What is Neuroaffirming OT?
- jbotuk
- May 30
- 2 min read
I like to think that neuroaffirming therapy is a natural extension of occupational therapy. It focuses on supporting neurodivergent individuals, such as those diagnosed as Autistic, Dyslexic, Dyspraxic, ADHD, and/or other neurodevelopmental conditions, by honouring their neurological differences rather than trying to "normalise" their behaviour, and by focusing on empowerment not correction.
This approach promotes autonomy, self-advocacy, and inclusion. Instead of encouraging masking or compliance with neurotypical standards, neuroaffirming OT helps clients build skills and environments that align with their natural ways of thinking, processing, and engaging with the world. It is strengths-based, trauma-informed, and deeply person-centred.
Using this lens, goal setting is a collaborative, client-centred process that prioritises the individual's values, interests, sensory and cognitive needs. Rather than imposing "normative" goals (e.g., eye contact, sitting still, handwriting neatness), goals are developed through conversation and observation to reflect what is meaningful, functional, and affirming for the client.
For example, instead of the goal : “Will maintain eye contact during conversation,”
A neuroaffirming goal might be: “Will explore and use preferred communication strategies to engage in conversation comfortably.”
This approach empowers the individual to take ownership of their goals and progress while respecting their neurodivergence. It also often involves adapting the environment or task, rather than expecting the person to change who they are.
This approach incorporates current evidence from Trauma-Informed Care, Acceptance Commitment Therapy, Sensory Integration, and strengths-based frameworks. This might include the creation of goals relating to the development of routines, supporting self-regulation, or building confidence in preferred forms of communication. This approach avoids behaviourist strategies like rewards and punishments and instead fosters autonomy and self-understanding. It benefits a wide range of stakeholders, including children, teens, and adults who are neurodivergent; their families and caregivers often see improvements in relationships, communication, and self-advocacy.
This aligns with best practices in client-centred care and promotes long-term well-being. In focusing on what matters to the individual, not what’s typically expected, goals are more likely to align with the person’s strengths and interests, and as these are more meaningful, you may see an increase in engagement and improved long-term outcomes.
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