- I N T E R V E N T I O N   P H I L O S O P H Y  -

As a doctor of occupational therapy, my practice is rooted and centered in the clinical models and frameworks that guide this profession.  All internveitonsa are filtered through the lens of OT.

 

Specifically, I draw heavily upon:

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• Model of Human Occupation:  Seeking to determine what the patterns of motivation, habituation, and performance are shaped by in the inner and external variables of the lived experience. 

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• Person-Environment-Occupation-Performance Model:  Similar to how social workers seek to understand how the individual and their contextual environment intertwine to impact engagement and functional participation in the lived experience, the occupational therapist deepens this by understand the depth of necessity related to the task of 'doing' -- that which occupies our time. 

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• Sensory Processing and Regulation:  Perhaps the most important layer of this OT focused work, it is the unique ability of the OT clinical expert to understand and relate all nervous system functions back to the afferent (sensory) and efferent (motor) pathway interactions.  

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• Neuromuscular Re-education:  Retraining of the efferent (motor) pathway from the brain to body -- always seeking to optimize the coordination, sequencing, and rhythm of the entire three-dimensional canister (never just the pelvic floor musculature).  Then deepening this into a head-to-toe understanding of the sequencing of the kinematic chain, and the capacity for the deep core to be given priority prior to retraining of dynamic movement sequence...

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• Biomechanical/Musculoskeletal:  Once neuromuscular rhythm has been established, sequencing of movement with emphasis on stability and alignment is initiated.  Often integrated with Medical Therapeutic Yoga and Pelvic Pro (CES) internvetion protocols.

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• Cognitive Behavioral Therapy:  Because it's never simply about the tissues, function is always linked to the internal variables of motivation, regulation and intellectualization.  This is where true change happens -- understanding, problem solving, and habit reforming.