https://www.chronicresilienceot.com/blog daily 0.75 2026-03-05 https://www.chronicresilienceot.com/blog/neurodiversity-affirming-practice-for-mental-health monthly 0.5 2025-05-14 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1737590968395-CR6RLVSZRLOYV2FA5O96/NDAP+Canberra.jpeg Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1737589432548-U66GQ81IHKMJWKO31JOW/IMG_2417.JPG Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1737590770777-Z8H8G5OJFM948FH96K2W/NDAP+online+set+up.jpeg Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1737590997419-ODU4DXPGDUY9MA7JHMN9/NDAP+MH+OT+study+day+resource+table.jpeg Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/83e60d97-8bc3-4c99-afb7-270af22917f1/Neurodiversity+Affirming+Practice.jpg Writings - Neurodiversity Affirming Practice for Mental Health Image description: Contents slide outlining the different topics covered with my neurodiversity affirming practice trainings listed as dot points and colour coded. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/87e74eac-eca4-4e26-aae7-7436d4056ad3/1.+Definitions.png Writings - Neurodiversity Affirming Practice for Mental Health - Make it stand out See above for my thoughts on neurodiversity-affirming vs neurodivergent affirming. For more on definitions - Nick Walker https://neuroqueer.com/neurodiversity-terms-and-definitions/ Image description: blue text boxes on a tan background with neurodiversity terms and definitions. Also pictured is the neurodivergent umbrella with examples of different kinds of neurodivergence. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/b9da61b0-df67-4672-9014-2c9782845dc7/2.+Other+words.png Writings - Neurodiversity Affirming Practice for Mental Health - Masking - hiding your true self to conform to societal expectations. Stimming - repetitive movements of body or objects, often for self-regulation. Pathological demand avoidance (Pervasive Drive for Autonomy, PDA) - reaction to and avoidance of demands (it is much deeper than this I know) Interoception - the sense of the body’s internal states (hunger, thirst, emotions, etc.) Executive functioning - set of cognitive processes that help us plan, reason and stay on task. Synesthesia - experiencing sensations in more than one sense, e.g. seeing colours while listening to music. Alexithymia - difficulty identifying, describing and expressing emotions. Sensory modulation - changing how we feel using the senses. Aphantasia - inability to picture things in your mind. Monotropism - a mind that is pulled towards a single point of focus. Misophonia - a strong reaction to specific sounds, reaction may appear ‘unreasonable’. Rejection Sensitivity Dysphoria (RSD) - emotional pain from perceived failure or rejection. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1737676483367-9D0LRNRVW82V3YFFB7YX/NAPPrinciples.jpg Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1737676274971-6U1IME56PVMMZBOF9QOV/EMPOWER+Model+-+A+Neurodiversity-Focused+Occupational+Therapy+Model+%E2%80%94+Neurodivergent+Nexus.png Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1737676330633-ZII9WGS0V3S8VU0JV8Q1/DIVERSE+model.png Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1737676854404-4VU65N05MUNEII6V08NN/NDA_Practice_InfinitySymbolDiagram-2.jpg Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/af91b1aa-1a4e-4ce7-9b71-dbed2f5982ac/nd-trauma-cycle.jpg Writings - Neurodiversity Affirming Practice for Mental Health - This graphic from Newglade Counselling highlights the cycle where trauma occurs for neurodivergent people from being consistently misunderstood and not getting their needs met. Neurodivergent people are more likely to have experienced trauma, including this type of chronic invalidation, that can have a lasting impact. This is why it is vital to be trauma-informed while also being neurodiversity affirming in our practice when we are supporting neurodivergent people. Image description: graphic by Amy Peters, Newglade Counselling of ‘The Neurodivergence Trauma Cycle’. Five different coloured circles with arrows between each: negative experience -> masking -> self-blame -> hypervigilance -> intensifying stress -> negative experience. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/e2b15c7c-d1e4-4a64-a9ad-3bb5e7564c35/3.+Core+principles.png Writings - Neurodiversity Affirming Practice for Mental Health - Image description: a series of different coloured boxes titled with a core principles of neurodiversity affirming practice with mental health related examples. Intersectionality - recognising that people have different combinations of intersecting identities which may result in different barriers and experiences, e.g. finances, gender, race, sexual orientation, disability, co-occurring conditions. Respecting autonomy - offering choices, respecting different needs, right to say no, make decisions and take breaks. Validating differences - recognise and normalise different needs by offering options and accommodations as a matter of course not as something ‘extra’. Presuming competence - assume people are doing the best they can, give space and time for learning. Reframing expectations - some people need more time to process, everyone is unique, strategies you suggest may not work in ‘expected’ ways. Promoting self-advocacy - respecting when someone tells you what they need or sets a boundary, modeling and teaching self-advocacy skills. Rejecting neuronormativity - offering accommodations to all, recognising there is no one right way of doing things. Prioritising lived experience – asking for feedback, learning from neurodivergent people, supporting access to peer support. Nurturing positive self-identity - creating a safe and supportive space for people to learn and grow. Adapting systems and environments - lighting, temperature, smells, textures, background noise, transitions, timing and length of sessions, format, what information is online, booking systems, physical accessibility of the space, public transport. Honouring all forms of communication – understanding that people communicate in different ways, access to verbal speech can fluctuate, have different communication options available e.g. pen and paper, cards, images, resources/books. Image description: a series of different coloured boxes titled with a core principles of neurodiversity affirming practice with mental health related examples. Intersectionality - recognising that people have different combinations of intersecting identities which may result in different barriers and experiences, e.g. finances, gender, race, sexual orientation, disability, co-occurring conditions. Respecting autonomy - offering choices, respecting different needs, right to say no, make decisions and take breaks. Validating differences - recognise and normalise different needs by offering options and accommodations as a matter of course not as something ‘extra’. Presuming competence - assume people are doing the best they can, give space and time for learning. Reframing expectations - some people need more time to process, everyone is unique, strategies you suggest may not work in ‘expected’ ways. Promoting self-advocacy - respecting when someone tells you what they need or sets a boundary, modeling and teaching self-advocacy skills. Rejecting neuronormativity - offering accommodations to all, recognising there is no one right way of doing things. Prioritising lived experience – asking for feedback, learning from neurodivergent people, supporting access to peer support. Nurturing positive self-identity - creating a safe and supportive space for people to learn and grow. Adapting systems and environments - lighting, temperature, smells, textures, background noise, transitions, timing and length of sessions, format, what information is online, booking systems, physical accessibility of the space, public transport. Honouring all forms of communication – understanding that people communicate in different ways, access to verbal speech can fluctuate, have different communication options available e.g. pen and paper, cards, images, resources/books. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/a21070b8-ab33-45ee-9e32-da06437fd98d/4.+Models+of+Disability.png Writings - Neurodiversity Affirming Practice for Mental Health - With the medical model of disability the problem is with the person, it is very deficit focused and can often feel like it is blaming the individual. A better framing is to use the social model of disability where disability occurs because of barriers in the environment and society around the individual. Image description: coloured text boxes on tan background defining the medical and social models of disability. Next to the medical model description is an outline of a person with arrows pointing towards them and the word ‘problem’ inside. Next to the social model description there is an outline of a person, the arrows point away from the person and the word ‘problem’ is outside them. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1747186879439-LJ6O2RFHZV0IUD8MFIP8/5.+Alexithymia.png Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1747186868872-DIM1Y230TUSQDXPRCAP2/6.+Interoception.png Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/f23a7701-7769-4fdf-88de-393ca0e10577/7.+Sensory+Processing.png Writings - Neurodiversity Affirming Practice for Mental Health Auditory - Background noise, humming of lights/fans/electricity, your speaking volume, auditory processing speed Visual (sight) - Visual clutter in the space, unexpected changes, colours, artwork, clear pathways, information, signage, resources Gustatory (taste) - Mindfulness practices using food, grounding and anti-dissociative resources, preferences Olfactory (smell) - Diffusers, essential oils, candles, soaps, perfumes, cleaning products Vestibular - May seek out additional input and need to move around during a session or sit in different positions Proprioception - Sense of body in space, body map, awareness/lack of may impact capacity to stay focused Interoception - Internal body sense, hyper or hypo awareness of emotions or sensations, tension, breathing; links to alexithymia and emotion regulation Tactile (touch) - Seats, blankets, cushions, fidgets, the use of touch (with consent and as appropriate depending on your modality) https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/ab240446-a52c-412d-b07a-78a316b7365c/8.+Communication.png Writings - Neurodiversity Affirming Practice for Mental Health - Communication, The Double Empathy Problem and The Triple Empathy Problem Image description: blue text box heading ‘Communication’, with the following text: People communicate in many different ways and may need different strategies or supports at different times, e.g. communication cards, verbal speech, writing. Communication and interaction styles vary by culture, belief, gender, societal traditions and expectations, age, generation, personality, neurodivergence, etc. Things to consider in practice: Differences in use of eye contact, understanding indirect language (sarcasm) or body language; The Double Empathy Problem (Damien Milton, 2012) and The Triple Empathy Problem (Shaw, et al., 2023); Need for clear, direct instructions, be aware of how you communicate and check for understanding; Multimodal communication e.g. verbally explaining something as well as giving written information. Graphic representation of the double and triple empathy problem. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/759602af-c74d-4b98-9eb3-486358399ddd/9.+Co-occurring+conditions.png Writings - Neurodiversity Affirming Practice for Mental Health - Co-Occurring Conditions - overlap is the rule, not the exception Always consider what else might be going on for someone. Image description: blue text box heading ‘Co-Occurring Conditions’, with the following text: Many people have combinations of different types of neurodivergence e.g. Autism + ADHD + Dyslexia, Autism + OCD. Look for different kinds of neurodivergence as well as chronic illnesses, hypermobility and pain conditions which occur more frequently in neurodivergent populations. Consider how you can support and accommodate different needs: Impact of symptoms/experiences on participation in meaningful activities and the impact on mental health; Session length and timing, online options, seating; Symptoms can impact follow through of strategies; Trauma-informed practice, creating safety, clear instructions, consent, predictability and familiarity. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/7490ecb3-18f0-448b-9be1-719f4f4c78c6/10.+Missed+and+misdiagnosis.png Writings - Neurodiversity Affirming Practice for Mental Health High rates of, and gender differences with, missed and misdiagnosis. Image description: blue text box heading ‘Missed and misdiagnosis’. Three different coloured text boxes with arrows connecting them, from left to right: Underdiagnosis, Misdiagnosis, Late disagnosis or late realisation -> Delays in self understanding and support, Lack of, or inappropriate, support -> Trauma, Chronic invalidation, Masking, Gaslighting, Burnout, Addiction, Suicidality, Reduced QoL. Below this: In practice: Look out for other things that might be going on as it is likely to be more than just one thing; Consider previous negative experiences and always be trauma sensitive; If someone has had depression and anxiety for 20 years, it’s probably something else. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1747187650649-8ICQ4I5YQNAOHL2X6PLN/11.+Support+and+accommodations.png Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1747187651806-8H3QDWWLJELLGPE1C7KR/12.+Accommodations+make+a+difference.png Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1747187701133-VJ4AO6ZDOEKTO13VDJHU/13.+Lived+experience+feedback+barriers.png Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1747187701472-JQNA1ER4U0U6K0WDJQL6/14.+Lived+experience+feedback+what+helps.png Writings - Neurodiversity Affirming Practice for Mental Health https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/466101c7-8226-4618-94f9-7543664f1dd5/NDAP+summary+graphic.jpg Writings - Neurodiversity Affirming Practice for Mental Health - When thinking about what it all boils down to, For me neurodiversity affirming practice comes down to: Ask, Listen, Be curious, Validate. Image description: 4 different coloured boxes each with one of the following words and an image from left to right: Ask (question mark), Listen (ear), Be curious (magnifying glass), Validate (hand with heart). https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/854b3351-08f7-4389-b628-3f3f23a56ed8/15.+Other+resources.png Writings - Neurodiversity Affirming Practice for Mental Health Pages/People: Neurowild, Embrace the Muchness, Reframing Autism, Yellow Ladybugs, Autism Level UP, The Lived Experience Educator, Neurodivergent Insights, Dr Alice Nicholls, Kelly Mahler - interoception, Sensory Modulation Brisbane, How To ADHD, Ben B. - "My Own Words: Reflections of a Non-Speaking Autistic”, The Hypermobility MD, Dr Bendy Brain - Dr Jessica Eccles, Autistic Doctor’s International, All Brains Belong. Podcasts: Divergent Conversations, The Neurodivergent Woman, Square Peg, The POTScast, The Rest Room, Two Sides of the Spectrum, and many more... Books: Neuroqueer Heresies by Nick Walker, Unmasking Autism by Dr Devon Price, Different Not Less by Chloe Hayden, What I Mean When I Say I’m Autistic by Annie Kotowicz, I Am Autistic and This Is ADHD by Chanelle Moriah, Still Distracted After All These Years by Kathleen Nadeau, A Day With No Words by Tiffany Hammond, The Rainbow Brain and The Brain Forest by Sandhya Menon, Wild Of Brain by Anissa Ljanta, and so many more... For more on books, I keep a reading list record and review what I’ve been reading on this page. https://www.chronicresilienceot.com/blog/poster-presentation-finding-belonging-as-a-neurodivergent-occupational-therapist- monthly 0.5 2025-01-29 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/cddd5565-2550-4a6d-8967-d98b40ccb417/Clinical+Workshops+poster+and+me+2.jpeg Writings - Poster Presentation: Finding Belonging as a Neurodivergent Occupational Therapist ​ - Here’s me standing with the poster and grinning. Image description: picture of a brown haired person wearing glasses, a floral shirt, sunflower lanyard and cardigan, gesturing towards a conference poster pinned up on a black background. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/6aa9a6b6-ca89-45c4-9c39-66776ac3084f/Poster+figure+1.jpg Writings - Poster Presentation: Finding Belonging as a Neurodivergent Occupational Therapist ​ - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/0b1f1e03-e97a-45cc-a2b9-536f305b7df3/Poster+results+figure+2.jpg Writings - Poster Presentation: Finding Belonging as a Neurodivergent Occupational Therapist ​ - Figure 2. CanMOP reformatted Image description: a reformatted version of the CanMOP model with Occupational Participation - Process at the top left corner and Occupational Participation - Performance in the bottom right corner. Between these two in a staggered line are: Meaning, Purpose, Possibilities, Access, Initiate and Sustain in individual boxes. To the top right is a box for History - Relationships, Experiences, Propensities and to the bottom left is a box for Context - Environmental interplay. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/7554dc28-ac96-477c-b374-ae4a90d21cc7/Poster+-+Finding+Belonging+As+A+Neurodivergent+Occupational+Therapist.jpg Writings - Poster Presentation: Finding Belonging as a Neurodivergent Occupational Therapist ​ - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.chronicresilienceot.com/blog/ot-exchange-2024 monthly 0.5 2024-08-25 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/14364f60-fd57-4047-bf4d-849605b459a6/IMG_2288.jpeg Writings - Reflection: OT Exchange 2024 - Highlights Seeing OTs in person that I’ve been connected with for a while, but only met online, especially Bronwyn Paynter (Nature OT) and Bradley Bird-Williams (The Becoming Collective). Making some new connections and being recognised from my Facebook page! Meeting Senator Jordon Steele-John, a greens senator who is a wheelchair user, after listening to his amazing keynote talk. Making a journey stick out of natural materials in Prue Spry’s (Play Naturally OT) wonderful workshop. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1719984874707-7IK0N0B9HB35GN6QIG3P/IMG_2276.jpeg Writings - Reflection: OT Exchange 2024 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1719984982384-YYMO9Z30M0T7R1WJ6OF6/IMG_2277.jpeg Writings - Reflection: OT Exchange 2024 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1719984980718-LWFGQSKLT3IO6LVA8U8R/IMG_2278.jpeg Writings - Reflection: OT Exchange 2024 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1719985322467-1HQJ1I2DLUA6SKZYMV3Y/IMG_2281.jpeg Writings - Reflection: OT Exchange 2024 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1719985456132-GHZW0NOMLC3PCI39GOCK/IMG_2283.jpeg Writings - Reflection: OT Exchange 2024 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1719985510234-48PDVVVR15R1KOR8BMV8/IMG_3584.jpeg Writings - Reflection: OT Exchange 2024 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/08b5a3ce-488f-42d0-8e9b-ec8547672a5c/Doing+a+difficult+thing.jpg Writings - Reflection: OT Exchange 2024 - Doing something like attending a 2 day conference when you are chronically ill and neurodivergent doesn’t just happen on a whim. A lot of forethought, planning and supports go into making it possible. Last year I created this graphic and related worksheet on ‘Doing a difficult thing’ and am using it again here as I find it a useful framework. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/9532a367-8858-4dab-bfcf-4dc06c04a8cf/Doing+something+difficult.jpg Writings - Reflection: OT Exchange 2024 - Make it stand out Image description: a graphic headed ‘Supports I used to attend the OT Exchange 2024 in Perth’. Four vertical boxes are arranged across the page with bulleted lists of supports for before, transport, during and after. Above each of these headings is a symbol: Before is in red with an arrow to the left, Transport is in yellow with a car, During is in green with paper and pencil, After is in blue with an arrow pointing to the right. https://www.chronicresilienceot.com/blog/laziness-does-not-exist monthly 0.5 2024-08-11 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/2c453b7c-daac-4ccb-a16c-1f3965c794a3/IMG_2404.jpeg Writings - Laziness Does Not Exist - Sometimes you read a book and it cements and affirms so many of the things you have been thinking. It feels so rewarding and legitimising. ‘Laziness Does Not Exist’ by Devon Price is one such book. I cannot recommend this book highly enough. Link to their Medium writing here. (On a side note their other book ‘Unmasking Autism’ gave me so many aha moments and was a key factor in seeking a diagnosis) Image description: a photo of me a brown haired, fair skinned person wearing glasses smiling and holding up the book Laziness Does Not Exist. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1a508b28-9522-470d-aa08-1e0fcc831ccf/IMG_2400.jpeg Writings - Laziness Does Not Exist - Right from the beginning the points in this book hit home. “The Laziness Lie is a deep-seated, culturally held belief system that leads many of us to believe the following: Deep down I’m lazy and worthless. I must work incredibly hard, all the time, to overcome my inner laziness. My worth is earned through my productivity. Work is the center of life. Anyone who isn’t accomplished and driven is immoral. The Laziness Lie is the source of the guilty feeling that we are not ‘doing enough’; it’s also the force that compels us to work ourselves into sickness.” (p. 9) Image description: picture of page 9 of The Laziness Lie. Key text is typed above. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/dca4a746-0f11-4f7a-85bc-0fb8c86ba98e/IMG_2403.jpeg Writings - Laziness Does Not Exist - Questions to Ask Before Trying to “Save” Someone (p. 178) Can they solve this on their own? Do they want help? Do they want my help? Am I the right person to provide help right now? Can I direct them to seek help from a professional or a close loved one? What are my motives for helping? What will helping cost me? https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/a184a7b4-6e22-437a-999e-c4b83dcdd9d5/IMG_2405.JPG Writings - Laziness Does Not Exist - And not get stressed by my bedside to read pile. I’m going to gentle with myself and read these when it feels doable for me and not on some externally or internally imposed schedule of how much I ‘should’ be reading. Image description: a photo of 15 books in a shelf. They are mostly related to Autism and/or ADHD. https://www.chronicresilienceot.com/blog/new-zealand-trauma-conference-2024 monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/2e2a0e81-7f7d-424f-888a-726808c63268/IMG_2186.jpg Writings - New Zealand Trauma Conference 2024 - Speaker: Bessel van der Kolk An engaging and informative day. Much of the content is what Bessel van der Kolk talks about in his book ‘The Body Keeps The Score’, but presented live with case examples made the content land more strongly. I was especially moved by the opening waiata with over 1000 delegates singing together with the wonderful acoustics of the venue. I took 6 pages of notes and have done my best to summarise these here. Image description: event banner for the NZ Trauma Conference 2024. Blue text on a white background. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1715392638164-MSPUQPGJ5UF1RK2AQJIB/IMG_2187.jpeg Writings - New Zealand Trauma Conference 2024 - Me with my headphones and sunflower lanyard https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1715392600194-TOKMO2KM2LQ43U2M3JUJ/IMG_2183.jpeg Writings - New Zealand Trauma Conference 2024 - My new wheeled backpack https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1715392557162-VRVENESRMOUGXVIZ8BQ0/IMG_2179.jpeg Writings - New Zealand Trauma Conference 2024 - Pencil case with fidgets, earplugs and pens https://www.chronicresilienceot.com/blog/recovery-models-and-frameworks monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/c6a31cbf-3e5e-4145-87d3-b3f690ddb12a/Recovery+intro.jpg Writings - Recovery Models and Frameworks Image description: brown background with blue text boxes, title is ‘recovery in mental health’. Other text ‘recovery means different things to different people and looks different for each person, with many factors involved.’ Under this is an image of a hard with hands and the following words scattered around: participation, context, process, hope, autonomy, culture, living well, supports and resources, meaning, social engagement, community, purpose, wellbeing, agency, identity. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/05d255af-e851-4410-ba2a-a9f3b56ad379/samhsa-principles-of-recovery.jpeg Writings - Recovery Models and Frameworks - Recovery: A process of change through which individuals improve their health and wellness, live a self- directed life, and strive to reach their full potential. 4 Dimensions That Support Life in Recovery Health Home Purpose Community 10 Guiding Principles of Recovery: Person-driven, Many pathways, Peer support, Addresses trauma, Strengths/ Responsibility, Hope, Holistic, Relational, Culture, Respect Image credit: SAMHSA (2012). SAMHSA’s Working Definition of Recovery. Retrieved from: https://store.samhsa.gov/sites/default/files/d7/priv/pep12-recdef.pdf Image description: a circle shape containing the 10 guiding principles of recovery in different coloured wedges. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/ab7359b2-8d02-4d6b-832d-f16ed6556ad8/AOTA+and+recovery.jpg Writings - Recovery Models and Frameworks - Make it stand out Figure 1.2. Goodness of fit: Recovery and AOTA practice framework. SAMHSA’s four dimensions of recovery support a life in recovery and can be used by occupational therapy practitioners to guide treatment planning and intervention decision-making (Read, & Stoffel, 2019). Image description: screenshot from a textbook. Two blue arrows point towards each other. On the left the AOTA practice framework is listed: health through engagement in occupations; environments that support occupational choices; meaningful occupations; social participation and co-occupation. On the right the SAMHSA recovery dimensions are listed: health, home, purpose, community. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/f8ebb959-a3ee-4fc1-a0e3-7188cfb076db/Recovery+and+OT.jpg Writings - Recovery Models and Frameworks Image description: a brown background with blue text boxes, heading ‘Recovery and Occupational Therapy’. A bidirectional arrow points sits between two statements ‘Occupational therapy promotes recovery’ and ‘Recovery promotes occupational performance’. Below this is a list: A recovery approach fits well within occupational therapy: Person-centred practice, collaboration; Hope, support, empowerment, building mastery; Support for pursuing meaningful occupations and routines that promote health, well-being and balance; Engagement across contexts (SAMHSA dimensions - health home, purpose, community); 1:1 interventions, groups, workplace and systems change, population level interventions. In the bottom right is an image of two speech bubbles curled around each other. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/60472e62-dd41-4c64-8c28-ffa4878ff60e/Personal+v+clinical.jpg Writings - Recovery Models and Frameworks - Make it stand out Image description: brown background with blue text boxes, heading: ‘Personal vs Clinical Recovery’. In the first text box personal recovery is defined as: Living well. Leading a satisfying and meaningful life despite symptoms. Personal recovery does not necessarily correlate with symptom levels. It’s a unique and personal process, more subjective and process-oriented, sees the individual in context. An image of a person hugging themselves sits to the right. In the second text box clinical recovery is defined as Reduction of symptoms, improvement in functioning. Medical model view, objective and outcome focused, sees the individual as passive. An image of a clipboard and pen with medication sits to the left. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/13e765d2-555e-4292-9a44-9930cea47aac/CHIME.jpeg Writings - Recovery Models and Frameworks - Make it stand out Image credit: Progress in Mind Image description: an infographic of the CHIME recovery framework. Each letter of the acronym goes across horizontally with a circular picture above each one. C - connectedness, picture of the world as a puzzle and two people putting the last piece in. H - hope, a picture of a blue sky and a person looking towards the horizon. I - identity, picture of a person looking at themselves in a mirror. M - meaning, picture of a person climbing a ladder above the clouds reaching for a star. E - empowerment, picture of a person with their arms crossed, ghost-like arms behind them are held up to each side showing strong muscles. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/bc72a571-bc5a-43bd-afd0-856e6be1025f/PTMF-696x696.jpeg Writings - Recovery Models and Frameworks - Image credit: Juliet Young, Creative Clinical Psychologist Image description: a cartoon style infographic of the Power Threat Meaning Framework with different aspects of the framework represented by 5 circles. Bidirectional arrows connect all of the circles. In the central circle the word ‘Power’ is in red text, the circle asks ‘how is/was power operating in your life?’ and lists examples of power: bodily, economic, legal, coercive, social capital, relational, idealogical. Top left circle: ‘Strengths’ in pink text, ‘what access to power resources do you have? e.g. solidarity, skills, support, access’ with a picture of two people hugging and heart and stars around them. Top right circle: ‘Threat’ in orange text, ‘how did/does it affect you? e.g. to emotional safety’ with a picture of an adult shouting and pointing at a child sitting with their knees drawn up to their chest. Bottom left circle: ‘Response’ in blue text, ‘what did/do you have to do to survive? e.g. learned to self harm to calm distress’, picture of a person looking sad. Bottom right circle: ‘Meaning’ in purple text, ‘what sense did/do you make of it? e.g. I felt excluded and ashamed’, picture of a person with their head bent forward and shoulders slumped. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/9a322d4f-6c25-4657-9f5d-46526f612802/SPICE.jpeg Writings - Recovery Models and Frameworks - Figure 2 [from original research article]. Meta-synthesis map. Visual representation of how the recovery paradigms and themes identified in this systematic review are related and their predominance in user/carer samples. The circles on left and right represent recovery as understood by users and carers, respectively. The outer circle presents recovery paradigms, while the inner circles refer to the themes and subthemes. The most prevalent themes are highlighted in bold letters. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/e0940c0a-315f-4be3-ba44-8a2739aca147/The+Re+covery+Model.png Writings - Recovery Models and Frameworks - Figure 1. [From original research article] The Map of the Journey of Re-covery that forms a basis for explaining the Re-covery program. Image from original article. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/7bf6331a-4bb0-4f92-95ff-4d7d353d40c8/Recovery-oriented+services.jpg Writings - Recovery Models and Frameworks Image description: a brown background with blue text boxes, heading ‘recovery-oriented services’. A bulleted list of points says: Responsive services - listen and respond to needs; Person-centred, strengths-based; Cultural responsivity and awareness, Respectful, relational, holistic; See recovery as more than risk and symptom management; Different pathways available; Support: hope, strengths and weaknesses, autonomy, agency, engagement, participation, identity, meaning; Peer support services available; See recovery within the larger context; Understand the social determinants of health. An image of a hand with outlines of people is in the top left and an image of a road with the words ‘together in recovery’ is in the bottom right. https://www.chronicresilienceot.com/blog/neurodiversity-affirming-practice-in-mental-health-lived-experience-feedback monthly 0.5 2024-07-31 https://www.chronicresilienceot.com/blog/adapting-breath-and-body-based-activities monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/65471e8b-7d8b-4e64-ad89-f4e891de8d69/IMG_0521.jpeg Writings - Adapting breath and body based activities - Explore slowly and compassionately Be curious and creative Try out different things There is no one ‘right’ way, it’s about finding what works for your body, brain and circumstances, and what feels supportive, useful and doable in your life Supported spaces like therapy or a class or group can be useful for sharing experiences and getting some additional guidance Image description: a picture of a double rainbow over a beach. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/881ac52a-e472-4089-af64-207a63ead8c4/IMG_1957.jpeg Writings - Adapting breath and body based activities - As a mindfulness practice you could touch or hold an object. What does it feel like? Is there a sound? A smell? A weight, texture, pattern? What can you see? Are there different colours? Is there a corresponding feeling or sensations in the body? Does it make you feel calm or alert? Focused or overwhelmed? Example in daily life: In this picture a butterfly landed on my hand when I was visiting the butterfly forest at the museum in Dunedin/Ōtepoti. The butterfly felt light and bit a bit tickly on my hand. It moved its wings and I could feel a slight movement of air. There was lots of moisture in the air. I could hear the sounds of water moving and dripping off plants. I could hear the other people who were in the enclosure. I could see the different colours of the butterfly and all the different plants around me. I could feel the firm, slightly damp wood of the bridge railing under my hand. Image description: a black and red butterfly sits on a person’s hand. There is water and plans in the background. https://www.chronicresilienceot.com/blog/values-as-a-guiding-force monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1696730119538-ZS32IKOEW0DK0OK8FZ16/IMG_1953.jpeg Writings - Values as a guiding force supporting engagement and meaning-making - Make it stand out Image description: a photo of a brown haired person wearing blue glasses and a sunflower lanyard smiling at the camera and gesturing towards a conference poster. The poster is laid out in sections (text below) with a picture of a vision board at top right and bottom centre. A copy of these are hung below the poster. https://www.chronicresilienceot.com/blog/otnz-wna-conference-2023 monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/87ea220f-ecdc-4a64-ad9a-ba0fd32ddd38/IMG_1953.jpeg Writings - OTNZ-WNA Conference 2023 - This was my first ever try at a poster and I was really happy with the result. I used Canva for creating it and had some really helpful feedback from a friend about the design and making sure the content was clear. The instructions for the conference said to spend time near my poster in the breaks and so that’s what I did and I had lots of interesting conversations about the process. This was a reflection on a personal project I’ve been working on over a two-year period, developing a values workshop and how I have used this practice with myself and with clients. The next step is to adapt the content to an online format that I can deliver to other health professionals and share out the resources. — Image description: a picture of a short haired person wearing glasses and a sunflower lanyard smiling at the camera and gesturing to a conference poster. The poster is titled ‘Values as a guiding force supporting engagement and meaning-making. It outlines a creative iterative process of the development of a values workshop. The importance of exploring values, what the intervention is, what the outcomes were for clients and for personal practice, the implications for practice and a conclusions. Pictures on the poster are of two vision boards and a values pyramid. The physical copies of these are also pinned below the poster. The vision boards and values pyramid represent the authors personal experience of the values exploration process and making a visual. Also hanging up is a zip loc bag with a set of values words printed on yellow card. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/fb950c81-f7dc-4ee7-877f-dd2e3625e6e5/IMG_1946.jpeg Writings - OTNZ-WNA Conference 2023 - Introducing Soft Sessions A friend of mine has been working on a project developing a movement and mediation program for people with ME/CFS for a number of years. I came on board to support a couple of years ago and suggested we take what we have to the conference. She agreed and we worked hard together to create the presentation. Explaining the background, our aims and what we have been doing in only 12 minutes was tricky but we managed it. It was really useful working on this presentation with someone else as we could bounce ideas off each other and it wasn’t done as last minute as some other projects either! I also made the effort to actually practice the presentation to check timing and flow. I was nervous up there but also excited to share the project as it is one I care a lot about. You can find more about this project here Soft Sessions . We are hoping for the program to be live later this year. — Image description: a photo of a short person with brown hair, wearing glasses and a blue shirt, standing behind a lectern with their hands clasped, in the middle of a presentation. To either side are the edges of two screens with the presentation on. In the foreground are some chairs and the backs of a couple of people’s heads. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/9a4336dd-ffd3-433a-a48f-a51dcf169f6d/IMG_1957.jpeg Writings - OTNZ-WNA Conference 2023 - Summary I was pleasantly surprised by how much I enjoyed the conference. It has reignited my passion and confirmed my ideas around how I want to work as an occupational therapist. I hope to do more speaking and conferences in the future and am considering future studies as well. I will continue to explore and connect and work towards living more in line with my values in a way that supports my own needs and capacity, while also improving community connections and working for bigger system change from my little corner of the world. — Image description: a phot of a black and red butterfly sitting on a person’s hand with greenery and a pond in the background. https://www.chronicresilienceot.com/blog/different-kinds-of-rest monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/834b74d2-dacb-4fb3-9182-e72b53537d66/1.+What+is+rest.jpg Writings - Different Kinds of Rest - Image description: A Graphic with a light brown background and blue text boxes. In the top left a cartoon person is lying down with their head on a pillow. In the top right a cartoon person is sitting upside down in a chair. Heading: What is rest? Text: Rest is not just sleep. Rest is how we nourish ourselves, how we recharge, soothe and restore. It's about slowing down, taking some space, having a break. Rest is crucial for functioning. It is a necessity not a luxury. Rest is both a prevention and a management tool and is valuable in short rest snacks or in longer practices. Our systems need downtime to recharge. Everyone deserves rest. Every body needs rest. Below this is a person sitting with their legs up in a comfy chair, other words for rest are to the left and right: Stopping, Restoring, Slowing down Having a break, Regaining strengthPeace of mind, Nourishing, Recharging, Soothing, Taking some space. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/0f4dee45-ad71-4c46-b336-9733ebb6e995/2.+Different+kinds+of+rest.jpg Writings - Different Kinds of Rest - Image description: A Graphic with a light brown background and different coloured text boxes. Heading: different kinds of rest, my categorisation. Spiritual rest is represented by a yellow textbox with an image of a hand with 3 flowers, text: Spiritual rest - Soothing the soul or spirit. Restoration. Connection. Finding a sense of safety and ease. Physical rest is represented by a green text box with an image of a person stretching, text: Physical rest - Being still. Moving gently and mindfully. Sensory soothing and comfort. Calming your nervous system. Cognitive rest is represented by a purple text box and an outline of a head showing the brain inside, text: Cognitive rest - Having a break from demands, expectations or decision making. Engaging in interests, finding flow. Emotional rest is represented by a blue text box with an image of a heart shape inside a magnifying glass, text: Emotional rest - Distracting from emotions to get a break. Doing something fun and restorative. Self compassion. Image description: A Graphic with a light brown background and different coloured text boxes. Heading: different kinds of rest, my categorisation. Spiritual rest is represented by a yellow textbox with an image of a hand with 3 flowers, text: Spiritual rest - Soothing the soul or spirit. Restoration. Connection. Finding a sense of safety and ease. Physical rest is represented by a green text box with an image of a person stretching, text: Physical rest - Being still. Moving gently and mindfully. Sensory soothing and comfort. Calming your nervous system. Cognitive rest is represented by a purple text box and an outline of a head showing the brain inside, text: Cognitive rest - Having a break from demands, expectations or decision making. Engaging in interests, finding flow. Emotional rest is represented by a blue text box with an image of a heart shape inside a magnifying glass, text: Emotional rest - Distracting from emotions to get a break. Doing something fun and restorative. Self compassion. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/01767a1f-ebf0-475b-84cb-58b265b60744/3.+7+types+of+rest.jpg Writings - Different Kinds of Rest - Image description: A Graphic with a light brown background and different coloured text boxes. Heading: The 7 Types of Rest by Saundra Dalton-Smith MD. Physical rest (green) - Passive (sleeping, napping) or active (yoga, stretching). Mental rest (blue) - Rest for your brain, taking breaks and slowing down, mindfulness. Sensory rest (purple) - Resting your senses, reducing sensory inputs, avoiding over-stimulation. Creative rest (yellow) - Reawakening awe and wonder, inspiration and passion (art, nature etc.). Emotional rest (brown) - Time and space to express yourself, being authentic and honest, saying no. Social rest (orange) - Spending less time on exhausting relationships, more time with supportive people. Spiritual rest (pink) - Belonging, love, acceptance and purpose (prayer, meditation, community connection). https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/ceb2a3ff-0e8d-49a6-8e2e-400b009ef747/4.+Rest+barriers+and+facilitators.jpg Writings - Different Kinds of Rest - Image description: A Graphic with a light brown background and two text boxes. On the left a blue box is titled ‘Rest Barriers’ and has a picture of a hand held up in a stop gesture. The barriers are listed: Thoughts about not deserving rest, Time, resources, money, Caring commitments, High productivity standards, Societal/family values, Not understanding your rest cues, Not knowing how to switch off and rest, Rumination, thoughts, feelings, critical self talk, shoulds, Fighting the need to rest. On the right is a green text box titled ‘Rest Facilitators’ with a picture of a hand with a heart shape above it. Facilitators are: Privileges of time, resources, money, Support from family, friends, health professionals, Knowing about the importance of rest and what you find restful, Valuing/prioritising rest, Being mindful, Accepting the need to rest, Noticing your rest cues, Self compassion, Making the most of small moments. Image description: A Graphic with a light brown background and two text boxes. On the left a blue box is titled ‘Rest Barriers’ and has a picture of a hand held up in a stop gesture. The barriers are listed: Thoughts about not deserving rest, Time, resources, money, Caring commitments, High productivity standards, Societal/family values, Not understanding your rest cues, Not knowing how to switch off and rest, Rumination, thoughts, feelings, critical self talk, shoulds, Fighting the need to rest. On the right is a green text box titled ‘Rest Facilitators’ with a picture of a hand with a heart shape above it. Facilitators are: Privileges of time, resources, money, Support from family, friends, health professionals, Knowing about the importance of rest and what you find restful, Valuing/prioritising rest, Being mindful, Accepting the need to rest, Noticing your rest cues, Self compassion, Making the most of small moments. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/90d51c1c-cb02-4647-a303-0e66e19fbae0/5.+Changing+our+language.jpg Writings - Different Kinds of Rest - Image description: A Graphic with a light brown background and different coloured text boxes. Heading: Changing Our Language. A yellow text box says: Language is important. How we talk to and about ourselves matters. Often we think we 'should' rest or say things like 'I have to do this first' or 'I can't do that.' We might also have thoughts about not deserving rest. This can be really tricky and changing your language is one strategy that can help. Below this are two green speech bubbles, one says ‘I should --> I'd like, I'd prefer’ the other says ‘I have to/need to --> I choose to’. At the bottom are two examples of changing language. On the left ‘I don’t deserve rest’ becomes ‘Rest is part of recovery’ on the right; and ‘I should get more rest’ becomes ‘I’m doing the best I can’. The left text box is orange and the right one is green with arrows between the changed statements. Image description: A Graphic with a light brown background and different coloured text boxes. Heading: Changing Our Language. A yellow text box says: Language is important. How we talk to and about ourselves matters. Often we think we 'should' rest or say things like 'I have to do this first' or 'I can't do that.' We might also have thoughts about not deserving rest. This can be really tricky and changing your language is one strategy that can help. Below this are two green speech bubbles, one says ‘I should --> I'd like, I'd prefer’ the other says ‘I have to/need to --> I choose to’. At the bottom are two examples of changing language. On the left ‘I don’t deserve rest’ becomes ‘Rest is part of recovery’ on the right; and ‘I should get more rest’ becomes ‘I’m doing the best I can’. The left text box is orange and the right one is green with arrows between the changed statements. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/4cf99d9b-6efa-4453-a07f-180668a44134/6.+Rest+snacks+and+longer.jpg Writings - Different Kinds of Rest - Image description: A Graphic with a light brown background and different coloured text boxes. On the left is a blue text box with the heading ‘Rest Snacks’ and an image of snacks. Examples in a brownish yellow text box below this are: Listen to a gentle song, Short guided meditation, Sit or lie down and breathe slowly for a couple of minutes, Do one stretch, Sit under a weighted toy or blanket, Savour a hot drink, Stand outside and notice 3 things you can see. On the right is a blue text box with the heading ‘Longer Rest Ideas’ with an image of a clock. Examples in a yellow text box are: Listen to a chapter of an audiobook or an album of music, Longer guided meditations, Yoga nidra, Nap, Gentle movement routine, Go for a walk, Read, draw, write, craft. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/914d52ea-2d19-4dc1-a974-1dbe09e95db1/7.+Non+traditional+ideas.jpg Writings - Different Kinds of Rest - Image description: A Graphic with a light brown background and different coloured text boxes. A blue text box has the heading: ‘Restful Activities That Aren’t Traditional’. Below this is a brownish yellow text box with examples: Engage in something in a flow state, Colouring in, Rewatch a show or read a familiar book, Gentle mindful time in nature, Cuddle an animal, Spend time in a calming space - restful textures, sounds, objects, temperature; comforting smells or foods; rocking or other movement; Intense movement to discharge agitation or intense emotion e.g. star jumps, running, flapping, spinning, Use a night sky projector and observe the stars, Reduce demands, say no to things, Set aside time for interests. Around the graphic are images of people doing different things: painting, gardening, reading sitting sideways on a chair, nuzzling a cat and sitting down listening to music. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1690769379298-PZO5EY4MCDURATV7V3XY/8.+Spiritual.jpg Writings - Different Kinds of Rest https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1690769380012-66ZPD48GEON2ZVLL2X31/9.+Physical.jpg Writings - Different Kinds of Rest https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1690769381600-AZ5KVXVAIMMGGZJWL8QA/10.+Cognitive.jpg Writings - Different Kinds of Rest https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1690769382641-7LYC61SNSIAKDC33BFLQ/11.+Emotional.jpg Writings - Different Kinds of Rest https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/29e8df9a-481c-48d5-ac59-46da107b42d1/12.+Finding+your+rest.jpg Writings - Different Kinds of Rest - Make it stand out Image description: A Graphic with a light brown background and blue text boxes, heading ‘Finding Your Rest’. Text: The key here is: find what works for you. Different people find different things restful. What does rest mean to you? What do you find restful? What you find restful one day may not be restful on another depending on your level of stress, overwhelm, emotion etc.. If you've only got a minute, try sitting down and pausing. Only time for one breath? Take one slow deep breath in and out from your belly. Schedule it in. Enlist support. Look at your values and priorities. Whatever you need to do to support yourself. You cannot pour from an empty cup. You do deserve rest. Images top left: a person with a prosthetic arm sits smiling on a rock; top right: a person sitting on a couch hugging a pillow; bottom left: a pregnant person lying down on their back. https://www.chronicresilienceot.com/blog/metaphors-for-explaining-chronic-illness monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/c2bee6eb-c8fa-4efe-adf7-e74ee4671348/2.+Spoons+1.jpg Writings - Metaphors for Explaining Chronic Illness - Image description: graphic with brown background, blue boxes and black text. Heading ‘The Spoon Theory’, credit to Christine Miserandino. Energy is represented by spoons and we have a certain number of spoons available each day. If we use too many spoons they get borrowed from the next day. On some days you may wake up with fewer spoons. 7 spoons represent different days of the week with a changing number of spoons available based on different factors. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/f690d465-5d13-4a12-ac88-a0d495b6b0d8/3.+Spoons+2.jpg Writings - Metaphors for Explaining Chronic Illness - Image description: graphic with brown background, blue boxes and black text. Heading ‘The Spoon Theory’, credit to Christine Miserandino. Different activities take different numbers of spoons. What is 1 spoon for you might be 4 for someone else (can also change day to day for yourself). Different examples of 1, 2, 3 and 4 spoon activities. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/c17784c4-1c6f-49b6-9da4-054feeab7492/4.+Forks.jpg Writings - Metaphors for Explaining Chronic Illness - Image description: graphic with brown background, blue boxes and black text. Heading ‘Fork Theory’, credit to Jen Rose. Everyone has limit to the number of forks they can tolerate being stuck in them. At a certain number it is no longer possible to ignore the forks and one additional fork can result in overwhelm/shutdown/ meltdown. There is an image of a person with their brain exploding and 6 forks around them representing: new symptom, hungry, need to pee, high pain day, itchy, tag, ableist comment. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/9351fc3a-1f6f-42a9-9d2c-258d32cb425c/5.+Oxygen+tank.jpg Writings - Metaphors for Explaining Chronic Illness - Image description: graphic with brown background, blue boxes and black text. Heading ‘Oxygen Tank’. Everyone has an oxygen tank of energy. With chronic illness your oxygen tank has holes and the energy drains out even when you're not doing anything. This also makes it harder to refill the oxygen tank and means you need to spend more time on resting and refilling the tank. Images of oxygen tanks without holes with energy going down with activity and replenishing with rest or enjoyable things. Image of tanks with holes - Energy drains faster and takes longer to fill. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/5220aae8-ee19-45a1-905d-fc38da2441a6/6.+Animal+scales.jpg Writings - Metaphors for Explaining Chronic Illness - Image description: graphic with brown background, blue boxes and black text. Heading ‘Animal Scales’. Which [insert animal here] do you feel like today? Representing how you feel with an image of an animal. There are heaps of these online. Sometimes we need to keep it light. (This one is from The Sloth Conservation Foundation). An image of 12 different pictures of sloths in different poses and the numbers 1-12. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/055199e5-b6ad-4fca-b8fe-b56857ed819c/7.+SPLAT.jpg Writings - Metaphors for Explaining Chronic Illness - Image description: graphic with brown background, blue boxes and black text. Heading ‘Splat’, credit to Christina Irene. The Splat scale: What do you feel like you've been hit by today? Picture of a moped, car, ute, truck, train and asteroid. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/5808ba2e-3a62-4ea9-8f3f-eefe15e0e00f/Sensory+Jars+1%2C+watermarked.jpg Writings - Metaphors for Explaining Chronic Illness - Make it stand out Image description: a graphic representing fluctuating sensitivity to sensory inputs represented by three jars, page 1 of 2. On the left the smallest jar is full of 4 coloured boxes that represent sensory inputs (strong smell, itchy tag, too hot, multiple noise sources). Above the jar a red flag says low mood, high pain and fatigue. Text to the left of the jar says: smaller jar fills up quickly, a small number of sensory inputs may create overwhelm. In the middle a middle sized jar has the same coloured boxes representing sensory inputs but now the jar is only partly full. An orange flag above this jar says: some pain and fatigue, but at manageable levels. On the right is a large jar, the same 4 coloured boxes representing sensory inputs only fill to jar to below halfway. A green flag above says: well-rested, have eaten, doing something enjoyable. To the right of this text says: larger jar takes longer to fill up, has a bigger tolerance for sensory inputs. Green boxes at the bottom say: Our sensory sensitivity can fluctuate depending on things like: Mood, tiredness, hunger, Task demands, Environment, Number of simultaneous sensory inputs. These factors can impact our tolerance to sensory inputs and when our tolerance is low we can go into overwhelm, meltdown, shutdown over things that on another day would be tolerable. This is why supports and accommodations need to be dynamic. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/dced5c48-e8cd-48c8-8fe8-e32712683bbb/Sensory+jars+2%2C+watermarked.jpg Writings - Metaphors for Explaining Chronic Illness - Make it stand out Image description: a graphic representing fluctuating sensitivity to sensory inputs, page 2 of 2. The same small jar from page one is on the left, full of 4 coloured boxes that represent sensory inputs (strong smell, itchy tag, too hot, multiple noise sources). Above the jar a red flag says low mood, high pain and fatigue. Text to the left of the jar says: smaller jar fills up quickly, a small number of sensory inputs may create overwhelm. In the middle text says: ‘When our jar is small we need to work on reducing the inputs that are filling up the jar where we can. For these examples this could look like:’ with four green banners underneath that say: Communicating with someone, ask for support, Cut tags out of clothes when you buy them, Put on noise cancelling headphones, shut your door, Turn on a fan, open a window, ice pack, water. On the right of the image text inside a box says: We would also want to look at implementing strategies and supports to reduce the impact of the factors that are making the jar smaller in the first place. In this case: low mood, high pain and fatigue. This will be highly individual but could look like: (and inside purple banners below this); Antidepressants, supplements, soothing activities, counselling; Heat pack, bath, comfy pillow nest, medications, pain cream; Pacing, intentional rest. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/b1f1e45a-58c8-4421-973b-e2d129ce88b3/8.+Individualised+scales.jpg Writings - Metaphors for Explaining Chronic Illness - Image description: graphic with brown background, blue boxes and black text. Heading ‘Individualised scales’. Generic pain and fatigue scales can be difficult to use as the numbers will mean different things to different people. Your pain level of 8 may be someone else's 5. Creating an individualised scale can help with making the numbers more descriptive and useful. You could use faces or other pictures or whatever is helpful for you and your supports. There is an example scale 1-10, from slight ache to can’t move, with different sized fires at different numbers. https://www.chronicresilienceot.com/blog/reading-list-2023 monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/4d540691-3921-4de1-b55f-5d03cef685a2/2023+moods.png Writings - Reading List 2023 Image description: a graph from the app Storygraph showing 68 books read, 25,034 pages. The pie graph shows the different moods of the different books read, each category being a different colour. The most common categories are adventurous and informative. Other categories in order of decreasing frequency are: reflective, emotional, mysterious, inspiring, hopeful, dark, challenging, lighthearted, funny and tense. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/ce8a4784-36c9-4e0b-8a58-d2fd6043c620/2023+format+and+author.png Writings - Reading List 2023 Image description: two graphs from the app Storygraph. On the top is a pie graph showing the different book formats: print - 66% (15, 442 pages), audio - 32% (266.85 hours), digital - 1%. Below this is a bar chart showing the most common authors read and how many books were read that were by that author. The largest bar is Tamora Pierce (19 books), followed by Isobelle Carmody (9), Lindsay Clarke (3), Veronica Roth (3), Amie Kaufman (2), Sherrilyn Kenyon (2) and Angie Sage (2). https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/247cb285-6b9b-46d3-9e7c-cc1e918b5616/2023+genres.png Writings - Reading List 2023 Image description: a bar graph from the app Storygraph showing the different genres of books read (books can have more than one genre). The most common genre was fantasy (40 books), then young adult (32), self help (13), psychology (13), science fiction (12), middle grade (9), historical (5), health (5), romance (4), short stories (2), science (2), and 1 each from gender, LGBTQIA+, magical realism, feminism, religion, philosophy, history, essays, business. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/d99b8075-ee83-4852-a9f0-e4ba0662bc61/Bookshelf.jpeg Writings - Reading List 2023 - Make it stand out Image description: a photo of a floor to ceiling bookshelf, full of mostly fantasy books. https://www.chronicresilienceot.com/blog/doing-a-difficult-thing monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/fbdb9874-c405-4021-998f-9c2dfc9b39db/Doing+a+difficult+thing.jpg Writings - Doing A Difficult Thing - Make it stand out Image description: a mindmap graphic with 5 text boxes and a yellow background. In the centre the heading says ‘Doing a difficult thing’ with Chronic Resilience Lived Experience Occupational Therapy/The Chronically Resilient OT underneath. 4 arrows go out to the other boxes. Top left: ‘Scheduling it in’ (image of a calendar) - Where in the week does it fall? What else have I got on that week? Is it flexible timing or fixed? Bottom left: ‘Planning’ (image of a checklist) - How do I get there? What do I need to take? What is the space like? What do I need to take out of my week to have energy for this? Bottom right: ‘Doing’ (image of a movie clapper board) - Taking what I need (earplugs, sunglasses, footstool, water, snacks, fidget etc.). Taking breaks. Reducing sensory and social inputs where possible. Top right: ‘Recovery’ (image of a person in a hammock with a clock above them) - Solitude, reduce demands. Do something I enjoy. Focus on basic needs. Allow time between this thing and the next thing. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/d03b928b-696d-4b8f-8a10-dd33fd31e08b/Supports+I+used.jpg Writings - Doing A Difficult Thing - Make it stand out Image description: a graphic with a yellow background. Heading: ‘Supports I used for my most recent study trip away from home’ with the tag line Chronic Resilience Lived Experience Occupational Therapy/The Chronically Resilient OT underneath. Four boxes are below the heading. Box 1: heading in red letters ‘Before’ with an image of an arrow pointing left in a red box above the heading, text: Prepared, Cancelled other plans, Focused on good sleep, Planned the time away, allowing for rest days, Packed things I would need (weighted blanket and toy, pillow, noise cancelling headphones, pain cream etc.). Box 2: heading in orange letters ‘Driving’ with an image of a car in a orange box above the heading, text: Podcasts, Snacks ready, Comfy clothes, Regular breaks to stop and move, Familiar route, Reminding myself I have done this before, Having help to pack the car. Box 3: green heading ‘Study’ with an image of pencil and paper in a green box above, text: Earplugs and fidget, Footstool, Snacks and water, Getting outside on breaks, Printing slides out, Medication, Sitting facing the board, Not talking to others on lunch break. Box 4: heading in blue letters ‘Recovery’ with an image of an arrow pointing right in a blue box above, text: Planned rest days, Alone time, Sleeping in, Gentle movement, Radical acceptance of worsened symptoms, Doing things I enjoy (board games, movies, reading, crochet). https://www.chronicresilienceot.com/blog/accommodations monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/137d21f8-1643-4e98-801a-276f8bef9518/Accommodations+make+a+difference.jpg Writings - Accommodations make a difference - Image description: a 3 panel comic with a brown background. The heading reads ‘Accommodations make a difference’, below the heading text says ‘The ability to do a task can be impacted by many factors. On any given day, the combination that results in overload can be different. Simple accommodations can increase someone's enjoyment of, or capacity and ability to do, a task.’ The first panel has a scale from 0-100 with different coloured boxes from green at the bottom to red at the top, the boxes in ascending order are: tight clothes, bright lights, multiple noise sources, hunger, strong perfume, didn’t sleep well, need a break, don’t understand task, high pain levels. The top box sits on top about to fill up the scale to 100 – the box says ‘someone asks a question.’ Above this text says: One more task demand or something unexpected could result in overwhelm/ meltdown for this person. Middle panel: a bulleted list says ‘What if the same person has: Taken a break, Had a snack recently, Can wear comfy clothes to work, Has been given clear task demands, Colleagues don't wear strong perfume, Can wear noise cancelling headphones’. Below this are some of the coloured boxes from the first panel all smaller with a spiky circle that says ‘these factors now have less impact.’ Third panel: text at the top says ‘With accommodations in place, the same demand, 'someone asking a question', doesn't have the same impact.’ This is the difference simple accommodations can make. There is the 0-100 scale but now only 3 boxes (bright lights, didn’t sleep well, high pain levels) are filled in, a yellow box (someone asks a question) fits on top and doesn’t cause overwhelm – this is the difference simple accommodations can make. Image description: a 3 panel comic with a brown background. The heading reads ‘Accommodations make a difference’, below the heading text says ‘The ability to do a task can be impacted by many factors. On any given day, the combination that results in overload can be different. Simple accommodations can increase someone's enjoyment of, or capacity and ability to do, a task.’ The first panel has a scale from 0-100 with different coloured boxes from green at the bottom to red at the top, the boxes in ascending order are: tight clothes, bright lights, multiple noise sources, hunger, strong perfume, didn’t sleep well, need a break, don’t understand task, high pain levels. The top box sits on top about to fill up the scale to 100 – the box says ‘someone asks a question.’ Above this text says: One more task demand or something unexpected could result in overwhelm/ meltdown for this person. Middle panel: a bulleted list says ‘What if the same person has: Taken a break, Had a snack recently, Can wear comfy clothes to work, Has been given clear task demands, Colleagues don't wear strong perfume, Can wear noise cancelling headphones’. Below this are some of the coloured boxes from the first panel all smaller with a spiky circle that says ‘these factors now have less impact.’ Third panel: text at the top says ‘With accommodations in place, the same demand, 'someone asking a question', doesn't have the same impact.’ This is the difference simple accommodations can make. There is the 0-100 scale but now only 3 boxes (bright lights, didn’t sleep well, high pain levels) are filled in, a yellow box (someone asks a question) fits on top and doesn’t cause overwhelm – this is the difference simple accommodations can make. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1681638986484-J1F8N7JITS6XGXYNGT0W/PEO+model.jpg Writings - Accommodations make a difference https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1681638982153-IUZCY757K1FVHSO3T75H/PEO+fit.jpg Writings - Accommodations make a difference https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1681638982532-RJFYUB6Y6O62FL51K3MO/PEO+mismatch.jpg Writings - Accommodations make a difference https://www.chronicresilienceot.com/blog/sleep-hygiene monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/12ff8431-7e98-4f20-beaf-afb665ce932e/1.+Sleep+hygiene+and+ME_CFS.jpg Writings - Sleep Hygiene and ME/CFS - We all know sleep is important. Sleep is how we restore and repair. But what if one of the central symptoms of your condition is unrefreshing sleep? How do you manage then? I find unrefreshing sleep to be one of the most frustrating symptoms of ME/CFS. I can do all the ‘right’ things, follow sleep hygiene advice, get what ‘should’ be a full night of sleep and still wake up feeling like I’ve only had a few hours of sleep. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/a5fd5846-6091-4264-b434-afd3e862ebfb/2.+Why+sleep+is+important.jpg Writings - Sleep Hygiene and ME/CFS The National Sleep Foundation recommends that adults get 7-9 hours of sleep a night. Health Navigator talks about sleep’s important role in health and wellbeing. They list sleep’s role in important body processes and link lack of sleep to increased risk of developing long term health problems. Sleep has a role in: Body temperature, energy use and immune functioning; Brain and memory functioning; Healthy heart and blood vessels; Regulation of blood glucose levels. They also list the signs of not getting enough sleep which are similar to many ME/CFS symptoms such as mood and cognitive problems, reduced activity, food cravings, lower libido, tiredness and lethargy during the day, and getting sick more often. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/0ae4a5fd-1c04-4265-878b-cfaac62c07b5/3.+Circadian+rhythm.jpg Writings - Sleep Hygiene and ME/CFS - First let’s talk about circadian rhythm. This is your internal body clock that is on a 24 hour cycle and controls when you feel tired or alert. Feelings of tiredness will peak in the evening in relation to this cycle. Your circadian rhythm is also impacted by exposure to daylight and the release of the hormones melatonin and cortisol. Melatonin is released in the evening as natural light reduces and helps us to feel drowsy. Cortisol is released in the morning with the rising of sun to increase alertness. For more see https://www.sleepfoundation.org/how-sleep-works/why-do-we-need-sleep. Sleep hygiene recommendations (or good sleep habits) often focus on supporting the circadian rhythm, as well as environmental changes, routines at bedtime and activity throughout the day. Sleep hygiene tips are designed to support getting the recommended 7-9 hours of sleep a night for adults. Most sleep hygiene tips assume ability and capacity and can come across as quite ableist. They need some adaptations to be suitable for people with conditions like ME/CFS. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/b6043e18-1009-4924-82bd-0382bfbfc747/4.+The+24+hour+sleep+cycle.jpg Writings - Sleep Hygiene and ME/CFS I often talk about sleep hygiene strategies in relation to a 24 hour sleep cycle. Sleep hygiene strategies are not just about what we do in the hour before bed, what we do in each 24 hour period can impact how we sleep, including things like what time we wake up, how much natural light we get, when we move our bodies, rest or eat, how we wind down, when we go to sleep and what we do if we wake in the night. Image description: a graphic on a tan background with blue text boxes. Heading: ‘The 24 hour sleep cycle.’ Sleep hygiene is not just what we do in the hour before bed, what we do throughout our day plays a role in keeping our sleep on track. In the centre is a clock with an arrow around the outside. Different coloured cloud shapes note the different factors that can impact sleep: consistent wake time; Some exposure to natural light, or a lamp that mimics natural light, during the day; Some activity through the day, balanced with rest; Food timing; Winding down routine; Consistent bed time; Bedroom environment suitable for sleep; Have a plan for what to do if you wake in the night. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/a8cbded4-a46b-4a0b-a32b-608a7c485b31/5.+Recommendations+and+responses.jpg Writings - Sleep Hygiene and ME/CFS - Make it stand out Image description: a graphic split into two sides with bullet points. On the left the heading is ‘standard sleep hygiene recommendations’ and below: Avoid caffeine/alcohol/cigarettes before bed; Go to bed and wake up at the same time; Have a sleep routine/sleep rituals, quiet and comfortable space; Sleep when sleepy; Don't go to sleep too full or hungry; If you're not asleep after 20 minutes, get up do something calming, then try again; Take distracting things out of the bedroom; Get sunlight/exercise during the day; Stay out of bed during the day; Keep bed for sleep or sex; No naps; Use worry time for a busy mind; Have a bath; Keep daytime routine the same even if you didn't sleep well or feel tired. Crossing over the divide in the middle are arrows to the right side headed ‘responses to these from a ME/CFS perspective: Probably doable; Not always possible, condition fluctuates; Have probably tried so many things, keep space comfortable as we spend a lot of time there; What if you're always sleepy?; Have a little snack box by the bed; What if you can't get out of bed? Or any activity is activating?; What if you live in your bedroom?; Consider light sensitivity, exercise intolerance; HAHAHAHAHAHAHAHAHAHAHAHAHA; HAHAHAHAHAHAHAHAHAHAHAHAHA; HAHAHAHAHAHAHAHAHAHAHAHAHA; Might be worth a try; May not be possible; With ME/CFS you cannot just push through, need to adapt activities to level of energy. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/8dfdc456-f719-413e-97e0-1429f01f0844/NICE+guidelines.png Writings - Sleep Hygiene and ME/CFS - The new NICE guidelines (which have been updated to remove GET) provide recommendations on rest and sleep for people with ME/CFS (see picture). An article by Jackson and Bruck (2012) reviewed sleep differences in people with ME/CFS noting some evidence for reduced total sleep time and sleep efficiency, increased number and duration of wakings, taking longer to get to sleep, possible differences in time spent in different sleep stages and transitions between stages, and reduced heart rate variability which can indicate that the nervous system stays alert. This blog by Bruce Campbell from ME/CFS & Fibromyalgia Self-Help outlines three categories for sleep management plans: sleep environment and habits, medications, sleep disorders; and has some useful suggestions that would be doable by some. Dr Vallings also has a resource outlining 5 approaches for sleep management in ME/CFS: environmental, lifestyle changes, self help strategies, symptom relief and medication. Image description: a screenshot of an extract from the NICE guildelines for ME/CFS of the section on rest and sleep. Title: Rest and sleep. 1.12.1 - Advise people with ME/CFS: about the role of rest in ME/CFS; that rest periods are part of all management strategies for ME/CFS; how to introduce rest periods into their daily routine, including how often and for how long, as appropriate for each person; that relaxation techniques at the beginning of each rest period could be helpful. 1.12.2 - Give people with ME/CFS personalised sleep management advice that includes: explaining the role and effect of sleep disturbance in ME/CFS identifying the common changes in sleep patterns seen in ME/CFS (such as broken or shallow sleep, altered sleep pattern or hypersomnia); developing good sleep habits; taking into account the need for rest in the day, and balancing this against how the person is sleeping at night; introducing changes to sleep patterns gradually. 1.12.3 - If sleep management strategies do not improve the person's sleep and rest, think about the possibility of an underlying sleep disorder or dysfunction and whether to refer to an appropriate specialist. 1.12.4 - Review the use of rest periods and sleep management strategies regularly as part of the person's care and support plan. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1680854662055-ZR5F3ZGE1OE2VDS2E3L9/7.+Questions.jpg Writings - Sleep Hygiene and ME/CFS Image description: a graphic on a tan background with blue text boxes. Heading: ‘Ask yourself...’ How much sleep does my body need? Without an alarm what time do I tend to wake up? What time do I start to feel sleepy? How does my body know it's time for bed? Can I do some gentle movement or get some sunlight during the day? What’s my winding down routine? Is my bedroom environment set up for sleep? (temperature, light, noise, comfort). What do I do if I wake in the night or take longer to get to sleep? Images: a sheep waking up in bed, a person lying on a pillow with a toy cuddled into them, a sun, a person sitting on a comfy chair, a list, thermometer, sound symbol, lightbulb, pillow, bedroom, book with headphones. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1680854672537-BPWXKHE42B0S09UL2QH3/8.+Questions+2.jpg Writings - Sleep Hygiene and ME/CFS Image description: a graphic on a tan background with blue text boxes. Heading: ‘Ask yourself...’ How can I create sleep associations when I do everything in bed? How can I bring in more self-compassion? How can I change how I think about sleep and rest? What length and timing of nap works for me? How else can I rest my body? What change will make a 1% difference? What can I start with? How can I pace my daily activity so I'm not overtired? What's my plan for a difficult day? What do I need to have next to the bed? (snack, water, activity). How can I celebrate the things that are going well and find small moments of joy or ease? Images: clock with a hat and zzzs, person hugging themselves, a snack jar, water, bottle, books, stepping up, a sleepy dog, 2 people celebrating, ‘honour your pace’ with flags. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/658425f8-5ca8-4022-99eb-ac11b67fbb78/6.+Sleep+and+ME_CFS.jpg Writings - Sleep Hygiene and ME/CFS - If you are already doing all you can then acknowledge this, you are trying so hard and actually doing well even if it doesn’t feel like it. All the strategies you are using will be doing something and maybe there isn’t more that you can DO. Maybe you need to let go of doing for a bit and try and find some self-compassion and take the focus and pressure off sleep. Unrefreshing sleep is tough, you don’t need to add to this by being overly critical and harsh with yourself for not sleeping in the ‘expected’ way or needing different supports and strategies to get the sleep/rest you do get. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/ee653aec-73c4-4e29-983f-8abd724f15e7/My+bed+nest.jpeg Writings - Sleep Hygiene and ME/CFS - Editing to add a bit more personalised information. I really struggle with unrefreshing sleep personally and find it incredibly frustrating. I have done a lot of work on trying to let this frustration go, appreciating rest and not getting upset on evenings when it sometimes take 2 hours to fall asleep. My brain is very busy at night and I fall asleep listening to audiobooks so that I don’t have to listen to my thoughts. Some evenings I stay up later as at some points during the month I am more alert in the evenings and I am learning to listen to and follow my body. I also know I do better when I can sleep in until 8 and generally take a couple of hours to get moving. This isn’t always possible with work hours so I do my best within the constraints of what’s going on in my life. Picture of my bed nest. Memory foam corner pillow, additional pillows for between or under knees, weighted blanket and weighted toy to help with regulation and grounding, bamboo sheets to help with temperature regulation. I go to sleep with an audiobook on and have blockout curtains on the windows. We keep the window open so the room is cool. I am all about individualisation and personalisation of strategies, doing what works for you and getting out of the ‘shoulds’ trap. The standard advice doesn’t take into account differences in sensory processing, pain levels, fatigue, economic or social resources and so many other things. You know your system best so do what works for you. Create your nest, your routines and work out what strategies will support you. Additional supports from health professionals may be useful if that’s what you want to do. https://www.chronicresilienceot.com/blog/special-interest-week monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/251ddce8-83c3-430f-b897-80019f2c4cd8/Summary.jpg Writings - Special Interest Week - Make it stand out Image description: grey border with green leaves, text reads - Special interest week - seven prompts to help you reflect on Autistic joy; From 'Unmasking Autism' by Dr Devon Price, adapted from Jersey Noah's Special interest week prompts; Day 1 - your oldest special interest, Day 2 - your most recent special interest, Day 3 - a special interest that's changed or grown over time, Day 4 - a special interest that is collected, collections, Day 5 - the special interest that has shaped your life the most, Day 6 - a special interest you share with someone, Day 7 - a day for embracing and celebrating special interests. What's something positive your special interests have brought to your life? https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/cfbf4f9c-6d09-43ca-89dc-d05f7571c11e/Day+1.jpg Writings - Special Interest Week - Day 1 - My oldest special interest: Peter Pan This one was most intense when I was about 5-8, but the interest has continued. I have just heard a new live action movie is coming out soon and I am so excited! https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/03a1747c-797a-4588-a720-d013eadf0a88/Day+2.jpg Writings - Special Interest Week - Day 2 - My most recent special interest: Neurodivergence This one crept up on me slowly as I began questioning my own neurodivergence. Since being diagnosed I have kept diving deeper to understand my own experience and have learnt so much from the online community. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/597f1285-5f1b-4098-9540-88d6d3de2ac2/Day+3.jpg Writings - Special Interest Week - Day 3 - My interest in health, psychology, people and the brain has changed and grown over time This one is ongoing and I get to continue to learn and grow, which is amazing! https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/c2214886-a94d-4aa2-8099-29740706f514/Day+4.jpg Writings - Special Interest Week - Day 4 - My special interest collections: books, board games, craft supplies, essential oils, toys I used to collect spoons, coins and even inherited a stamp collection at one point. Throughout my life books has been my constant collection. When I move house, once the books are out, then I am home. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/323d8781-92a1-4fe6-a923-cb8bd0970454/Day+5.jpg Writings - Special Interest Week - Day 5 - The special interest that shaped my life the most is my interest in health, psychology, people and the brain My study and work choices have all been around this theme. It continues to drive my interest areas in occupational therapy practice and the kinds of information I do deep dives in. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/b9b06629-4251-4fcb-a68a-125b4ede0e1f/Day+6.jpg Writings - Special Interest Week - Day 6 - I share board, console and computer games with others My husband and I often parallel play while computer gaming, sometimes playing games together or with friends online. Board games is one I share with people locally and online. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/9fdd6107-c213-43e8-b192-d55770cef334/Day+7.jpg Writings - Special Interest Week - Day 7 - Positive things that special interests have brought to my life: connection, community and meaning All these interests have given me a sense of connection and community, as well as a means of finding meaningful activities, and work and study opportunities. https://www.chronicresilienceot.com/blog/sensory-processing-systems-and-patterns monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/5eb3a967-fc8d-487d-8113-58c8f8436ca8/Sensory+processing+patterns.png Writings - Sensory Processing Systems and Patterns - Make it stand out Image description: a multicoloured table outlining the 4 sensory processing patterns based on Winnie Dunn’s model. For each pattern the different boxes describe what’s happening in the body, what it can look like and examples of strategies/supports. Sensory sensitivity – what’s happening in the body: The nervous system is hypersensitive to inputs in one or more sensory systems, will notice and be bothered by small amounts of sensory information but does not actively avoid. What it can look like: Sensitive to smells, avoids certain foods or fabrics, gets overwhelmed by clutter or crowded places, anxiety, desire to control the environment, startles easily. Examples of strategies/supports: Choice, identify patterns, compassion and awareness, self-advocacy, headphones, sunglasses Low registration – what’s happening in the body: The nervous system can’t get enough input to get going, needs higher intensity of sensory input to register information, feel alert or pay attention. What it can look like: Taking a long time to get going in the morning, easily bored, misses instructions, trouble focusing, daydreaming, not noticing dirty face or hands. Examples of strategies/supports: Make visual cues more obvious, add texture to objects, weighted items, alarms, calendars, different seating options. Sensory seeking – what’s happening in the body: Need more sensory input for information to register and get organised. Actively seeks out additional sensory input as needed. What it can look like: Fidgeting, touching things, exploring, always active, seeks touch, easily distracted, loud, likes noisy and crowded places. Examples of strategies/supports: Movement breaks, fidgets, weighted items, background noise, variety of seating, dance, sports, music. Sensory avoiding – what’s happening in the body: Will notice and be bothered by small amounts of sensory information and actively avoids certain sensory input. What it can look like: Not liking to get hands dirty, avoiding certain places or activities, focused on routine and environmental control, anxiety, likes familiarity. Examples of strategies/supports: Headphones, sunglasses, quiet spaces, self-advocacy —————————— https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/2c3278bf-14a1-4247-8344-63d86f150ca2/Sensory+buckets.jpg Writings - Sensory Processing Systems and Patterns - Make it stand out Image description: two buckets on a blue background. Heading: sensory buckets. Each sensory system has a different sized bucket which gets filled up with water (sensory input) at different rates. On the left next to the bigger bucket text says: Big buckets take longer to fill up and need lots of water added. These systems need lots of input to register and organise sensory information. On the right next to the full smaller bucket text reads: Little buckets only need a small amount of water before they overflow. These systems only need a small amount of sensory input before it becomes overwhelming. ———————- https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/152b71e9-60e0-4a33-a621-9dcd64989c04/The+8+sensory+systems.png Writings - Sensory Processing Systems and Patterns - Make it stand out Image description: a graphic outlining the 8 sensory systems. Each system has a different coloured box and a symbol representing the sense. Auditory (picture of an ear) - What you hear, space-time relationships, influences regulation, spatial awareness, muscle tone and balance. Visual (sight, picture of an eye) - What you can see, visual cortex at back of skull; connected to vestibular and proprioceptive systems. Olfactory (smell, picture of a nose) - What you can smell, olfactory bulb directly connected to the limbic system. Gustatory (taste, picture of a mouth with a tongue sticking out) - Taste and motor processes for eating, breathing etc. Sensations: chewy, crunchy, salty, sour, sweet, spicy, hot and cold. Tactile (touch, picture of a hand pointing) - Touch receptors send feedback about pain, vibration and temperature, deep pressure and light touch have different receptors. Vestibular (picture of a person standing on one leg with their arms out) - Any time you move you are getting vestibular input, the vestibular system in the inner ear detects gravity, motion, movement and space-time relationship, important for balance. Proprioception (picture of a person dancing with arms up) - Sense of your body in space, body boundaries and what is self; works with vestibular and tactile to create a foundation for efficient movement, body map and orientation. Interoception (picture of an outline of a body standing) - An awareness of your internal states (hunger, thirst, emotion, temperature etc.) and systems (heart, kidneys, bladder, skin, hormones, lungs, stomach, intestines). —————————- https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1d250851-5d89-4d3f-aa99-6ea9d8f8940b/Sesnsory+responses.png Writings - Sensory Processing Systems and Patterns - Make it stand out Image description: a graphic outlining potential sensory responses and how strategies can help for the 8 sensory systems. Each system has a different coloured box and a symbol representing the sense. Auditory (picture of an ear) - Responses: sensitive to, seeks, or doesn't register input. Extra input can help with: reducing stress, supporting transitions, increasing arousal. Visual (sight, picture of an eye) - Difficulties with visual tracking, sensitivity to inputs. Dampen or block out visual input for calming; intensify for alerting. Olfactory (smell, picture of a nose) - Calming or alerting, depending on smell; can be a trauma cue; may avoid certain people or situations. Use strategies for calming or alerting. Gustatory (taste, picture of a mouth with a tongue sticking out) - May seek food or chewing motion for comfort, strong food preferences, difficulty with teeth brushing, difficulties with swallowing. Use strategies for calming or alerting. Tactile (touch, picture of a hand pointing) - Hypersensitivity - doesn’t like to be touched or be too close to people, doesn’t like messy foods or activities. Hyposensitivity - seeks touch, may not notice touch unless seen, poor body awareness, chews on things, may use too much force without knowing. Strategies can help with a sense of containment, safety and body boundaries, conversations about consent and boundaries, tactile cues can help focus attention. Vestibular (picture of a person standing on one leg with their arms out) - Hypersensitivity - intolerant or avoidant of movement, uncomfortable on stairs or escalators, gets motion sick, afraid of heights. Hyposensitivity - seeks spinning, jumping, doesn’t get dizzy, bumps into things, leans against things, fidgets when seated. Proprioception (picture of a person dancing with arms up) - Avoids movement or always moving to seek input, clumsy, likes chewy or crunchy foods, likes to lean/push/jump/wrestle. Use strategies for: feeling grounded, decreased arousal, better sense of body boundaries and where body is in space. Interoception (picture of an outline of a body standing) - Difficulty knowing when hot, cold, tired, hungry, needing to go toilet, identifying emotions. Strategies can help improve awareness of bodily sensations or provide external supports as reminders —————————- https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/a7cab578-9269-4b8b-9d27-bddad41c7dbd/Sensory+activity+ideas.png Writings - Sensory Processing Systems and Patterns - Make it stand out Image description: a graphic outlining activity ideas for the 8 sensory systems. Each system has a different coloured box and a symbol representing the sense. Auditory (picture of an ear) - Music, sing a longs, whistles, ear plugs, sound machine, shakers, white noise, noise canceling headphones. Visual (sight, picture of an eye) - Make changes to the environment: skyscapes, projection, dimmers, paint, posters, decals; eye mask, sunglasses, light box, coloured glasses, colour and shape, visual search, lava lamp, eye spy. Olfactory (smell, picture of a nose) - Different scents, essential oils, change products if sensitive, soap, candles, lotion, baking. Gustatory (taste, picture of a mouth with a tongue sticking out) - Different tastes and textures of food, try different toothbrushes and toothpastes, bubbles, whistles, straws; may need extra input if issues with swallowing. Tactile (touch, picture of a hand pointing) - Hypersensitivity - wear gloves, wash hands, adjust activity. Hyposensitivity - deep pressure, verbal prompts, hugs, chewellery. Light touch often alerting, deep pressure often calming; swing, soaps, lotions, weighted items, beanbag chairs, brushes, various fidgets, soft items, art supplies, games and puzzles, pencil grips, body sock, massager. Vestibular (picture of a person standing on one leg with their arms out) - Glider or rocker, walks, swinging, exercise ball, wobble board, full body movement, yoga, stretching, dance, obstacle course, drumming - careful of overstimulation. Strategies help with: movement responses, awareness of body in space, balance, muscle tone and motor control, posture, balanced visual field. Proprioception (picture of a person dancing with arms up) - Any movement, stretching, movement against resistance (swimming, exercise band, lifting, carrying), trampoline, bike riding, chewing, weighted movement, sanding, polishing, vacuuming, stress ball, nature walk, obstacle course. Interoception (picture of an outline of a body standing) - Label how body parts feel, model language (hot, cold, heavy, light etc.), set times to check in with self and notice sensations, direct attention to body sensations when doing an activity e.g. running, eating hot or cold food —————————- https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/2c995684-ca2d-4bfd-9937-a6cb1f963162/Levels+of+arousal.png Writings - Sensory Processing Systems and Patterns - Make it stand out Image description: a simplified sensory ladder with 3 sections: Sensory Overload/Over-Alert: A state of overwhelm, frontal lobes are offline, may go into fight/flight/freeze responses, meltdown/shutdown, may need support, reduce sensory inputs and demands, allow time for recovery; Optimal Level of Arousal / Window of Tolerance: This is where we can think, plan, reason, make decisions, participate in activities, interact with others etc.; Low arousal/Under-Alert: May be sleepy, bored, unwell, not engaged, distracted, or need more sensory input in order to engage. Each section has a different colour (blue, green, red). An arrow points up from low arousal with a note saying ‘add sensory inputs’. An arrow points down from sensory overload saying ‘ reduce sensory inputs.’ —————————- https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/3d252ab2-c1b5-41a1-b5c3-fb819b41d652/Sensory+box.jpg Writings - Sensory Processing Systems and Patterns - Make it stand out Image description: a dark haired, dark-skinned person is sitting down with a book open in front of them, a lightbulb and a star next to them. Above their head is a box and to the right of the box, across the rest of the image are a variety of sensory tools and activities e.g. tea bag, ball, rocks, pencils, headphones, books, hot water bottle, crystal, shell, skipping rope, hand cream, snack, cards, lego, popper, soft toy, notebook. —————————- https://www.chronicresilienceot.com/blog/my-word-of-the-year monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/5627d909-73c4-4ce6-b2b0-2d4620670927/Word+of+the+year.jpg Writings - My word of the year… - Make it stand out Image description: a light orange background with words and images. At the top it says 'My word of the year' and in a blue lightbulb below this it says 'connection'. To the left the words 'with self' sit on purple wavy lines, other words are 'growth, authenticity, self-development, courage, curiosity'. Below the lightbulb the words 'with nature' sit on green wavy lines, other words are 'love and joy, belonging, creativity'. To the right the words 'with others' sit on blue wavy lines, others words 'co-creation, justice, making a difference'. Images are scattered around the graphic: a person lying on their stomach reading, a signpost with three arrows pointing in different directions, a person with their hands holding a big heart to their chest with the words 'I matter' above their head, hands holding a globe, four cutout people linked together, a box with coloured cogs and a lightbulb, hands clasped together, three balls with an outline of a person linked together with lines. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/6c6c0e22-a56b-4e46-8b1d-5af1bff6b2d2/My+vision+board+Jan+23.jpg Writings - My word of the year… Image description: a vision board made out of phrases and pictures cut out from magazines. There are pictures of animals, nature and art. Some key words are: possible, comfort, be you, step by step, explore, changing course. In the centre is a yellow star with the word connection written in the centre and the words others, self and nature underneath. https://www.chronicresilienceot.com/blog/so-what-is-self-care-anyway monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/c4b5834a-95e4-48c4-8032-988b13935cd8/Different+types+of+selfcare.jpg Writings - So what is self-care anyway? - Make it stand out Image description: A mindmap with teal bubbles on a pink backgroun with some stars and leaves. The centre bubble says: different types of self-care (a very small number of examples in what could be a never-ending list that will be different for everyone. Text in the other bubbles says: mental (mindfulness, grounding, seeing a therapist, self-compassion, taking a break), emotional (connecting with a pet or person, snuggling up under a blanket with a movie and snacks, saying no, setting boundaries), physical (eating and drinking, attending appointments, medication/supplements, movement, sleep), spiritual (nature connection, exploring your values, mindfulness, prayer). https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/fe633409-1006-4c3d-99c5-ccef87c75310/Selfcare+on+different+days.jpg Writings - So what is self-care anyway? - Make it stand out Image description: a grey background with brown text and some leaves. Inside a blue circle it says ‘ideas for self-care on a…’. There are 3 columns. The first column says ‘ difficult day’ with a picture of an empty battery, then ‘could look like doing a couple of the following: Change your clothes, Wash your face, Eat something easy, Take your meds, Drink some water, Take some slow deep breaths, Self-compassion’. The second column says ‘day with some energy’ with a picture of a half full battery, then ‘Tidy one area in your house, Water the plants, Sit outside, Gentle movement, Journal/colour/craft, Going out somewhere familiar, Tick something small off your to-do list’. The third column says ‘day with more energy’ with a picture of a full battery, then ‘Shower, Connect with someone, Go for a walk, Gardening, Do some bulk cooking, Craft activity, Board game, Going out somewhere new, Take a step towards a bigger long-term goal.’ At the very top is a box with a note that says ‘None of these suggestions are prescriptive, we all have different needs. Creating a list of things that work for you on different days takes out the added energy needed to generate ideas all the time.’ https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/b99a6a15-098c-45f8-b94d-5322fb95f0d7/Frequency+of+selfcare.jpg Writings - So what is self-care anyway? - Make it stand out Image description: A mindmap with grey bubbles on a blue background with stars and leaves. The central bubble says ‘Frequency of self-care tasks (this will look different for everyone). The other bubbles say ‘daily (brushing teeth - hopefully, medication/supplements, meditation and sleep, food and drink, pacing), weekly (getting outside, moving my body, connecting with someone, laundry), monthly (seeing a therapist, physio session, change the sheets, rotating cleaning tasks), yearly (setting goals, going on a holiday/taking time off, GP checkup.’ https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/df4c57a9-eeb1-40f4-aeaa-b291fc3994d4/Selfcare+different+times.jpg Writings - So what is self-care anyway? - Make it stand out Image description: A cream background with leaves. A pink oval says ‘ideas for self-care tasks that take…’. There are 3 columns with lists of activity ideas. Column 1: ‘1-5 minutes’ with a picture of a stopwatch with speed lines, activity ideas: Take some slow deep breaths, Notice the sights, sounds, smells and textures around you, Brush your teeth, Message a friend, Wash your face, Do one stretch, Touch something soothing. Column 2: ‘10-20 minutes’ with a picture of a red clock, activity ideas: Prepare and eat a snack, Shower, Move your body in some way, Tidy something away, Read (physical book or audiobook), Rest under a weighted blanket, Sit or lie down somewhere in nature. Column 3: ‘40-60 minutes’ with a picture of a clock with an arrow around the outside, activity ideas: Connect with someone, Go for a longer walk, Board game, Go out for a meal, Take the dog out, Bake something, Watch an episode or listen to a podcast, Go for a drive, Craft activity. At the bottom a brown box says ‘None of these ideas is prescriptive, we all have different needs. Creating a list of things you know work for you takes out the added step of needing to generate ideas.’ https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/5d861eab-6726-4782-a76a-ba11da44a2b7/Self-care+PEO.jpg Writings - So what is self-care anyway? - Make it stand out Image description: an infographic with black writing on a blue background. Heading reads ‘the ability to perform self-care (or other) tasks comes from a complex interaction of:’, text below heading from left to right says ‘who you are’ with an outline of a person in a circle, ‘what the task is’ with pictures of a computer, plant, shower, weight, hammock and briefcase, ‘and the environment you do it in’ with an image of a half circle with a house, mountain and trees. https://www.chronicresilienceot.com/blog/exploring-your-values monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/080d2f14-a1e7-46e4-9578-d2d302ad62cc/Values+image.jpg Writings - Exploring Your Values - Make it stand out Image description: Central words say “exploring your values”, there are four green bubbles around the centre that say: What makes you feel proud? What do you feel strongly about? What kind of person do you want to be? What’s important to you. Four cartoons are around the edge depict a hot air balloon, a series of ladders, a person sitting with 2 other people and a person reading a book. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/7af18547-69ae-44e5-a732-989a655dd6a8/Values+quote.png Writings - Exploring Your Values - Make it stand out Image description: a quote from Thomas Merton: “If you want to identify me, ask me not where I live, or what I like to eat, or how I comb my hair, but ask me what I am living for, in detail, and ask me what I think is keeping me from living fully for the things I want to live for.” https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/80b74012-af2d-4436-abe0-528522759115/Goals+vs+values+table.png Writings - Exploring Your Values - Make it stand out Image description: a table with the heading ‘what are the differences between goals and values?’ Goals: outcome, future focused (e.g. finish a degree, get a job), can be achieved, destination, what we do. Values: a process, the glue between goals (e.g. learning, contributing), guide us after achieving goals, directions, who we are. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/828509a3-6705-4913-8c23-a206d6995724/IMG_1288.jpeg Writings - Exploring Your Values - Make it stand out Image description: A vision board on a yellow background with many pictures and words cut out from magazines. Images include: nature, water, meditation, and in the centre two fire dragons form a circle with the words ‘finding my joy’ and ‘speaking my truth’ in the centre. Words include: ‘great things’, ‘following the dream’, what matters to me’, ‘less is more’, ‘a life well lived’. https://www.chronicresilienceot.com/blog/welcometochronicresilience monthly 0.5 2024-07-31 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/6156039a-b49e-4b53-a81a-0141fa4b9914/Recovery+journey.png Writings - Welcome to Chronic Resilience - Make it stand out Image description: The words ‘what we think our recovery journey will look like’ next to a straight arrow, and ‘what it actually looks like’ next to a squiggly arrow https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/6732059f-b462-4000-aca6-1b28965a8bad/Balancing.png Writings - Welcome to Chronic Resilience - Make it stand out Image description: Heading reads 'balancing resilience and rest', picture of a balanced scales at the top and underneath on one side a ball bouncing off a surface and a person in a hammock on the other https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/eb7b11c9-4434-4f18-9738-5ca02bcf0ce1/Dimensions-of-resilience.png Writings - Welcome to Chronic Resilience - Make it stand out Dimensions of resilience as described by Rollin McCraty (2010) in his paper Coherence: Bridging personal, social, and global health. Image description: 4 coloured circles representing the 4 dimensions of resilience with the word coherence in the centre: physical (physical flexibility, endurance, strength), emotional (emotional range and flexibility, positive feelings, self regulation, relationships), mental (attention span, mental flexibility, optimistic world view, incorporating multiple points of view), spiritual (commitment to core values, flexibility and tolerance of others’ values and beliefs, intuition). https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/2c3b6a7c-3123-4425-be65-79c0657bacda/Dimensions-of-resilience-in-response-to-disease-and-treatment.png Writings - Welcome to Chronic Resilience - Make it stand out Dimensions of resilience in response to disease and treatment from the paper Neurorehabilitation in Multiple Sclerosis – Resilience in Practice by Jürg Kesselring (2017). Image description: 4 coloured circles representing the 4 dimensions of resilience with examples of attributes relevant to each dimension: physical (fitness and stamina, nutrition for energy, rest and recovery); emotional (calming and focusing, impulse control, emotional regulation, positive emotion, realistic optimism); mental (self-belief, outlook and perspective, thinking traps, sustained focus, causal analysis, control controllables); spiritual (values and beliefs, empathy, reaching out) https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/a078e80a-59cf-4fb9-81e6-8f7487c13708/IMG_0220.jpeg Writings - Welcome to Chronic Resilience - Make it stand out Image description: a waterfall cascades down the rocks, trees surround the top and rocks frame the stream that flows around to the left. https://www.chronicresilienceot.com/blog/category/Education monthly 0.5 https://www.chronicresilienceot.com/blog/category/Conference%2FEvent monthly 0.5 https://www.chronicresilienceot.com/blog/category/Reflection monthly 0.5 https://www.chronicresilienceot.com/blog/category/Resources monthly 0.5 https://www.chronicresilienceot.com/events daily 0.75 2026-03-05 https://www.chronicresilienceot.com/events/neurodiversity-affirming-and-trauma-informed-occupational-therapy-june monthly 0.5 2026-02-27 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/22f626cb-c3e2-4c8d-afac-4ab58b479e1b/IMG_3111.jpeg Upcoming Trainings - Neurodiversity Affirming and Trauma Informed Occupational Therapy (June) - Make it stand out Image description: photo of a computer monitor with the title slide for the training ‘Neurodiversity-Affirming and Trauma-Informed Occupational Therapy’ with name, date and Occupational Therapy Australia’s logo. A crocheted emotional support pickle sits underneath the screen. https://www.chronicresilienceot.com/events/neurodiversity-affirming-and-trauma-informed-occupational-therapy-reseg monthly 0.5 2025-11-30 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1740272638465-UP49VFKJ4OLLP4B0B3ID/Sensory+kit.jpeg Upcoming Trainings - Neurodiversity Affirming Exploration of Sensory Preferences - Example of one of my sensory kits Image description: photo of a computer monitor with the title slide for the training ‘Neurodiversity-Affirming and Trauma-Informed Occupational Therapy’ with name, date and Occupational Therapy Australia’s logo. A crocheted emotional support pickle sits underneath the screen. https://www.chronicresilienceot.com/events/neurodiversity-affirming-and-trauma-informed-occupational-therapy-5f7br monthly 0.5 2025-11-30 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/22f626cb-c3e2-4c8d-afac-4ab58b479e1b/IMG_3111.jpeg Upcoming Trainings - Neurodiversity Affirming and Trauma Informed Occupational Therapy (May) - Make it stand out Image description: photo of a computer monitor with the title slide for the training ‘Neurodiversity-Affirming and Trauma-Informed Occupational Therapy’ with name, date and Occupational Therapy Australia’s logo. A crocheted emotional support pickle sits underneath the screen. https://www.chronicresilienceot.com/events/neurodiversity-affirming-and-trauma-informed-occupational-therapy monthly 0.5 2025-11-30 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/22f626cb-c3e2-4c8d-afac-4ab58b479e1b/IMG_3111.jpeg Upcoming Trainings - Neurodiversity Affirming and Trauma Informed Occupational Therapy (February) - Make it stand out Image description: photo of a computer monitor with the title slide for the training ‘Neurodiversity-Affirming and Trauma-Informed Occupational Therapy’ with name, date and Occupational Therapy Australia’s logo. A crocheted emotional support pickle sits underneath the screen. https://www.chronicresilienceot.com/events/neurodiversity-affirming-practice-christchurch monthly 0.5 2025-05-23 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/b6f1550b-9b42-4f76-9b09-89e8d7413e44/Chch+2025+ND+affirming+practice+banner.png Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch - Make it stand out Image description: a banner for the training ‘Neurodiversity affirming practice for mental health’ with event details. Black text on a light blue background. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745115987383-TK6BDQ4AG9NKVHRM4WIE/IMG_1256.jpeg Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745116144777-DEM96SWYZQN2LLLQ42U7/IMG_2384.jpeg Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745116026964-SS3EJ228TVYSAUSRB2IY/IMG_2377.jpeg Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745629388074-1UCDENVMG5RH26MFDY34/Chch+2025+Neurodiversity+affirming+practice+logo.png Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745114433075-WID5NDOECVLTAWHBCSK8/The%2BCave_Entrance.jpg Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745114439359-O6CYP3BG1BO62SH8T2WT/The%2BCave_Kitchen.jpg Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745114445869-R92SSQ6ALVUTA8J55W0S/The%2BCave_Rear.jpg Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745115796365-4W657IMTGOJGA8437T5Z/The%2BCave_View%2Bfrom%2Brear.jpg Upcoming Trainings - Neurodiversity affirming practice for mental health - In person Christchurch https://www.chronicresilienceot.com/events/sensory-processing-for-mental-health-christchurch monthly 0.5 2025-05-23 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/8a050cfe-3413-416d-960a-1c069d88930a/Chch+2025+Sensory+processing+in+mental+health+banner.png Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch - Make it stand out Image description: a banner for the training ‘Understanding and Supporting Sensory Processing for mental health’ with event details. Brown and black text on a light brown background. Symbols for each of the sensory systems run down each side. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745115987383-TK6BDQ4AG9NKVHRM4WIE/IMG_1256.jpeg Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745116144777-DEM96SWYZQN2LLLQ42U7/IMG_2384.jpeg Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745116026964-SS3EJ228TVYSAUSRB2IY/IMG_2377.jpeg Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745114425418-6GHGC248EM5O741S953J/Chch+2025+Sensory+processing+in+mental+health+logo.png Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745114433075-WID5NDOECVLTAWHBCSK8/The%2BCave_Entrance.jpg Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745114439359-O6CYP3BG1BO62SH8T2WT/The%2BCave_Kitchen.jpg Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745114445869-R92SSQ6ALVUTA8J55W0S/The%2BCave_Rear.jpg Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1745115796365-4W657IMTGOJGA8437T5Z/The%2BCave_View%2Bfrom%2Brear.jpg Upcoming Trainings - An Introduction to Sensory Processing for Mental Health - In person Christchurch https://www.chronicresilienceot.com/events/values-exploration-for-us-and-our-work monthly 0.5 2025-07-14 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/f43287dc-bf81-4a52-9486-81c942e6f495/Values+intro+banner.png Upcoming Trainings - Values Exploration for Us and Our Work - Make it stand out Image description: a banner for the event titled: Values Exploration for Us and Our Work, with event details. Tan background with green text bubbles. https://www.chronicresilienceot.com/events/values-exploration monthly 0.5 2025-08-01 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/b8d2659e-81ed-49aa-8874-1f88577dc31c/Values+learn-do-teach+series+2025+banner.png Upcoming Trainings - Learn-Do-Teach - Values Exploration Workshop - Make it stand out Image description: workshop banner, green background with text of event information. Green circles on each side and graphics in each corner. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/775f9052-4197-4f34-9b4b-dbfe650251d9/Values+poster+FINAL.png Upcoming Trainings - Learn-Do-Teach - Values Exploration Workshop - Values work is a powerful clinical tool that I use in practice. It helps people tune into what matters to them and where they want to go. As health professionals, I think it is also important that we do our own values work regularly, to check alignment and make adjustments as needed. I frequently review my values, go through this process, check how aligned I am with my values, and set values-aligned action steps. You can read more about the background and my development process in this blog version of a poster presentation from the OTNZ-WNA conference 2023 - Values as a guiding force supporting engagement and meaning-making. It has been an iterative development process, using co-creation and including lived experience perspectives. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1740464352545-ZVQF6FH5Z0UY0Q18VQUK/IMG_1482.jpeg Upcoming Trainings - Learn-Do-Teach - Values Exploration Workshop https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1740464891691-4EJ2FRMIPFP6FBZTFDLR/IMG_1344.jpeg Upcoming Trainings - Learn-Do-Teach - Values Exploration Workshop https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1740464331792-NNWRRLM8E4LXTCWV1EID/My+vision+board+Jan+23.jpg Upcoming Trainings - Learn-Do-Teach - Values Exploration Workshop https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1752544487898-90DOTEO86TN6LHSNUHUM/Values+learn-do-teach+series+2025+logo.png Upcoming Trainings - Learn-Do-Teach - Values Exploration Workshop https://www.chronicresilienceot.com/events/sensory-kit-workshop monthly 0.5 2025-03-03 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/6d6451f8-a80d-4518-9701-90fee1b1b2f9/Sensory+box.jpg Upcoming Trainings - Sensory Kit Workshop - for adults - Would you like more tools in your self-regulation toolbox? We are all sensory beings who process the world in different ways. When we know what calms us down or alerts us we can use this knowledge to create additional tools in our toolbox of self-management strategies. This is an opportunity for you to learn about your sensory preferences and explore strategies that work for you to develop a kit for ongoing use. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1740272638465-UP49VFKJ4OLLP4B0B3ID/Sensory+kit.jpeg Upcoming Trainings - Sensory Kit Workshop - for adults https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1740272672393-RJQGJ4SKL0HUS8O71BCO/IMG_0191.jpeg Upcoming Trainings - Sensory Kit Workshop - for adults https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1740985361526-1I8VE219B4BQGLPC6333/IMG_2775.jpeg Upcoming Trainings - Sensory Kit Workshop - for adults https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1740985439411-7KEK9OUZ79AZXXZ3WRRJ/IMG_2774.jpeg Upcoming Trainings - Sensory Kit Workshop - for adults https://www.chronicresilienceot.com/events/sensory-modulation-in-mental-health-online monthly 0.5 2024-09-04 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/c5374022-a4d2-4e68-838a-e97f4ff31537/Online+Sensory+processing+in+mental+health+banner.jpg Upcoming Trainings - Understanding and Supporting Sensory Processing for Mental Health - online - Make it stand out Banner for the event ‘An Introduction to understanding and supporting sensory processing for mental health. Cream background with symbols representing each of the 8 senses, black text with event details. https://www.chronicresilienceot.com/events/neurodiversity-affirming-practice-hamilton monthly 0.5 2024-09-04 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/e7a9bd29-a3ca-49bd-a60a-ebacad137077/Hamilton+ND+affirming+practice+banner.jpg Upcoming Trainings - Neurodiversity Affirming Practice for Mental Health Professionals - in Person, Hamilton, NZ - Make it stand out Image description: event banner for ‘An Introduction to Neurodiversity Affirming Practice for Mental Health Professionals’, blue and black text on a light blue background. Cartoonish images in each corner: 2 people in a hot air balloon, a person with a magnifying glass standing on a book, 3 people sitting together, a person at the top of 3 ladders. https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1722835584205-2BGHERMOI7N1V0ARQDL5/Hamiltpn+Gardens+Campus+map.png Upcoming Trainings - Neurodiversity Affirming Practice for Mental Health Professionals - in Person, Hamilton, NZ https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1722835585100-BD18TZ0DCU6V4X5DNZ7F/image002.jpg Upcoming Trainings - Neurodiversity Affirming Practice for Mental Health Professionals - in Person, Hamilton, NZ https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/1722835583382-7VJOU3DUO8XVAEAYILCX/image001.jpg Upcoming Trainings - Neurodiversity Affirming Practice for Mental Health Professionals - in Person, Hamilton, NZ https://www.chronicresilienceot.com/events/neurodiversity-affirming-practice-online monthly 0.5 2025-02-02 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/6524fddb-98e7-4490-a805-3d76aca4556e/Online+Feb+25+Neurodiversity+Affirming+Practice+banner.jpg Upcoming Trainings - Neurodiversity Affirming Practice for Mental Health - online - Make it stand out Image description: event banner for ‘An Introduction to Neurodiversity Affirming Practice for Mental Health Professionals’, blue and black text on a light blue background. Cartoonish images in each corner: 2 people in a hot air balloon, a person with a magnifying glass standing on a book, 3 people sitting together, a person at the top of 3 ladders. https://www.chronicresilienceot.com/events/neurodiversity-affirming-practice-canberra monthly 0.5 2024-07-22 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/94d7c509-da8e-4fd6-bcda-f7d9cfaf204b/Canberra+ND+affirming+practice+banner.png Upcoming Trainings - Neurodiversity Affirming Practice for Mental Health Professionals - In person in Canberra ACT - Make it stand out Image description: event banner for ‘An Introduction to Neurodiversity Affirming Practice for Mental Health Professionals’, blue and black text on a light blue background. Cartoonish images in each corner: 2 people in a hot air balloon, a person with a magnifying glass standing on a book, 3 people sitting together, a person at the top of 3 ladders. https://www.chronicresilienceot.com/events/sensory-modulation-in-mental-health monthly 0.5 2024-07-22 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/4d1b4338-4f05-4f39-9e77-ddc453d7e033/Sensory+processing+in+mental+health+banner.png Upcoming Trainings - Understanding and Supporting Sensory Processing for Mental Health Professionals - In person only - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.chronicresilienceot.com/events/neurodiversity-affirming-practice monthly 0.5 2024-06-04 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/35eafaf9-2761-43ee-bcbf-8a97d0c59726/ND+affirming+practice+banner.png Upcoming Trainings - Neurodiversity Affirming Practice for Mental Health Professionals - In person only - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.chronicresilienceot.com/events/valuespart2-april monthly 0.5 2023-02-08 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/0ee0b838-f822-4947-ba6d-b23566bceca9/April+Values+Exploration+workshop+flyer.jpg Upcoming Trainings - Part 2 - Values Exploration Workshop - Make it stand out Image description: A flyer for the workshops. An image of a set of cogs is in one corner and a hand holding a seedling in another. 4 cartoons depict a hot air balloon, a series of ladders, a person sitting with 2 other people and a person reading a book. Text reads: Chronic Resilience Lived Experience Occupational Therapy presents a 2-part Values Exploration Workshop Get clear on your values and take steps to live more in line with them When: Saturday 16th and 23rd April, 1-3:30pm Where: Onekakā Hall, 1202 Tākaka-Collingwood Highway Cost: sliding scale $60-$90 Feeling a bit lost as we move through 2023? Come and reflect, explore your values and set meaningful and achievable action steps to live more in line with those values and envision what the year ahead looks like for you. Session 1: Figuring out your values and moving in valued directions. Session 2: Values vision boarding. To book contact Rebecca on 021 026 02961 or rebecca@chronicresilienceot.com Limited places, bookings essential https://www.chronicresilienceot.com/events/valuespart1-april monthly 0.5 2023-02-08 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/0ee0b838-f822-4947-ba6d-b23566bceca9/April+Values+Exploration+workshop+flyer.jpg Upcoming Trainings - Part 1 - Values Exploration Workshop - Make it stand out Image description: A flyer for the workshops. An image of a set of cogs is in one corner and a hand holding a seedling in another. 4 cartoons depict a hot air balloon, a series of ladders, a person sitting with 2 other people and a person reading a book. Text reads: Chronic Resilience Lived Experience Occupational Therapy presents a 2-part Values Exploration Workshop Get clear on your values and take steps to live more in line with them When: Saturday 16th and 23rd April, 1-3:30pm Where: Onekakā Hall, 1202 Tākaka-Collingwood Highway Cost: sliding scale $60-$90 Feeling a bit lost as we move through 2023? Come and reflect, explore your values and set meaningful and achievable action steps to live more in line with those values and envision what the year ahead looks like for you. Session 1: Figuring out your values and moving in valued directions. Session 2: Values vision boarding. To book contact Rebecca on 021 026 02961 or rebecca@chronicresilienceot.com Limited places, bookings essential https://www.chronicresilienceot.com/events/make-your-own-sensory-kit-1 monthly 0.5 2023-02-09 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/c1e8c9ad-fc68-4b9e-b3d6-dd31410a4bdb/March+Sensory+kit+workshop+flyer.jpg Upcoming Trainings - Part 1: Make Your Own Sensory Kit - Make it stand out Image description: A flyer for the workshops. An image of a set of cogs is in one corner and a hand holding a seedling in another. Around the title are 8 small graphics representing the 8 senses: a hand points, a tongue sticking out, a nose, an ear, an eye, a person balancing, a person moving and a person standing still. Text reads: Chronic Resilience Lived Experience Occupational Therapy Make Your Own Sensory Kit - A 2-part workshop When: Saturday 11th and Saturday 18th march, 1-3:30pm Where: Onekakā Hall, 1202 Tākaka-Collingwood Highway Cost: sliding scale $90-$120 (for both sessions, includes cost of kit items) Would you like to have more tools in your self-regulation toolbox? Come and learn more about the unique ways in which you process sensory information, explore and develop strategies for self-regulation and create your own sensory kit. Session 1: Sensory processing systems and patterns. Session 2: Creating your own sensory kit to take home. To book contact Rebecca on 021 026 02961 or rebecca@chronicresilienceot.com Limited places, bookings essential https://www.chronicresilienceot.com/events/make-your-own-sensory-kit-2 monthly 0.5 2023-02-09 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/c1e8c9ad-fc68-4b9e-b3d6-dd31410a4bdb/March+Sensory+kit+workshop+flyer.jpg Upcoming Trainings - Part 2: Make Your Own Sensory Kit - Make it stand out Image description: A flyer for the workshops. An image of a set of cogs is in one corner and a hand holding a seedling in another. Around the title are 8 small graphics representing the 8 senses: a hand points, a tongue sticking out, a nose, an ear, an eye, a person balancing, a person moving and a person standing still. Text reads: Chronic Resilience Lived Experience Occupational Therapy Make Your Own Sensory Kit - A 2-part workshop When: Saturday 11th and Saturday 18th march, 1-3:30pm Where: Onekakā Hall, 1202 Tākaka-Collingwood Highway Cost: sliding scale $90-$120 (for both sessions, includes cost of kit items) Would you like to have more tools in your self-regulation toolbox? Come and learn more about the unique ways in which you process sensory information, explore and develop strategies for self-regulation and create your own sensory kit. Session 1: Sensory processing systems and patterns. Session 2: Creating your own sensory kit to take home. To book contact Rebecca on 021 026 02961 or rebecca@chronicresilienceot.com Limited places, bookings essential https://www.chronicresilienceot.com/events/valuespart2 monthly 0.5 2023-02-08 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/2d1bef7d-3965-477f-bbef-9608e7759163/Values+Exploration+workshop+flyer.png Upcoming Trainings - Part 2 - Values Exploration Workshop - Make it stand out Image description: A flyer for the workshops. An image of a set of cogs is in one corner and a hand holding a seedling in another. 4 cartoons depict a hot air balloon, a series of ladders, a person sitting with 2 other people and a person reading a book. Text reads: Chronic Resilience Lived Experience Occupational Therapy presents a 2-part Values Exploration Workshop Get clear on your values and take steps to live more in line with them When: Saturday January 21st 12-2:30pm and Saturday January 28th, 12-2:30pm. Where: Rooms for courage, 14 junction St, Tākaka. Cost: sliding scale $50-$80 Would you like to have more meaning, purpose and direction in your life in 2023? Instead of setting new years resolutions, come and reflect, explore your values and set meaningful and achievable action steps to live more in line with those values and envision what the year ahead looks like for you. Session 1: Figuring out your values and moving in valued directions. Session 2: Values in different life areas, what gets in the way of living in line with our values, values vision boarding for the year ahead. To book contact Rebecca on 021 026 02961 or rebecca@chronicresilienceot.com Limited places, bookings essential https://www.chronicresilienceot.com/events/valuespart1 monthly 0.5 2023-01-02 https://images.squarespace-cdn.com/content/v1/63526fbc4d67332bf3fd8675/2d1bef7d-3965-477f-bbef-9608e7759163/Values+Exploration+workshop+flyer.png Upcoming Trainings - Part 1 - Values Exploration Workshop - Make it stand out Image description: A flyer for the workshops. An image of a set of cogs is in one corner and a hand holding a seedling in another. 4 cartoons depict a hot air balloon, a series of ladders, a person sitting with 2 other people and a person reading a book. Text reads: Chronic Resilience Lived Experience Occupational Therapy presents a 2-part Values Exploration Workshop Get clear on your values and take steps to live more in line with them When: Saturday January 21st 12-2:30pm and Saturday January 28th, 12-2:30pm. Where: Rooms for courage, 14 junction St, Tākaka. Cost: sliding scale $50-$80 Would you like to have more meaning, purpose and direction in your life in 2023? Instead of setting new years resolutions, come and reflect, explore your values and set meaningful and achievable action steps to live more in line with those values and envision what the year ahead looks like for you. Session 1: Figuring out your values and moving in valued directions. Session 2: Values in different life areas, what gets in the way of living in line with our values, values vision boarding for the year ahead. 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