I don't see why the OT wouldn't be as aggressive if that's what you need as a patient. Since you "know the drill" so to speak with RSD just be open and honest with the therapist about your condition and what you want/need from treatment. If you are completely on board for doing what you have to so that you can maintain the function in your wrist then I doubt you will get any resistance from the therapist.

Hope the block goes well and good luck in therapy.