What are signs my child needs an occupational therapist?

Occupational therapists (OTs) are university-qualified health professionals registered with AHPRA who help children develop skills for everyday activities. Common signs that suggest your child might benefit from an OT assessment include:

**Fine and gross motor development**: Difficulty with tasks like holding a pencil, using scissors, buttoning clothes, climbing stairs, or ball skills compared to peers of similar age.

**Handwriting and school readiness**: Struggles with letter formation, pencil grip, writing speed, or difficulty copying from the board—particularly noticeable in Reception or Year 1.

**Sensory sensitivities**: Strong reactions to textures (clothing tags, food), sounds, lights, or touch; avoiding certain activities; or seeking intense sensory input (spinning, crashing into things).

**Self-care independence**: Difficulty dressing, eating with utensils, toileting, or personal hygiene tasks expected for their age.

**Emotional regulation and transitions**: Difficulty managing frustration, anxiety around changes, or trouble organising themselves for daily routines.

**Play and social participation**: Limited engagement in play, difficulty with peer interactions, or avoidance of typical childhood activities.

**Next steps**: Start by discussing your observations with your GP or paediatrician. They can provide a referral for OT assessment. In Australia, you can access occupational therapy through:

- **Medicare**: Via GP referral (up to 10 sessions per calendar year under the Enhanced Primary Care scheme) - **NDIS**: If your child is eligible, OT services are funded as part of your plan - **Private practice**: Direct booking without referral (costs vary by location and therapist) - **School-based services**: Some schools offer OT support

It's important to note that these observations don't constitute a diagnosis—only a qualified health professional can assess and diagnose conditions. An OT assessment typically costs $150–$300 privately and takes 60–90 minutes, including a detailed history and standardised testing.

Wait times vary by location and funding source. If accessing through Medicare, book early as rebates are limited. For NDIS participants, your plan manager or local area coordinator can help arrange services.