How often should my child see an occupational therapist?

Frequency depends on several factors. Children with complex needs or multiple goals often benefit from weekly sessions during active intervention phases. Those working on specific skills—like handwriting, self-care, or sensory regulation—may progress well with fortnightly appointments. Once your child has made solid progress toward their goals, sessions typically space out to monthly check-ins or periodic reviews.

Funding affects what's realistic for your family. Under the NDIS (2025–26 pricing), occupational therapy costs approximately $150–$200 per hour depending on your location and therapist qualifications. If your child has an NDIS plan, your planner will help allocate therapy funding based on goals. Medicare rebates are available through the Better Access scheme (up to 10 sessions per calendar year with a GP mental health plan) or chronic disease management plans, though these typically cover fewer sessions than active intervention requires. Private therapy costs vary by provider and location.

Your occupational therapist will review progress regularly—usually every 4–8 weeks—and adjust frequency as needed. If your child isn't progressing, they may recommend increasing frequency. If goals are being met consistently, they may suggest spacing sessions out. This is a collaborative decision between you, your therapist, and your child's other support team members (teachers, physiotherapists, speech pathologists).

If you're unsure whether your child needs occupational therapy, start by discussing concerns with your GP or paediatrician. They can provide a referral. Once you've engaged a therapist registered with AHPRA, they'll conduct an assessment and recommend a tailored frequency plan based on your child's specific needs and your family's circumstances.