How long does an OT session last?

Session length varies based on what your child needs. A standard therapy session—where the OT works directly with your child on skills like handwriting, coordination, or self-care—usually runs 45–60 minutes. This gives enough time for a warm-up activity, focused therapy work, and a wind-down. Initial assessment appointments are longer (60–90 minutes) because the OT needs to gather detailed information about your child's development, medical history, and everyday challenges at home and school.

How often your child attends depends on their goals and your funding arrangement. Some children benefit from weekly sessions when working on specific skills, while others progress well with fortnightly or monthly appointments. Your OT will recommend a frequency that suits your child's needs and your family's circumstances.

Funding affects both session length and frequency. If your child is funded through the NDIS, sessions are typically 60 minutes under the 2025–26 NDIS Pricing Arrangements. Medicare-funded sessions (via a GP referral) are usually 45–60 minutes, depending on the item number claimed. Privately funded sessions vary by clinic but commonly run 45–60 minutes.

What to expect: Your OT will explain the session structure at your first appointment. They'll usually spend time with your child doing activities, and may also chat with you about progress and home strategies. Bring any relevant reports (school assessments, previous therapy notes) to your first visit.

If you're unsure whether your child needs OT, start by speaking with your GP or paediatrician, who can provide a referral. You can find a registered OT through the Occupational Therapy Australia website or ask your local council for recommendations. Session costs vary—check with your chosen clinic about fees and whether they bulk-bill through Medicare.