OT Unplugged: Community of Practice Insights

S0509 - Pivot, Pause, or Push Through? Survival Tactics for OTs Right Now


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In this week’s episode of OT Unplugged, Nikki and Alyce hold the fort while sending love and support to Sarah, who's attending a family funeral. Amidst personal challenges, EOFY chaos, and the looming OT Conference, Nikki and Alyce dive deep into the storm that is sweeping through the NDIS OT community.

From burnout and business survival to media advocacy and political silence, they discuss the emotional toll this season is taking and share practical insights into what OTs and business owners are really facing. You’ll hear stories straight from the clinic floor, how Nikki left her clinic unlocked for 24 hours (oops), and why she’s now scheduling media interviews between scopes of work.

They unpack:

- The ongoing advocacy battle - why OTs can't afford to go quiet

- Breaking down the $193.99/hr myth - what it really covers (spoiler: not your therapist's salary)

- Gap fees, travel costs, and how to communicate changes with empathy

- Why some practices are facing $10K+ monthly losses and what pivoting looks like

- The importance of scripting, planning, and transparency with clients and teams

Whether you're a solo OT, clinic owner, or employee feeling the pressure, this episode validates the overwhelm and gives voice to the collective stress - while offering tangible ways to move forward. 👉

Don’t miss Alyce’s firm “no” to solo OTs launching into NDIS right now- and Nikki’s relatable burnout moment that every OT will feel in their bones.

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OT Unplugged: Community of Practice InsightsBy Sarah Collison, Nikki Cousins and Alyce Svensk


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