The Think Sensory Summit · Season 1 · Part 2
Ditching the Deficit Model: Neurodiversity-Affirming OT Practice in Action
Presented by Bryden Carlson-Giving, OTD, OTR/L
This session is part of the All-Access Pass
Included with the All-Access Pass
- Length
- 48:30
Neurodiversity is a biological fact. You can disagree with neurodiversity-affirming practices, but you can't deny that neurodiversity exists. In this conversation, Bryden Carlson-Giving unpacks what the neurodiversity paradigm actually means and introduces the Empower Model, the first neurodiversity-affirming occupational therapy framework designed to help practitioners move beyond the medical model of disability.
Bryden challenges common assumptions about who counts as neurodivergent and explores why most of us will become neurodivergent at some point in our lives. Through candid OT-to-OT dialogue, he examines how ableism is embedded in our training, assessment tools, and even how we conceptualize "ideal" participation in activities like play and recess.
This session offers practical strategies for practitioners ready to shift their approach: conducting strengths-based student interviews, reframing how we write evaluations and goals, infiltrating the FBA process to minimize harm, and questioning whose definition of success we're actually measuring. For therapists navigating systems that weren't built for neurodivergent kids, Bryden provides a roadmap for advocacy that starts with small, sustainable actions rather than burnout-inducing battles.

Bryden Carlson-Giving, OTD, OTR/L
Bryden Carlson-Giving, OTD, OTR/L is a Neurodivergent and Disabled occupational therapy practitioner (OTP) with experience in pediatric outpatient, inpatient, and school-based settings. Bryden earned his post-professional doctorate from Boston University, where his research focused on creating a toolkit to support OTPs in challenging ableism within the OT profession. This work led to the development of the first neurodiversity-affirming occupational therapy model, the EMPOWER model. He received the 2024 Emerging Leader Award from Boston University and the 2026 Gustavus Adolphus First Decade Award. He is the editor of "Neurodiversity-Affirming Occupational Therapy: Empowering Approaches to Foster Neurodivergent Participation", published in 2026.
The full transcript is included with the All-Access Pass.
Get the All-Access Pass