Emotional Regulation: It could be beneficial to use a screening tool on arrival to understand how the client is feeling. The exercise session can then be modified accordingly. 

• E.g. You could ask the client to draw or point to a facial expression on a piece of paper describing how they are feeling. The session can then be modified accordingly 

Game-ifying exercises / being imaginative

• Adding a throw & catch component, connecting exercises with lily pads or a ladder for added fun

• Halloween time - pretending to be witches running around the clinic on a broom

• Carrying weights around the gym pretending to carry a suitcase at the airport

Sports games

• Cricket, frisbee, basketball, handball etc.

Ticking off exercises on a whiteboard

Visual timer application (allows clients to visually see how much longer they have remaining on an exercise) 

Standing next to clients when talking to them may be appropriate: Talking to clients face-to-face can be challenging for them. Some may prefer to look out the window while talking to you or have you stand next to them