Promoting Play to help reduce risk of anxiety and depression

Inklusion are teaming up with my very inspiring and wonderful friend Sophia’s charity ClearSky children’s foundation to promote the importance of play. This is not only for the health and wellbeing of children but for all ages. Thinking more about playful activity and being more active can help promote a more balanced lifestyle and help to reduce anxiety and depression. Every day in May we will be documenting and posting playful activities to help promote this undervalued therapy!!! Join us and do something playful and use #playfulmay



How time flies when you’re having fun!

A lot has been happening in my professional life recently and I have not allowed myself enough reflection time to gather my thoughts on all of this. What better way to gather all of these thoughts than to share them and welcome any support or feedback from my fellow OT peers and colleagues. So where do I begin… From a very young age I have always wanted to start up my own business. Of course at the age of 10 those thoughts generally centred around owning my own shop or restaurant. 17 years later here I am setting up my own OT company and I am absolutely terrified! I started off my OT carer as a Locum therapist working within a community rehabilitation team. I quickly progressed and have had numerous roles in helping to develop my professional profile. Some of these roles included working with amputees, stroke and hand therapy. My permanent positions involved me being an assistive technology specialist where I had the opportunity to complete a literature review for the learning disabilities team on increasing independence through AT and was welcomed to discuss this at Oxford Brookes University. My longest standing position was as a senior OT and line manager within social services. I loved the diversity of this work and the ability to assist others with their own reflection and professional development. The complexity of the cases allowed me to maintain and expand on my own creativity, but the restrictions on this creativity have pushed me to start up my own Occupational Therapy Company.

In August 2014 I started Inklusion Occupational Therapy Limited. The day I received the confirmation that I officially had a company was the most terrifying and exciting day of my professional career. I quickly got my logo developed and registered with ICO [information commissioner’s office] to ensure that I am covered to keep patients confidential files safe and secure. I am now in the process of getting my indemnity insurance and getting an accountant! To ensure that I still have an income every week I am locuming 4 days a week with a community team in Hertfordshire. This allows me a day a week, during working hours, to organise any company dealings. The idea is to work for Inklusion Occupational Therapy limited full time, however I felt to begin with it was a more sound decision to have a steady weekly income whilst I set everything up.

I have been very lucky and have an incredibly supportive partner and family. They have supported me from the beginning and all believe that I will make a success of my company. I have, however, had numerous reactions from people about starting up on my own. Some have been just as supportive reporting “aren’t you brave” “I think it’s a great idea”. Others report “But you’ll have no pension” “You won’t have any steady income” “You won’t have any job security”. Now I always take everyone’s opinions on board, however I soon realised that those things that worry other people just are not a worry for me. I am an incredibly positive person and I will not fail. There is always a market out there for OT’s. The future of my own success is my own positivity. I would really appreciate any thoughts, feedback or support from anyone out there that has been through this process, would like to set up their own business or has any advice or information they would like to share. I am quite happy also to share what I have learned and what I continue to learn from this process with anyone who is interested. Thank you!!!!!!!!!!!!

Overcoming Limiting beliefs

Overcoming Limiting beliefs

The beliefs you hold to be true make up the fabric of your experience. The stronger those beliefs, the more they seemunshakeable, and the more you will find evidence to support them.

What most people don’t realize is that the vast majority of our beliefs about the world are not really true “out there.” They are only true because we’ve decided they are, albeit we likely haven’t done so consciously.

Beliefs are formed through repeated thoughts, and the only reason they hold any weight is because you’ve decided or agreed that they are true.

There are a lot of collective limiting beliefs that you’ve probably agreed to:

Work must be a chore
Marriage turns you into a boring old person
Time is money
Once you’re an adult, life is about responsibilities, not fun
Dreams are not practical
And there are probably a lot of personally acquired limiting beliefs you’ve collected through your own unique experiences. Whatever the case, most beliefs are formed unconsciously, without our knowing about it. We didn’t necessarily decide to agree to these beliefs because we wanted to.

It’s not like one day we woke up and thought “Man, you know what would be awesome? To go out today and repeat a bunch of thoughts that are going to turn into hard and fast conclusions that will keep me from experiencing the life I want. Yeah, I think that’s what I’ll do today.”

That would obviously be ridiculous.

None of us want to keep these beliefs, but we either think:

That’s just the way things are (everyone else agrees), or…
It’s become such a part of my identity that it’s too hard to change now
In order to solve the first problem, we need to realize that what is often seen as “just the way things are” is, in reality, just a collective assumption. And because it’s an assumption, that means that we decided to agree to make that assumption as well, on some conscious or unconscious level.

In that case, we need to reclaim our power, and choose to stop agreeing. It can really be that simple.

When it comes to ingrained limiting beliefs, patterns, or habits, these can be a bit harder to change. Because we’re so used to them — and mostly because we identify with them — they hold a lot of weight in our experience. It can almost feel as if they’re immovable objects on our path.

Some common limiting beliefs are…

The feeling of not being enough
The feeling of not having enough
Having to work hard for money
Not deserving success
[insert your limiting belief here]
These things can seem daunting to try to change. And even when you do make a real, consistent effort, inertia is often just too hard to overcome.

Luckily, there are a few steps you can follow in order to make the shift to new, more empowering beliefs.

Stop identifying with the belief. Most beliefs are so difficult to change because we identify with them. They seem to be ingrained as a part of who we are. And because we identify with them, we allow ourselves to be defined by them. If you think you’re not creative, you’ll see yourself as someone who just wasn’t born with that ability. If you think you’re bad with getting things to work, you might think you’re just not a mechanical person. It’s easy to get caught up in allowing our beliefs to define us, but they don’t have to. So the first step is to stop identifying with or defining yourself based on what you believe.
Kill your conclusions. Whatever you think you know to be certain is probably a lot more flexible than you think. What you think to be required is certain to be much more negotiable. Question all of the conclusions you have about what you think to be true, fixed or possible.
Test your assumptions. Without pushing the boundary and testing your assumptions, it’s impossible to move past your limiting beliefs. You need to do something to break the pattern of your limiting belief. Questioning is the first step, but if you only do that, the possibilities of moving to a more empowering perspective stay in your head. Some type of action must be taken that puts your conclusions to the test. Just make sure that you’re not staying in the limited head-space that leads you to reinforce what you already hold to be true. Suspend your judgment and take some kind of action to test your assumptions.
It might seem simple, but these are the basic steps to moving past any limiting belief.

They’re only part of it, though. In order to really integrate a new, more empowering belief, you’ll need to spend time cultivating it. And it can help to go through a structured process to dissolve the limit.

I’ve developed a technique that helps you rip a hole in the fabric of your limiting beliefs so you can begin unraveling the limit. Once it has dissolved, you can transform it into a powerful, self-enhancing belief.

You can download this free tool to help you overcome your limiting beliefs here.

It’s called The Limit Erasing Technique. Magic wand not included. 🙂

If you think you could use some help moving past a belief that’s been keeping you from getting the results you want, then this will definitely help.

It’s time to say goodbye. Go here if you want to break your limits.

5 Ways to CRUSH Limiting beliefs

5 Ways to CRUSH Limiting beliefs

We’ve all thought at some point in our life and maybe even today that we aren’t good enough, smart enough, pretty enough, or educated enough. We don’t have enough money, the right relationships, enough time, knowledge, or energy to accomplish our goals, pursue our dreams or live a life of fulfillment. But the reality is all of that is BS. Our only limitation is our ability to identify the illusions we ourselves have created. The fear, doubt, confusion, and pain that consumes our mind, our life, and our results is a hidden belief that is reflected by us through other people.

Today I want to share with you 5 ways to crush your limiting beliefs, BS excuses, and the story you’ve told yourself for so long you believe it’s reality so you can identify, change, and influence others to do the same, while living a life of extreme confidence and clarity.

Jump off the cliff

Imagine standing at the bottom of a cliff while your friend gets ready to jump off you’re screaming and shouting “you can do it,” “come on” and suddenly he jumps. When he gets to the bottom he says now it’s your turn. You head up the cliff and what was an emotional high minutes ago when you were at the bottom has now turned into a deliberating fear as you look down. As you harness up thoughts start racing through your mind “what if my parachute doesn’t deploy?” “What if I hit a tree or rock?” “I can’t do this it’s too far down” “What if…What if…What if?” It’s suddenly an endless stream of fear, doubt, and anxiety. The same fear, doubt and anxiety your friend was feeling when you were screaming “You can do this.” You suddenly realize there are only two options take off the harness and trek the gear down the cliff, but that would be a lot of work after all you just got up here or jump. You make the decision to jump and seconds later you’re free falling through the sky enjoying the scenery, and as you hit the bottom you’re thinking that wasn’t so hard. Actually that was fun I want to do it again. Each time you do it, it gets easier and easier. You’re no longer analyzing what could happen but enjoying the adrenaline, excitement, energy and fun of accomplishing your goal. As Tony Robbins says ‘It is in our moments of decision that our destiny is shaped.”

It is these same decisions small or big that we make every day that cause us fear, pain and anxiety or fun, excitement, and joy. It is this emotional intensity that dictates our actions and results. So how do you crush your limiting beliefs?

Demolish Doubt

Step into uncertainty and make a new decision. Our minds our unlimited the only limit we have is the one we put on ourselves. We choose our emotions and our results. Instead of driving yourself into an emotional pit, wasting time, not taking action and feeling the pain of regret get ahold of the demon of doubt and KILL IT! Find the hidden belief. Question it and shift the illusion. The truth is the opposite of doubt; it is this emotional intensity that makes shit happen.

Create Confidence

The reality of stepping into the unknown, into the uncertainty, and fear is the only way to create confidence and receive emotional confirmation that the decision you made was the right decision. Confidence is an internal value leading to the love, freedom, abundance, clarity, and the energy you need to maximize results and fulfillment in all aspects of life. Raphael Robertson said it best “A comfort zone is a casket.”

Get Clear

The best feeling in the world is the essence of knowing who we are and why we are here. All value is emotional. Owning who you are, creating an authentic message, and committing to your highest potential will give you confirmation that all fear, doubt, and confusion is an illusion. An illusion limiting your ability to influence. Influence is the effect on character, development, or behavior of someone or something.

Have a Compelling Reason Why

Your message and passion is the reason you are here. It’s not always about your presentation but rather your presence. Nothing great ever happens without a compelling reason why. Think about all of the reasons why you want to make a difference, all the reasons why your family deserves better, and your bank account deserves more, then use that to influence every decision you make.

Most Importantly Take Action

Knowledge without action is meaningless and action is truly the only way to crush limiting beliefs. Next time you are looking for a quick fix, an easy way out, or convenient path to take remember the only quick fix is taking massive action! And remember if you need help get a coach.


Occupational therapists provide cost effective solutions for mental health services – See more at:

[Taken from BAOT] Occupational therapists work with service users to help them to regain and maintain a personally satisfying routine of everyday activities – this could include self care, leisure or work activities – that they need or want to do, in order to help people experiencing mental health problems to live life their way. By working in this way, occupational therapists can ensure service users choose health-enhancing activity and alter lifestyle habits such as smoking, diet and exercise.

Occupational therapists support service users with mental health problems to recover through identifying occupational focussed goals that help to improve their self-care and self esteem by focussing on activities and work that leads to self sustained and independent living. (College of Occupational Therapists 2007).

By using their specialist expertise, occupational therapists can carry out multi factorial assessments to establish the functional implications of a service user’s mental health problems. They can then offer occupational therapy interventions that grade activities to ensure successful rehabilitation and recovery.

Occupational therapists are recognised as one of the five key professions successfully assisting in the recovery of those with mental health problems. (Care Services Improvement Partnership and National Institute for Mental Health in England 2007) (New Ways of Working ca 2006)

Occupational therapists help service users with poor mental heath with managing self care
In an audit of self care goals conducted in a local mental health service, good progress was made by service users with poor mental health in meeting occupational focussed goals, such as cooking, for example. As a result of six weeks of occupational therapy intervention, 60% of the service users audited reported their goals were fully met, with a further 25% of service users partly meeting their goals. (Morley 2010)

Self care activities are those ‘that keep you feeling well in mind and body’ (Central and North West London NHS Foundation Trust, Head and Senior Practitioners Steering Group 2010, reported by Morley 2010). Self care is a key criteria in an individual being able to manage their long term mental health condition, live independently and, if appropriate, remain in employment.

Occupational therapists help service users with poor mental heath return to work
Occupational therapists enable people with mental health problems to return to work three months earlier, and work for longer hours than standard psychiatric interventions. 50% of service users with mental health problems who returned to work as a result of occupational therapy intervention, were still in employment 42 months later. This demonstrates the long lasting effect of occupational therapy intervention. The financial benefits of service users being able to return to work sooner and work for longer hours significantly outweigh the cost of providing occupational therapy interventions. (Schene et al 2007)

Occupational therapists help service users with poor mental heath access services
A project was set up to explore and assess whether the integration of occupational therapy practice would improve the employment, training and education prospects of people accessing community teams within a London Borough. The project involved 274 people who had been diagnosed with serious mental illness; 63% were from black and ethnic minority backgrounds living in deprived areas and 93% were unemployed. The aim of this project was to create a pathway for these service users to be able to access vocational opportunities. The occupational therapists developed a successful person-centred and goal-focused approach to assess and meet the service users’ needs. As a result, 66% of the service users gained access to education, voluntary work, open employment and engaged with employment services. (Bourne et al 2007)

The facts:
1 in 4 people will experience a mental health problem during one year
mixed anxiety and depression is the most common mental disorder in the UK
women are more likely to have been treated for a mental health problem than men
about 10% of children have a mental health problem at any one time
depression affects 1 in 5 older people living in the community, and 2 in 5 living in care homes
British men are three times as likely as British women to die by suicide
the UK has one of the highest rates of self harm in Europe, at 400 per 100,000 population
only one in 10 prisoners do not have a mental disorder
people with mental health problems are almost three times more likely to be unemployed than other disabled people. (NIMHE 2003)
40% of people who are unable to work as a result of poor mental health are on incapacity benefit.
evidence demonstrates that assisting people to return to work shows financial benefits in reducing the cost of benefit claims. A single person working for a full year, rather than claiming benefits, is contributing £20,000 to the Exchequer and over £33,000 into the economy. (Oxford Economics 2007)

College of Occupational Therapists (2008) Recovering ordinary lives: the strategy for occupational therapy in mental health services 2007-2017. London: COT.

Care Services Improvement Partnership, National Institute for Mental Health in England (2007) Mental health: new ways of working for everyone: developing and sustaining a flexible and capable workforce. London: Department of Health. Download PDF. Accessed on 16.02.11.

Mental Health Foundation
Accessed on 04.02.11

New Ways of Working [ca.2006] New ways of working for occupational therapists. [s.l.]: NWW. Available at:
Accessed 0n 03.02.11.

NHS Health Scotland (2010) Realising potential, an action plan for allied health professionals in mental health. Edinburgh: Scottish Government. Available at:
Accessed on 16.02.11.

Self care
College of Occupational Therapists, National Social Inclusion Programme (2007) Work matters: vocational navigation for occupational therapy staff. London: COT.

Morley M (2010) Engaging in the quality metrics agenda: a mental health occupational therapy perspective. Presented at the College of Occupational Therapists 34th annual conference and exhibition, plus specialist sections’ annual conferences: HIV/ AIDS, Oncology, Palliative Care, and Older People, 22-25 June 2010, Brighton Centre, Brighton, Sussex.

College of Occupational Therapists (2010) Working for health: occupational therapy and how it can benefit your organisation. London: COT.

College of Occupational Therapists (2008) Occupational therapy and stress: advice on how to overcome work-related stress. London: COT. (Leaflet).

National Institute for Mental Health in England (2003) Employment for people with mental health problems. (Expert Briefing, Summer 2003). London: NIHME.

Oxford Economics (2007) Mental health and the UK economy. Oxford: Oxford Economics. Available at:
Accessed on 07.02.11.

Schene AH, Koeter MW, Kikkert MJ, Swinkels JA, McCrone P (2007) Adjuvant occupational therapy for work related depression works; randomised trial including economic evaluation. Psychological Medicine, 37(3), 351-362.

Accessing services
Bourne S, Hogg R, Whitehouse N, Bertram M (2007) From therapy to vocation. A Life in the Day, 11(3), 11-14.
College of Occupational Therapists (2006) Mental health and social exclusion: the National Social Inclusion Programme. (COT/BAOT Briefings No. 63) London: COT.
– See more at:

Managing Arthritis Pain

Get the Facts

If you or a loved one has been diagnosed with arthritis, it is important to learn more about the disease and its potential impact. However, pinning down the facts about arthritis can be difficult.

Myth #1: Arthritis is just minor aches and pains associated with getting older.
Fact: Arthritis is actually a complex family of musculoskeletal disorders consisting of more than 100 different diseases or conditions that can affect people of all ages, races and genders.

  •  Arthritis is not just a disease of old age. Two-thirds of people with arthritis are under the age of 65, including 300,000 children.

Arthritis can take many forms, but three of the common diseases that make up arthritis are:

  • Osteoarthritis (OA), the most common form of arthritis, is a progressive degenerative joint disease characterized by the breakdown of joint cartilage associated with risk factors, such as overweight/obesity, history of joint injury and age. Read more about osteoarthritis.
  • Rheumatoid Arthritis (RA), a systemic disease characterized by the inflammation of the membranes lining the joint, which causes pain, stiffness, warmth, swelling and sometimes severe joint damage.Read more about rheumatoid arthritis.
  • Juvenile Arthritis (JA) is an umbrella term used to describe the many autoimmune and inflammatory conditions that can develop in children ages 16 and younger. Read more about juvenile arthritis.

Meet people who live with these diseases and learn how the disease affects them. Visit Faces of Arthritis.
Learn more about arthritis and how to manage and live with the disease.

Myth #2: Arthritis is not a serious health problem.
Fact: Arthritis places a growing burden on the health care and economic systems in this country.

  • Each year, people with arthritis account for 44 million outpatient visits and 992,100 hospitalizations.
  • Arthritis is the leading cause of disability in the United States and the UK.
  • Arthritis is actually a more frequent cause of activity limitations than heart disease, cancer or diabetes.
  • Within 20 years the number of people with arthritis will soar.

See how the Arthritis Foundation’s is working to make a difference by working with Congress and theCDC.

Myth #3: People with arthritis should avoid exercising.
Fact: Exercise is a valuable tool in the fight against arthritis.

  • According to the U.S. Department of Health and Human Services there is strong evidence indicating that both endurance and resistance types of exercise provide considerable disease-specific benefits for people with osteoarthritis (OA) and rheumatic conditions.
  • A growing body of research indicates that exercise, weight management and the avoidance of joint injury can go a long way in helping to prevent OA.
  • Every one pound of weight loss results in four pounds of pressure taken off each knee.

Discover the best ways to exercise if you have arthritis.

Myth #4: Not much can be done for arthritis.
Fact: Relief is available and new treatments are in the pipeline.

The Arthritis Foundation helps people who already have arthritis to live better with arthritis by

The Arthritis Foundation also looks to the future through

  • Collaborations with the Center for Disease Control and Prevention and others on public health initiatives
  • Research to determine the underlying causes of arthritis and find more effective treatment and eventually a cure