About Me

I’m Larissa Naccarato and I’m an occupational therapist that specialises in working with neurodivergent individuals of ages 5 and up. I bring in my own lived experience of being AuDHD (being autistic and having ADHD) into my practice to support my clients with their therapeutic goals. This means creating realistic goals in collaboration with clients to ensure that it works for them while being client centred and neuro-affirming in my approach.

I have been qualified as an occupational therapist for over two year now, but also have over a decade of other clinical experiences including recreation therapy, sports medicine therapy and working with children and young adults with disabilities.

I also have an education and clinical experience in mental health and addiction and understand how other conditions and diagnosis are intertwined with the neurodivergent experience. This includes OCD, anxiety, hoarding, addiction (drugs, alcohol, food, etc), depression, suicide ideation and self-harming. I am also currently completing my masters in sensory integration.

I also have a strong passion for the outdoors and sports, and try to incorporate sports and nature into my practice. This can include nature walks and supporting clients engaging in sports as their occupation.

Qualifications

McMaster University – 2020

Honours, Bachelor of Arts, Health Studies & Gerontology
Minor in mental health, addiction and society

Oxford Brookes University – 2024

Master of Science with distinction in Occupational Therapy

Ulster University and ASI Wise – 2026 (Ongoing)

Masters in Advancing practice sensory integration and CLASI Certificate route

Royal College of Occupational Therapists Membership
Enhanced DBS Check
HCPC Registration

Therapy Sessions

Supporting neurodivergent clients with:

• Understanding sensory needs and sensory profiles
• Emotional regulation
• Interoceptive awareness
• Alexithymia
• Fine and gross motor skills
• Dyspraxia strategies
• Understanding and embracing neurodivergent identity
• School or Workplace Reasonable Adjustments
• Home organizing and hoarding support

£100 per hour

Flexible delivery of therapy sessions which includes :

• Home sessions
• Educational setting
• Climbing gym or playground
• Nature walks
• Online

Assessments

Occupational Therapy Initial – £450

This is a non-standardized assessment to gain insight into the clients current needs and strengths to provide appropriate recommendations and goals.

Sport Assessment – £450

This assessment is designed for competitive or professional neurodivergent athletes looking for support around their sensory profile and chosen sport.

Dyspraxia Assessment – £900

This involves a comprehensive medical and developmental history review in addition to a standardised assessment to assess motor skills. This is available for children and adults of any age. These assessments are not diagnostic, and should be shared with your GP to receive an official diagnosis.

Dyspraxia Screener Report – £200

This uses a standardized assessment and requires the client to fill out a questionnaire about their motor performance and coordination. The information is then analyzed to decide if a full dyspraxia assessment is recommended. Should a full dyspraxia assessment be required, this information will be added to the full report.

Sensory Assessment – £985

This uses two standardized assessments (EASI and SPM-2) in addition to an interview to better understand the client’s sensory profile and experiences.

Sensory Screener Report – £200

This uses a standardized assessment and requires the client to fill out a questionnaire about their sensory needs. The information is then analyzed and written as a report with recommendations.

Workplace Assessment – £450

This assessment will cover this clients current role and expectations and any support already put in place. This will also involve an interview with a line manager and an in-person review of the workplace environment. The recommendations will include reasonable adjustments or other strategies.

School Support – £500-1100

Support with reasonable adjustments, Education, Health and Care Plan (ECHPs), tribunal reports, annual reviews and letters for changes in circumstances.

Neurodivergent Decluttering and Organizing – £120

This assessment consists of a 30-minute home visit to assess the home environment and includes a written report with a plan and recommendations. Neurodivergent individuals can sometimes struggle with managing clutter, maintaining organizational systems and cleaning schedules. This assessment is designed to support clients who feel too overwhelmed with their environment and may need support on where to get started. Ongoing support can be provided while providing tools as strategies to manage your space moving forward.

Bespoke Neurodivergent Training – £350

Tailored training is available for online or in person groups of any size. Training includes 2 hours of training with slides, and a 30-minute Q&A at the end. However, I am able to tailor training to meet any time or financial requirements. I have previously led training for school staff INSET days, MDT meetings for clients, and for workplace staff training.

PIP and DLA Support Letters – £350

Providing evidence for government allowances.

Other supports or assessments – £50+

This may include transportation assessments, housing supports, medical letters or anything else that is not listed above.

N.B. Mileage is charged at 0.55p per mile

Neurodivergence In Sports

This year I had the privilege of collaborating with Rob Warner, a professional downhill mountain biker and previous commentator for Red Bull TV. This journey started when Rob shared his autism assessment on the Ride Companion podcast a few years ago and how he struggled with his acceptance around the diagnosis. Fast forward to 2024, he went back onto the podcast to share how many individuals resonated with his assessment, and how he is now considering an ADHD assessment and the idea of filming it to reduce sigma. This is where I jump in! I got in contact with Rob to offer an ADHD assessment where we were able to film the entire assessment and almost a year later, we released it on YouTube as a miniseries.

As a neurodivergent individual myself, I’ve always enjoyed ‘extreme sports’ such as snowboarding, rock and ice climbing, riding my motorcycle and a general love for motorsports. With over two decades of experience, it became very clear that these outdoor extreme sports have a higher-than-expected neurodivergent population, many of my own friends included! I began doing research on the links between occupational therapists supporting neurodivergent athletes in sports and found not a single research article. I am now dedicated to exploring this area and how to help athletes improve their performance by understanding their neurodiversity and their unique strengths.

Please enquire about a sports assessment if you are interested in support for your chosen sport.

Contact

Contact me using the contact form, or drop me an email to –

larissa@neurosparklyot.co.uk

If you are interested in occupational therapy support, please complete the following Consent and Registration Form and Pre-Questionnaire Form. If you want to leave feedback for me, please click the button below and complete my feedback form.

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