Who I see

I offer bespoke assessments and interventions tailored to meet your child's unique needs.
I work with children aged 6 months to 16 years.
I works with children who are struggling to master age-related skills, including children with cerebral palsy, autism, ADHD and DCD/dyspraxia.
I am passionate about helping children reach their full potential.

What I offer

I offer a range of packages (see pricing) but can also offer customised packages to suit your child's needs, this includes one-off assessments, singe appointments to provide intervention strategies, intervention blocks and parents coaching.
I offer both face-to-face and virutal appointment.s, or a combination of the two.
Appointments can usually be offered within 3-4 weeks.
Evening and weekend appointments may available as I am to be as flexible as possible to fit in with your busy lifestyle,

Where I work

All face-to-face appointments will take place in your home, the child's nursery/school or other suitable place of your choice. A child is far more likely to carry if the develop hte skills in the place they will be using them.
I see children at following postcodes without charging for travel time or costs: BR1 (Bromley), BR2 (Bromley/Keston), BR3 (Beckenham/Shortlands), BR4 (Hayes/West Wickham), SE20 (Penge), SE6 (Catford), SE12 (Lee), SE13 (Lewisham).
I may be able to see children in other areas but will charge extra for travel time and costs.
Unfortunately, I am unable to see children who live in Croydon or have a Croydon GP an this may conflicted with my NHS work.
I can provide virtual appointments anywhere in the UK.

Interventions

One-off advice sessions and intervention blocks can only be booked after an initial assessment appointment.
All intervention blocks include setting child-centred goals, working directly with the child, modelling interventions to parents/carers, providing a summary report and follow-up recommendations/programme. .
Intervention sessions will take place at the child's home.
All intervention sessions will take place at the child's home, nursery/school on parental/carer request.
A parent, or other designated responsible adult, must be present at all times during the assessment.
The child should be seated in a supportive chair for most of the 1:1 sessions
Distractions should be minimised, includeing turnig TV and other devises off and
Parents/carers will be expected to carry out daily inventions with the child (as advised by the Occupational Therapist) to enusure sufficient intensity is achieved to make a lasting difference.
Stretches, weight-bearing and/or sensory stimulation activities may be used at the beginning of the sessions to dampen down any tone/'wake' the arm up.
Interventions
Your child may benefit from an interventino block after Botox when ther esi 3-4 month 'window' to make a difference.
Some children benefit from 1-2 blocks per year, particularly during periods of rapid growth when their bodies are changing.
Interventions will take place at the child's home or suitable place of parental/carer choice.
A parent/responsible adult must be present at all times.

Modified constraint induced movement therapy (mCIMT)

mCIMT is an intervention for children who have one arm/ hand weaker than the other and do not use to its full capacity. It teaches the brain to 'rewire' itself. mCIMT involves repetitive practice of suitably graded activities whilst the stronger hand is constrained in a removable splint. mCIMT is an effective, well researched intervention for children with conditions such as cerebral palsy, stroke, acquired brain injury and brachial plexus palsy. Children with neurological arm/ hand weakness often become very clever at compensating (e.g. clamping objects against their body or using their teeth) to avoid using their weaker side. This leads to a negative cycle of developmental disregard/ learned non-use: the child has negative experiences of using their weaker side so avoids using it, this weakens the neural pathways making it even more difficult to use their affected arm/ hand. mCIMT aims to address this via use-dependent cortical reorganisation/ neuroplasticity i.e. compelling the child to use their affected side which stimulates and strengthens the brain’s pathways. Simply put ‘Use it or Lose it’.

Assessments

You will be asked to complete a short questionnaire about your child and to share any recent medical/therapy/school reports about your child prior to you assessment.
3rd parties (such as your child's nursery/school and/or other medical professionals) may be contacted for additional information, prior to the assessment, with your permission.
A parent, or other designated responsible adult, must be present at all times during the assessment.
I may ask you to provide further information and/or to fill in additional questionnaires.
We will discuss your child's Occupational Therapy goals.
I may carry out both standardised and non-standardised assessment or assess your child through play.
If you child is very shy and/or wary of strangers I will be very gentle and sensitive and if I cannot enage them directly may need to work through you by asking you to engage your child in specific activities whilst I observe. Sometimes assessments needs to be split over 2 appointments.
For upper limb assessments your child should wear a short-sleeved (preferably vest) tops as I will be looking at their range of movement. tone, sensation, power and functional ability.
I do not carry out EHCP assessments.

Welcome

Welcome visitors to your site with a short, engaging introduction. Double click to edit and add your own text.

Modified constraint induced movement therapy (mCIMT)

mCIMT is an effective, well researched intervention for children with hemiplegia (and another neurological conditions) where one hand is weaker than the other, including cerebral palsy, stroke, acquired brain injury and brachial plexus palsy. mCIMT involves repetitive practice of suitably graded activities with the weaker hand whilst the stronger hand is restrained. Children often compensate for their weaker hand (e.g. clamping objects against their body or using their teeth instead) which leads to a negative cycle of developmental disregard/learned non-use - the child has negative experiences of using their weaker hand so avoids using it, this weakens the neural pathways making it even harder to use. Compelling the child to use their affected hand stimulates and strengthens the brain’s pathways causing the brain to rewire itself (use-dependent cortical reorganisation/neuroplasticity). mCIMT is an intense intervention requiring 30-40 hours practice over an 8-10 week period - this is achieved by us working together so you need to ensure this is feasible before making the commitment. I will carry out an agreed number of sessions, you and/or another appropriate adult will carry daily sessions (for up to 1 hour depnending on the age of the child) in between. Session can be done at nursery/school as well as home. I am happy to work with eduction staff to teach them what to do. Together we will set realistic goals for your child, determine the most suitable (removable) restraint and agree an intervention plan. As well as working directly with your child, I will advise you on ee the child 1-2 times per week to adI will advise on and demonstrate suitable activities. To archive the sufficient 'dosage' you and/or other appropriate adult will need to continue to work with your child daily for up to 1 hour (depending on the chid's age). people access to all the info they need, while keeping your layout clean. Link your text to anything, or set your text box to expand on click. Write your text here...