Occupational Therapists

Occupational therapists (OTs) help children develop the practical skills they need for everyday life and school. If your child struggles with handwriting, finds it hard to sit still, is oversensitive to textures or sounds, or has difficulty with tasks like getting dressed or using cutlery, an OT can help identify why and put strategies in place.

What they do

Paediatric OTs assess fine motor skills, gross motor skills, sensory processing, visual perception, and self-care abilities. They create tailored programmes that might include exercises to build hand strength, sensory diets to help children regulate, or adapted techniques for daily tasks. Many OTs also work with schools to adjust classroom environments.

When to seek help

Common signs that an OT assessment might help include messy or laboured handwriting, difficulty with buttons and zips, avoiding certain textures or foods, poor balance or coordination, trouble sitting still in class, or meltdowns triggered by sensory overload. If your child has a diagnosis of dyspraxia, autism, or sensory processing disorder, OT is often a core part of their support.

What to expect

An assessment typically lasts 1 to 2 hours. The OT will observe your child doing various activities and may use standardised assessments like the Beery VMI or Sensory Profile questionnaire. You'll receive a report with clear recommendations. Therapy is often delivered in blocks of 6 to 8 sessions, with a home programme to continue between appointments.

Typical costs

Private OT assessments range from £300 to £600, with follow-up sessions around £60 to £100 per hour. NHS OT provision is free but can have very long waits, and some areas only offer group sessions. A private assessment can be used to support EHCP applications.