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623 OT listings checked NDIS details surfaced Free for families Updated 25 May 2026

OTWaitlist · Direct answer

Should my child see an OT or psychologist first?

The professional you see first depends on your child's main concerns. Start with your GP, who can refer you to either a paediatric psychologist (for emotional, behavioural, or learning concerns) or occupational therapist (for daily living skills, coordination, or sensory issues). Many children benefit from both professionals working together.

Information last reviewed 2026-05-24. This page is not medical advice — speak with your GP, paediatrician, or paediatric OT for guidance specific to your child.

Full answer

Your GP is your starting point because they know your child's full health picture and can rule out medical factors. They'll ask about your concerns—is your child struggling with anxiety, attention, or friendships? That points toward psychology. Are they having trouble with self-care, handwriting, or coordination? That's occupational therapy territory.

In Australia, both professions are AHPRA-registered. A paediatric psychologist (typically 4–6 week wait, $150–250 per session) assesses emotional wellbeing, behaviour, learning difficulties, and mental health. An occupational therapist (typically 2–8 week wait, $120–200 per session) focuses on functional skills like dressing, eating, writing, and play.

Many children have overlapping needs. For example, a child with anxiety might struggle at school (psychology focus) and also have poor handwriting (OT focus). Your GP can refer to both, and they'll often communicate with each other.

Costs vary: Medicare rebates apply if your GP provides a referral under a mental health plan (psychology) or chronic disease management plan (OT), typically covering 10 sessions per year. Private costs are higher without rebates. If your child qualifies for the NDIS, occupational therapy and psychology are both fundable supports—check your plan.

Next steps: Book your GP appointment and bring specific examples of what concerns you ("struggles to get dressed", "won't go to school", "can't hold a pencil"). Your GP will guide the referral. Don't wait for a "perfect" diagnosis—early support helps. If you're unsure which professional suits your child, your GP can help you decide based on the presenting concerns.

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OTWaitlist provides general information about NDIS-aligned paediatric occupational therapy clinics. We're not a clinic and don't provide medical advice. Always speak directly with a qualified OT or GP about your child's specific needs.