Services and what to expect
Occupational therapy for adults aged 18 and over. Each service below explains what is included, what happens before, during and after, and how to enquire.
Adult Dyspraxia / Developmental Coordination Disorder (DCD) Assessment
£750
For adults aged 18 and over. Primarily in person at our clinic near Hitchin or if required we might be able to offer online. Allow approximately 90–120 minutes for the assessment appointment.
This assessment explores whether your experiences are consistent with DCD, often called dyspraxia, and how coordination difficulties affect your everyday activities.
Before your appointment: We gather information about your current concerns, relevant history and what you hope to understand. Existing reports and examples of difficulties from childhood can be helpful if available.
During your appointment: We discuss everyday experiences and use structured activities to explore movement, coordination and motor planning. We consider what is going well, what takes extra effort and which activities matter most to you. You do not need to practise the activities beforehand.
Afterwards: You receive a written report explaining the findings, their relevance to everyday life and practical recommendations. We explain the outcome and any suggested next steps, including further professional input where appropriate.
Wondering whether this applies to you? Read Could I have dyspraxia?
To enquire: Contact us about an adult DCD assessment.
Sensory Processing Assessment
£360 online
Includes a sensory questionnaire, a one-hour online follow-up call and a personalised written report.
This assessment helps you understand your sensory preferences and needs, and how they affect everyday life. It may be useful if noise, lighting, touch, movement or busy environments feel overwhelming, or if particular sensations help you feel comfortable and engaged.
Before your call: You complete a sensory questionnaire about your experiences. Your occupational therapist reviews and interprets your responses.
During your call: We explore the findings together, using examples from home, work or other activities. We discuss what feels difficult, what already helps and which strategies or environmental changes may suit you.
Afterwards: You receive a personalised report explaining your sensory profile, its impact on daily activities and practical recommendations.
You do not need an existing diagnosis to access this service.
Find out more in Understanding your sensory needs.
To enquire: Contact us about a sensory processing assessment.
Executive Functioning Assessment
£360 online
Includes an executive functioning questionnaire, an online discussion and a personalised written report.
Executive functioning helps us start tasks, make plans, organise information, remember what we need to do and manage our time. This assessment explores how these skills work for you in everyday situations.
Before your appointment: You complete a questionnaire about your everyday experiences. It can help to think of examples such as getting ready, managing appointments, completing household tasks or keeping track of work.
During your appointment: We discuss your responses, strengths and challenges. We explore how demands, surroundings and energy affect you, and identify strategies that fit your life.
Afterwards: You receive a report summarising your executive functioning profile, how it affects everyday activities and personalised recommendations.
You can access this assessment with or without an existing diagnosis. It helps identify support needs and does not diagnose ADHD, autism or another condition.
To enquire: Contact us about an executive functioning assessment.
Participation Coaching
£95 per one-hour session
Practical occupational therapy coaching focused on the things you need and want to do.
Participation means taking part in activities that matter to you. You might want to manage your morning routine, cook more regularly, keep on top of appointments, take part in a hobby or make daily life feel more manageable. Coaching can also help you apply a better understanding of your needs after diagnosis.
At your first session: We explore what you would like to change and agree a meaningful, manageable goal.
During sessions: We look at what helps and what gets in the way, including sensory needs, executive functioning, energy, task demands and your surroundings. Together, we choose practical changes to try.
Between sessions: You try the agreed approaches in everyday life. If you book further sessions, we review what happened and adapt the plan together.
Coaching focuses on your priorities. It does not include a formal assessment report. The number and spacing of sessions are agreed with you.
To enquire: Contact us about participation coaching.
Workplace Needs Assessment
£450 online
Includes preparation, an online assessment and a personalised workplace recommendations report.
This assessment explores how your needs interact with your job and working environment. It can help identify practical adjustments when sensory demands, organisation, managing time, coordination or fatigue make work harder.
Before your appointment: We gather information about your role, working arrangements, current concerns and support already in place. A job description and examples of tasks you find difficult can be useful.
During your appointment: We talk through a typical working day, exploring your strengths, the demands of your role and where difficulties arise. We discuss changes that could help with tasks, communication, routines and the working environment.
Afterwards: You receive a written report with personalised recommendations for workplace support and adjustments. We agree with you how any employer involvement or report sharing will be handled.
This is a remote assessment of workplace needs and does not include an on-site workstation inspection. Workplace visits, employer meetings and ongoing coaching are quoted separately.
To enquire: Contact us about a workplace needs assessment.
University support
Handwriting assessments for university students (£360) and ongoing coaching for study and student life (£95 per one-hour session).
ADHD assessment enquiries
Our adult ADHD assessment service is in development. Please contact us if you would like to express an interest or ask for an update. We are not currently taking bookings for ADHD assessment.