Ep. 49: Neurodivergent OTs Discuss Creating a Practice That Actually Works for You With Guest, Breanna James
The BRAVE OT Podcast | Real Conversations with Occupational Therapy Trailblazers
Release Date: 09/17/2025
The BRAVE OT Podcast | Real Conversations with Occupational Therapy Trailblazers
Acceptance and Commitment Therapy in OT Practice through Jen's Personal and Professional Experience What happens when an occupational therapist who supports others with mental health challenges experiences their own mental health crisis? In this episode, Jen Anderson-Frost shares their journey through perinatal OCD and how Acceptance and Commitment Therapy transformed both their recovery and their practice. If you're an occupational therapist curious about ACT, working with clients experiencing intrusive thoughts, or supporting parents with perinatal mental health challenges, this conversation...
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ACT for Occupational Therapists: Using Acceptance and Commitment Therapy in Any OT Setting Have you ever worked with clients who seem stuck? The ones who don't follow through on goals they set themselves, the ones often labeled with judgy terms like "non-compliant" or "unmotivated"? As occupational therapists, we're often called in when all else has failed. But when psychosocial barriers keep people from engaging in meaningful occupations, we need tools that work with the internal experiences creating those obstacles. Acceptance and Commitment Therapy (ACT) offers occupational therapists a...
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Deinstitutionalizing OT: Field Research, Folk Wisdom & Creating Your Own Path with Dr. Josie Jarvis What does it mean to deinstitutionalize yourself as an occupational therapist? In this wide-ranging conversation, Dr. Josie Jarvis and I explore everything from the historical roots of healthcare systems to why OTs need to reclaim field research and folk wisdom. If you've ever felt stuck in traditional practice settings or wondered how to apply occupational science to your own life, this episode offers both validation and a path forward. We discuss burnout recovery for occupational...
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Ever feel like you're drowning in documentation while the work you actually trained for gets squeezed into the margins? Or maybe you're curious about AI tools but worried about privacy, security, and whether using them is even ethical? You're not alone and this conversation might be exactly what you need to hear. In this episode, I sit down with Raj Paul, Director of Engineering at Jane, where he leads the teams building clinical features designed to reduce administrative burden. Raj brings a unique perspective he's not an OT, but his wife is, so he deeply understands our world. He's also...
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Ever wonder what happened to some of our OT entrepreneur trail blazers who went quiet? If you've been around OT social media or podcasts, you probably know Trish Williams from her brand, OTs Get Paid. In this raw, honest conversation, Trish opens up about why you haven't heard from her in more than a year and it's not the story you might expect. This episode is about what happens when your capacity fundamentally shifts. When perimenopause rewires your brain. When family crisis demands everything you have. When the version of yourself you've been living and sharing doesn't fit anymore. And when...
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Ep. 50: Sustainable Practice - Purpose + Profit with Jason Stein In this milestone 50th episode of The BRAVE OT Podcast, I sit down with Jason Stein—acupuncturist, executive coach, and the cowboy-hat-wearing wellness practitioner who's mastered the art of building a sustainable occupational therapy practice that honors both purpose and profit. If you're an overwhelmed practice owner wondering how to create more vitality in your work and life, this conversation offers wisdom you can actually use. Jason shares his journey from hospital-based integrative medicine to building a wellness center...
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This week on The BRAVE OT Podcast: So many neurodivergent OTs like us have spent our careers trying to squeeze ourselves into systems that weren't designed for how our brains work, for our sensory needs, or for how our values need to align deeply with our work. It is a brave move to one day say "I'm going to create something that actually works for me." Join me as I talk with Breanna James, an OT from Alaska who's been part of my ACTivate Vitality program and community for almost a year. Breanna specializes in supporting neurodivergent adults, and what I love about this conversation is...
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Waiting until you feel ready to make your next move? Convinced you need more training before you can call yourself an expert? Think entrepreneurs are just naturally fearless? Join me as I talk with traditional Chinese medicine doctor, Dr. Lorne Brown, about the mindset shifts we need to make to move through fear and think like an entrepreneur. Lorne shares how he built a thriving practice by flipping conventional wisdom on its head, committing first to a meaningful challenge, then finding courage, building capability, and finally gaining confidence. You'll hear his adaptation of Dan Sullivan's...
info_outlineThe BRAVE OT Podcast | Real Conversations with Occupational Therapy Trailblazers
How do you define success in your business? Is offering a variety of services scattered and unfocused or a wise path to multiple income streams? Or maybe success isn't about money at all for you? I'm pulling back the curtain on my own current business reality, sharing the revenue proportions, time commitments, what energizes me versus what drains me, and the messy truth about having a podcast, online courses, a planner, private practice, and teaching gigs all under one roof. You'll hear about my ACTivate Vitality program that represents a third of my income but takes twice the marketing effort...
info_outlineThe BRAVE OT Podcast | Real Conversations with Occupational Therapy Trailblazers
Ever feel like you're the only OT who doesn't have their career path mapped out? Like you should have it more figured out by now or you thought you were on the right path and something's not right? Meet Áine and Jen, two multi-passionate OTs who've built thriving practices by embracing the messy, non-linear path of figuring it out as they go. From car crashes that changed everything to setting up businesses because "I don't really know what else to do," these two prove that sustainable, fulfilling OT careers don't require having it all planned out. What You'll Learn We explore how...
info_outlineThis week on The BRAVE OT Podcast: So many neurodivergent OTs like us have spent our careers trying to squeeze ourselves into systems that weren't designed for how our brains work, for our sensory needs, or for how our values need to align deeply with our work. It is a brave move to one day say "I'm going to create something that actually works for me."
Join me as I talk with Breanna James, an OT from Alaska who's been part of my ACTivate Vitality program and community for almost a year. Breanna specializes in supporting neurodivergent adults, and what I love about this conversation is how she talks about creating her private practice as her own accommodation - a way to work that honors both her neurodivergent brain and her values around authentic, client-centered care.
You'll hear how she moved from traditional settings that didn't quite fit into building something that works for her life as a parent, as a business owner, and as someone who needs flexibility and play in her work. We dive into why neurodivergent adults desperately need our OT services, how to bring play and creativity back into the mundane parts of business, and why you don't need another certification to start helping the people who need you most.
This conversation is for any OT who's been feeling like they need to practice differently, who's struggling with the loneliness of solo practice, or who's wondering if they're qualified enough to work with adult populations. If you've ever felt like you're trying to squeeze yourself into a mold that wasn't made for you, this episode will give you permission to create something that actually fits.
Key Topics We Discuss:
- Creating private practice as your own accommodation for neurodivergent needs
- Permission to practice OT authentically without fitting traditional molds
- The power of community and connection for solo practitioners
- Bringing playfulness back into business and clinical work
- Why neurodivergent adults need OT services (beyond coaches or counselors)
- Moving from burnout to sustainable, values-driven practice
- Using AI tools to support clinical work
- Breaking free from the "shoulds" and finding what actually works
- Building teams and having vulnerable leadership conversations
Who This Episode Is For:
- OTs feeling stuck in traditional employment settings
- Solo practitioners experiencing loneliness and isolation
- Neurodivergent OTs seeking accommodations in their work
- Anyone questioning whether they're qualified to work with adult populations
- OTs interested in supporting neurodivergent adults
Links Mentioned:
- Breanna's website: authenticlivingot.com
- Contact Breanna: info@authenticliving.com
- Free Play (book mentioned by Breanna)
Comment with your favourite comfort shows. Here are ours:
- Schitt's Creek
- Grey's Anatomy
- Friends
- 30 Rock
- True Crime Shows and Podcasts
Keep the conversation going in the The BRAVE OT Facebook group.
Download the 2025 ACTivate Vitality Analysis Report to see what we are talking about. We are currently accepting new OT business owners into the program so we'd love to hear from you. Book a Clarity Call today.
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Questions OTs Are Asking:
- How can I create a private practice that works for my neurodivergent brain?
- What support is available for OT business owners?
- How can I improve my mindset as a business owner?
- How do I overcome loneliness as a solo practitioner?
- What's the difference between OT and coaching for neurodivergent adults?
- How do I bring more play and creativity into my business?
- Can occupational therapists help adults with executive functioning?
- Do I need special certifications to work with autistic adults?
- How do I start working with neurodivergent adults as an OT?
- What does occupational therapy look like for adults with ADHD?
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