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Many of the children we work with have diagnoses. These can offer useful context, but they do not capture the full picture of a child's communication.
We focus on understanding the individual child - their strengths, needs, relationships and environment - so that support is shaped around who they are, not the label they carry.

Rachel Joseph

Services

Many of my clients have diagnoses, however, a diagnosis of any developmental disorder or delay is not necessary as I will tailor the intervention to the individual profile of the child not the diagnosis.

Rachel Joseph

The Assessment: Understanding Complex Communication

We begin by taking time to understand each child’s communication within the context of their development, relationships and everyday environments.

Assessment is not limited to standardised testing. It includes observation, listening and collaborative formulation, with a focus on how communication, regulation, sensory-motor factors and interaction patterns connect.

Where appropriate, specialist reports are provided for statutory processes, including EHCP appeals and tribunal proceedings. These reports are grounded in holistic assessment and are written to clearly articulate communication needs, functional impact and evidence-based provision requirements. 

Intervention: Supporting Communication Development

Support is shaped around the individual, with a strong emphasis on relational safety, regulation and meaningful participation.

Work may include:

  • direct support with the individual
  • coaching and modelling with caregivers or school staff
  • indirect work to adapt environments and interactions
  • collaborative goal-setting across systems

The focus is on supporting communication to emerge and generalise across real-life contexts, rather than practising isolated skills.

For older children and young people, this may include support around communication, regulation and participation during high-pressure or transition periods, such as exams or educational change. 

 

Training and Consultation: Building Shared Understanding

Children with complex communication needs are best supported when the adults around them share a clear, joined-up understanding.

We offer training, consultation and reflective discussions for parents, schools and professionals, focusing on:

  • understanding communication through a relational and developmental lens
  • recognising the links between communication, regulation and behaviour 
  • supporting consistent, meaningful interactions across settings
 

This work supports substantial change beyond individual appointments. 

Supporting Inclusive Communication Environments

This work can also extend to organisations and workplaces supporting young people and young adults, with a focus on inclusive communication cultures.

This may be particularly relevant for organisations supporting neurodivergent young people, or those with additional communication needs, as they move into and within employment.

Support may include training and consultation to help teams:

  • understand communication differences and needs
  • reduce communication barriers within workplace expectations
  • create environments that support regulation, participation and clarity

Therapeutic Approach

Our work is grounded in neuroaffirming, relational and developmental principles. We understand communication as something that emerges through regulation, relationships, sensory-motor development and meaningful participation, rather than as a set of isolated skills to be trained.

Our clinical thinking is informed by established frameworks that align with these principles, including:

  • Sensory Integration
  • Developmental, Individual Differences, Relationship-Based (DIR) practice
  • Dyadic Developmental Practice (DDP)
  • SOS-informed feeding approaches
  • Selected social communication frameworks (used flexibly and critically)

These approaches are not applied as rigid programmes. Instead, they inform how we observe, formulate and support each child’s communication within their unique context.

We work in ways that respect neurodivergent identity and prioritise emotional safety, agency and participation.