Occupational Therapy & Coaching with Understanding, Care & Practical Tools.
Access to Work Coaching for Neurodivergent Adults
I have space for 1 new Access-to-work client who is looking for fortnightly slots starting in September or October 2026 - please email me if you might like to have this slot.
Please use the form at the end of this page or pop me an email, to enquire.
You are welcome to join the FREE mailing list for resources, tips & news: https://alexnavneuroot.substack.com/subscribe
What is Access to Work Coaching?
Access to Work (AtW) is a UK government scheme that helps remove barriers to work for disabled and neurodivergent people. If you're autistic, ADHD, AuDHD, or otherwise neurodivergent, you may be eligible for funded coaching support to help you thrive at work.
As a neurodivergent Occupational Therapist, I offer Access to Work coaching/support strategies for autistic and ADHD adults across the UK. I help you make the most of your Access to Work grant, and work together on strategies that are tailored, affirming, and effective.
This support is sometimes listed in access-to-works report as ADHD coaching, neurodivergence coaching, support worker, support strategy coaching (and more names!- if you're unsure email me)
What I could support you with
As a multiply neurodivergent Occupational Therapist, I understand the spiky profiles, demand avoidance, executive functioning challenges, and sensory needs that can affect your work life.
My support is person-centred and designed with you in mind. Some of my specialisms to support with include:
Executive functioning support (eg planning, transitions, getting started)
Understanding your sensory profile
Creating sensory tools that support your nervous system
Support for preventing and during burnout
Lower energy & fatigue support
Mapping out your longer term goals and breaking them down
Creating weekly/monthly etc plans or routines to support you
Accountability-partnering
Identifying workplace adjustments
Unmasking safely
Nervous system regulation & emotions
Anything at home which is impacting you at work e.g equiptment
Building confidence & self-advocacy at work
You can choose to have a personalised pathway on the topics of your choosing, or if you're not sure where to start, you could use one of my pre-set themed packages (click here and scroll to 2.)

What is coaching with you like?
As an HCPC registered independent occupational therapist, I bring an OT approach to coaching. While I describe it as coaching for access to work purposes, it’s really occupational therapy at its core. This offers my clients the added reassurance of working with a professional who is insured, accountable, and adheres to robust record-keeping, GDPR compliance, and ethical standards.
Sessions are tailored to the individual but generally look like a mix of validation and verbal processing & practical support strategies (and if wanted, accountability partnering), e.g creating the plans and figuring out and experimenting.
I use the OT process in my work:
1) we have an initial evaluation of your needs to give me a holistic picture of your life right now this helps to inform our work
2) Pathway clarity - we map out how we will use your sessions and clarify your goals (can be loose or specific) we are working towards
3) Core sessions start - each session we focus in on one of your goals/topics from the pathway clarity session and start to work towards it together. I use documents which I put on the screen so you have something to look at and complete in session together.

Is It Funded?
If you’re eligible for Access to Work, the government will usually cover the cost of around 12 coaching sessions (sometimes more). You don’t need a formal diagnosis, and it’s free to apply. If your grant does not cover my minimum fee there is an option to self-fund or employer fund a small top-up.
My ATW coaching fees are different from self-funded sessions to cover the additional workload involved.
I also provide guidance on applying for Access to Work. I know forms can be overwhelming (support with forms would be self-funded)
Who is This For?
Autistic adults (diagnosed or self-identifying)
ADHDers and AuDHDers (diagnosed or self-identifying)
People with mental health conditions, other types of neurodivergence e.g dyslexia, dyspraxia, tourettes's
Employees, freelancers, self-employment or job seekers
UK-based
What's the vibe of sessions with you?
Although I'm an OT so use these skills, lived experience is at the heart of my support, so I often share stories and use this to validate - "I get it!, me too". I often use humour, talk about shared interests, use fidgets, bring plushies and swearing is welcome, I'm more informal in my communication style unless I'm writing something like a formal report, I also am not a "blank slate" I give reactions and facial expressions e.g I celebrate with you by smiling, clapping and sometimes a little dance and frown and drop my jaw if someones treated you badly. We are equals & I am very open and happy to be asked questions. I'm of course also happy to support with any adjustments you need and welcome feedback continuously.
Why work with me?
A framework developed specifically for neurodivergent adults I work from the Navigate Neurodiversity OT Framework a specialist approach I've developed through clinical practice and lived experience.
OT and coaching, combined I bring occupational therapy into everything, which means we're not just talking we're working on real, practical change in the things that matter most to you.
A different lens My background in anthropology shapes how I think about people in relation to their environments, occupations, and the systems around them. It's an unusual combination, and it makes a difference to how I work.
Continuity, always It's just me. You will always work with the same person, someone who knows your history, your patterns, and your goals.
A flexible service Sessions are online and built around your capacity. Fortnightly, 3 weekly, monthly, ad-hoc. Zoom with camera off, camera on, email.
Kind, affirming, and non-judgmental This is a space where you don't have to mask, perform, or minimise. You're welcome as you are.
Straightforward admin Invoicing and scheduling are handled clearly, once a month. If you need support navigating that, I can help with that too.
HCPC registered I'm bound by a professional code of conduct, which means you have formal protections in place when you work with me, not just my word for it.
Direct invoicing to ATW clients Unlike some providers, I invoice Access to Work directly. You don't pay me and wait to be reimbursed.
My lived-Experince
I help neurodivergent adults -including those who are undiagnosed, late-identified, or still figuring out what their neurodivergence and health conditions mean for them - to navigate daily life, work, and wellbeing in ways that are built around who they actually are.
I believe I am the only independent Occupational Therapist in the UK offering this specific combination of specialist clinical expertise and lived experience.
I'm an HCPC registered Occupational Therapist with a background in anthropology and a Master's in OT. I'm also multiply neurodivergent, disabled, with several chronic health conditions. My training and my own experience aren't separate things they inform each other constantly. You won't need to explain or justify your experience to me. I already get it.
My lived experience includes:
If you've ever felt like traditional services don't quite get you, you're not alone. Many of the people I work with have spent years navigating systems that misunderstand, pathologise, or overlook their experiences. I bring personal experience of:
Autism
ADHD
Dyslexia
Dyspraxia
Depression
Anxiety
OCD
Trauma
Endometriosis
Hypermobility
Chronic pain and chronic fatigue
Using walking aids and a wheelchair
Being part of the LGBTQIA+ community
These experiences shape not only how I understand the world, but how I show up in my work with empathy, nuance, and a deep respect for each person's autonomy.

How to Get Started
I'm applying for Access to Work:
You can request to work with Navigate Neurodiversity OT as your specialist coaching/coping strategies provider when you submit your application. If you do this, Access to Work should fund my full rate. Email me for a free quote to include with your application: alex@navigateneurodiversityot.com
Email me for a quote to include with your application.
Apply to Access to Work, naming Navigate Neurodiversity OT as your provider. Need help applying? Email me and I can help you (fees apply). I have also made a small guide to support with applications: https://payhip.com/b/2ikLI
Once your grant is approved, get in touch with me and we can organise a free chat to see if we would like to move forward toegther
My ATW coaching fees are different from self-funded sessions to cover the additional workload involved. I also provide guidance on applying for Access to Work I know forms can be overwhelming (support with forms would be self-funded).
I already have an Access to Work grant:
Get in touch using the contact form below or email me at alex@navigateneurodiversityot.com with details of your funding allocation (grant amount per session, number of sessions, and areas you'd like support with).
Get in touch with your funding details.
If your funding allocation matches my minimum fees* and I have availability, I offer a free short chat to see if we're a good match.
If we both agree we're a good match, we can start working together.
Start sessions.
*If you applied without requesting Navigate Neurodiversity OT as your provider and your approved rate is lower than my standard ATW fee, I have a minimum threshold of £100/hour. You are welcome to self-fund or employer fund the difference as a top-up to meet this.
Ready to chat?
Please email me or complete the form below, id love to hear from you!
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