Inside Out Expansion is Ready and in Full “Swing”

Manning Clinic is now double the size, having grown into more of Level 1 at 18 Welwyn Avenue. We are excited to announce that we have 5 beautiful and large therapy rooms – each has suspended equipment to help our children meet their sensory needs within sessions, and also spaces to facilitate calm and thoughtful participation in seated work. Despite the size, it still remains our sincere philosophy that our rooms are designed to replicate natural problem solving spaces, where parents and children can get ideas about how to use everyday equipment and things in their homes to practice daily self-regulation activities. We continue to work on inspiring children with activities that make them feel good inside and out.



Our beautiful children continue to amaze us in therapy sessions with their enthusiasm, passion and willingness to give new things a go.

Here are some wonderful examples of some recent work by some very clever (and artistic!) children.   These examples beautifully capture each child’s own unique ‘Unthinkable’ or pattern of behaviour they revert to when faced with tricky situations.  Stay tuned for their next creation – an opposing Thinkable to help defeat the Unthinkable…restoring calmness and happiness to ourselves and others.

Meanie Beanie


Copycat Cathy


Size of The Problem

Invoices and Payments

Tricky Finding Time to Pay Your Invoices? We now have the ability to take credit card payments from you over the phone via our secure eWay payment platform. If you would like to arrange for a payment to be taken from your credit card following each session, please call reception on 0423 673 909 or speak with your therapist directly.

Competition Time – What Makes Me Feel Calm and Happy

We are running another drawing competition for all our children.  The theme is “What makes me feel calm and happy…”

Please encourage your child to think about all the things that make them feel calm and happy, whether through activity, relationship or specific strategies they may have learnt in sessions.

Please use a single A4 piece of paper for their artwork and post to our Manning Clinic

Inside Out Occupational Therapy Group

Suite 5, 18 Welwyn Avenue


Or drop it into the clinic at your next visit. Competition closes on Friday 13th July 2018

First prize will again be a Family Movie Pass to Hoyts Cinema!  Artwork will be judged on creativity, effort and ideas. Entries will be displayed in our next newsletter, on our website and on our noticeboards for everyone to enjoy.



Sparra Designs and Inside Out OT

We have hatched a new collaboration with the very clever and creative Jane from Sparra Designs.  We now stock and sell their unique therapy products – Weighted Lap Mats (small and large) and the fantastic Twiddle Tool.

The weighted lap mats comes in two sizes – small 1.5kg (blue) and large 2kg (red).

Environmentally friendly, they are filled with small pebbles rather than poly pellets or other plastics. Easy to wash with care instructions included.

The Twiddle Tool is a fabulous tactile fidget and less visually distracting than other fidgets – supporting attention and calmness for children and adults alike. Pushing a marble through a track while listening and looking at the teacher is a great combination to support whole-body listening skills. Great for children who need to move and fiddle when they listen.

Drop into our clinics to see the full range!


Offering different dolphin and sport designs and in a variety of colours, these clever tools promote appropriate wrist extension and pencil grasp to support the development of writing skills, suitable for both left and right-handers.  We recommend you purchase two for your child-one to keep at school and the other for home.  They are $7.50 each.


These clever cards (designed by our Senior OT Lisa A) are a quick and easy way to get your child moving and having fun!  With 15 different animal walks, these cards are great for developing body and hand strength, supporting shoulder and wrist stability and improving bilateral integration, fine and gross motor skills.  They also promote the following of directions and motor planning skills. A set of cards cost $11.


Another creation designed by Lisa A, these breathing cards are a great addition to every child’s calming toolbox.  Each card has a different visual prompt (such as candle breathing pictured) to remind our children to take slow, deep breaths…

Tip: Great to store in the car and practice together as a family.

A set of cards cost $11.


We are thrilled to be stocking Theraputty. We have decided to offer a range of strengths, from extra soft to firm. These little tubs are an invaluable asset to our children – building hand strength in fun way is key. Plus, squeezing, holding, rolling and stretching Theraputty can help children stay in the “Just Right” zone, feeling good, concentrating and sticking with tasks for longer.

One tub is priced at $10 or get the complete set for $30. Available from the Manning Clinic.

Limited stocks, get in quick while it lasts.


Gross and Fine Motor Strengthening Group

These 60 min motor strengthening groups are ideal for kids who might need a little extra support with their handwriting and other fine motor activities at school.

Gross motor, core and upper body strengthening activities will be included in these sessions. A group is a super fun way to get this strengthening practice in. The kids will be having so much fun – they won’t even realise they’re strengthening their gross and fine motor skills!

Please call 0423 673 909 to book your child’s place for term 3 and school holidays 2018. Days and times are being wait listed currently.

Seeking Connection or Attention Seeking?


In this term’s blog, Lisa A invites parents to consider if our child’s attention seeking behaviour may be an expression of their need to seek connection?

We are frequently told in parenting advice books and on the internet that attention seeking is bad and we must ignore the ‘behaviour’ because otherwise the child will learn that all they have to do is scream to get our attention.

However what if we challenged that idea and told you that our children are not ‘attention seeking’, but rather they are ‘seeking connection’ with us?

Let’s first look at this concept called “attachment”. Attachment is a motivational behavioural system whose purpose is to seek proximity to a caregiver. The attachment system includes both exploration, where the function is for learning/playing; and it also includes protection, where the function is for safety. Children use their caregiver as a ‘secure base’ from which to go out and explore the world. When the threat of danger is present, exploration is inhibited, and the child turns to the caregiver for safety and security. This is a really important point to understand and observe in children, as the “proximity seeking” behaviours look different in different children. For some it is them asking for help, others it may be to cry, for others we may experience them as being “whiny” or “clingy”, and some children become explosive and aggressive. We also need to keep an eye out on the ones who retreat away and are the quietest.

It is important to understand what ‘danger’ might mean to a child. It could be saying goodbye to their caregiver; going to sleep by themselves; or the new person that they are unsure how to interact with them. It could also be as simple as an unexpected noise or a new food they are trying for the first time. When a child experiences something as a danger, they will stop exploring/playing and being independent and return back to their caregiver for safety. Is this attention seeking or seeking a connection with someone who they trust to validate their emotions and provide reassurance, supporting them to feel safe enough to go back and tackle the same situation?

The research now suggests that if children haven’t yet mastered the skill of emotional regulation, they are likely to find other, insecure ways to bring their caregivers and attachment figures closer. Often this makes it confusing for caregivers to know whether or not their child needs comfort or support.  Because of this, we often mistake children’s behaviour as  ‘attention seeking’ or ‘being naughty or silly’.  Often these are the times are when our children are struggling emotionally and not knowing how to cope or how to get help from their caregiver.

Indeed children can be skilful in getting our attention in all sorts of ways (i.e. kicking the back of our chair, screaming, saying they need our help when we know they can do the task themselves, withdrawing etc). However there is a need that underlies these ‘attention seeking’ behaviours. To be able to support our children to gain our attention in more secure ways we need to look past the behaviour and discover the underlying need for connection and emotional organisation and address that. For children to be able to self-regulate and calm themselves down, they first have to experience this calming down with someone.

Here at Inside Out OT, we look further past the behaviour, to look at what the underlying emotional needs of our children are, and support families to address those needs. Programs such as the Circle of Security and reflective based discussions with our Occupational Therapists can help support you to be with your children when they are upset. Through this, we can support your relationship with your child which enables enhanced emotional regulation and self esteem.

Helping Children with Autism and Better Start for Children with Disability

Inside Out is proud to announce that we have been selected for membership of the Helping Children with Autism (HCWA) and Better Start for Children with Disability Early Intervention Service Provider Panel. We are excited to be able to offer an additional early intervention care and funding arrangements to new and existing families.   Inside Out is also an accredited provider to the National Disability Insurance Scheme – a funding model that is currently rolling out across Western Australia this year and into 2020. These programs help to make OT more affordable and accessible for eligible clients and families.

For further information please click on this link:

Scotch College Evening Seminar

Kathleen and Lisa were thrilled to present at Scotch College’s recent Evening Seminar on the topic of Improving Social Skills for Primary School Aged Children – A focus on Cognitive Flexibility.

Children need to use their ‘school smarts’ and ‘social smarts’ to be successful at school. Good social skills (social smarts) are described as “adapting efficiently in each context” – our children need to read the hidden rules in each context and then regulate their physical presence, their language, emotions and reactions. To do this requires Flexible Thinking, which allows children to entertain alternative view points and have choices, without getting ‘stuck’ on their own ideas or plans. For many children this is an effortless process, but for others it is difficult and they have real problems demonstrating social cooperation. This seminar provided parents with essential information about cognitive flexibility, the impact on social skills, and importantly, strategies to use to assist the development of these skills in their children.

Source: Winner, M.G. &  Crooke, P.  (2008).  You are a Social Detective! Social Thinking Publishing: Santa Clara CA

Sole Occupational Therapy provider for Melville Primary School

We are delighted to be recently selected from a number of applicants as the Occupational Therapy provider for Melville Primary School.  The school’s Principal, Betty McNeill, along with her teaching team, have a clear vision about the importance of providing allied health expertise within the school setting. Kylin has started this exciting new role this month – organising screenings for kindergarten and pre-primary students, as well as providing on-site individual and group therapy programs.

Inside Out continues to provide extensive school-based services to a selection of government and non-government schools across metropolitan Perth.  Please contact us directly to enquire about our whole of class screenings and our unique motor skills, mental health, social skills and self-regulation individual and group therapy programs.