28/10/2024
OT week final post - celebrating success for a teen client 🎉 🙌🏽
I’ve been seeing a 15 year old young woman for about a year, who has (had a late) diagnosis of ASD, ADHD and anxiety. She also has a history of self harm, including trichotillomania (hair pulling). This young person presented as calm and compliant in primary school, but internally she was fighting a sensory overwhelm battle. Her mother noticed she would come home with nail marks in her legs and knew that her daughter was in distress. After a period of decline she ended up engaging in school of distance education, and has returned to mainstream school this year.
The young person has dissociation (extreme nervous system distress) during science lessons, and required frequent breaks from sensory overwhelm and social interactions at school. A few months ago she experienced a depressive episode and dissociation that resulted in the pulling out of all her eyelashes.
It was not easy to see this beautiful young woman so sad and distressed. She found it really difficult to engage in cognitive strategies and any breathing or relaxation techniques.
Instead we went back to her passion: Japan 🇯🇵
Our sessions focused on how we could incorporate more Japanese into her week; by teaching younger students, engaging with anime and giving the encouragement that she could still keep a trip to Japan in sight.
I wrote to the school and asked for her inclusion into the younger classes, and within a few weeks her mood had lifted. She presented brighter again, and hopeful.
She has now turned to her other passion: basketball 🏀 and is playing several times a week. She even went on a basketball camp recently and has dreams of playing basketball in Japan!
I love this example of how meaningful occupation can be the right fit at the right time. Sometimes the ‘shoulds’- like school, breath work, meditation, CBT or psychotherapy are NOT helpful! For this young person meaningful occupation provided an opportunity to dream again 💫
(I will add - she spontaneously tried ‘breathing’ when lying down with her assistance dog, and they breathed together. Also an example of her developmental age and stage, and teens needing to make their own choices, rather than be told!)