services to children 0-3 years old, developed individualized goals and treatment plans based on the individual child’s functional developmental abilities, needs, and family priorities, and educated parents and families in individualized home programs to support development in cognitive, sensory-motor, adaptive, and social skills.

​Rachel is a driven therapist with clinical skills in assessing client strengths and barriers, identifying client-centered goals, and developing creative treatment plans to increase independence and improve quality of life. She has specialized training in assessment and treatment for feeding delays, including Beckman-Oral Motor assessment and intervention, Talk Tools pre-feeding approach, as well as training in SOS feeding approach. Rachel completed advanced training in sensory processing disorder through STAR Institute for Sensory Processing Disorder, becoming a level 1 advanced mentored clinician in SPD. Recently she worked as a data collector for STAR Institute to assist in the standardization of a new sensory processing assessment, Sensory Processing Three Dimensions (SP3D) Scale. 

Dr. Mona Kazemi has learned side-by-side with experts in the field of occupational therapy to enhance her understanding of sensory integration disparities in children and adults, and feeding difficulties in children who are labeled with Autism. She currently maintains specialty certification in Sensory Integration and Sensory Integration Praxis Tests (SIPT) administration, basic Sequential-Oral-Sensory (SOS) feeding approach, and advance practice SOS feeding approach for children labeled with Autism.

Dr. Mona Kazemi's previous experience as a behavioral therapist allows her to successfully utilize therapeutic strategies to assist children with impulse control and difficulties with anger management to facilitate healthy, productive relationships.

Additional Training Includes

Ms. Leslie Ann Daley, B. OT, (UK Reg.), HPC reg.


Additional Training Includes

Cara received her Masters in Psychology from The University of Auckland in New Zealand in 2013 and became Board Certified as a Behavior Analyst in 2016. She has been working with children, teens and adults for over 10 years in New Zealand, the United Arab Emirates and the Cayman Islands. Cara is currently located in the USA and works as a remote behavior consultant and supervisor.

To assist children in reaching their full potential, Cara has received extensive training in functional analysis methodology and assessment to better establish effective and meaningful behavior change and management. She is focused on working interactively with families, schools and health providers to ensure positive outcomes.

Ms. Hannah-Marie Fobian, B. Sc., (SA Reg.), HPC reg.


Copyright ©  2020 Cayman Theraplay

Ms. Rachel Lawrence, M.OT, (U.S. Reg.), HPC reg.


Hannah is a passionate speech-language pathologist who was born and raised in South Africa, and obtained a Bachelors in Communication Pathology (Speech-Language Pathology and Audiology) Honours degree at the University of Pretoria in South Africa in 2015.  

Hannah comes to us with experience in specializing in speech and language delays in children presenting with down syndrome, celebral palsy and autism spectrum disorder, pediatric swallowing and feeding disorders that included infants, as well as voice, and stuttering disorders. For the past three years, Hannah worked at a private practice where her focus included children with pragmatic language differences, autism spectrum disorder, auditory processing disorder, attention deficit disorder, down syndrome and children who present with a global developmental delay or speech or language delay, fluency, dyslexia and other literacy difficulties. 

Additional Training Includes

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Leslie has extensive experience working with children cerebral palsy, various syndromes, neuro-cognitive disorders, neuro-developmental disorders, sensory processing and integration disorders, dyspraxia, dysgraphia, developmental coordination disorder, autism, visual and hearing impairments, as well as other various developmental delays. Leslie is passionate about working with children with all needs and is driven to provide a collaborative and holistic approach to a multidisciplinary team.

  • Sensory Integration and Praxis Tests (SIPT) Course 1: Sensory Integration Perspective
  • Sensory Integration and Praxis Tests (SIPT) Course 4: Sensory Integration Intervention
  • ​Vision Processing & Therapy: Collaborative Approaches for Individuals with Sensory Processing Disorders, ADHD, Autism, Traumatic Brain Injury & Other Special Populations, instructed by Dr. Christine Winter-Rundell, OD, FCOVD, FAAO 
  • Introduction to Basic Visual Efficiency and Visual Processing Skills, instructed by Dr. Christine Winter-Rundell, OD, FCOVD, FAAO
  • Handwriting Without Tears: Pre-Kindergarten – 5th Grade
  • Handwriting Without Tears: Readiness and Writing
  • Handwriting Without Tears: Literacy & Math
  • Sensory Strategies at School: Little or no equipment required!
  • The Whole Pie Approach to Pediatric Feeding
  • Sensory-Based Feeding: Part 1 – How to overcome tactile, interoceptive, proprioceptive, and vestibular factors impacting feeding.
  • Sensory-Based Feeding: Part 2 – How to overcome visual, auditory, olfactory, and gustatory factors impacting feeding.
  • Second Step Child Protection Unit – Module 2
  • Sign-along Phase 1 - Foundation Course
  • Assessing and Promoting Effective Communication (APEC) - Band 1 & 2
  • PECS Basic Training
  • Certified Head Coach – Athletics for Special Olympics

Before joining our team at Cayman Theraplay, Megan worked in settings that allowed her to develop specialty expertise in parental guidance and training; to conduct research and develop a program for improving literacy of school-aged children through a vision-based program; facilitate parent and teacher workshops; and mentor students and novice therapists.

​To assist children reach their full potential, Megan has further pursued certification in treatment and assessment of sensory processing differences inclusive of Ayres Sensory Integration® approach; training in neurodevelopmental techniques to facilitate normal movement; some training in the Developmental, Individual Difference, Relationship-based Model of Intervention (DIR Floortime) for intervention for Autism Spectrum and related disorders to promote development; sound interventions for self-regulation and reduction of auditory over-responsiveness; training for support in emotional processing, specifically anxiety; and strategies for executive functioning.

Although Megan has a special interest in early intervention, she has a passion for adapting therapeutic models and finding the right intervention for her clients, regardless of their age. She finds the process of human development and the influence that environment, emotions and “general life” have on a person’s functioning a need for consideration when working with families for a holistic approach.

  • Quick Shifts
  • 3 Steps to Improving Interoception: An Evidence-Based Approach
  • Sensory Integration Module 1 via Sensory Integration Network UK & Ireland: Foundations and Neuroscience
  • Sensory Integration Module 2 via Sensory Integration Network UK & Ireland: Clinical Reasoning in Sensory Integration Assessment
  • Sensory Integration Module 3 via Sensory Integration Network UK & Ireland: Clinical Reasoning and Practice in Sensory Integration Intervention
  • Occupational Therapy for Children with Handwriting Difficulties
  • Makaton - Beginners workshop 
  • Therapeutic Listening - Listening with the Whole Body
  • Core, Posture, Breath Activation
  • JCM training: Posture and Seating
occupational therapy cayman, occupational therapy, therapy cayman, cayman theraplay