Despite growing awareness of neurodiversity, ableist narratives continue to shape OT practice, creating barriers to truly inclusive care. This community-driven resource is a timely collaboration amongst justice-focussed leaders, equipping OT professionals with the tools to foster neurodiversity-affirming practice. Drawn from both lived experience, professional expertise, and justice-oriented frameworks, this is both a practical guide and a visionary blueprint for dismantling ableism in assessment, intervention, research, and education. The first half of the book explores essential foundations such as neurodivergent occupations, disability justice, trauma-informed care, antiracism, and strengths-based approaches. The second half offers practical strategies for embedding affirming principles throughout the OT process. Supplemented with over 100 pages of digital content including case studies, assessment tool resources, and checklists, this is not just a textbook, but a call to action and a compass for reflection. This book is a roadmap for transforming OT into a more equitable profession that celebrates neurodiversity.