Sara-Louise occasionally works with parents, partners, line managers, or HR professionals to communicate a client’s challenges and suggest Reasonable Adjustments, while maintaining strict boundaries around confidentiality. She clarifies what can and cannot be shared in advance. Her role includes identifying whether challenges are neurodiversity-related and helping to implement and assess adjustments. Clients typically experience difficulties with communication and executive function, and often require changes to how work is approached—not just environmental accommodations or assistive technology.

With the client's permission, Sara-Louise can share an overview of topics covered and strategies discussed. She may also facilitate communication sessions to explain the client’s needs, with or without the client present. She may offer a separate confidential space for supporters but does not share specific session content without consent.

Sara-Louise works with leaders, professionals, self-employed individuals, and students. She is not the right fit for individuals who have attended special education settings outside the mainstream system. While she works with young people not in education, employment, or training, she is not a PDA (Pathological Demand Avoidance) specialist.

Sara-Louise supports clients in advocating for themselves with doctors and frequently provides letters to aid referrals. However, she cannot attribute all challenges to neurodiversity if she believes a serious mental health condition is the primary concern. Her services do not replace medical care. Many of her clients experience anxiety, depression, OCD, and complex trauma. She has also worked with individuals diagnosed with bipolar disorder. For those potentially meeting criteria for Emotionally Unstable Personality Disorder (formerly BPD), she typically refers to NHS services such as DBT, adapted CBT, or trauma therapy.

When coaching clients whose sessions are funded by their employers, she clearly distinguishes between neurodiversity-related issues and those that may require workplace assessments, DEI training, or better awareness of the Equality Act.

She does not work with young people to reinforce expectations around specific life paths, such as career, education, relationships, or identity, on behalf of paying parents. Her focus is on helping individuals live authentically.

If a client is in significant distress, she may recommend exploring medication with a doctor. Cultural resistance is respected, but sessions cannot be used to maintain long-term distress without progress. She can continue work after such discussions as long as expectations remain realistic.

She cannot ‘talk away’ trauma, but she can help individuals understand its impact and manage its effects. She often refers to EMDR, Brainspotting, or Hypnotherapy for deeper trauma work.

She does not prepare court reports for domestic violence cases unless it is part of an ongoing therapeutic relationship. She supports survivors of all genders, provided they can attend sessions independently and manage their own scheduling and payments.