Occupational therapy sessions for autistic adults

You do not have to push through alone.

OT sessions at Kintsugi OT are practical, neuro-affirming and trauma-informed, grounded in real world function rather than compliance or performance. We focus on what makes life sustainable in your actual environment, with your actual nervous system.

Whether you are burnt out, overloaded or stuck in boom and bust cycles, we slow things down and build clarity around what is happening and what needs to change.

A distressed young boy holding his head with both hands, surrounded by a clock, a light bulb, steam, clouds, and a police siren, illustrating stress about time and ideas.

Occupational therapy services

Sensory processing and environmental design

Sensory overload can significantly impact daily functioning, emotional regulation and fatigue.

OT support may include sensory profiling and practical changes to home, work and community environments to reduce ongoing overload.

Energy and burnout support

Many autistic adults experience ongoing fatigue or cycles of burnout due to sustained sensory and cognitive load.

Support focuses on identifying energy patterns, reducing baseline demands and rebuilding capacity in a realistic way that supports long term functioning.

A stressed young woman with disheveled hair, sitting at a cluttered desk with a laptop, a coffee mug, medication bottles, pills, and a smartphone, holding her head in her hand.
A person appears distressed and overwhelmed, surrounded by thought bubbles depicting food cravings, a coffee cup, stomach pain, fatigue, and sleep.

Interoception and body signal awareness

Difficulties noticing internal body signals such as hunger, pain or fatigue are common and can lead to delayed self care or health issues.

Interoception focused support helps improve awareness of body signals and supports earlier, more effective responses.

Executive function and sustainable routines

Executive function challenges can affect planning, initiation and task completion.

Support focuses on reducing cognitive load, building external systems and creating routines that are sustainable and supportive of the nervous system.

A stressed man surrounded by cluttered apps, checklists, and clocks, holding an open planning book with the words 'Weekly Routine' and 'Snakes?' written inside, signs of busy schedule and confusion.
A distressed young man surrounded by images representing mental health struggles, including a happy mask, a handshake, a speech bubble saying "This is hard for me," and icons of a hospital, a briefcase, and a phone with a checklist.

Unmasking and self advocacy

Long term masking can contribute to burnout, anxiety and reduced wellbeing.

Support focuses on safe unmasking, boundary setting and developing self advocacy skills across healthcare, work and relationships.

Work sustainability and capacity planning

This service focuses on what work is realistic and sustainable over time rather than short term capacity.

Support may include analysis of sensory and executive demands, workload planning, disclosure considerations and reasonable adjustments.

A man with glasses writing on a clipboard labeled 'Work' with a scale balancing 'Life'. Surrounding him are notes on adjustments, secrecy, workload increase over time, a capacity plan, and a shield labeled 'Disclosure'. Two thought bubbles above him say 'Realistic' with a target and arrow, and 'Sustainable' with a plant growing in soil.
A black and white illustration of a stressed father with children, surrounded by chaotic elements such as laundry, schedule, and emails, depicting overwhelming responsibilities and mental clutter.

Parenting load and home functioning

Autistic parents often carry a high invisible load related to sensory demands, routines and decision making.

OT support focuses on simplifying routines, reducing friction at home and supporting nervous system regulation within family life.

Sleep support

Sleep difficulties are often linked to sensory processing, arousal levels and daily load rather than sleep habits alone.

Support focuses on identifying contributing factors and making practical changes that support rest and recovery.

A young boy sleeping peacefully in bed, with a sleep schedule chart, alarm clock showing 7:00, and various sleep-related items nearby. Thought bubbles show dreams of moon, stars, and sleeping food.

Healthy Boundary Setting

Difficulty setting boundaries often leads to burnout, shutdown and chronic overwhelm.

This service focuses on:

• Identifying real capacity.
• Reducing people pleasing and overcommitment.
• Managing sensory and social load.
• Building clear communication scripts.
• Creating sustainable routines.

Occupational therapy supports autistic adults to function more comfortably and sustainably in daily life. This includes understanding how sensory, cognitive and environmental factors impact energy, health and participation.

Services are tailored to the individual rather than a one size fits all approach.

How occupational therapy can help