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Parent Therapist Relationships

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PARENT THERAPIST RELATIONSHIP

With 2020 now well underway and with intentions set for the new year, it’s finally time for us to reconnect with our clients and families after the Christmas and New Year break.

The beginning of a new year is always a cherished time for many. After a well deserved break, it’s time to go back to work, school and to start achieving those new found goals.

Over the summer break, our children have in fact been doing a lot of work – setting their new found skills acquired in 2019 into action. The implementation of these skills during the break is often unseen but it is still an important aspect of our intervention goals. Times of play and rest are when our children are integrating and consolidating all their skills and new learnt behaviours. The break from education and routine allows time for the brain to consolidate new pathways and integrate them into everyday life and activities. In fact, one of my favourite parts about returning to work after the Christmas break is hearing all the stories of growth and new found goals being achieved. 

As the new year and the new term begins, it’s important for us to connect with parents and caregivers and determine what their needs and intentions are for the year ahead. This is done by communicating and reconnecting through storytelling. We are evaluating and discussing with them what their child has achieved the previous year, what goals they would like to achieve for the year ahead and what the next 6, 12 or 24 month action plans are. 

This is the time where we ensure that our parents and caregivers are really heard. 

It’s important that we work in collaboration to support our children and their families to reach their desired goals. We pride ourselves on being open, honest and working through each challenge diligently with you. We are passionate therapists that will employee a range of strategies whilst working with individual needs, respecting your values, parenting styles and unique qualities to find success. 

How we achieve this is through negotiation, program planning, service delivery and treatment modality options and education on a range of therapy services (inclusive of all allied health services available, not just OT). After listening to your concerns, stories and goals, we will break down these conversations in a way that is meaningful and understandable to each families needs. We set out your ideal, real and individual world options, creating strategies to deliver ongoing services, to assist with the agreed upon plan.

What I love most about my job is being able to provide a service that suits your own individual treatment model. Being able to provide these services to families within their own home, school or local community is incredibly rewarding. Within the comfort of your own home, we are able to work towards you family’s strengths, support you to achieve success and then facilitate change in all desired areas. This continues to inspire and motivate myself to persist to push and support our communities families more. 

Working within the family home is the most desired environment for us as OT’s, as it allows us to work collaboratively with families and children during our sessions. We also work actively and are flexible in interacting with the child’s school setting. We have worked in a range of different schools in the Newcastle to Muswellbrook/Scone regions and are continuing to expand our outreach and support this coming year. 

Working with each school requires a different and individualised assessment. Each school and family have their own goals, strengths and challenges which require some flexibility and support on our behalf. 

We actively participate in goal setting and planning meetings with teachers, run groups and/or individual sessions within the school day, complete teacher training and we host parent and teacher information nights. It’s important for us as OT’s to recognise that the support offered to each and everyone one of our families is different, depending on their desired outcomes. 

As we are in the midst of these vital parent-therapist conversations, I am finding so much joy in hearing all the positivity and recent achievements from our families. Their goals, motivation and support to always seek the best for their children inspires me to keep seeking and searching for the best intervention strategies. The relationship between a parent and therapist is so special, and unique to each family. As parents, you all work so hard to assist your children and it’s truly a blessing to be able to help improve and empower your child’s life.

I am looking forward to further supporting our families this year and ensuring that each of their voices are always heard. In 2020 it is my utmost goal to continue to strengthen Explore and Soar’s parent-therapist relationships, to achieve physical, mental, social and spiritual growth for each and every one of our families. 

The positive feedback following the holiday period is a reminder that parent-therapist relationships really do matter. It is one of the most important aspects of any intervention with a child and their family. One that I and the team at Explore and Soar continue to live by. 

Please don’t hesitate to share with us how we can continue to support you and your family. May 2020 be a year of growth and success for all. It’s time to get to work!

– Jess

ORIGINALLY PUBLISHED FEBRUARY 5, 2020

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Flying with Children

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FLYING WITH CHILDREN

As I write this, I am currently sitting in my economy seat on a Boeing A380. I am making the 13-hour flight from Los Angeles back to Sydney after a wonderful time with friends exploring a country I’ve never ventured to before. 

Here’s a solemn truth though, flying has always been hard for me. The anticipation and anxiety of the flight itself, the dreaded thought of hours of boredom, the stiffness, claustrophobia and the plane food i cannot eat… It’s a lot to overcome. 

The experience of flying long or short haul is different for everyone though. Some dislike it and avoid flying all-together and for others, flying is an exciting, enjoyable experience, no matter the distance.

Personally, I tend to become overwhelmed and anxious when flying. Full disclosure, I may be a little claustrophobic, so sitting in seats next to people with no way of being to get out when I would like to and feeling restricted makes or breaks a flight for me. It’s important that I am able to get up regularly and move around as the change in air pressure has different impacts on my body. I never really spoke to anyone about what I was feeling whilst flying, I thought I was the only one who felt changes that made me uncomfortable. But the more I’ve began to open up about how i feel, the more I realized I wasn’t alone in this. 

So let’s talk about the physical changes that flying brings to your body. For me, I experience earaches from the fluid moving in my inner ear and vestibular system, to increased bloatedness and pain in my stomach whilst remaining in an upright seated position for an extended period of time. Despite being somewhat uncomfortable as a result, I still make the choice to do long haul flights, reminding myself that the journey is worth it to get to the destination of choice.

Along with the physical changes, I also experience a range of emotional and social challenges whilst flying. I am quite observant and that can be somewhat detrimental as it’s hard to switch off during a flight. With concern about those around me, young children perhaps crying and even having to sit with my own thoughts – it can create an unhealthy environment mentally. As an adult, I have learnt to employee strategies to manage my own emotions and mental health on a flight. Watching a film, journaling, having a conversation here and there with those seated next to me to feel more comfortable, having playlists at the ready and trying to get sleep in to pass the time.

But what about how our children cope with the anxiety of flights? With the holidays fast approaching, it’s important to think about strategies to keep them happy whilst contained in a seat for a long period of time. 

Keeping children physically and mentally entertained on a flight can be challenging. All the physical changes that I mentioned above can also occur in young people, so it’s important to prepare for physical and emotional discomfort.  

So what is the best way to cope with this? And how can we prepare them for flights? How do we inform them and describe what is going to happen and why it happens in order to help them cope? And how do we help them through the physical and emotional changes in the moment? 

Let’s begin with the discomfort that you may feel as a parent or caregiver. Let’s face it, we have all been on planes where children have cried, whinged or acted out. As parents, you try and soothe your child or tell them to stop as the engrained societal pressures, worries and expectations of what others think begins to cause undue stress. We begin to take on social anxiety whilst dealing with the physical or emotional discomfort of a child. In this moment of great discomfort, try to remember that these feelings aren’t permanent and that your child comes first. Your child is only expressing that they need help. We need to allow them to express themselves to help them work through their feelings in a positive manner to recover and be present for the rest of the flight.

Now let’s talk about some strategies to help you through the experience together. You may want to try;

  • Preparation; Explaining what will happen, how long the flight may be but what the reward will be at the end.
  • Layout the expectations, for example we need to sit for 3 hours in our chair, how do you think we could do this? What games, books or toys should we take?
  • Physical discomfort; our ears may feel funny or blocked at take off and landing; the feeling is different for everyone. There are a few things to help our kids in this instance:
  • Drink water before and during take off to help with swallowing and keeping the Eustachian tubes clear,
  • Eating a fruit snack, chewing gum or foods and/or sucking on a candy to increase swallowing and keeping the Eustachian tubes in our ears open,
  • Practice our yawning and pretend sleeping games; it helps equalize the pressure in our inner ears,
  • If you have or are prone to ear infections, see a doctor beforehand to ensure safety when flying as it can be very painful for our kids and their ears,
  • Staying awake at prime times; staying awake during take off and landing will help with swallowing, if your child is sleeping, they may not swallow as much and could wake up in pain,
  • Let them cry; believe it or not letting our children cry for a few moments actually relieves the pain for their ears and helps equalize the pressure. Soothing them and comforting them too will help them in moving past this uncomfortable feeling faster, and
  • Most importantly, be kind to yourself – you’re doing the best you can. And so is your child! This experience may be very new and unfamiliar to your children, so comfort them and where possible make them feel at home in the space. 

The end of the year is nearing. We are all planning our Christmas / New Year holiday adventures. Don’t be afraid to fly and travel if you can. Don’t let what other people think or say stop you from living the life you want to live and going somewhere you have always wanted to go.

I cannot wait to hear about all the holiday adventures being planned for the Christmas and New Year holidays and I hope that the above strategies are helpful in keeping your children calm and enjoying a wonderful holiday period!

Jess.

ORIGINALLY PUBLISHED NOVEMBER 6, 2019

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Unpacking Sensory Processing Disorder

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UNPACKING SENSORY PROCESSING DISORDER

If you jump on Google, you’ll soon see that there is a plethora of information regarding all different strategies, ideas and ways to support children with Sensory Processing Disorders, ultimately striving to allow them to process the world around them optimally. 

It’s wonderful that there is so much information out there but often the knowledge provided doesn’t always suit your child’s specific needs. Parents have often expressed these concerns to me when seeking further information, finding that one piece of advice obtained online may relate to their child but the other 10 won’t. This can be a significant challenge with Sensory Processing. It’s important to remember that there is no one single best solution for every child – it’s unique to the individual and their needs. 

Reframe your perspective – Have Fun!

When it comes to dealing with sensory processing disorders, you may have tried numerous strategies that have failed to have a lasting impact and you’re starting to get frustrated – you’re not alone. The first thing I like to remind parents, is that everyone is different and each child has their own unique qualities and quirks meaning their body and mind require different needs. Trial and error with Sensory Processing techniques need to be framed in a fun and enjoyable manner. Parents, carers and teachers may find this challenging but if we can learn to laugh at the teaching moments, it will be an easier and more enjoyable process figuring out what your child needs at that point in time. It’s also important to remember that children are constantly evolving . What may have worked one week ago, may no longer interest or serve purpose to your child. Move intrinsically and pay attention to not only what your child needs but also what they want.

Know your options and do what’s right for you.

Believe it or not, there is more than one aspect to addressing Sensory Processing Disorder. By all means you can do extensive research and find more information. What I am going to detail below won’t cover all bases or avenues – so please keep that in mind and know that there are many other ways to address this issue! 

There are so many avenues of information and some great books with strategies! And better yet, if you’re struggling, contact a local occupational therapist (just like us!) and they will be able to help breakdown different aspects of your child’s needs and give specific strategies to add to your daily tool kit of options. 

Let’s talk about Sensory Defensiveness

Sensory Defensiveness is very unique and not as common as people may think. This process is when you perceive your world in a heightened state and it involves a fight, flight, fright and freeze survival response. It means that the individual is consistently on edge, cannot stand clothing, being touched, the textures of foods, and can additionally have symptoms of hypersensitivity to sounds (constantly covering their ears or beginning to cry when experiencing sounds around them). Sensory defensiveness can also involve extreme aversions to smell. When the body enters this process, individuals more often than not seek to control their environment, interactions, what they do, what they wear, and additionally what they eat. This way they feel as if they can control their inputs, in an attempt to avoid the constant uncomfortable and painful feelings they are experiencing on a day-to-day basis. 

Sensory Modulation Disorder

Sensory Modulation disorder is the most common and also most reported on, as it tends to be the most confusing and overwhelming. Many parents, carers and teachers have trialed a range of different sensory processing strategies to support their children with this disorder and it often hasn’t worked, or it has on one occasion and then stopped – which just outlines the true complexity of the modulating sensory input.

Every child consistently tries to self regulate and calm their body, to problem solve with strategies that feel good and grow through play. However in some children, when this is not occurring optimally different behaviours become apparent. For children with sensory modulation challenges, this is when they have difficulty grading the sensory input coming in, and responding with an appropriate output. This can be seen in their everyday behaviours; playing and assessing risks such as overshooting or undershooting when climbing or kicking a ball. 

For kids with sensory modulation challenges, the more they are fatigued, tired and emotional, the bigger the difficulty in grading their sensory responses. Additionally, as each day is different, their body responds to these sensory inputs differently – resulting in a different response or behavioural reaction to either the same or different sensory input each day! Now imagine how stressful that is for a child. It is equally as frustrating for parents trying to figure out what strategies work in order to feel calm, happy and performing at their best. Though it can be confusing, stressful and overwhelming for everyone, it’s important to remember that trial and error is a part of the process. It won’t always be easy but you and your child will make small improvements as long as you persist and pay attention to their needs.

Sensory Discrimination Disorder

Discrimination means interpreting additional information about an interaction or processing specific qualities of sensory stimuli and attribute meaning towards it. It can be described in many ways but it is more often than not the more intricate details, such as noticing different sounds in an array of competing noises, the ability to process background and foreground noise, identifying an object just by touch, visually identifying different characteristics of letters on a busy page.  Children who have Sensory Discrimination Disorder tend to miss the finer details or have small challenges with their gross and fine motor skills. They may miss some of the nuanced non-verbal and verbal skills required for emotional and social interactions at each age appropriate level. 

Additional to these two disorders, there is also another sensory processing disorder called the Sensory-Based Motor Disorder (SBMD), which we will talk more about in the future and break it down in more detail. 

Living with any of these sensory processing disorders is exhausting, scary and overwhelming for children. It’s important to remember that their expressions through their behaviour are them asking us as adults for help. As children they do not have the cognitive capacity to ask for help specifically in this way. This impacts them in many ways and they find it hard to learn, find joy and happiness in their everyday interactions but with ongoing love and support from their family, support networks and the individual supports and strategies from your OT’s, we can all work together to help our children reach their full potential in life. With the right support they can have independence and enjoy meaningful interactions with others and the world around them.

We are always here to answer any questions you may have! Happy learning and exploring through the senses!

Jess.

ORIGINALLY PUBLISHED OCTOBER 2, 2019

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Roughhousing

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ROUGHHOUSING

Hello Spring! It’s officially the season of change and us finally getting to enjoy being outside again. I thoughtshare my favourite play activity with you; roughhousing. 

I don’t know about you but I find winter really hard. The cold inconsistent weather, leaves you no choice but to be inside more often than not. This becomes quite stifling and finding ways to play only inside can be challenging for parents. But Spring is here and it’s time to get outside once again.

Spring; the time I most enjoy going to the park, beach or coffee dates with friends and letting that fresh air move through my home again. What I also love about this time of year is we all start getting active again. Either exploring in nature with bush walks, playing outside and/or roughhousing with our siblings. 

Growing up, our family was known for being active. We loved moving our bodies and were always outside entertaining ourselves. Our parents were always thinking about how to keep us busy, entertained and having fun. Now this was not an easy feat as all 3 of us have very different inside game preferences but lucky for us when we were all outside, we all loved to move! 

Now don’t get me wrong some days this worked beautifully and we played nicely. On other days, well we fought like cats and dogs to put it nicely.  And some days we still do! Boy did we roughhouse. But, it was exactly what our bodies needed. We were also lucky, that growing up dad was a big kid himself and loved to wrestle and rough us up!

When we would go and visit our cousins (being 5 to 9 years older and all boys), again we would wrestle and play with them. Now did they happen to just hang us upside down in the air, hold us down so we had to figure out how to get out? Of course they did! Did we find ways to get out? Not always truth be told. But did we have fun? Absolutely! And still to this day, they are honestly some of my favourite and memorable times. 

Looking back and with the knowledge of play and OT that I have today, roughhousing is such an integral part of our development and growing up. It works on so many different skills but it is also so much fun! I do find that today most parents tend to bubble wrap their children with concerns of being injured or dealing with the emotions and safety. But managed well it is safe form of play and the benefits are fantastic.

It can be used to support your children in;

  • Activating the body and the sensory systems, processing and responding to the input
  • Increasing child to parent connections
  • Helping to build trust and safety
  • Getting their body moving for core, postural and gross motor development
  • Helping to enhance non-verbal social skills, tuning in and engaging to the other people’s emotions and body language and then to respond accordingly
  • Expanding skills on co-regulating emotions and self-regulating emotions within the games; having self-control. Learning how to independently increase and decrease  interest levels and controlling emotions. These skills can then be transferred into your child’s everyday social interactions with siblings, parents, friends and into the community.
  • When playing these games, you may have a chaser and a catcher, negotiations, sharing of ideas, winning/losing. These decisions only expand their social skills, and develop a greater understanding of cooperation, respect, and empathy.
  • Activates the higher executive functioning skills all kids need for academic development, such as ideation, problem solving and creativity.
  • AND my personal favourite…. It is a form of play that allows kids to make mistakes without fear or punishment.

And remember, when there is fun and laughter, your child is actively learning new skills at a faster rate!

If you want to learn more about roughhousing, you should read ‘The Art of Roughhousing’ by Anthony T. DeBenedet. It is one of my all time favourite books and it has many different games and ideas on how to play with our children and develop the skills I mentioned above through roughhousing. So go check it out if you are interested!

Also, for a fun quick way and guide to get started in roughhousing and supporting your children in engaging in this play, click on this link and get your free hand out today. It is all my rules and favourite games I play with the kids to help them develop their motor skills and their emotional, social development. 

Have a go, see what works for you and your family. Stay safe, create structures and boundaries to support everyone when playing and simply just go for it. It’s Spring, so play outside in the backyard and wrestle on the trampoline, in the park or anywhere! But most importantly have fun whilst doing so. I hope you can have fun connecting, laughing and building great memories for you and your family. 

If you would like more ideas, supports or strategies, feel free to contact us and we would love to chat to you about it today.

Jess.

ORIGINALLY PUBLISHED SEPTEMBER 4, 2019

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Play

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PLAY

This week we are going to chat about the importance of play and how it plays a roll not only in paediatric OT but in our lives as adults too!

I have to admit, playing is one of my favourite things to do. I enjoy being silly or cheeky, laughing, rolling on the floor or making a fool of myself. The joy I get from interacting with children is immeasurable. Whether it’s their bright eyes looking in wonder or their mischievous smile as they’re about to do something, it is incredibly rewarding to see a child enjoying themselves. 

Despite how well some of you may know me, I can also be quite serious or passionate on occasion. But play itself is what keeps me grounded, and serves as a reminder to not take life too seriously, to enjoy the ride that it is. 

This is how I fell in love with paediatric OT.  I loved that I got to play, move my body and support little humans achieve their own goals. I got to encourage them to reach their highest potential by teaching them skills through play that put their new found abilities to use and ultimately promote growth. What I loved even more was that I could do this in families homes and schools and not be tied to a desk all day, everyday as well! 

The role of play itself for our children is so important. Play and development forms the natural basis and foundations for the rest of their lives and continues to be a vital part of our development even into adulthood. Continuing to be playful positivity impacts upon our own mental well being, as well as our cognitive and emotional development over time. 

Did you know that play even helps us prevent Alziehmers?! Now that is pretty amazing if you ask me!

Playing can be fun, exciting, exhilarating, challenging, frustrating and full of experiments. Through play we are constantly learning and changing over time. Play itself can come very naturally for some and continue to be hard work for others.  The key to effective play for kids or even adults is find varied activities that spark joy. 

Some children (or big children aka adults) enjoy being inside, playing with figurines, coloring and drawing. Whilst others are always on the go; climbing, running and getting into a little bit of mischief through physical activity. Some kids can also enjoy both! any of these activities in play are normal and each are a part of our own unique personalities – it’s important to identify what play develops self expression, learning and cognitive behaviour that matters.

So how exactly does play help children?

It’s simple really. When kids play, they are constantly learning. Learning through play is deemed fun.. So when they are enjoying learning something through play, they will be inclined to repeat the experience over and over again, therefore putting into practice their new found skills or behaviours. This can come to the adults detriments… As may seem to bore you with the amount of repetition they are consolidating these skills, learning and integrating them into their everyday life. In turn it becomes a part of their skill repertoire, advancing them into adulthood slowly but surely and allowing them to then learn a new skill.

It’s important to remember that the only way children will consolidate and learn these skills is through repetition. Repetition is so important! So as much as you would like to pack away that noisy toy and for it to never be seen again… (oops! We’ve all been there), just think about what your kids are learning beforehand. 

Don’t you just love it when your kids are laughing and enjoying themselves? Did you know that laughter literally is the best medicine! When your child is laughing whilst playing, learning is happening at it’s fastest! So for all those families who have experienced my big over the top laugh with your kids, there is a method to my madness! Laughter = Fun = Learning = Fast!!  For those who haven’t, that’s probably a good thing, it ain’t pretty! So keep looking for ways to make your kids laugh… I promise that it is helping and that you are doing amazing at it!

As we are hitting the back end of the year, fatigue and tiredness may be setting in and motivation is the last thing that you may be feeling, I get it. But when was the last time you all had a good laugh from playing games as a family? How often is it happening and can we make it happen more? And no I am not insinuating that this should be happening every waking minute of everyday… but inside your busy schedule I ask you this, how can you turn your everyday activities like dressing or bathing into a fun game? Remember by turning normal everyday activities into fun, your child is learning that this is an important skill to master. 

So let’s get playing, laughing and being silly to foster learning together. We all need some more fun, joy and playfulness in our lives. Play more, be serious less.

Next time I’ll share with you exactly how I continue to envelop play in my adult life. 

Until then, happy playing!

Jess.

ORIGINALLY PUBLISHED AUGUST 7, 2019

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