I view it as a long-term treatment. Our insurance only approves 8 to 12 weeks at a time, then the OT re-evaluates and re-submits to insurance for more. After the first eval, they approved 12 weeks. The second, 8 weeks. Then the third eval, they approved 36 visits, but only gave 6 weeks to complete the 36 visits--a fluke. Every eval shows a little improvement here and there. I anticipate (though I have no foundation for this) that she will probably go to OT for two years. I like OT and believe it helps, but I would really rather get her signed up for gymnastics or ti kwan do as I think she would get a similar benefit. I'm just riding out the OT until the insurance says no more, but I only have to drive 45 minutes. Two hours is tough. If you can be really disciplined about home exercises, maybe you could have the therapist prescribe home therapy every other week and only drive every two weeks.