If you’ve spent years being told you’re “too much,” “too sensitive,” or “inconsistent,” Emma’s your person. She’s a late-diagnosed, proudly neurodivergent mental health OT and ICF-accredited ADHD coach who’s been called a rebel and a disruptor—and she’s stopped trying to fit in.
Emma blends therapy with practical, real-life implementation so you’re not just understood in session, you’re supported between sessions too. Alongside her clinical work, Emma has been an active advocate and presenter for mental health and neurodivergency, and in 2023, established the WA State ADHD Mental Health Professional Network—a fully funded Community of Practice. Just google “MHPN and Emma Ketley” if you want proof that she loves to talk about all things connected to wellbeing in this area.
Grounded, validating, engaging, collaborative and action-oriented. Expect clear language, zero shame, and strategies that respect energy, attention, and sensory limits. Emma builds systems that work with your brain, not against it—routines that flex with hormonal shifts, task scaffolds that don’t rely on willpower, and environments that soften sensory load. The goal isn’t to “act neurotypical.” It’s sustainable participation in a life that feels like yours.
Emma is more a dynamic psychotherapist than a functional focused occupational therapist. She weaves DBT for emotions, ACT for values, motivational Interviewing for readiness, and CBT for unhelpful thoughts into simple, doable routines. Think bite-sized tasks, external scaffolds, and sensory-friendly tweaks that don’t depend on willpower—and actually fit inside your day.
When masking and pushing yourself stop working (and they do), Emma helps redesign your rhythms so recovery isn’t about “trying harder.” Together you’ll rebuild boundaries, restore capacity, and create rest that genuinely replenishes instead of adding to the to-do list.
Perimenopause, PMDD and hormonal dysregulation can light a fire under previously masked or managed ADHD and autistic traits. Emma uses menstrual cycle mapping and hormonal awareness to plan supports for fluctuating capacity—adjusting sleep, sensory environments, workload, and safety plans for tougher luteal days.
For big feelings and sensitive relationships, Emma leads with awareness of core beliefs arising from schemas, and DBT skills—distress tolerance, emotion regulation, interpersonal effectiveness, and mindfulness—plus targeted support where neurodivergence intersects with eating patterns (ARFID, restriction, binge cycles).