At the start of appointments, I write or draw a plan of activities to be undertaken on the day, so everyone knows what we will be doing.

The activities chosen are based on the goals that we have been set, progress that has already been made and input from parents and children.

Activities requiring concentration (e.g. handwriting) are usually alternated with activities that require less concentration and are more energetic (e.g. ball skills). Small rewards including stamps, stickers, sometimes a reward “shop” are offered to provide motivation if necessary.