Kayla Warren

Occupational Therapy

Occupational therapy is a holistic, client-centered profession dedicated to promoting participation in meaningful daily activities, such as self-care, leisure, household management, education, and employment. Occupational therapists analyze a person's physical, mental, spiritual, and environmental strengths, as well as the barriers they face, to develop tailored strategies that support their un... Read More

Occupational therapy is a holistic, client-centered profession dedicated to promoting participation in meaningful daily activities, such as self-care, leisure, household management, education, and employment. Occupational therapists analyze a person's physical, mental, spiritual, and environmental strengths, as well as the barriers they face, to develop tailored strategies that support their unique context and goals. This approach fosters autonomy, well-being, and equitable opportunities for participation in society.

**Mental Health Services**
Mental health is a crucial foundation for engaging in meaningful activities and maintaining overall quality of life. Mental health is not just the absence of illness but the ability to cope with stress, build relationships, and participate in daily life with purpose and fulfillment. Occupational therapy takes a strengths-based, person-centered approach to mental health by promoting emotional resilience, self-regulation, and adaptive strategies for managing stress, burnout, and life transitions. Through meaningful activity and environmental adaptation, individuals can develop skills and routines that foster balance, autonomy, and sustained well-being.

*Autistic Burnout Recovery*
Autistic burnout is a profound and often debilitating experience that goes beyond typical exhaustion. It is the result of prolonged masking, sensory overload, and navigating environments that do not meet an individual’s needs. This state is characterized by chronic physical, cognitive, and social fatigue, increased sensory sensitivity, and a decline in executive functioning skills, making daily life overwhelming. Recovery requires more than just rest—it involves reducing demands, creating sensory-safe environments, and reconnecting with authentic self-expression. Occupational therapy takes a neurodivergent-affirming, identity-based approach to identifying burnout, developing sustainable recovery strategies, implementing accommodations, and fostering self-advocacy to prevent recurrence.

*Sensory Modulation and Interoception*
Sensory well-being acknowledges the intricate connection between the body, mind, and environment. Sensory modulation is the ability to regulate and respond to sensory input in a way that supports daily activities and overall well-being. When sensory overload occurs—whether due to overwhelming stimuli or challenges with filtering input—it can impact focus, emotional regulation, and participation in meaningful activities. Interoception, the awareness of internal bodily states like hunger, pain, or emotions, plays a key role in self-regulation. By developing personalized sensory safety strategies and building interoceptive awareness, individuals can better navigate their environments, reduce distress, and foster a greater sense of balance and autonomy. In addition to individualized assessment and services, consultation is available for sensory education, and navigating sensory mismatches.

**Life Skills Assessment and Development**
Occupational therapy supports individuals in developing autonomy while recognizing that independence looks different for everyone. Life skills development is approached from a non-judgmental, autonomy-based lens, ensuring that individuals receive the appropriate level of support based on their personal goals and abilities. These skills may include hygiene, home maintenance, meal preparation, money management, navigating public transportation, grocery shopping, and engaging in leisure activities. Services may be provided in-home, in-clinic, in-community, virtually, or through a blended approach based on individual needs.

**School and Workplace Accommodations**
Individual accommodations ensure that people have the tools and support needed to fully participate in educational and professional environments. Occupational therapy helps identify and implement accommodations that remove barriers, making learning and working spaces more inclusive and sustainable. Consultation is also available for schools and businesses for accessibility, universal design, and neuro-inclusive practices.

**Ergonomic Assessment**
Workplace and daily activities should support physical well-being, not contribute to injury or discomfort. Occupational therapy focuses on optimizing body mechanics, proper equipment use, and ergonomic design to reduce the risk of strain and injury. This may include workstation setup, energy conservation strategies, task modification, adaptive tools, and movement-based approaches to prevent musculoskeletal issues and enhance overall function in both work and daily life.

**Home Assessment and Adaptations**
By enhancing accessibility, usability, safety, and comfort, home assessments support individuals in optimizing their living environments to promote independence and well-being. Assessments consider physical, cognitive, sensory, and environmental factors, identifying barriers and recommending solutions such as adaptive equipment, assistive technology, home modifications, or advocating for additional home support. Recommendations are tailored to individual needs and may address fall prevention, mobility support, energy conservation, and sensory regulation. Home assessments are typically conducted in-person to observe daily activity performance within the environment, with virtual assessments available in select cases. In addition to individualized assessments, consultation is available for universal design principles, aging in place, and sensory-friendly spaces to create inclusive, supportive home environments.

Kayla Warren is a Registered Occupational Therapist (#524) with the Newfoundland and Labrador Occupational Therapy Board. She holds a Bachelor of Science (Hons) in Behavioural Neuroscience and a Master of Science in Occupational Therapy from Dalhousie University.

Kayla is an adult-diagnosed Autistic ADHDer and was featured on the cover of Occupational Therapy Now (July/August 2023) for her article, Advocating for Neurodivergent-Affirming Spaces with Lived Experience. Her work highlighted barriers in academia, the importance of community-level accommodations, and the positive impact of unmasking with neurodivergent clients.

Before establishing her independent, identity-based occupational therapy practice, Kayla spent a year in the non-profit sector developing and facilitating life skills programs for Autistic teens and adults, promoting autonomy, self-advocacy, and authentic self-expression. She also led social and peer support groups to foster connection and unmasking in safe spaces.

Kayla’s practice is rooted in occupational justice—the belief that everyone has the right to engage in meaningful activities that support their well-being and community participation. She takes a trauma-informed, neurodivergent-affirming approach, integrating both evidence-based strategies and lived experience.

Her clinical interests include sensory modulation, interoception, mental health, and community-based participatory research. She has pursued continuing education in neuro-affirming practice, trauma-informed care, harm reduction, gender-affirming care, sexual health, interoceptive awareness, nervous system regulation, peer support, and suicide safety planning with Autistic youth.

Kayla is a clinical and lived experience consultant for the NLHS Adult Autism Working Group and a co-convener for the Research and Knowledge Exchange on Autism through the Newfoundland and Labrador Centre for Applied Health Research.

Kayla Warren is a Registered Occupational Therapist (#524) with the Newfoundland and Labrador Occ... Read More

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