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Clinical Psychology • ADHD Coaching Practice

Sky Maree Steele

MPsych(Clin), BAPsych(Hons), MAPS • Clinical Psychologist • AHPRA Reg: PSY0001967204

1/151 Tongarra Road, Albion Park NSW 2527 • Phone: 0404 077 179 • Provider: 5839211A

CONFIDENTIAL CLINICAL DOCUMENT
Document Ref: ACC-9BF55431
Date Compiled: 15 September 2026
✓ Signed Patient Endorsement on Record

Individual Accommodations & Sensory Support Profile

Compiled for General Practitioners, Consultant Psychiatrists (Item 291/293), and NDIS Planning Teams

AHPRA Aligned
Full Legal Name: Alex Chen Preferred: Alex (They / Them)
DOB & Medicare: 14/05/1991 MBI: 2938 10293 1/1
NDIS & Legal Advocacy: 430 928 102 (Self-Managed) JAS Rights Card: Active (NSW IDRS)

Primary Neurodivergent Presentation

AuDHD (ADHD-Combined Type + Autistic Presentation, High Masking)

Patient presents with characteristic AuDHD executive dysfunction, internal motor restlessness, and severe masking fatigue. History includes delayed adult identification, high academic/workplace masking, and autistic burnout following prolonged exposure to sensory-hostile open-plan working environments.

Sensory Accommodation Matrix (Clinical & Environmental)

Visual / Lighting Sensitivity

Severe sensitivity to high-frequency fluorescent tube lighting; requires muted warm lighting or natural indirect daylight (low stimulation, 50% lumens).

Auditory & Acoustic Boundaries

Hyperacusis to ambient background chatter and HVAC hum; requires permission to wear noise-canceling headphones (Loop/Bose) during desk work and meetings.

Tactile & Proprioceptive Needs

Sensory aversion to synthetic stiff uniforms; requires soft breathable natural fibers and freedom to adjust posture.

Vestibular & Kinetic Resets

Benefits from kinetic pacing, fidget tools, and 5-minute somatic movement resets between cognitive tasks.

Communication & Executive Scaffolding Protocols

Communication Mode: Strong preference for written agendas in advance; requires written follow-up summaries following verbal discussions to combat working memory deficits.
Cognitive Processing Time: Requires 10-15 seconds of cognitive buffer before responding to complex emotional or multi-step questions without perceived rush.
Task Initiation & Scaffolding: Highly effective with co-working or body-doubling sessions for administrative task initiation.
Time-Blindness Mitigation: Uses visual countdown timers (Time-Timer) to prevent hyperfocus time blindness and transition fatigue.

Multidisciplinary Care Team & Endorsement

Treating Clinical Psychologist: Sky Maree Steele (AHPRA PSY0001967204) - Clinical Director Practice Principal
Evaluation Psychiatrist: Dr. Elena Vance (Item 291 Referral Pending) Item 291 Protocol
General Practitioner (GP): Dr. Sarah Jenkins (Albion Park Medical Practice) MHTP Overseer
Sky Maree Steele
Sky Maree Steele, MPsych(Clin)
Registered Clinical Psychologist • AHPRA PSY0001967204
15 / 09 / 2026
Date of Official Transmission