10 signs your child might benefit from Occupational Therapy Support

As a parent, you know your child better than anyone. But sometimes, even when your instincts tell you something’s off, it can be hard to put your finger on what’s going on, or who to turn to for help. That’s where occupational therapy (OT) comes in.

Occupational therapists support children to build the everyday skills they need to grow, learn, and thrive. From motor skills to emotional regulation, from toileting to transitions - if your child is struggling with the things that makes up daily life, we’re here to help.

Here are 10 signs your child might benefit from Occupational Therapy Support:

1)    They struggle with tasks requiring fine motor skills

Things like holding a pencil, using scissors, or doing up buttons are frustrating (or avoided altogether). They may tire quickly or have an unusual pencil grip.

2)    They have trouble with focus and attention

They find it hard to sit still, follow instructions, or complete tasks. You might hear from teachers or caregivers that they’re “easily distracted” or “always on the move.”

3)    Transitions cause meltdowns

Moving from one activity or setting to another - like getting in the car, leaving the park, or starting homework - leads to big emotions or shutdowns.

4)    They are highly sensitive, or not responsive to sensory input

Your child might cover their ears for everyday sounds, gag at particular food textures, or refuse wearing certain clothes. Or they may seem unaware of pain, noise, or mess and miss sensory cues. Sometimes these responses can have an impact on a child’s engagement in daily life.

5)    Every day routines are a battle

Toileting, dressing, brushing teeth, or mealtimes are consistently difficult, stressful, or avoided. Typically, there is always a reason, and it is not likely that your child is “choosing” not to do these things, but more so that it is too difficult and they need support.

6)    They have trouble regulating their emotions

Big emotions come fast and often. They may struggle to calm down, become easily overwhelmed, or find it hard to express what’s going on inside their body.

7)    They are always “on the go”, or look consistently tired

Your child might be bouncing off the walls—or seem low energy and hard to motivate. Either way, their sensory system might need support.

8)    Social skills don’t come naturally

They might have trouble making or keeping friends, understanding personal space, or joining group play. There are several reasons why this might be the case. With guidance from an occupational therapist, these reasons can be explored, and children can be supported through any barriers associated with engaging socially.

9)    They are clumsy/seemingly uncoordinated, or overly cautious and hesitant with movement tasks

Your child may trip or bump into things often, struggle with catching or throwing a ball, avoid playground equipment, or seem unsure on stairs or uneven ground. They may appear “clumsy,” but the underlying issue could be related to body awareness, motor planning, or balance. On the flip side, some children become overly cautious or hesitant - they may resist trying new physical activities, hold back during gross motor play, or show anxiety about moving their body in unfamiliar ways. This can impact confidence, social inclusion, and overall participation.

10) You just have a gut feeling that something is off, or not clicking

You might not have the words for it - but if you’re noticing challenges with independence, confidence, or daily participation, trust that instinct. Early support can make a world of difference.

How OT Can Help

If you resonate with some of the above 10 signs your child might benefit from Occupational Therapy Support then we may be able to help. Occupational therapy meets your child where they’re at and supports them with the skills they need to move forward. At The OT Guru, we create fun, functional, and family-focused plans that make real change possible - at home, at school, and in the community.

Wondering if OT is right for your child?

You don’t need a diagnosis to reach out. We’re always happy to chat, guide you through the next steps, and support your child to reach their full potential.

About the Author: Carla is the Founder and Director of The OT Guru, an occupational therapy practice dedicated to helping individuals of all ages live with greater independence, confidence, and purpose. With over 7 years of experience working across paediatrics, mental health, and disability services, Carla is passionate about translating evidence-based therapy into real-world outcomes.

She leads a team of like-minded therapists who believe in compassionate care, empowering families, and supporting people through every season of life. When she's not with clients, you’ll find her brainstorming with the team, spending time with her family or sipping coffee with a notebook full of new ideas.