Abc-Ot Ltd

Abc-Ot Ltd Positive support for your child. Independent specialised Occupational Therapy for Children based in London. Children, Parents, Teachers and Schools.

Paediatric Occupational Therapist. Sensory Integration Therapist. Attachment Informed Practitioner.

23/11/2025

Opinion | "We should be asking: why is anyone having to fight this hard in the first place?" writes Amber Windsor https://trib.al/55C1fXS

15/09/2025
23/07/2025
11/07/2025
Fight for your rights
06/07/2025

Fight for your rights

08/06/2025

Gillian Lynne: The Girl Who Couldn't Sit Still

Gillian was just seven when the world decided something was wrong with her.
She couldn't sit still in school. She fidgeted, daydreamed, wandered in thought, and failed to follow lessons.
Teachers scolded her. They rewarded her when she managed to stay still—but mostly, they punished her.

At home, it was no different. Her mother, worn down by complaints, punished her too.
Gillian wasn’t just failing in school—she was being made to feel like a failure at home as well.

One day, the school called her mother in for a serious meeting.
As she sat in the room, anxious and bracing for more bad news, the teachers spoke about disorders, medication, maybe hyperactivity.
They were convinced something needed to be fixed.

But then, an older teacher entered the room. He had known Gillian before.
He asked everyone to follow him into an adjoining room where they could still see the girl.
Before leaving, he turned on a small radio and let music fill the space.

And then they saw it.

Gillian, alone, began to move.
She danced. Her body followed the music with joy and instinct.
Her feet tapped, her arms soared—her entire being was in motion, filled with rhythm and life.

The old teacher simply smiled and said:
"She’s not sick. She’s a dancer."

He told her mother to enroll her in dance school.
She did.
And at her very first class, Gillian came home radiant, saying:
"Everyone’s like me. No one can sit still!"

That little girl went on to become Dame Gillian Lynne—world-renowned dancer, choreographer, and creative mind behind the iconic musical Cats.

May every misunderstood child find someone who sees their gift, not their flaw.

✨ Celebrate the ones who don’t fit the mold—because they’re the ones who shape the world.

17/04/2025

🦸🦸🏽‍♀️🦸🏼‍♂️

Think bigger…
15/04/2025

Think bigger…

When children are unhappy at school and are reluctant to go in, this is often framed as ‘anxiety’. This means that the child’s emotions are assumed to be the problem, the thing which is stopping them from happily attending school. Mostly, adults will assume that they are anxious about something (school) which is not scary and so the work of parents and professionals is to change how they feel so that they can go back to school and everyone can relax. This is an approach which has serious drawbacks.

Because we have decided that the problem is their anxiety, the interventions offered are emotional ones. Interventions are offered which assume that if only the child stopped being anxious, there would no longer be a problem with school, and so the child has an anxiety disorder. Children are referred to health professionals (if they are lucky) who follow the protocols for treating anxiety disorders. They try hard to teach them anxiety management strategies and to challenge their beliefs about school. The treatment for anxiety is typically to do the thing you’re anxious about – so that means, if you’re anxious about school, you must go to school. If you’re anxious about hot coals, walk over the coals. Did it once and it hurt? Do it again.

Parents are told not to allow their child to avoid school, as (they are told) this will bring short term relief but in the long term will make things worse. They’re told to increase the ‘pull’ to school by being firm and making it clear that school is not optional. They’re told to increase the ‘push’ from home by not doing anything interesting with their children at home or sometimes even hardly interacting with them during school hours.

It all sounds fine on paper. A bit of gentle encouragement, some firm boundaries and perhaps a sticker chart, and all will be well again. Your child will skip happily into school. This difficult time will be over.

This advice works for some, but not for all. And for those for whom it doesn’t work, the advice is often to keep on doing the same thing. Keep on pushing. Keep making home boring, keep on presenting a united front with the school. Just keep going.

This causes untold damage.

Parents tell me that the ‘don’t let them avoid’ advice in practice means ‘force them to go in’. They tell me that children are peeled off them screaming and that the agony goes on for years. This is not how an anxiety intervention is meant to look. It is not therapeutic. Trust me on this one, I’m a therapist. We don’t treat anxiety by making a person face their anxiety against their will, time after time, when it’s abundantly clear that the anxiety is getting worse not better. Parents tell me that their whole family is in crisis, that their children wake every night begging not to go to school and that Sundays are shrouded with dread. They tell me that their children aren’t learning, not because they aren’t in school, but because every waking moment is spent highly anxious and aroused, worried about whether they will be forced to go in tomorrow. And that is not a good state to learn.

What’s missing is the recognition that school in its current form is not a place where every child can thrive. What’s missing is the understanding that there might be no ‘disorder’ here at all, that the child’s distress might be a reasonable reaction to circumstances. There’s no discussion of the shaming behavioural strategies, how anxiety is used to motivate or the way that children are actively prevented from playing in order to spend their time sitting at a desk. There’s no reference to the fact that many find the constant pressure and lack of privacy hard to manage. There’s no space to ask whether the developmental needs of this child are being met, or whether they feel cared for and valued. There is no recognition that school is set up so some children will fail, that the constant comparisons do not always work to motivate, because what some children learn is that they will never be good enough. This is inevitable, it’s how the system is designed. They cannot all be winners.

All of this is invisible when we decide the problem is an anxiety disorder. The focus on the child’s emotions as the forum for change lets the system off the hook. It stops us from asking questions about the constant flow of children whose unhappiness is so profound that it makes them ill. It stops us from asking difficult questions about whether our education system is fit for purpose. It stops us pushing back and asking for change.

Instead, we focus on the child who says No. We say that this is the problem, and they must instead say Yes. More than that, they must be made to see that Yes is the right answer, the only answer and that even just thinking of saying No was a very bad idea. One which, some of them are told, might put their parents in prison. Oddly, this doesn’t make them feel less anxious.

Emotions are there for a reason. They alert us when something isn’t right in our environment. Anxiety is a warning signal. There’s nothing wrong with a person who doesn’t want to walk across hot coals and of course it would make you anxious if you were forced. One might even say that those who refuse are clear-sighted. They feel things that the others don’t. One thing is for sure, if we don’t listen carefully, we’ll never see what needs to change in the system. We’ll be teaching them relaxation exercises for ever because they won’t work.

The anxiety isn’t the problem. It's the sign of a problem.

with Eliza Fricker Missing The Mark

For more like this, follow me on Substack.

https://naomicfisher.substack.com/p/it-will-get-easier/

29/01/2025

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Carla McCall

I am a London-based Children’s Occupational Therapists (OT) with both private and NHS experience in helping children between the ages of 0 – 18 years achieve their full potential at school/nursery and home, as well as in play and recreation. I have experience working in homes, schools and in a clinic base. I believe in working closely with the school and family in a whole person client centred approach. I believe each child is unique and there is not a prescription that fits all. I believe knowledge is power. I have often provide training to parents and teachers to help broaden their knowledge of what OT the reasons are behind the treatment plans. I believe it is important for parents. LSA’s, TA and teachers to know the foundation skills needed to perform certain tasks and what to look for in order to identify possible causes of difficulties they can act on them immediately. This can help break bad habits and prevent any further difficulties.