I do my sessions through whatever means are most comfortable for you.

• Video Call: This is our standard mode of connection. You can choose to keep your camera on or off whatever helps you feel safe and focused.

• Email or Messaging: If video calls feel overwhelming or aren't your preference, we can communicate via secure email or messaging platforms.

• Getting Started: Please let me know your preferred method via email before we begin. If you don't specify, I will assume we will use video calls (with the option to turn the camera off).

Important Location Requirement:
For insurance and legal reasons, clients must be based in the UK or Channel Islands during our sessions. If you plan to travel abroad, please let me know beforehand so we can discuss.

We primarily communicate via email & our zoom calls, some clients choose to use whattsapp also

You can attend appointments anywhere you feel comfortable. That might be in bed, on the sofa or at a table. There will be no judgment if you wear your pyjamas or haven't brushed your hair; I understand that getting dressed is exhausting some days! You can move around, stim, craft, eat, drink etc during sessions. Please just be comfortable, and find a room where you can talk openly and privately. Please do not take our calls from a room with other people present.

Navigate Neurodiversity OT is a sole trader practice, not a large company. As a disabled independent OT, I work only a few hours a week in order to look after my own health, which is why slots are limited.

The "tipped" and "low" tiers on the sliding scale are also limited, as I do need to cover my overheads. These are often full, but you're welcome to join the waiting list. I'm exploring funding options that could make free or further discounted sessions possible in future, though that's a lengthy process and some way off yet. Thank you for your understanding.

I have a wonderful VA, Helen, who supports me for a couple of hours a week. You may hear from her via my admin email (admin@navigateneurodiversityot.com) about payments, bookings, and other admin tasks, but that's the only context in which she'll be in touch.

Please click here to contact me or click here to join my mailing list and be the first to know when the waiting list reopens.

My usual office hours are: Mon–Wed: 10am–5pm | Fri: 10am–3pm 

Availability (june 2026):

Access-to-work clients: Please see my ATW page for details of my next availability

Self-funded clients: please see my services page for my next availability

​Thank you!

Here is how our typical path looks:

Step 1: Discovery call

a 10-20 min chat to get to know each other a little better, find out more about what you are looking for and answer any questions you may have. Then we both go away and decide if we would like to move forward to book you in.

Step 2: Initial Assessment

Our first proper meeting is all about getting to know each other. We’ll explore your history, current challenges and strengths. No pressure to have everything figured out yet! I will then send you a list of areas I could support you with based on the assessment.

Step 3: Goal Setting Session

Based on our assessment, we’ll co-create a plan. We’ll identify specific, meaningful goals/ topics and decide which to work towards first.

Step 4: Main Sessions

We’ll implement your plan through tailored strategising sessions, resource creation, lifestyle adjustments, and reflective conversations. Some weeks might be problem-solving; others might be gentle maintenance. We move at your pace.

Step 5: Endings

We’ll reflect on the work we have done together and celebrate you! We discuss your future plans and answer any final questions you might have.

Pop me an email, you don't need a formal referral, a diagnosis, or a perfectly worded message. Something as simple as "hello, I'm interested in OT support" is enough to get the ball rolling.

If you're not sure what to say, here's a rough template:

"Hi Alex, I'm interested in finding out more about your OT services. I'm [a brief line about you, e.g. I am X neurotype, and I would like support with X. I'd like support on a weekly/fortnightly/monthly basis & I'm usually free between X days and times. My sliding scale green bottle is X]. Could you let me know if you have availability or if i can join the waiting list? Thanks."

My preferred contact method is email: alex@navigateneurodiversityot.com

Access-to-work clients:

• Attend Sessions: You attend your scheduled sessions throughout the month.

• Monthly Invoice: At the end of the month, I send you an invoice summarising all sessions completed that month.

• Submission: You (or my PA, if you wish) upload this invoice to your ATW portal. My PA is available to help with this.

• Payment: ATW processes the payment and transfers the funds directly to me once the invoice is approved

  • ATW sessions are available rates vary, please request a quote

  • The minimum ATW fee is £100 if your grant rate is below this, a self-funded top-up may apply

  • You are responsible for uploading invoices to the ATW portal within 5 working days of receiving them

  • You are responsible for obtaining your employer's approval of each claim

  • Unapproved or declined sessions become your responsibility to self-fund

Self-Funded Clients:

How to pay

• Payment is by BACS bank transfer (GBP)

• Self-funded sessions must be paid at least 24 hours before your appointment

• Payment plans are available on request, must be agreed in writing

• Fees are reviewed typically in January or April each year, you'll always be informed in advance

If you have any complaints, areas for improvement you would like to suggest or positive feedback you'd like to share, please email them to me, or you can complete this form: https://forms.gle/CsP3GMJukVhNm8z49​ . I will take on board any feedback and use it to improve the service.

Because I work with a small number of clients and hold space specifically for you each slot, late cancellations and no-shows have a real impact on my capacity to keep the practice running sustainably and on others who may be waiting for support. I don't have a receptionist or a large team to absorb that, so I do need to hold these boundaries consistently.

• 48 hours' notice is needed to cancel or reschedule without charge

• Less than 48 hours' notice, or non-attendance: full fee is charged

• Arriving 15+ minutes late without notice is treated as a no-show; full fee applies

• Arriving less than 15 minutes late: your session will still end at the original time

• Genuine emergencies: I'll consider reducing the fee, especially if its the first time

• If I cancel, your session will be rescheduled, and any payment already made is credited to your next session

(See the full terms and conditions for the complete cancellation policy.)

Your slot in my diary

I work with a small number of clients at a time, so I do need to be thoughtful about how I hold space in my schedule.

When we start working together, we'll book your next few sessions in advance, this keeps your place secure without you having to chase me each time.

If you need a break, just drop me a message. Life happens, and I'd much rather know than wonder.

If I haven't heard from you and there are no upcoming bookings for more than four consecutive weeks, I'll gently assume you don't need your slot right now and offer it to someone on the waiting list. You're always welcome to come back, just get in touch, and when I have availability we can re-start.

Detailed notes are a requirement of Alex's professional licensing. As a reasonable adjustment for chronic hand pain impacting Alex's ability to type and periods of being non-speaking, which make traditional speech-to-text tools inaccessible, Heidi Health may be used to support transcription and summarising. Heidi Health is GDPR compliant and is increasingly used across the NHS. It also means Alex can share a written summary with you after each session.

You can withdraw consent for this at any time.

Occupational therapy is about helping you live, work, and play in a way that actually works for your brain, not the way you've been told it should work.

As your OT, I'm not here to "fix you" or make you more neurotypical. I'm here to work alongside you to figure out what's getting in the way, what your strengths are, and what practical changes, big or small, could make your day-to-day life feel more manageable.

That might look like working on executive function strategies, understanding your sensory needs, navigating burnout, figuring out workplace adjustments, or just finally having someone in your corner who gets it.

Sessions are the main space for our work together, but there may be things to try out or reflect on between appointments. Any between session activity is always collaborative and optional.

You're also welcome to email with brief questions between sessions (typically one or two short queries).

That's okay, if you notice this you can tell Alex and if Alex notices this she will always be honest with you if that's the case. Where possible, you'll be signposted to other support that may be a better match.

Counselling tends to focus on processing emotions and past experiences. Coaching usually focuses on goals and performance. Occupational therapy sits in a different space: it's a healthcare profession practical, functional, and holistic. It looks at you as a whole person: your environment, your daily activities, your strengths, and your challenges and together we build practical strategies that actually work for your life.

It depends entirely on what you're working on and how things progress. Some people benefit from a handful of focused sessions; others find longer-term support more useful. This is always your decision to make, and you can stop at any time.On average, most people work with me for a minimum of 12 sessions, all the way up to 2 years of weekly support.