NEWS: Insurance case management and our role
Kate Jackson • 1 September 2022
Our occupational therapists are now involved in offering a rare but important perspective on insurance case management

Case management: Occupational therapist Marjolein Cleaver .
The psychological injuries people experience following accidents can last long after the physical ones are finally patched-up.
Wellbeing Therapy Solutions can offer a rare perspective on that recovery with occupational therapy support now available to add to traditional methods that have been used for years.
Case management services is something we have just started to offer and we are excited to begin working with some of the highest profile insurance case management companies.
Case management supports people who have experienced an accident, injury or other trauma and WTS will provide occupational therapy assessment and intervention for people who are experiencing psychological challenges arising from that event.
Mental health assessment
Our experienced therapists can offer a functional mental health assessment to look at how somebody’s mental health is impacting on their day-to-day life following that accident, life event or experience.
We do this in a kind, compassionate and sensitive way and can work all over the UK.
Our job is to meet the mental health needs of any client and to support them in improving their mental health and nurturing and protecting it moving forward.
We will also help them to overcome any barriers that are stopping them live their life in a way they want to do.
Case management
Because all of our WTS team are qualified to deal with individual case management services, we have immediate availability and have already started working with some leading companies.
We are looking forward to building relationships with more case management companies and will be offering a timely and personalised service that meets the needs of people who, perhaps otherwise, wouldn’t get the mental health support they need.
As a service, it’s quite unusual to offer occupational therapist services specifically for the mental health aspect of case management. It’s an emerging area of practice so we are really proud to be able to pick up those needs and support people in a way that maybe hasn’t been so readily available before.
Occupational Therapist Marjolein Cleaver
has been working on one such case.
She explained: “I have working with a client, through case management, who has complex PTSD
(Post Traumatic Stress Disorder). They really felt that their roles in life both personally and professionally have been challenged after what happened to them.
Complex PTSD
“I have helped them look at their goals because they found it so painful to set new ones and were struggling to move forward. So, we gently explored goals first and then gently helped them work towards these goals.
“It’s about empowering the client to make decisions for themselves. It can feel very overwhelming for people with PTSD so we are trying to rebuild that lost confidence. We are trying to get out of the house, which is a big hurdle to overcome, going out and about in the local community and going to places they have not been for a while.
“They have also chosen a meaningful activity to focus on and that has been craft activities which will hopefully boost their mood.
“Wellbeing Therapy Solutions will then liaise back with the case management company and a few more things have been added in from the company because of the relationship I have built with them.
“We deal with the case in a hollistic way and don’t just focus on one thing. PTSD covers so many areas of our life which is not only related to mental health but also physical and motivational, as well as the ability to go places and do things.”
* Get in touch to find out more about Wellbeing Therapy Solutions case management offer.


Exam season can be a stressful time for children, and as a parent it can feel even more daunting being the person to guide and support them through this. Finding the right balance between encouragement, practical support, and emotional reassurance can make all the difference. We want to support parents with some ideas on how you can help your child prepare, manage stress, and stay motivated. 1. Help Them Find Their Revision Style Not all children learn in the same way, and finding the right revision technique is essential for effective studying. Some may benefit from visual aids like mind maps and flashcards, while others might prefer verbal repetition or written notes. Active children may even benefit from pacing the house or bouncing whilst doing revision. Work with your child to discover what works best for them, and encourage approaches that enhance their retention and confidence. 2. Encourage Regular Breaks & Rest While studying is important, overloading their schedule can lead to burnout. Encourage your child to take regular breaks, engage in activities they enjoy, and maintain a balance between studying and relaxation. Movement, creative hobbies, or simple outdoor walks can help them recharge mentally and physically. Rest, sleep and relaxation allow our minds to transfer information from the short term to long term memory meaning the learning will stay with them for longer. 3. Prioritise Healthy Eating & Hydration Nutrition plays a key role in concentration and energy levels. Make sure your child is eating balanced meals, staying hydrated, and avoiding excessive caffeine or sugary snacks, which can cause fluctuations in focus and mood. 4. Create a Calm Wind-Down Routine After a long day of studying, it’s important for your child to have time to relax. Encourage activities such as reading, listening to music, or colouring to help them unwind before bed. A stable bedtime routine can also improve sleep quality and reduce anxiety levels. 5. Reassure Them & Stay Positive Exams can feel overwhelming, but your child needs to know that results do not define their worth. Reassure them that you are proud of them regardless of the outcome and that effort matters more than perfection. Positivity and encouragement from you can boost their confidence and ease their worries. If your child excessively worries about failing exams, gently explore this worry together and remind them the work they have put in so far. A count down calendar to cross off days during the exam period may also help focus (only 3 exams left! This subject is now done! etc). 6. Treat Time Having something to look forward to can keep motivation high during exam season. Plan a treat or an activity together at regular intervals throughout the exam period — these can be small and inexpensive but help them mark the effort they have put in and boost morale for upcoming tests. 7. Keep Communication Open Set aside time for one-on-one conversations where your child can express their worries and feelings. Let them know their emotions are valid and that you are listening. Only offer practical solutions occasionally, sometimes children just need to be given time to vent and express their emotions. Try not to use phrases which can shut down the conversation like “you’ll be fine” and “don’t worry”. As much as these are well intended, they can leave a child feeling unsupported. 8. Seek Support If Needed If stress and anxiety begin affecting their daily life or you are noticing concerning behaviours, please do reach out to us. Wellbeing Therapy Solutions OTs are trained with more specific tools and supports which can get your child through the emotions they are experiencing in relation to exams. By offering steady support, reassurance, and practical strategies, you can help your child approach their exams with confidence and a healthy mindset. Remember, this period is a learning experience—not just about academic success but about developing resilience, self-awareness, and coping skills for the future.

The Importance of Taking a Lunch Break Away from Your Screen As an occupational therapist, I always stress the importance of self-care and managing stress to my clients. One simple yet incredibly effective strategy is taking a lunch break away from your computer or laptop. This small change can make a big difference in reducing stress and boosting your overall well-being. Recently, I had a delightful walk by the canal during my lunch break. This beautiful spot is just a short distance from my office and offers a perfect escape from the daily grind. Even when working from home, I make it a point to take an hour-long lunch break away from my screen. The positive impact is truly amazing. When I skip this essential break, I notice a range of negative effects. Headaches become more frequent, and I feel tension building up in my shoulders and neck. These physical symptoms are clear signs of stress, which can be alleviated by simply stepping away from the screen. T aking a break helps reduce eye strain, which can lead to headaches and discomfort. It also improves posture by allowing you to move around and relieve tension. A change of scenery and some fresh air can do wonders for your mental clarity, helping you reset your mind and making you more productive and focused when you return to work. Physical activity, like a walk, releases endorphins, which are natural mood boosters and can help reduce feelings of stress and anxiety. Additionally, taking a break away from your screen encourages mindfulness. During my walks, I take the time to notice the grass, the trees, and the sun on my face. These mindful moments allow me to be present, significantly reducing stress levels and also give your brain a much-needed break. This "brain break" allows your nervous system to calm down and release built-up tension. By giving yourself this time to unwind, you return to work feeling refreshed and more capable of tackling tasks efficiently. Incorporating regular breaks into your workday is a simple yet powerful way to manage stress and improve your overall well-being. So, next time you're tempted to work through lunch, remember the benefits of stepping away from your screen. Your body and mind will thank you for it.

Preparing for University: Navigating the Transition with Confidence As Easter approaches, the university application process is in full swing, attending offer holder days, and gearing up for upcoming exams. It's an exciting time filled with opportunities, but it's also natural to feel a mix of anticipation and apprehension, especially if you're preparing to leave home for the first time. Understanding the Transition to University Life University life offers a level of freedom that's both liberating and, at times, daunting. The shift from the structured environment of school to the independence of university can be significant. It's important to acknowledge that while this transition is often portrayed as seamless, it comes with its own set of challenges. Many students experience a range of emotions as they adapt to new academic demands, social settings, and living arrangements. Introducing the 'Preparing for Uni' Course Recognising that the transition to university is a significant milestone, I offer a course titled 'Preparing for Uni.' The first session this season is scheduled over the Easter period, providing an opportunity for students to: • Understand the Transition: Discuss the psychological and emotional adjustments associated with moving away from home and starting university. • Explore Practical Aspects: Learn about managing finances, cooking, laundry, and other essential life skills. • Access Support Services: Gain information on university support systems, including mental health resources, disability services, support for your neurodiversity. This course is particularly beneficial for students with additional needs, whether mental health-related, physical, or neurodivergent. It offers tailored guidance on accessing the support you require to thrive in a university setting. Tickets are available via Eventbrite: 17th April 6pm online https://www.eventbrite.co.uk/e/1303366266589?aff=oddtdtcreator 23rd April 2pm online https://www.eventbrite.co.uk/e/1303375594489?aff=oddtdtcreator

Marjolein: What do you feel is important about supporting neurodiverse young people? Becky: "I’m passionate about helping children be better understood. Misunderstandings can have a lasting impact on a child’s self-esteem and day-to-day life. School life, in particular, can shape a person’s journey into adulthood. My goal is to help neurodiverse children see that their school experiences do not have to define their future. "I also empathise with parents who navigate this challenging path with their kids. It’s tough to find support within schools and to feel validated, especially when labelled an ‘overprotective parent.’ I understand how deeply it can make you question yourself." Marjolein: What encouragement would you give to parents who think their kids might be neurodiverse or who have had a diagnosis? Becky: "Trust your gut feeling. Pay attention to what your instincts are telling you about your child and their needs. No matter the challenge, there is support out there." Marjolein: From speaking to you, I know you don’t just support children and teenagers. What support do you think is important for neurodiverse adults? Becky: "Workplaces often struggle to understand neurodiverse ways of working. Tasks can be completed well but in ways that might differ from the norm. There is a lot of talk about reasonable adjustments and what these actually are. It’s very difficult for a person to always know what may help them. Occupational Therapists are the best placed people to help identify, through assessment, what the difficulties are and what supports work within the working environment. Little changes can make such a huge difference to a person’s working life to help ease the stress and anxiety that can often go hand in hand with Neurodiversity and work. At WTS we assist adults with creating health passports that articulate their needs and suggest reasonable adjustments to help them succeed. We also work with managers to bridge communication gaps, ensuring that everyone is on the same page. Misunderstandings can sometimes lead to unfair trouble at work, and we support neurodiverse adults in addressing these issues constructively." Becky’s insights underscore the importance of understanding and support for neurodiverse individuals—whether they’re children navigating school life, parents seeking resources, or adults striving in the workplace. If you have been touched by anything in this blog or are experiencing similar issues, please do reach out to see how we can support you further

As we mark Neurodiversity Awareness Week , it’s only fitting for our team to contribute to this important conversation. We’re thrilled to see more people embracing and championing neurodiversity. Workplaces are increasingly appointing neurodiversity champions and utilizing our services to better understand reasonable adjustments. This growing awareness brings us closer to fostering inclusive environments for everyone. In this blog, our associate Marjolein delves into a significant topic within neurodiversity: the distinction between having a formal diagnosis and self-identifying as neurodiverse. If you know someone who is neurodiverse, you may have noticed that some individuals have an official diagnosis, while others prefer to self-identify. Let’s unpack what this means. To learn more about the term "neurodiversity," please refer to our previous Blog Understanding Neurodevelopmental Conditions Deciding whether to pursue a formal diagnosis is deeply personal and influenced by individual circumstances. Conditions such as autism, ADHD, and dyslexia are neurodevelopmental*, meaning they are present from an early age and evolve as the individual grows. Receiving a diagnosis is essentially a medical confirmation of the presence these conditions. It does not mean that the person’s identity changes on the day of diagnosis—they’ve always been neurodiverse. For many, a diagnosis provides vital clarity and validation, aiding in self-understanding and acceptance. On the other hand, some individuals prioritize understanding their unique set of traits and challenges over obtaining a formal diagnosis. Diagnoses can be costly and time-consuming, especially when privately funded. These individuals may choose to self-identify, recognizing that they have traits associated with conditions like ADHD or dyslexia, and they will focus on finding strategies available to support themselves through any resulting challenges. However, it’s important to note that while one can describe having "traits," claiming a diagnosis without formal assessment is inaccurate. The Role of Self-Identification So, does this mean anyone can assign themselves a diagnosis? Not exactly. Self-identification serves as a tool for understanding one’s strengths and challenges, promoting self-awareness and empowerment. This shift in thinking encourages a culture of support and understanding rather than blame. For example, instead of asking, "Why don’t they try harder?" or “Why can’t they do […]?” we can explore how to break down tasks to become more manageable through tailored support. How We Can Help As occupational therapists (OTs), we believe in empowering individuals with the skills and strategies they need, regardless of any formal diagnosis. If someone exhibits traits of autism, we can provide sensory supports and daily strategies beneficial to autistic individuals. Similarly, those with traits of dyslexia or dyspraxia may find our reading aids or study techniques helpful. For individuals struggling with time management or work deadlines, we can collaborate to identify barriers and develop practical solutions to reduce stress and increase productivity. Whether you choose to pursue a formal diagnosis or self-identify, you can count on our non-judgmental, supportive approach to address the challenges you face. Our OTs will work with you to understand your barriers and find ways of overcoming them, so you can focus on getting on with the things you are best at. *Please note: This blog focuses on neurodevelopmental conditions. While other circumstances, such as brain injury or illness, may lead to similar challenges, those topics are beyond the scope of this piece. Get in touch with us

Ever find yourself spiralling down a rabbit hole of negative thoughts, feeling like there's no escape? If that sounds familiar, Cognitive Behavioural Therapy (CBT) might just be the game changer you're looking for. Let's delve into how CBT can help transform those pesky negative thoughts into positive, empowering ones. What is CBT? Cognitive behavioural therapy is a type of psychotherapy that focuses on identifying and changing negative thought patterns and behaviours. The idea is pretty straightforward: our thoughts, feelings, and actions are all interconnected. By tweaking our thoughts and behaviours, we can change our emotional responses, leading to a happier, more fulfilling life. How CBT Works 1. Identifying Negative Thought Patterns The first step in CBT is recognizing the negative thought patterns that often go unnoticed. These can be automatic thoughts, like "I'm not good enough," or more complex beliefs, like "I'll never be happy." By bringing these thoughts to the surface, we can start to challenge and change them. 2. Challenging Negative Thoughts Once we've identified these negative thoughts, the next step is to challenge them. This involves questioning their validity and considering alternative perspectives. For example, if you constantly think you're a failure, CBT might encourage you to look at your past successes and accomplishments to provide a more balanced view. 3. Replacing Negative Thoughts After challenging the negative thoughts, CBT focuses on replacing them with more positive, realistic ones. This might involve affirmations, visualizations, or simply reminding yourself of your strengths and achievements. 4. Behavioural Changes CBT also involves making practical changes in your behaviour to support your new, positive mindset. This might include setting small, achievable goals, practicing mindfulness, or engaging in activities that bring you joy and fulfilment. The Benefits of CBT Improved Mental Health: One of the most significant benefits of CBT is improved mental health. By changing negative thought patterns, CBT can help reduce symptoms of anxiety, depression, and other mental health issues. Increased Self-Esteem: As you start to replace negative thoughts with positive ones, you'll likely notice an improvement in your self-esteem. CBT helps you recognize your worth and build a more positive self-image. Better Relationships: Improved mental health and self-esteem often lead to better relationships. When you feel good about yourself, you're more likely to engage in healthy, fulfilling relationships with others. Enhanced Problem-Solving Skills: CBT teaches you to approach problems with a more balanced, rational mindset. This can enhance your problem-solving skills and make you more resilient in the face of challenges. Greater Life Satisfaction: Ultimately, the goal of CBT is to improve your overall life satisfaction. By transforming negative thoughts into positive ones, CBT can help you lead a happier, more fulfilling life. Final Thoughts Cognitive Behavioural Therapy is a powerful tool for anyone looking to overcome negative thoughts and improve their mental health. With its focus on changing thought patterns and behaviours, CBT can help you build a more positive, empowering mindset. So, if you're tired of feeling stuck in a cycle of negativity, consider giving CBT a try. It might just be the secret weapon you need to transform your life. Remember, it’s always a good idea to seek out a professional therapist to guide you through the CBT process. They can provide personalised support and help you make the most out of this transformative therapy.

Craft and Occupational Therapy: A Creative Connection At our recent Team Day, we took part in a needle felting activity—a fun and relaxing craft that reminded us of the deeper connection between creativity and occupational therapy (OT). As OTs, we know first hand how engaging in purposeful activities can enhance well-being and help us lead fulfilling lives, whether at home, work, or in any other area of life. But beyond the clinical practice, we also understand the value of taking a step back and practicing what we preach. Engaging in craft activities, like our needle felting session, brings several benefits that tie closely to the principles of OT. Here’s how: 1. Learning a New Skill – Boosting Well-Being Learning something new can significantly contribute to mental and emotional well-being. It aligns with the "learning and growth" aspect of the Five Ways to Wellbeing, which encourages us to keep our brains active by acquiring new skills. In our case, mastering the art of needle felting was not only fun but also provided a sense of accomplishment. 2. A Low-Stimulation Activity After Intense Discussions Following some heavy conversations earlier in the day, engaging in a soothing, hands-on activity like needle felting provided a welcome contrast. It allowed us to shift gears and unwind, offering a mental reset that helped balance out the more intense discussions. 3. Fun and Relaxation Sometimes, we just need to have fun—and craft activities are an excellent way to do so. The joy of creation, the satisfaction of seeing progress, and the light-hearted nature of crafting can significantly reduce stress, helping us feel more relaxed and rejuvenated. 4. Connection and Social Interaction Being together while crafting creates opportunities for informal conversation and bonding. It strengthens social connections and fosters a sense of camaraderie, which is key to emotional and mental well-being and team bonding. 5. Soothing Repetitive Motion The repetitive motions involved in crafting, like poking the needle into the wool, have a meditative, calming effect. This repetitive action can help soothe the mind and alleviate anxiety, offering a natural form of mindfulness. 6. A Focused, Mindful Activity Crafting provides a perfect opportunity to focus entirely on the task at hand. This mindful engagement can quiet the chatter in our minds, grounding us in the present moment and helping us feel more connected to ourselves and our surroundings. 7. Creative Expression Craft activities give us a chance to express ourselves in a unique and personal way. Whether it’s through colour choices, shapes, or designs, crafting allows for creative expression, something that is central to human well-being and self-identity. 8. A Welcome Screen Break In today’s digital world, we often spend hours in front of screens. Crafting offers a welcome break from technology, allowing us to reconnect with our hands and materials while taking a break from the virtual world. Incorporating crafts into everyday life, even just for a brief moment, brings balance and fulfilment. It’s a reminder that creativity and self-care go hand in hand, and that sometimes, the simplest activities can have the most profound impact on our well-being. As OTs, we know the power of purposeful activity, and our team’s experience with needle felting was a beautiful reminder of that. Whether it’s crafting or another activity you enjoy, make time to engage in something that brings you joy, helps you unwind, and connects you with others. It’s all part of living your best life.

More employers are recognising the need for workplace based support for employees. Being given space to be heard and understood is so valuable to helping people continue to give their best in the workplace. I have been supporting employees both through group work and individual support. It is always such a privilege to hear people share their burdens and concerns. I work through these together with the person or group to create an outcome that improves the situation. Sometimes employees can feel like they are trying so hard to make things work, yet not seeing a result from all of their efforts. One thing that has struck me during my time of providing workplace support is many employees I have spoken to are in a supporting role. This can give them a sense of not being good enough and that they should be able to cope with what is entrusted to them. Yet the reality is that carrying other people’s worries and concerns is difficult. It takes a lot of emotional energy to support others as well as supporting yourself. When people see you as a kind, empathetic person you are also more likely to get others sharing their worries with you. This can create a caring burden or emotional burnout which is usually a sign of having been too strong for too long, not a sign of weakness. “Sometimes the listeners need a listener too” Everyone needs a space to be heard, especially when dealing with challenging or emotional content. Having regular times for employees in caring roles to offload and share openly is an important part of looking after the overall wellbeing of staff. As Occupational Therapists, we can facilitate this to help your staff to have a listening ear and be able to continue their amazing work.

Have you ever considered gardening to be a form of exercise? This week I was pleasantly surprised to read that 3 hours gardening is the equivalent of 1 hour in the gym! Gardening is indeed a fantastic form of exercise, offering a fabulous blend of both physical and mental health benefits. I often find that as a busy working mum I don't have the hours to spend in the garden, but find that even half an hour doing a bit of weeding or planting is totally rewarding and often helps me to feel rejuvenated and re-centered. It is a go-to stress reliever, promoting relaxation and improving mood, with the added benefit of engaging all the major muscle groups as well as building strength, improving flexibility, balance and range of motion! So, whether you have a few minutes or a few hours, tending to your garden is a fantastic way to stay fit and centered. If you don't have your own garden, there are plenty of community gardening projects and volunteering opportunities around that you could get involved with, highlighted by Rebecca in her recent blog .

I t's Mental Health Awareness week 2024: with the theme of “Movement: Moving more for our mental health” So, how do we define movement? Well, it can be any type of movement that has a positive benefit on your social, emotional, and physical wellbeing. If it is meaningful, rewarding and you enjoy it, then you are more likely to repeat it. Engaging in any type of meaningful activity that gives a sense of pleasure, achievement and purpose will improve your mental health, reduce anxiety, depression, low mood and improve your self-esteem. Participating in activity that we enjoy, such as exercise, whether it be walking in the fresh air, working out at a gym, or going to a yoga class, can have such positive effects on our wellbeing. If exercise isn’t for you, movement doesn’t need to be structured, it can be any type of physical activity, which increases your movement, which could include domestic chores, necessary tasks, playing football with your children, dancing around the house or walking to the shop. However, sometimes this feels tricky if we are experiencing low mood and a loss of motivation. When this happens, we probably start to move less as we start to avoid engaging in some of our daily activities. As you avoid these activities, you then reduce your opportunity for social and personal activities that give you pleasure and achievement. Behavioural activation is a treatment technique used in Cognitive Behavioural Therapy to help you to address avoidance and focus on activities to reestablish daily routines, increase pleasurable activities, and address important necessary tasks, therefore, increasing movement and supporting positive wellbeing. This strategy helps clients to re-engage in activities to improve their level of pleasure and achievement, improving their mood and improving their positive thoughts leading to an increase in motivation. How do we overcome this: - Make a list of activities that you’ve stopped doing (routine, pleasurable and necessary) - Think about new activities that you might like to start - Start small and try to plan and schedule activities into your day starting with the easiest, e.g., go for a daily walk - Be consistent - Regular small activities are better in the early stages to reduce procrastination and to encourage motivation. Therefore… just try a little bit of extra movement and see the positive benefits on your wellbeing. Find out more about Cognitive Behavioural Therapy in Shean's earlier blog Learn more about Shean and her approach to therapy with her clients