If you’ve ever wondered whether your child might benefit from extra support with everyday skills, you’re not alone. Many parents ask: What exactly does a paediatric occupational therapist (OT) do? And more importantly - how do I know if my child needs one?

Let’s break it down in a simple, practical way.

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What Is a Paediatric Occupational Therapist?

A paediatric occupational therapist (OT) supports children to develop the skills they need for everyday life - also known as “occupations.”

For children, this includes:

• Playing
• Communicating
• Learning
• Moving their body
• Managing emotions
• Becoming more independent

Rather than focusing only on one skill, an OT looks at the whole child - how they think, move, feel, and interact with the world around them.

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What Does a Paediatric OT Actually Do?

A paediatric OT uses play-based and meaningful activities to help children build skills in a way that feels natural and engaging.

Depending on your child’s needs, therapy might focus on:

🧠 Emotional Regulation

• Helping children manage big feelings
• Supporting transitions (e.g. leaving activities, starting school)
• Building calming strategies

✋ Fine Motor Skills

• Holding a pencil
• Using scissors
• Doing up buttons or zips

🏃 Gross Motor Skills

• Balance and coordination
• Climbing, jumping, running
• Body awareness

🎯 Attention & Focus

• Staying engaged in activities
• Following instructions
• Completing tasks

👂 Sensory Processing

• Sensitivity to noise, textures, or movement
• Seeking or avoiding certain sensory input
• Helping the child feel more regulated

🏫 School Readiness Skills

• Sitting for group time
• Participating in routines
• Social interaction with peers

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Signs Your Child Might Benefit from an OT

Every child develops at their own pace - but here are some signs that extra support could help:

• Gets overwhelmed easily or has frequent meltdowns
• Struggles to sit still or focus
• Avoids certain textures (e.g. food, clothing, messy play)
• Finds it hard to use their hands for tasks like drawing or feeding
• Has difficulty with coordination
• Struggles with transitions or changes in routine
• Finds it challenging to play or interact with other children

These don’t mean something is “wrong” - just that your child might benefit from support to build confidence and skills.

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What Happens in an OT Session?

Sessions are usually play-based and tailored to your child.

You might see:

• Games that build strength and coordination
• Sensory activities (e.g. play-dough, obstacle courses)
• Creative play to support emotional expression
• Structured tasks to build focus and independence

At Kids Play Therapy, sessions are designed to feel safe, engaging, and meaningful - because children learn best when they feel comfortable and supported.

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Do You Need a Referral?

You don’t need a referral to see a paediatric OT privately.

Children can access OT support through:

• NDIS (Early Childhood Support)
• Private sessions
• School-based programs

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So… Does My Child Need an OT?

If you’re asking the question, it’s usually worth exploring.

You don’t need to wait until things feel “serious.” Early support can:

• Build confidence
• Prevent challenges from increasing
• Support smoother transitions into school and daily routines

Even a quick chat can help you understand your child’s needs better.

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Final Thoughts

Every child has their own strengths - sometimes they just need the right support to help those strengths shine.

If you’re unsure, trust your instinct. Getting guidance early can make a meaningful difference not just for your child, but for your whole family.

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Need support or just want to chat?

We offer a free 15-minute consultation to help you understand whether OT support is the right fit for your child.

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