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Featuring: Nicole Saccomandi, MOT, OTR/L
originally recorded January 13, 2020

LiveTalks are hour long audio-only podcasts. This LiveTalk is part of the Complex Cases: Applying Clinical Reasoning to Challenging Clients bundle. Click to preregister for the 2020 series!

Description: Our first talk will introduce you to the clinical reasoning process we will be using throughout our 2020 Live Talk series. We will start with a case study involving a child who is a sensory seeker and avoider. Nikki will present a case on a child who was a movement avoider and now seeks vestibular input but cannot recognize his saturation point. He has other sensory issues, as well as ASD, that further complicate formulating a treatment plan to address his vestibular system challenges. Join us as we walk through the clinical reasoning process of developing a treatment plan for this complex case.

Learning Objectives
By the end of this LiveTalk listeners will be able to:

  1. Determine what to prioritize in the treatment plan with a sensory seeker and avoider.
  2. Identify several alternatives for treatment approaches for the sensory seeker.
  3. Identify challenges to attainment of functional goals with this complex case.

Course Level: Introductory. There are no prerequisites for this course.

Suitable For: Occupational Therapists, OT Assistants

Domain: Activity Demands
Process: Intervention

Contact Hours: This course is worth 1.0 contact hour or 0.1 AOTA CEUs.

Completion Requirements: To receive contact hours for this course you must listen to the recorded LiveTalk in its entirety, and complete the accompanying assessment.

About the Speakers: Nicole Saccomandi, MOT, OTR/L is a registered and licensed Occupational Therapist who has a passion for recognizing unique strengths in each of her clients and facilitating new opportunities for growth. Nikki is SIPT Certified and has background experience in the areas of early childhood education, school-based practice, and mental health settings. A few of her professional interests include feeding and eating, trauma and attachment, listening therapies, as well as research. She is committed to fostering strong and trusting relationships with her clients and families to promote their overall health, independence, and wellbeing. Nikki is a strong believer in using a strengths-based model to support the development of self-confidence and self-advocacy skills within her clients. Nikki earned her Bachelor of Science degree from Boston University and Master of Occupational Therapy degree from Bay Path University

ADA/Section 504: If you require special accommodations, please contact the Spiral Foundation at or (617) 969-4410 ext. 231.

Continuing Education:


Occupational Therapy Practitioners/ Occupational Therapy Assistants:  The Spiral Foundation is an Approved Provider of Continuing Education for occupational therapists and occupational therapy assistants by the American Occupational Therapy Association.  The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


The Spiral Foundation is a 501(c)(3) nonprofit organization, and as such your donation is tax deductible.