What’s On At All Together Therapy

Hard to Swallow campaign

This year the NDIS ceased funding swallowing assessments and development of mealtime management plans for individuals with a disability, saying this is the responsibility of the health system. This change has been extremely devastating for so many people with a disability and their families in the mid North Coast region as it has restricted their access to vital therapy. All Together Therapy has worked with the Council for Intellectual Disabilities on their campaign, Hard to Swallow. Since advocating for two of our clients, Ellen and Tanisha, the government has  decided that NDIS will temporarily continue funding swallowing assessments and mealtime management plans. We will be continuing to advocate for our clients during these changes. 

Ellen and her family have kindly shared her journey and the difficulty accessing services for essential therapy support for mealtimes and swallowing. Please watch Ellen’s video and sign the petition to show your support.
We have been proving essential swallowing support to Ellen for a number of years, however this year therapy hours for swallowing and mealtime support were removed from her NDIS package. The NDIS are claiming that this should be covered by health. These services have always been covered by disability services and is a highly specialised area that is provided by disability therapists that have had post graduate education and have ongoing support and development relating to disability and complex needs. This NDIS needs to cover services like mealtime/swallowing to ensure that these people are safe, and supported to promote wellbeing and quality of life.
We support the NDIS but are frustrated by these inconsistencies, blame shifting and cost cutting efforts that put clients at risk. This risk is potentially fatal when we are discussing swallowing!
Please share far and wide. This is an issue that needs to be bought to the attention of government and addressed immediately.
Thankyou to the centre for intellectual disability for telling Ellen’s story.
Thankyou to our therapists who have worked tirelessly to support Ellen to be safe and continue to eat (rather than be purely tube feed).
#hardtoswallow #ndisfixeat

Tanisha has a very rare genetic disorder which has left her with intellectual and physical disability. As part of her disability she has swallowing problems. The NDIS stopped funding Tanisha’s swallowing therapies. There was no consultation nor prior notification. Without these vital therapies Tanisha’s swallowing muscles are weakening and she is at a significantly greater risk of choking.
Since this campaign Tanisha’s therapies have been reinstated and she has been able to continue seeing Occupational Therapy and Speech Pathology with All Together Therapy.

Sense Rugby is coming to Port Macquarie!

We are very excited to announce that we are teaming up with Sense Rugby!

Does your child need help to successfully be part of a sports team or group activity?

We can help! Sense Rugby is a rugby based Occupational Therapy program founded by Australian Rugby 7s Olympian Jesse Parahi and Paediatric OT Carlien Parahi. 

We use modified rugby drills to help kids to:
– Process sensory information
– Manage their emotions
– Focus on activities
– Improve their coordination
– Build their confidence and self-esteem
– Learn to play sport
– Have fun with other kids!

All our therapists and trainers are experienced in working with kids who live with Autism Spectrum Disorder, ADD/ADHD, Sensory processing difficulties, delays in gross motor skills, exposure to trauma, emotional regulation difficulties and many more.

NDIS, Better Start, HCWA, Medicare and Health Insurance rebates available.

Join us for our free launch day! 

17 FEB 2019
9AM-2PM (Please note, hour time-slots allocated on sign-up)
Location: Exact location to be confirmed
Ages: 4-17
Bring: Yourselves, sports clothes, trainers, a hat and water.

Sign up here to save your spot: 

Please email hello@senserugby.com.au if you’d like any further info.
We can’t wait!!

2018 Local Business Awards

After a massive year including the Liberty Swing Project, wonderful new staff and the roll out of the NDIS locally we are so excited to announce our nomination in the Port Macquarie Business Awards. We are so proud of our team and our achievements, we hope you feel the same. If you’d like to have a say on your favourite business simply click the link below and select ‘All Together Therapy’ in the list and hit Vote Now… Thankyou to everyone for your ongoing support of our local business! We love sharing the journey with you!


Liberty Swing Opening

We are excited to announce the opening of the Liberty Swing project! All Together Therapy, Port Macquarie Rotary Sunrise and Omnicare have worked together in bringing the first inclusive and accessible swing to the Port Macquarie region. The opening will be performed by Mayor Peta Pinson in conjunction with Paralympian Ryley Batt.

DATE: Thursday July 5th 2018

TIME: 10:00am

VENUE: Town Beach Reserve Port Macquarie

Morning tea will be available at the conclusion of formalities



Liberty Swing Launch

On Friday the 16th of February 2018, the Port Macquarie Liberty Swing Project was launched at Town Beach Reserve. This is a project close to our heart and after 6 years of hard work it is finally a reality. This is a joint project between All Together Therapy, Port Macquarie Rotary Sunrise, Hastings Council and Omnicare. Thanks to a grant from Variety – the children’s charity Peter & Geoff picked up our Liberty Swing which was unveiled on Friday. The group is now working together towards the installation of the swing at the town beach reserve. We are hoping that the swing will be opened around May 2018. A big thanks to Ryley Batt our project ambassador for your support. We are all looking forward to seeing the swing in action.

Baby/Infant Massage Group

We are currently running another of our wonderful baby massage groups! If you are interested in attending our next group please contact Vanita on 0265834063 or email referrals@alltogethertherapy.com.au to register your details.

Six to Twelve Months

In our last post we discussed child development from Birth to Six Months of age. This post will deal with developmental milestones occurring between Six and Twelve Months of age. This period is critical, as children are laying the foundations necessary for their first words and first steps.

6-9 Months of Age

Your child should be:

  • Using variegated babbling. This is a more complex type of babbling, where your child will use multiple consonant and vowel sounds within one babble, for example “ma-wee-ba-duh”.
  • Using different sounds for different emotions. Your child will begin to understand that there is a difference between happy, in pain, tired, and hungry, and they will begin to give you more clues that they are experiencing each emotion. You will start to see sighs, squeals of excitement, and grunts of frustration.
  • Responding to their name. As your baby becomes more aware, they will begin to associate their name with themselves. They should begin to seek the person saying their name, respond with smiles, and begin to understand when they are being caught out.
  • Understanding common words. As your baby grows, their receptive language skills will continue to develop. They will start to comprehend a few very familiar words, for example ‘car’, ‘bottle’, ‘dog’ and ‘rattle’.
  • Showing joint attention. Joint attention is the ability for two people to share focus on an activity or object. This skill is a vital prerequisite for having a conversation, or engaging others. As your baby develops this skill, they will look at the object, then to you to check you are looking, then back to the object.
  • Sitting independently. Your baby should be able to sit without the support of others and engage in play with a favourite object. One hand may be required to prop self at side.
  • Pivoting whilst on tummy and beginning to crawl or scoot backwards.
  • Holding toys and transferring it between hands. Your baby should be able to intentionally grasp and release objects.
  • 9-12 Months of Age

    Your child should be:

  • Understanding object permanence. Your child should begin to understand that an object still exists, even when it is not seen, and start to search for an item they have seen hidden (for example, under a blanket). This milestone is the precursor for symbolic development (words are considered to be symbols) and therefore is an essential stepping stone to talking about objects that are not in their immediate view.
  • Copying gestures. Your child should begin to copy your actions and movements such as clapping, high fives, and covering their face during a game of peek-a-boo.
  • Using communicative gestures. As your child becomes more confident copying gestures, they will begin to use these gestures to communicate. Your child may begin to wave, shake their head ‘no’, and put their arms up to ask to be picked up. If you are using Baby Sign with your child, you may notice them stating to sign back to you at this stage. Our OT, Pip, runs our Baby Massage courses, and always enjoys including a session about feeding and Baby Sign. Call (02) 6583 4063 to book your spot in the next Baby Massage Group.
  • Conversing back and forth. Your child should begin to have pretend conversations with you where they babble and wait for a response, or babble in response to you talking. This shows that they are beginning to understand the social rules and structure of a conversation, and that they want to converse with you.
  • Understanding familiar short phrases. Further to the above point where your child began to understand familiar words, your child should now be able to understand some familiar short phrases, for example “ta for mum”, “all gone”, “where’s daddy?”.
    Lifting self-up on all fours and beginning to crawl with their stomach off the ground.
  • Pulling self-up on furniture and cruising around furniture.
  • Walking whilst holding on to their parent’s hands. Some children are early walkers and will begin to walk around the 10-11 months.
  • Posting objects – pulling them out of a container and putting them back in.
  • Beginning to use a spoon to self-feed at meals (this will be messy but is a key skill in developing hand-eye coordination).
  • Please note that each child is different, and will achieve these milestones at different ages. The above information is based on the average age that typically developing children will achieve these milestones.

    If you have any concerns about your baby achieving these milestones, please contact your GP or our friendly Speech Pathologists and Occupational Therapists on (02) 6583 4063.

    Port Macquarie Business Awards

    All Together Therapy is honoured to be nominated for our local business awards in our first year. Thank you to everyone has shown their support.


    Child Development: Birth to Six Months

    This post describes some of the milestones that typically developing children achieve between birth and six months of age.

    The language and motor milestones a child should achieve in their first six months of life are subtle, and can be easily overlooked. The child is building the foundation they will need for communication and movement, and many of the milestones are social and functional, rather than being used in isolation.

    While most children will achieve these milestones effortlessly, without us realising it, it is important to be aware of them. Many children who are diagnosed with developmental delays or impairments later in life, did show delays in these very early skills. This post will discuss each of these steps, and what to expect within your child’s earliest months.

    0-3 Months of Age

    You child should be:

  • Responding to sounds. Hearing is essential to your child’s verbal communication development. Babies involuntarily know to listen for language, and will demonstrate that they recognise language over other background noises.
  • Giving eye contact. Babies will show interest in looking at faces, which will develop into them giving eye contact. As they grow, they will show signs of enjoyment when sharing eye contact such as cooing and smiling.
  • Smiling. When babies smile, it lets their family know that they are noticing the outside world and enjoying social interaction.
  • Cooing and gurgling. Babies should begin making some sounds around 8 weeks of age. These sounds are your baby’s first attempt at verbal communication by experimenting with their oral coordination and voice.
  • Head control. Babies should be able to move their head from side to side and should be able to extend their neck and push themselves up to look around when placed on their tummy.
  • Visual tracking. Babies will be able to follow movement of your face, hands and toys, at birth this is only at close range (less than 30 cm and for very short periods). This will increase in range and duration as the child grows and by 3 months of age, your baby will be able to watch you move around the room.
  • Early play. In the first 3 months, babies will demonstrate early actions of play including batting, swiping, grasping, kicking, and mouthing.
  • 4-6 Months of Age

    Your child should be:

  • Identifying basic emotions. Your baby will begin to identify and respond to other’s emotions. They will mimic and mirror your emotions.
  • Identifying people. Your baby will begin to recognise familiar faces, including those outside their immediate family. By 6 months, your baby will develop stranger anxiety – where they will be upset when they do not recognise who is holding them.
  • Following faces. Your baby will begin to look at their family’s faces. This is important, as communication involves non-verbal cues such as facial expression.
  • Babbling. Babbling is different from cooing, in that it contains consonant sounds and is purposeful, for example “ma-ma-ma”.
  • Oral motor exploration. Your baby will begin to play with their mouth – for example, clicking their tongue and blowing raspberries.
  • Memory and attachment. Babies start to develop attachment to objects, for example a favourite rattle, and can be upset when it is taken away. This also means that they are highly engaged by games such as peek a boo.
  • Deliberate movements. Babies begin to make deliberate actions such as kicking a mat that makes noise, or stretching arms out to be picked up by a parent.
  • Bilateral coordination. Babies are able to bring hands to their mouth and manipulate objects with both hands, grasping and releasing objects that they want to play with.
  • Rolling. Babies will begin to roll from tummy to back before they roll from back to tummy, as it is harder to position arms when rolling to tummy. Rolling consistently can take a while to perfect, but it is the basis for further movement milestones. Parents should encourage rolling to both sides.
  • Please note that each child is different, and will achieve these milestones at different ages. The above information is based on the average age that typically developing children will achieve these milestones.
  • If you have any concerns about your baby achieving these milestones, please contact your GP or our friendly Speech Pathologists and Occupational Therapists on (02) 6583 4063.

    Swallowing Awareness Day

    Wednesday 11 May, 2016 is Swallowing Awareness Day!

    Like breathing, swallowing is essential to everyday life.

    Humans swallow at least 900 times a day!

    Around one million Australians have a swallowing difficulty. Swallowing problems can occur at any stage of life, and are often a result of
    physical or neurological changes.

    If you have concerns about your ability to swallow food and/or fluids, contact your Speech Pathologist for a swallowing assessment.

    Ph. 6583 4063 to book a swallowing assessment or make an enquiry.


    Baby Massage Group

    Pip, our Occupational Therapist is holding a baby massage group available for anyone to attend. It is ideally suited to babies under 12 months.

    When: Every Wednesday for 5 weeks at 11am, starting on 30th March, finishing 27th April

    Where: All Together Therapy Clinic, 3/141 Gordon Street Port Macquarie
    (Located in Gore Street, behind the big blue fishing tackle shop)

    Cost: $92.67 ( $70) for the five weeks – must be paid prior to Week 1

    Phone 6583 4063 to secure your place today.

    Fussy Feeders Group

    We have a Fussy Feeders Group starting in April. The group is designed for children:

  • That are fussy eaters
  • Who refuse food or have limited food intake
  • Who will not try new food at home
  • Who dislike certain tastes and textures
  • When: Wednesdays from 6th April to 8th June 2016 for 30 mins at 3:30pm
    Where: All Together Therapy Clinic, 3/141 Gordon Street Port Macquarie
    (Located in Gore Street, behind the big blue fishing tackle shop)

    Cost: $105.91 ( $80) per session which includes:

  • All food
  • Relevant hand-outs
  • Access to a Speech Pathologist and Occupational Therapist
  • Please phone 6583 4063 to secure your place today.

    No Speech Pathology Waitlist!

    Call now for an appointment.
    Yes, you read it right! For the first time in a long time we have no waitlist and have appointments available for Speech Pathology. So call today to make an appointment with our wonderful Speech Pathologists.
    Our occupational therapists also have a short waiting period.

    Foreshore Markets

    Come and visit us at the foreshore markets. You may have seen us at the February market with our silicone jewellery and our new range of sensory and developmental resources.

    We will be at the foreshore markets from 8am-1pm on the second Saturday of the month.

    We look forward to seeing you there!

    Welcome Vanita and Caitrin

    With the beginning of 2016, All Together Therapy is excited to welcome two new staff to our team. Caitrin Leotta is our new full time Speech Pathologist and Vanita Clark is our new part time practice manager.


    We are very excited to announce that we are moving to a new clinic with more space to see our wonderful clients.

    Our new clinic is located at 3/141 Gordon St Port Macquarie, entrance on Gore St next to the blue fishing store.​


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