Little Hearts Occupational Therapy

Little Hearts Occupational Therapy Mobile paediatric Occupational Therapist providing assessment and therapy services in Rockingham, WA

18/10/2025

Pretty much the entire public school system in Western society (which is the only school system I have personal experience with, hence my qualifier) is rooted in:

Adults decide when kids need to know stuff.
Adults tell the kids the stuff.
Adults test to see if the kids retained the stuff.
Adults try to enforce/motivate kids to retain the stuff better if they didn’t get it enough the first time.

This type of model isn’t only present in the academic setting. It echoes throughout tons of systems that children live in and move throughout each day.

Behavior? Adults decide when kids ought to be behaving a certain way, tell them to do it, test (or watch organically) to see if they do it, and then try to enforce or motivate them to do it if they didn’t do it well enough.

Disability? Adults set goals for how the kids can “catch up” or gain new skills, try to teach those skills into them, test them on it, and enforce or motivate if they aren’t doing them well enough.

Physical skills? Self-care skills? Socializing? Empathy? Yep, yep, yep, and yep. All of the above. This is the *common* model. Obviously not everybody adheres to it. But it’s what’s societally expected for how to approach children.

How else could we “get” them to do things? Learn new things? Try hard things? Conquer new skills? Grow?

***

Here’s the thing. I don’t see children as a lump of clay you have to mold into a finished sculpture. That was a popular model of how to view kids, in the culture I was raised in. I don’t ascribe to that.

I see kids as, if anything, a seed. If I left the seed wholly alone, it would still grow. It’s still gonna become a whole living thing. Now if I left it alone and never helped it or cared for it, of course it will be more scraggly and rough and weather-hardened than it would otherwise because it had to fend entirely for itself. And I don’t want that for my children, so I don’t leave them wholly alone. But neither am I making them what they are. I’m just trying to protect them and care for them while they grow into the whole gorgeous living things that they will be and already are.

With that in mind, I can’t help but push against “the system”, the societally-expected way for children to learn things, try things, conquer things, grow, because I don’t see literally any of it as necessary, generally speaking.

Generally speaking,
I don’t decide when kids need to know stuff.
I don’t tell them the stuff.
I don’t test them to see if they’ve learned stuff.
I don’t try to motivate them to learn something, or enforce their learning if they haven’t got it the first time.

***

Now in my job as an OT, I actually, literally, do sometimes have to help kids gain skills that they’re lagging behind on. How can this possibly be compatible with what I’m saying?

Well, I spoke in generalities above. The truth is that sometimes I do certainly *hope* to help children learn stuff.

I sort of tell them about it, in the sense that I model how cool it is with my own body, and I talk about the things I'm feeling when they're relevant and authentic, but I never “tell” a word unless I’m asked.

I don’t test them on anything. I am constantly observing their play and doing my best to analyze and understand it, though.

The only “try to motivate” I do is the same as above…engaging authentically with my own body with that skill, and maybe they’ll get interested too, or maybe they won’t.

How can I make these types of things work? It’s right there in my name. I “just” play.

***

I think that kids learn new things and try hard things at the convergence of 3 different overlapping points:

“I feel capable.”
“I feel interested.”
“I feel connected.”

When I see a kid for OT for the first time (and also, at home with parenting), I put loads of emphasis on our connection. It’s really a measure of safety—does this child feel safe with me? Because how could they possibly go around trying hard things or learning new skills with someone hovering over them making them feel unsafe?

With the kids I see for OT, the part that’s usually most broken for them is either “I feel interested” or “I feel capable” (or both). For them, actually, school has most likely been an exercise in the *exact opposites*.

“I *don’t* feel capable. Not whatsoever. You’re asking me to write. Well, they’ve been sticking a pencil in my hand and moving it across the page since I was three. My little squishy cartilaginous hands couldn’t hold the pencil then and they’re hurting while I try to compensate now. All that time spent sitting quietly at preschool was time I *didn’t* spend running, climbing, squishing play-doh, digging in dirt, putting together legos, and they’ve just never developed like they should. This hurts. This sucks. Everybody else can do it but me. I’m bad at this. I’m a bad writer. I’ll NEVER be able to do this.”

“I *don’t* feel interested. Not one bit. They’re droning on and on and on about endless, pointless things. Some guy named Johnny Appleseed; the habitats of some lizard; a million billion math problems. I don’t care about writing a sentence. I don’t care about pushing numbers around to make some other number. None of this is alive. None of this is sensory-rich. Maybe my brain doesn’t attend like yours does; maybe the letters or numbers swim on the page in front of my eyes; maybe I just LOVE space and none of this is about space. This sucks. I hate it. I don’t give a crap. I don’t want to be here.”

So my job is those. Those, plus guarding the relationship connection, so I don’t inadvertently break it.

And I do that through play.
It’s ALWAYS through play.

Or else I’m just one of the adults in the system…deciding what a kid needs to know, telling them, testing them, enforcing it. Because I don’t know how else to *make* them grow. Like reaching down, pinching the top of the stem of the seedling, and pulling on it in hopes I’ll make it taller, faster.

I can’t *make* them.

But I can connect with them. I can interest them. I can help build the underlying skills so their capability grows.

I can play alongside them until they realize that writing can be joy, can be human, can be delight spilling from their hands.

I can play alongside them until they realize that there is some way on this amazing advanced earth that they can do the thing they thought they couldn’t, and some way to listen to their brain and honor it.

I can play alongside them until they know for absolute sure that somebody loves them and is on their team no matter what.

I can play, I can play, I can play.

That’s the whole thing. That’s all of it. That’s the native language of children. That’s the heart of the way children grow. That’s the whole thing. That’s why I am who I am.

***

[Image description:
A Venn diagram of 3 overlapping circles. The circles are labeled, "I feel capable," "I feel connected," and "I feel interested."

For the circle that only has "I feel capable" without the other two, there is a speech bubble that reads, "I'm full of creative energy, but where could I channel it?"

For only "I feel connected" without the other two, there's a speech bubble for, "I love hanging out with you. But I don't really want to do that, or that, or..."

For only "I feel interested" without the other two, the bubble reads, "This is amazing to learn or dream about. But where would I even begin, or who would help me?"

Then there are overlaps:
Where "I feel capable" and "I feel connected" overlap (but without "interested"), it says, "I'll try to humor you...or do the bare minimum."

Where "I feel connected" and "I feel interested" overlap (but without "capable"), it says, "You do it. I want to watch."

Where "I feel interested" and "I feel capable" overlap (but without "connected"), it says, "Go away & maybe I'll investigate on my own."

In the center, where all 3 overlap, a speech bubble reads, "I could try something hard! I could learn something new!"

My handle, , is also on the image.
End description.]

👋🏼
13/10/2025

👋🏼

Uh, yes, hi.

My autism recognises your autism.
We have compatible humour.

We should be friends.

Details: we send memes back and forth.
They get progressively more unhinged.
We laugh about words. We are the funniest.
Animal photos.
Funny shows on repeat.
One day we sit side by side and do craft.
We forget to eat.
But it's a good time.
FRIENDSSS.

Sound good?

Em 🌈

23/09/2025

We support and celebrate the Autism community - yesterday, today and every day to come.

18/09/2025

In 1993, Denmark introduced something remarkable into its education system: empathy as a required school subject. Known as Klassens tid or “class time,” this weekly hour isn’t about tests or homework—it’s about learning how to be human. Students spend time practicing kindness, listening to each other’s challenges, and developing emotional awareness.

The goal goes beyond good manners. Neuroscientists have found that practicing empathy strengthens the medial prefrontal cortex, the brain region linked to emotional regulation and perspective-taking. In other words, Danish children are being neurologically wired to understand and support others.

The results speak for themselves. Only about 6.3% of Danish students report regular bullying—one of the lowest rates in Europe. Around 60% of classroom activities are teamwork-based, fostering collaboration instead of competition. Long-term studies show that children who learn empathy early are more likely to graduate, thrive in stable careers, and build lasting relationships.

This approach doesn’t just shape classrooms—it shapes society. Denmark consistently ranks as one of the happiest countries in the world, proving that emotional intelligence isn’t just a soft skill. It’s the foundation of resilience, cooperation, and collective well-being.

📖 Source: Jessica Alexander, “The Danish Way of Parenting: What the Happiest People in the World Know About Raising Confident, Capable Kids”

28/07/2025
11/07/2025

This is not about sunburn.

It's about trying to desensitise our kids to distressing sensory input.

We don't desensitise.
We educate.
We accommodate.

Yes?

Em 🌈

05/07/2025

'Tangential communication'.
'Difficulty staying on topic'.
'Erratic communication'.
'Disjointed'.
'Poorly planned'.

I've heard all these and more when it comes to the AuDHD communication style.

Nope.
Done with that.

Linear communication is but one way of doing it. It's all well and good.
But it's not the way I do it.

Many neurodivergent people do it differently.

We jump between topics.
We link ideas in a non-linear way.
We connect ideas so quickly in our minds that we don't necessarily explain every step of the thought process.
We might forget bits and then circle back.

And that's ok.
I call it kaleidoscopic communication style. Changing, colourful, blending, overlapping. Beautiful.

We're allowed to communicate authentically.
Our way is expressive.
It's creative.
It's a lot fun.
And it tends to be appreciated by other neurodivergent folk.

So.

If you are uncomfortable with the way we communicate, perhaps you might write yourself a goal to develop your understanding and acceptance of neurodivergent communication styles.

Yes?

Em 🌈

Pic shows a therapist validating a neurodivergent communication style.
Can we all do that please?

28/06/2025

If I’m supposed to be listening and my body is still- I’m not listening.
I’m asleep.

If you have a kid who can’t seem to stay in a seat, stop asking them to stay in a seat. They likely don’t learn that way.

You’re better off making space for different learning styles, and encouraging each kid to explore what works for them.

Yes?

Em 🌈

13/06/2025

📢 NDIA Announcement: 2025 Annual Pricing Decision

The NDIA has released its 2025 Annual Pricing Decision, confirming therapy supports prices will remain frozen for a seventh year.

OTA is deeply disappointed by this decision, particularly given the financial pressures faced by OTs delivering services under the NDIS. Our data shows that 8% of providers have withdrawn since last year’s pricing decision, affecting more than 7,000 participants.

We’re calling for an immediate pricing uplift and taking strong steps to advocate for a sustainable future for OTs and the NDIS.

🔗 Read OTA’s full response: https://bit.ly/4e0z1yT

12/05/2025

If a child feels the deepest depths of sadness they've ever felt, and expresses it by becoming silent, laying their head down on their desk, and silent tears rolling down their face -- adults will probably offer them comfort. Maybe tissues, maybe hugs, maybe a quiet listening ear.

If a child feels the deepest depths of sadness they've ever felt, and expresses it by clenching their fists, screaming at the sky, and running out of the room -- adults will probably offer them anger, "consequences", perhaps a behavior chart not to do it again. Perhaps intentional ignoring them in their sadness, so that they learn not to do it again. Perhaps a new, designated adult to follow them around and make sure they stay in rooms.

Both children were desperately sad. One of them was heard. The difference was the adults.

[Image description:
A quote that reads, “All kids have times when they struggle to handle expectations. How they express that they’re struggling has an outsized impact on how adults respond.” —Dr. Ross Greene
End description.]

12/05/2025

Shout out to the teachers who have moved away from neuronormative expectations at school 🙌

Em 🌈

26/04/2025

Address

Rockingham, WA

Opening Hours

Wednesday 9am - 4pm
Thursday 9am - 4pm

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