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Fine motor skills

Find out how we can help

Fine motor skills guide the small movements of the hand and fingers that allow a child to write and draw, as well as manipulate buttons, zips or scissors. When these skills are under-developed, the results can include reduced independence, school performance and self-confidence.

We work with children and their families as well as school staff, using proven techniques for improving fine motor skills.

How OT's help

Whether your child's school has identified problems with their fine motor skills or you have noticed such difficulties yourself, we can help.

Childhood development is complex and not all children will move at the same pace, but some of the most common reasons that a parent will contact us with concerns about their child's fine motor skills include:

  • An awkward or immature pencil grasp
  • Messy or slow writing, drawing or colouring
  • Excessive tiredness after short periods of writing, drawing or typing
  • Difficulty when using scissors or performing precise manipulations such as fastening buttons, zips or shoelaces
  • Problems performing self-care tasks independently
  • Reluctance to engage with tasks requiring hand-eye coordination such as building Lego

Our assessment process allows a specialist occupational therapist to identify the nature of your child's difficulties with fine motor skills, 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 fine motor skill treatment packages to ensure we provide the right solution for you. All of our interventions are oriented towards ensuring that you and your child see measurable improvements.

This might include one or more of the following:

  • An eight-week block of one-to-one bespoke treatment 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 treatment 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
  • Attendance at a fine motor skills group at weekends or over the holidays

Common areas we work on

Through our assessment we will identify the specific fine motor skills that your child is struggling with, and the source of these difficulties, allowing us to plan a targeted treatment programme.

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

  • Hand dominance
  • Bilateral integration
  • Finger isolation
  • Hand and finger strength
  • Working with parents and schools to ensure that the right approaches to developing fine motor skills 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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LEA's

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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Solicitors

We provide solicitors with professional reports for educational tribunals or rehabilitation needs.

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Case managers

Providing OT to families & children with complex or multiple needs to achieve optimum independence.

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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

Lone

Hertfordshire, East Anglia

Trained in advanced sensory integration techniques and both Bobath and Chailey approaches, Lone treats children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care

Mamta

London - North, Middlesex

Mamta is an expert paediatric Speech & Language Therapist, working with children and their families across London.

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Profession

Speech and Language Therapy

Regions covered

London, Middlesex, London - North

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support

Janet

Kent, South East of England

Janet is an expert Occupational Therapist specialising in paediatrics and neurological rehabilitation, she works with children at home and school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Kent, London - Central, London - South, London - East

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Social integration, School Based Therapy/Support, Learning disability

Sam

London

Based in London, Sam is an expert paediatric speech and language therapist who treats children at home and in school.

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Profession

Speech and Language Therapy

Regions covered

London , London - Central, London - North, London - West

Specialisms

Paediatrics

Specialist skills

Behaviour management, School Based Therapy/Support, Dysphagia management, Makaton

Kirsty

Wrexham, North West England

Qualifying in 2001, Kirsty specialises in housing & equipment, moving & handling and rehabilitation for adults and children.

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Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, West Midlands, Wales, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Shropshire, South Yorkshire, Staffordshire, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Powys, Wrexham, Liverpool, Manchester, Hull, Stoke-on-Trent, Salford

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Daily living skills, Community access, Self care, Social integration

Becci

Derby, Derbyshire

Becci is an expert occupational therapist specialising in housing adaptions delivering assessments and treatment to clients in their own homes.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Derby

Specialisms

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

Specialist skills

Daily living skills, Self care

Ann-Marie

Wiltshire, West and South West of England

Based in Bristol, Ann-Marie provides expert therapy helping children with sensory processing, motor coordination and complex needs.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Gloucestershire, Somerset, Wiltshire, Bristol, Cardiff

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, School Based Therapy/Support

Joy

London - Central, Surrey

Working in London, Surrey and Berkshire Joy is a highly experienced and professional occupational therapist who visits clients at home.

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Profession

Occupational Therapy

Regions covered

South of England, Surrey, London - Central, London - South, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Lucy

Cambridgeshire, East Anglia

Qualifying in 1999, Lucy specialises in seating & postural management, rehabilitation and housing & equipment for adults.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

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

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Amie

Bristol, Somerset

Amie is a highly experienced Occupational Therapist specialising in Neuro-Rehabilitation covering the Somerset, Bath & Bristol and West Wiltshire areas.

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Profession

Occupational Therapy

Regions covered

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

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 managemen

Joanne

Birmingham, Worcestershire

Joanne assesses and treats children in the West Midlands with a range of conditions, helping them achieve their maximum ability.

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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

Elizabeth

London - Central, London

Elizabeth is a passionate and dedicated occupational therapist who has specialised in supporting paediatric clients in London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural managemen

Hannah

Leeds, West Yorkshire

Qualifying in 2010, Hannah specialises in seating & postural management, housing & equipment and rehabilitation for children and adults.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Lancashire, Lincolnshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield, Hull

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Social integration

Emma

Brighton, West Sussex

Emma is an expert occupational therapist working with clients with a range of needs in Hampshire, Surrey & Sussex.

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Profession

Occupational Therapy

Regions covered

South East of England, West Sussex, Brighton

Specialisms

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

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural managemen

Bianca

Wiltshire, West and South West of England

Working in the South West with clients with a vast range of needs, Bianca is an expert in her field.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Devon, Dorset, Somerset, Wiltshire, Bristol

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments

Kirsty

Glasgow, Glasgow (City of)

An expert occupational therapist, Kirsty works with children with a range of conditions in West Scotland in their own environments.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

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

Specialist skills

Counselling

Karen

London - East, Surrey

Located in Essex and working across London & the South East, Karen delivers specialist assessments and treatment to her clients.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Essex, Hertfordshire, Kent, Surrey, London - Central, London - North, London - South, London - East, London - West

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling, Neurological rehabilitation

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Gross motor skills, Fine motor skills, Self care

Eve

Sheffield, South Yorkshire

Eve is a highly experienced Occupational Therapist working with children in the Yorkshire, Lincolnshire and Derbyshire areas.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Derbyshire, South Yorkshire, Sheffield

Specialisms

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

Morag

Edinburgh, West Lothian

An expert occupational therapist based in Edinburgh, Morag specialises in rehabilitation, moving & handling and housing & equipment.

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Profession

Occupational Therapy

Regions covered

Scotland, Borders, Clackmannan, East Lothian, Edinburgh (City of), Falkirk, Fife, Midlothian, Perthshire and Kinross, West Lothian, Edinburgh

Specialisms

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

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, Anxiety management & relaxation

Rachael

London - Central, London

Rachel is an expert paediatric occupational therapist working in London, with children and their families in their homes and schools.

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Profession

Occupational Therapy

Regions covered

London , London - Central

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Self care

Carien

Dumfries and Galloway, Scotland

Based in Scotland, Carien provides expert paediatric therapy helping children with handwriting, sensory and complex physical needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Borders, Dumfries and Galloway, East Ayrshire, East Lothian, East Renfrewshire, Edinburgh (City of), Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration

Anthea

Worcestershire, West and South West of England

Anthea is a highly regarded Occupational Therapist working with adults and children covering Gloucestershire, Oxfordshire, Berkshire, Somerset, Worcestershire and Warwickshire.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Berkshire, Herefordshire, Oxfordshire, Somerset, Warwickshire, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration, Therapeutic listening, Certificate in Education

Specialist skills

Fatigue management, Motivational issues, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Annabel

Rutland, East Midlands

Qualifying in 1998, Annabel specialises in housing & equipment and moving & handling for children and adults.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Coventry, Nottingham, Leicester

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, PIPs, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Co-ordination, Self care

Rebecca

Bristol, Somerset

Rebecca is an expert paediatric OT, working with children with a range of needs across south west England.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Elizabeth

Cardiff, The Vale of Glamorgan

Liz is an expert neurological rehabilitation specialist working with clients in their own homes across Wales and the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Bristol, Gloucestershire, Herefordshire, Shropshire, West Midlands, Worcestershire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Ceredigion, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Powys, Rhondda Cynon Taff, Swansea, Torfaen, The Vale of Glamorgan, Birmingham, Bristol, Cardiff, Coventry, Swansea

Specialisms

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

Further qualifications

BOBATH

Specialist skills

PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, Splinting, Wheelchair accreditation

Ciara

Middlesex, London

Qualified in advanced sensory integration and Bobath techniques, Ciara provides expert occupational therapy to children and families.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - Central, London - North, London - East

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, Therapeutic listening, Train the trainer

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural managemen, School Based Therapy/Support

Chris

Newcastle upon Tyne, Tyne and Wear

Chris is an expert occupational therapist, having gained a PhD for a study investigating individuals with liver disease.

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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

Katrina

Hampshire, West and South West of England

Qualifying in 2007, Katrina specialises in housing & equipment, seating & postural management and moving & handling for adults.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Dorset, Hampshire, Southampton

Specialisms

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

Specialist skills

DFG Assessments

Annmarie

Hertfordshire, London

Annmarie is part of our paediatric team, helping children and their families in London.

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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

Tess

West Sussex, South East of England

Qualifying in 2006, Tess specialises in housing & equipment, seating and moving & handling for adults and children.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Berkshire, Hampshire, Surrey, West Sussex

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills

Client feedback

Further reading

Our news & press

Radio 5 Live interview with our Paediatric Client Manager: Handwriting

Is there a right and wrong way to hold a pencil? When Radio 5 Live presenters approached us to find out, our Paediatric Client Manager Sarah Stagg was only too pleased to explain.

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Our news & press

Our YouTube channel is live

We are delighted to announce the launch of our YouTube channel. The first videos are focused on our paediatric developmental services. Told through OT Practice Kids clients and their families, we explain our ethos for working with children is to focus on resolving their difficulties not their diagnosis.

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