JOTS

JOTS Skills for learning and living. An occupational therapy service for children & adolescents. Hi ! I'm Julie and I am the occupational therapist behind JOTS.

I have been fortunate to work across a wide variety of settings over 23 years in practice (yikes!). I obtained my degree in occupational therapy from Oxford Brookes University in the UK and since then I've worked in mental health, learning disabilities, early intervention and school-based settings. Now, I am taking a big leap to working in private practice. A new adventure for sure. I am passionat

e about what I do and I love to empower children, adolescents and young adults with new and adaptive skills for living. Please reach out if you have any questions or concerns about your child's development and how to help them develop or regain skills to get them doing what they want, need or love to do ~

Love this post! Please know that tasting, eating and enjoying food is genuinely more difficult for some people. Keeping ...
25/11/2023

Love this post! Please know that tasting, eating and enjoying food is genuinely more difficult for some people. Keeping an open mind this holiday season would be a great giftx

Autism & Food

Please don't feel upset if I don't eat the turkey today.

Or if I don't like your homemade stuffing.

I have autism. Food can be hard for me.

If I taste something with many textures and ingredients, I have to stop and sort out all the different flavors so my brain can recognize them.

That's why I don't like foods with a lot of mixed-up things, like sweet potatoes with marshmallows.

Please don't insist I try something that you love because you can't understand why I won't also love it.

Please don't insist I will eat when I am good and ready.

Watch my parents.

See how my father quietly hands me the snack we packed from home.

Notice how my mother gently offers a few small bites of food she thinks I will enjoy.

They know. On days like today, when my schedule is different and there are lots of new smells and noises, they know what's most important is that I eat something.

I don't make my best choices when I'm hungry.

Today, see me as I am.

Meet me where I stand.

Happy Thanksgiving.

04/11/2023
20/09/2023

Let's not forget this before our little ones are taught to write 😀

04/08/2023
29/06/2023
Occupational therapy ready checks. Looking at play, school and self care skills for your little one.
30/05/2023

Occupational therapy ready checks. Looking at play, school and self care skills for your little one.

30/05/2023
17/05/2023

So simple but effective! Great idea!

05/05/2023

Amen.

04/05/2023

Hugs, midnight cuddles and comforting have no expiry date.
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Breastfeed to sleep and through the night if it works for you mama (it did for me!).
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Lay with your 5 or 8 or 12-year-old as they fall asleep if they need you to (or if you want to!).
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Hold them close.
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Forget the milestones and accept the as is of the present moment, the reality of very slow pace of healthy child development. Don't judge or second guess.
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Flow, don't resist.
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Snuggle with your toddler. Hug your teen. Let them be little. Let yourself fall deeply in love with this new soul who shares your life.
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Affection and loving touch cannot "spoil" your child - it is the opposite that's true!
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We covet independence as a culture, yet we don't fully understand it. If we did, we wouldn't push our children away. We would have a deep knowing that as my friend .vanessalapointe says, “It is out of the gift of deep dependence that true independence emerges."
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So cuddle those babies, hold your children and when they're ready to start taking steps away, they will.
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Couldn’t love these words from more 🙏

This is so true and so relatable for many of us!
14/04/2023

This is so true and so relatable for many of us!

It’s the invisible demands which do it. The constant little pulls on attention. The ‘Look over there’, and ‘Are you sure?’ and ‘Tuck your shirt in’. The little snags which go unseen, none of which seem significant on their own. Each one requiring an re-adjustment. Each of them meaning that there is never any space or no time to decompress. Each one adding up, because that is the way that people often talk to children.

‘Why haven’t you put your shoes on?’ ‘Stop that now.’ ‘Are you going to eat properly?’, ‘Hurry up’, ‘Aren’t you coming with us?’.

For some children, it feels like being continuously poked. Each little comment, said without even thinking, adds up. They can’t relax or unwind, because the moment they start to catch their breath, there’s something else coming which they have to process. Soon they can’t relax at all because they are anticipating that the interruption is on its way. They are just waiting for it to come.

They get more tense, until suddenly they crack. They explode, or they implode. No one understands, because they were ‘fine a minute ago’ and nothing happened - did it?

Nothing happened. Just the day to day build-up of the invisible expectations and demands. Just being continually poked until you can’t take it anymore.

Photo Engin Akyurt under UUnsplash

These are measures I've always had a difficult time witnessing in classrooms 😬
13/04/2023

These are measures I've always had a difficult time witnessing in classrooms 😬

Make Better Choices (with Missing The Mark)

It’s a common feature of the primary school classroom. The behaviour chart on the wall, with children’s names on pegs. Children are moved from the sun to the clouds, or from green to red if their behaviour isn’t what is required by their teacher. The language usually goes from celebratory ‘Star Student!’ to condemnatory ‘Poor Choices’ or ‘No Playtime’.

It's in public. The whole class can see who is doing well and who is struggling. The internet is full of versions of these charts to buy, and the advertising copy is all perky positivity. ‘Keep Your Students on Track!’ or ‘Help Your Class Make Good Choices!’. They look so cheerful in their bright colours, so harmless. Who could object? And they work! Children want to stay on the green zone because it feels so bad when they are moved.

Until you talk to the parent of a child who struggles. They’ll tell you about the way in which everyone in their class knows who is on the raincloud, and that no matter how hard their child tries, they just can’t keep still all day. They’ll tell you how their child is known as the ‘bad’ one, and the other children don’t want to play with them. They’ll tell you of developmentally inappropriate expectations, and of the way in which these charts put all the blame on the children.

They’ll tell you of the way in which the chart takes no account of the way that their child is dealing with friendship difficulties and family illness, and instead frame their actions as a ‘poor choice’. The behaviour charts stop us asking whether perhaps the way in which we require children to sit and listen at school isn’t a natural way for young humans to learn. They stop us seeing their behaviour as communication or feedback. It’s reduced to something to control.

These charts use public shaming to foster compliance. They use fear and anxiety – even the children who are always on the Sun lie awake at night, scared that one day they will fall from grace, and everyone will know. That’s how they work. Children ‘behave’ because they are scared of the consequences if they don’t.

It’s Children’s Mental Health week. Perhaps as a psychologist you might expect me to be using it to call for better funding for CAMHS, for a counsellor in every school. Perhaps you think I might be calling for more therapists to be trained and more wellbeing hubs. Instead, I’m calling for a mass take down of behaviour charts.

Psychologists will never have the same impact on mental health as changing the way we treat our children. We could have a psychologist on every street corner, but their job is to intervene when things have gone wrong. Far more efficient is to change the environment which is making children distressed. Think of it like lung cancer. We could have the best oncologists in the world, but all they can do is treat people who are already ill. To reduce levels of lung cancer, we needed a smoking ban.

We’re using shame and anxiety to control children’s behaviour, thinly disguised in bright colours and ‘Ready to Learn!’. It should be no surprise that many of them are unhappy and anxious. In fact, perhaps we should be more surprised if they weren’t. It’s in the very air that they breathe and we, the adults, are putting it there.

They’re breathing it in like smoke.

07/04/2023

The hand of mental health! ✋

The "Hand of Mental Health encourages us to reflect and discuss our everyday choices and their impact on our mental health. How does sleep and rest, food, relationships and emotions affect our mental wellbeing?

Or what about exercise and mindfuless or creativity and hobbies and their impact on our mental health. What kind of choices we usually make and what kind of choices we could make? What role do values play on our mental health?

It is beneficial at times to stop and think about these different aspects in our life and maybe create new habits if we feel that they are necessary."

Get this printable poster here: https://mieli.fi/en/materials/hand-of-mental-health/

05/04/2023

So important. 💕

Address

7 Dallas Building, Victoria Street, Hamilton, Bermuda, HM 11

SN 01

Opening Hours

Monday 09:00 - 17:00
Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
Thursday 09:00 - 17:00
Friday 09:00 - 17:00
Saturday 09:00 - 12:00

Telephone

+14417328999

Website

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