Hi, I’m Sorcha.
I am an Autistic and ADHD Senior Occupational Therapist with a PDA profile, and I currently work as the Clinical Manager at Neurodiversity Ireland. My work is rooted in a deep commitment to nervous system safety, autonomy and creating environments where neurodivergent children and young people can feel understood rather than managed.
I completed my Master’s Degree in Occupational Therapy at the University of Limerick and I am CORU registered (OT044835). Alongside my clinical training, I bring lived experience as a neurodivergent adult who has navigated masking, burnout and survival-based systems — experiences that profoundly shape how I practice and how I teach.
My approach to occupational therapy is neurodiversity-affirming, trauma-informed, and child-led. I provide occupational therapy assessments, 1:1 therapy sessions, and sensory-based groups, supporting children and young people to build regulation, autonomy, and a sense of safety in their daily lives. My clinical work focuses on understanding behaviour as communication and identifying the environmental, sensory, and relational factors that impact participation and wellbeing.
I work closely with families, schools, and multidisciplinary teams, with a particular interest in supporting PDAers and highly masked children, whose distress is often internalised or misunderstood. Rather than aiming for compliance, my work prioritises co-regulation, predictability, and reducing unnecessary demands.
As Clinical Manager at Neurodiversity Ireland, I oversee clinical practice while also delivering training, supervision, and public education. I support professionals to move away from behaviourist approaches and toward practices that centre nervous system regulation, connection, and autonomy — especially within education, care, and health systems.
I regularly deliver training and talks to educators, healthcare professionals, and organisations, integrating occupational therapy theory, nervous system science, and lived experience. My teaching is relational, reflective, and practical, supporting professionals to feel more confident responding with compassion rather than control.
At the heart of my work is a belief that children should not have to reach crisis to be supported. When safety, autonomy, and sensory needs are prioritised, regulation becomes possible — and meaningful participation can follow.
Ep. 140 - Sorcha Rice -Occupational Therapist and Clinical Manager for Neurodiversity Ireland
Sorcha Rice is an occupational therapist and the clinical manager of Neurodiversity Ireland, who I met at their 1st conference last year. She identifies as AuDHD and PDA and spoke with me about how she understands and experiences PDA, what her childhood and teen years were like before she was diagnosed, going through burnout and recovery, how she manages her nervous system now, and some of the practices she incorporates to support her PDA occupational therapy clients. It was wonderful to connect with Sorcha and hear her insights and so much of her story! I hope you enjoy it too. Xoxo, Casey PS - You can find more about Sorcha on instagram at both @ot_sorcharice and @neurodiversityireland And in our conversation she also recommended a resource for other OTs - Kim Barthel
The Middletown Centre for Autism: Understanding PDA with Sorcha Rice
In the latest Middletown Podcast, we chat to Occupational Therapist, Sorcha Rice. Sorcha brings her expertise and lived experience to discuss PDA (Persistent Drive for Autonomy). We discuss what PDA feels like and what supports might be useful at school and at home.

