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Call for more information and costs or if you are enquiring for yourself or a family member you can use our online cost guide for individuals.

Confidence

A child's self-confidence informs their relationships and development both in and out of school. We speak to parents and school staff regularly about children struggling with class participation and friendships, due to shyness or faltering self-confidence.

Supporting these children involves equipping them with the skills and confidence they need to join in with their peers. We often observe that progress in this area then leads to improvements in a variety of others, including academic performance and behaviour at school and at home.

How OT's help

All of us suffer difficulties from time to time which challenge our self-confidence but which ultimately build character, and these experiences are a particularly important part of a child's growth process. However, for some children excessive shyness or lack of self-confidence may hold back their development towards maturity.

Whether your child's school has identified that they struggle with self-confidence, or you have noticed such difficulties yourself, we can help. Some of the most common signs which prompt approaches to the OT Practice include:

  • Struggling to form and sustain friendships in and/or out of school
  • Reluctance to go to school or to friends' houses in favour of solitary play
  • Difficulty interacting with adults outside the immediate family circle such as teachers or family friends
  • Behavioural problems resulting from a child's frustration at their perceived exclusion

Our assessment process allows a specialist occupational therapist to identify the nature of your child's difficulties with self-confidence, and the reasons for them. Once identified, we can work with you and your child to put in place a plan to address them.

Packages of care

We are flexible around the needs of your child and family and have a variety of treatment packages to develop a child's confidence.

We start with an assessment; after which we then shape our intervention, oriented towards ensuring that you and your child see measurable improvements, and might include one or more of the following:

  • An eight-week block of one-to-one bespoke sessions delivered to your child at home or school, after which we will review and plan the next steps with you
  • An intensive block of sessions delivered over the holidays - this is popular with overseas families, or those with limited weekend or after-school capacity in term time
  • A home and school programme providing practical, everyday techniques, with advice and support to ensure that the approach is consistent throughout your child's day

Common areas we work on

Through our assessment we will identify the specific areas of self-confidence that your child is struggling with, and the source of these difficulties, allowing us to plan a targeted programme.

Some of the most common areas that we would expect to be working on include:

  • Positive thinking and choices
  • Relationships and friendships
  • Taking turns and sharing
  • Making appropriate eye-contact
  • Managing failures and challenges
  • Working with parents and schools to ensure that the right approaches to developing self-confidence continue even when the OT is not present

Schools, LEAs and businesses

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance of knowing that you and your child are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated paediatric team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

  • We visit you and your child at home or school at a time convenient for you, with no clinics or waiting lists, offering after-school and weekend appointments where necessary
  • We devise home and school-based treatment plans to ensure that our assessment and advice is relevant to each child’s unique environment
  • Our nationwide network of registered children’s occupational therapists allows us to find you the right local therapist
  • Intensive treatment available during the school holidays
  • We believe our role is to equip you and your child to become as autonomous as possible – ultimately independent of, and not dependent upon, the help we provide

Services for businesses, organisations and the public sector

Schools

Delivering individual or group therapy for children, or advice and training to up-skill members of staff.

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Local education authorities

Occupational therapy provision at home or school as recommended in an EHCP or Statement on behalf of LEA's.

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Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our paediatric client management team, who will be able to understand what your child's difficulties are, provide information and advice on our services and identify the right OT from our team.

Quote

If therapist input is recommended, we will send you a detailed quote via email or in writing explaining what, after a full assessment, we propose and how much it would cost, as well as rates for further work that might be recommended in the future.

Referral

Once you have had time to consider the options and costs, and if you would like to go ahead, the next step would be to fill in our online referral form. In the meantime, if you have further concerns or questions then our client manager will be happy to discuss them with you.

Assessment

Our therapist will then contact you within 24 hours to arrange an assessment visit at home or school, a mixture of formal and observational methods - as well as conversation with yourself, your child and their school - after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations, together with practical advice on how to help your child. Where additional involvement is required, we will follow up the report with a detailed quotation so that you have all the information needed to make an informed decision.

As Private Occupational Therapists our aim is to provide choices and guidance to help you decide what the best options are for you

Victoria

Cardiff, Newport

Based in Newport, Wales, Vikki is a Paediatric OT specialising in Sensory Integration and hearing impairments.

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Profession

Occupational Therapy

Regions covered

West Midlands, South East of England, Wales, Bristol, Gloucestershire, Cardiff, Newport, Swansea, Birmingham

Specialisms

Paediatrics, Vocational Rehabilitation

Jo

London

Jo is a paediatric physiotherapist providing expert assessments and treatment for children across London and the home counties.

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Profession

Physiotherapy

Regions covered

London, South East of England, Berkshire, Buckinghamshire, Hertfordshire, London - West

Specialisms

Paediatrics

Specialist skills

Gross motor skills, DMO (Lycra) Splinting, School Based Therapy/Support

Lorna

Shropshire, West Midlands

Lorna is a Paediatric OT located in Shropshire, supporting with sensory and motor needs for clients across the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Cheshire, Herefordshire, Shropshire, Staffordshire, West Midlands, Powys, Birmingham, Stoke-on-Trent, Wolverhampton

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation

Claire

Hertfordshire, East Anglia

Trained in advanced handwriting and sensory integration techniques, Claire is an experienced Paediatric OT helping children across the South East.

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Profession

Occupational Therapy

Regions covered

East Anglia, South East of England, Buckinghamshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Counselling, Routine planning, Daily living skills, Sensory integration, Fine motor skills, Behaviour management, Handwriting assessment & treatment

Rachelle

The Vale of Glamorgan, Wales

Based in Glamorgan, Rachelle is an OT with over 20 years’ experience. She specialises in Housing & Equipment and Paediatrics.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Bristol, Gloucestershire, Herefordshire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Powys, Rhondda Cynon Taff, Swansea, Torfaen, Bristol, Cardiff, Swansea

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Functional rehabilitation

Specialist skills

DFG Assessments, Daily living skills, Postural management, Wheelchair accreditation, Learning disability

Jonathan

Birmingham, Worcestershire

Based in Birmingham, Jonathan is an expert Paediatric OT who specialises in complex and long term conditions.

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Profession

Occupational Therapy

Regions covered

West Midlands, Gloucestershire, Herefordshire, Oxfordshire, Warwickshire, London - West, Birmingham, Coventry, Wolverhampton

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural management

Helen

Hertfordshire, East Anglia

Based in St Albans, Helen is a Paediatric OT working with children across North London, Bedfordshire, Buckinghamshire, and Essex.

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Profession

Occupational Therapy

Regions covered

London, South of England, Hertfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care

Joanne

Londonderry, Northern Ireland

Located in Mid-Ulster, Northern Ireland, Joanne is a Paediatric Occupational Therapist offering specialist assessments and treatment.

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Profession

Occupational Therapy

Regions covered

Northern Ireland, Antrim, Armagh, Down, Londonderry, Tyrone, Belfast

Specialisms

Paediatrics

Further qualifications

AMPS

Specialist skills

Motivational interviewing, Routine planning, Financial management, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Balance, Co-ordination, Planning & execution, Self care, Social integration, School Based Therapy/Support, Anxiety management & relaxation

Alison

Norfolk, East Anglia

Alison is a highly experienced OT located in Norwich, Norfolk. She specialises in fatigue management, offering holistic assessments and treatment.

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Profession

Occupational Therapy

Regions covered

East Anglia, Norfolk, Suffolk

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Self care, Anxiety management & relaxation

Catarina

London - East, London

Based in London, Catarina is a Paediatric OT who specialises in Sensory Integration assessments and interventions.

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Profession

Occupational Therapy

Regions covered

London , London - Central, London - North, London - South, London - East

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, School Based Therapy/Support, Learning disability

Joy

West Lothian, Scotland

Joy is located in Falkirk, providing specialist Housing and Equipment interventions for adults and children across Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Clackmannan, East Dunbartonshire, East Lothian, Falkirk, Fife, Glasgow (City of), Midlothian, North Lanarkshire, Perthshire and Kinross, South Lanarkshire, Stirling, West Lothian

Specialisms

Paediatrics, Housing and Equipment

Specialist skills

Blue Badges / Mobility Assessments

Naima

Bedfordshire, South East of England

Naima is a Speech and Language Therapist offering expert interventions for children of all ages, across London and the South-East.

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Profession

Speech and Language Therapy

Regions covered

London, South East of England, Bedfordshire, Buckinghamshire, Hertfordshire

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support, Makaton

Sarah

Swindon, Wiltshire

Based in Swindon, Sarah is a Paediatric OT visiting children in a home or school setting across the South-West.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Berkshire, Bristol, Oxfordshire, Wiltshire, Swindon

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, School Based Therapy/Support, Makaton, Learning disability

Jenna

Liverpool, Merseyside

Located in Liverpool, Jenna is a highly skilled Neuro OT helping clients with brain and spinal cord injuries.

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Profession

Occupational Therapy

Regions covered

North West England, Merseyside, Liverpool

Specialisms

Paediatrics, Hand Therapy, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Self care, Postural management, Splinting, Wheelchair accreditation

Amie

Somerset, West and South West of England

Based in Somerset, Amie is a highly experienced Occupational Therapist specialising in Neuro-Rehabilitation and visiting clients across the county.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Somerset, Bristol, Bath

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural management

Annmarie

London

Annmarie is a Paediatric OT based in London, helping children with autistic spectrum disorders, neurological impairments, and developmental delay.

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Profession

Occupational Therapy

Regions covered

London, Hertfordshire, London - Central

Specialisms

Paediatrics

Specialist skills

Routine planning, Fine motor skills, Handwriting assessment & treatment, Social integration, School Based Therapy/Support

Adam

Bristol, Somerset

Adam is our Neuro Team Lead specialising in stoke and brain injury, covering South West England and South East England

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, Wales, Avon, Bristol, Devon, Dorset, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Blaenau Gwent, Caerphilly, Cardiff, Monmouthshire, Newport, Torfaen, Bristol, Bath

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation

Ganga

Kent, South East of England

Ganga is a highly experienced OT delivering specialist rehabilitation for adults and children across the South East of England.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, Surrey, West Sussex, London - South, London - East, Brighton

Specialisms

Paediatrics, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Social integration

Catriona

London - South, London

Based in London, Catriona is an expert Paediatric OT, working with children with complex needs and conditions.

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Profession

Occupational Therapy

Regions covered

London, South East of England , London - South

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Chailey Postural Management

Specialist skills

Fatigue management, Pain management, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support, Anxiety management & relaxation

Angela

Cleveland, North East England

Working in North-East England, Angela is a specialist paediatric OT, visiting children in Newcastle, Middlesbrough, Sunderland, and Tyne and Wear.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, Cleveland, North Yorkshire, Middlesbrough

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Blue Badges / Mobility Assessments, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Postural management, School Based Therapy/Support, Learning disability

Joanne

Birmingham, Worcestershire

Located in Birmingham, Joanne is a Paediatric OT delivering expert assessments and treatments for children in the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Derbyshire, Gloucestershire, Herefordshire, Shropshire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Specialist skills

Fatigue management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Chris

Newcastle upon Tyne, Tyne and Wear

Chris is an expert Occupational Therapist, supporting adults and children with rehabilitation needs across the North East of England.

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Profession

Occupational Therapy

Regions covered

North East England, Durham, Northumberland, Tyne and Wear, Sunderland, Newcastle upon Tyne

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Self care, Social integration, Anxiety management & relaxation

Jane

North Ayrshire, Scotland

Located in North Ayrshire, Jane is a Paediatric OT specialising in neurological conditions and complex needs.

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Profession

Occupational Therapy

Regions covered

Scotland, East Ayrshire, Glasgow (City of), Inverclyde, North Ayrshire, South Ayrshire

Specialisms

Paediatrics

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Self care, Postural management, School Based Therapy/Support, Splinting

Genevieve

London

Based in London, Genevieve is a Speech and Language Therapist working with children and their families across the city.

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Profession

Speech and Language Therapy

Regions covered

London , London - Central, London - North, London - South, London - East, London - West

Specialisms

Paediatrics

Gomathi

Hampshire, South East of England

Gomathi is a physiotherapist based in Basingstoke, offering specialist therapy for clients with neurological and musculoskeletal conditions.

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Profession

Physiotherapy

Regions covered

South of England, South East of England, Berkshire, Hampshire, Surrey, Southampton

Specialisms

Paediatrics

Further qualifications

Chailey Postural Management

Specialist skills

Fatigue management, Gross motor skills, Balance, Co-ordination, Postural management, DMO (Lycra) Splinting, School Based Therapy/Support, Makaton, Wheelchair accreditation

Susan

Nottingham, Nottinghamshire

Based in Nottingham, Susan is a Paediatric OT providing Housing & Equipment assessments and interventions for children and young adults.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Leicestershire, Lincolnshire, Nottinghamshire, Leicester, Derby

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution

Ann

Surrey, South East of England

Ann is an expert OT specialising in Neurological Rehabilitation, working with clients across London and the South of England.

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Profession

Occupational Therapy

Regions covered

London, South of England, Surrey, London - South

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural management, Splinting

Richelle

Surrey, South East of England

Specialising in Neurological Rehabilitation and Paediatrics, Richelle is an OT based in Epsom, Surrey, visiting clients across the South East.

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Profession

Occupational Therapy

Regions covered

South East of England, Surrey

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

Sensory Integration

Liz

Glasgow (City of), Scotland

Covering a large client base across Scotland, Liz is an OT delivering specialist Neurological Rehabilitation for adults and children.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Scotland, Aberdeen City, Aberdeenshire, Angus, Argyll and Bute, Borders, Clackmannan, Dumfries and Galloway, Dundee (City of), East Ayrshire, East Dunbartonshire, East Lothian, East Renfrewshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Highland, Inverclyde, Midlothian, Moray, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, Stirling, West Dunbartonshire, West Lothian, Western Isles

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

PIPs, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Planning & execution, Self care, Social integration, Postural management, Anxiety management & relaxation, Learning disability

Sandra

Tyne and Wear, North East England

Sandra is a highly experienced Paediatric OT based in Tyne and Wear, visiting children in home and school settings.

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Profession

Occupational Therapy

Regions covered

North East England, Tyne and Wear

Specialisms

Paediatrics

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Self care, DMO (Lycra) Splinting, School Based Therapy/Support

Client feedback

Further reading

Our Experts' Blog

Assistive technology brought to life

This case study tells the story of Hannah, one of our clients at The OT Practice. Referred by her case manager, Hannah and her OT worked together to ensure that assistive technology was used practically and appropriately to achieve her goals of independence. Hannah has kindly agreed to allow us to share her story

Read more