Occupational Therapy


Children are referred to occupational therapists when there are concerns about:

  • Motor skills 
  • Visual perception
  • Sensory processing skills 
  • Attention control
  • Handwriting 
  • Self-care skills (dressing, using cutlery, toileting)
  • Organisational skills

Occupational therapists use carefully selected activities to help children develop the motor, sensory, perceptual and organisational skills they need to be independent in everyday activities of self- care, play and school work. 
Occupational therapists will help children master practical skills such as dressing (including fastening buttons, buckles and laces), using tools such as cutlery and scissors effectively, as well as developing handwriting skills.
Some children find busy noisy settings stressful and struggle to concentrate. Occupational Therapists consider how efficiently children process sensory information and consider environmental factors which affect task performance and attention control.

Children’s task performance can sometimes be improved by using adapted furniture or simple equipment (such as pencil grips and writing slopes) and these can be prescribed. 
Occupational Therapists work with children from birth to 18 years. 

Referrals for Occupational Therapy are made by:

  • Doctors –Paediatricians, General Practitioners and Neurologists
  • Educational Psychologists
  • Clinical Psychologists
  • Teachers 
  • Behavioural Optometrists
  • Physiotherapists
  • Speech and Language Therapists
  • Parents

Following referral, the occupational therapist will arrange an assessment to establish the nature and extent of difficulty. 
Intervention will be recommended as appropriate and discussed with parents.

This may include:

  • Individual therapy in nursery, school or home
  • Paired or small group work if appropriate
  • Home activity programme
  • School programme
  • Home programme and regular review sessions

JULIA TERTERYAN Dip COT, MSc (Paediatric Occupational Therapy)
Julia Terteryan is an experienced paediatric occupational therapist with a long career in the NHS and overseas, prior to starting independent practice in 2001. 
She believes firmly in early intervention and effective multidisciplinary practice and has worked alongside Wiz Chilton (Physiotherapist) for many years.

Julia has established links with many London Day Schools, and provides therapy services within some of these. 

Julia and her occupational therapy colleagues are committed to providing therapy which is practical and efficient, whilst being fun and motivating for the children who attend.

Close collaboration with parents and carers, as well as nursery and school staff, is considered fundamental to ensuring children make the best possible progress.

Fiona Bellars

Julia Terteryan Therapy Ltd. Registered Office: Verulam Point, Station Way,
St Albans, Hertfordshire, AL1 5HE

Terms & Conditions
Once your child has been booked for occupational therapy sessions the time of session, name of therapist and cost of sessions will be confirmed for you by email.

You will be invoiced for sessions on a half termly basis by email and we ask that where possible payment is settled by electronic transfer. Accounts are due to be settled within 14 days from date of issue; late payment is subject to a £25 administration charge. You are responsible for payment of fees, but these may occasionally be covered by medical insurance.

If you need to cancel a session, please let your therapist know via email in advance. Sessions cancelled with less than 24 hours’ notice will incur a
50% charge.

We will provide end of term reports for children and these will be emailed to you.

We will always try to accommodate additional meetings, school visits or provide additional reports if these are needed; charges for these will be quoted on an individual basis.

In order to help us communicate effectively please could you ensure your therapist is aware of any changes to email addresses or telephone numbers for you.