Sasha Wray Occupational Therapist

14/04/2026

08/04/2026

Flow is essential part of the therapy I offer for pain management, fatigue and mental health.

Flow State is an integral part of human nature and the occupational brain.
Neuroplasticity occurs because of experience and participation in life activities (our occupations).

When meaning, presence, rest & flow are integrated - the nervous system can make the changes it needs for healing.

06/04/2026

Our understanding of FND or Functional Neurological Disorder has come a long way since even the mid 1990's where I first encountered the condition while working in an acute psychiatric hospital.

FND is a neurological disorder
- diagnosis is no longer made by negative tests (ruling out other conditons)
- there are very clear daignstic criteria and tests to diagnose FND

FND is a functional disorder
- this means the way the nervous system functions (communicates) is impaired

Symptoms include
- functional seizures
- muscle cramping / intense spasm
- problems with gait/balance / mobility
- involunary movements
- speech, swallowing and language problems
- bladder & bowel changes
- cognitive changes
- sensory changes
- pain
- fatigue

➡️all ultimatley cause occupaitonal disruption‼️

Occupational Therapists help FND by focusing on
🛁🧹 what you need to do in life,
🎻🚴‍♀️what you want to do in life
so you can focus on being you!

📞 Call 93374640 fo rmore info

04/04/2026

I had synchronicity moment this morning with Moon 🌝
At the traffic lights on my way to work, I listened to the count down for Artemis to take off for the moon. The first time since 1972, the radio announcer said...

"Wow 😮 incredible my thoughts were as I looked up to see the actual moon!! And then start to ponder on flow and how these incredible moments happen when we are feeling aligned, relaxed and purposeful in life.

The pressures and stressors are still there but we somehow transcend it all."

My musings were brought back to earth 🌍 when I then heard the interviewee say that the plan is to build a base on the moon as a stopover to Mars. With people living there and regular commutes from Earth by 2040!!!!

Now ever since I saw the movie 2040 this has been a year that I associate with potentially environmental disaster unless we change how we live and treat the earth.

I'm not sure which way we'll go.

03/04/2026

When it comes to chronic pain recovery, upskilling in managing thoughts + feelings is essential.

This quote by — Hector Garcia Puigcerver - says it all.

“If we try to get rid of one wave with another, we end up with an infinite sea.”

Let me explain..

Thoughts - when pain persists it is likely and expected that soemone would develop obsessive thoughts e.g. about recovery "what can I do?", self pity "why me?", worry "will this ever end?", anger "I've done everything advised and it hasn't worked"

When you are then told that thoughts can impact pain - it can be hard to understand, especially when you are then told not try to control them or get rid of them. If we do, they become more intense.

Emotions - We don’t create our feelings; they simply come to us.

Whether it's thoughts &/or feelings that you are struggling with, this quote is another way of saying that have to find a way to accept them.

The trick is welcoming them, making room for them to be there alongside pain and discomfort.

We can’t predict or control them; we can only observe them.

31/03/2026

I had to share this marginalian article because it speaks of hope, forgiveness, art and power of engagement in life and living (your occupations).
And because I'm a huge Nick Cave fan, from his early days, and he just gets better with age!

In praise of “the necessary and urgent need to love life and one another, despite the casual cruelty of the world.”

24/03/2026

AI in health care is something I am still grappling with. This video highlights some very alarming concerns.
- predicted discharge dates that have to be adhered too despite patients not being ready

Within most presentations there is a recognized treatment pathway where we can predict the course of time someone needs for recovery.

It's helpful so that when recovery doesn't happen within the expected timeframe we know it's time to review things.
We don't say according to the literature or allogorthym you should be healed and then see them off.

This type of discharge planning will lead to increased injury, suffering and cost.

24/03/2026

We rarely hear about fatigue in Endometriosis and Adenomyosis

21/03/2026

When I was a child, little delighted me more than the magical green garlands draping from the pine trees, which I made into wreaths and mustaches to roam the mountains of Bulgaria as a miniature Or…

20/03/2026

So great to watch the .danlos Female Health Summit with physio Lisa and OT Atiya.

Lots of learning about the unique challenges that women with Ehlers Danlos and hypermobility have with hormonal health across the lifespan.



💛

15/03/2026

"Start from where you are — not where you wish you were.” Ram Dass

It's easy to fall into a "reality gap trap" when you live with persistent pain.

The problem is waiting for when the pain has gone and putting your life on hold until then.

The secret to recovery from pain is to participate in your life as fully as you can "start from where you are".

If you can walk 5 meters...walk 5 meters.
If you can get dressed ...get dressed.
If you can practice mindfulness...be present.

Occupational Therapists understand the power of living your life as best as you can.

This is our therapy!

We help you to
- be present
- make room for discomfort
- adjust the environment
- adapt the activity
- set realistic goals
- devise a graded approach
- review during the experimentation phase
- do what matters most
- reflect on your self awareness
- celebrate success

So if you find yourself in a reality gap - come back to the here and now. I can show you how!

❤️

07/03/2026

So lovely to share an afternoon tea and chat with the Next Wave Therapy women!