Is my child too old for occupational therapy?

Occupational therapy for adolescents focuses on real-world skills that matter during the teenage years and beyond. Rather than basic self-care, OT for older children addresses executive function challenges (organisation, planning, task initiation), emotional regulation, sensory sensitivities that affect school or social participation, and transition planning towards independence—including managing schoolwork, part-time employment, social relationships, and daily routines.

Common reasons teenagers benefit from OT include:

• Difficulty managing homework, assignments, and time management • Sensory sensitivities affecting classroom participation or social situations • Anxiety or avoidance around specific tasks or environments • Coordination or fine motor challenges affecting writing, sport, or practical subjects • Transition planning for post-school options (further education, work, living independently) • Social participation barriers related to motor skills or sensory needs

Access in Australia depends on your funding pathway. If your child has an NDIS plan, occupational therapy is a common support, with costs covered under the 2025–26 NDIS Pricing Arrangements (typically $80–$120 per hour depending on your state and therapist qualifications). Medicare rebates are available through a GP referral to a psychologist or psychiatrist who then refers to OT, though rebate amounts are limited. Private OT costs $80–$150+ per hour, depending on location and experience.

To explore whether OT is right for your teenager, start by discussing concerns with your GP or school. They can refer you to a paediatrician or psychologist if assessment is needed. If your child has an NDIS plan, contact your planner or Local Area Coordinator to discuss adding occupational therapy. For private services, seek an occupational therapist registered with AHPRA (check the AHPRA register at ahpra.gov.au). Most therapists offer an initial consultation to discuss your teenager's specific needs and goals.

There is no upper age limit for occupational therapy—many young adults continue OT support into their 20s and beyond as they navigate further education, employment, and independent living.