What occupational therapy involves for children
Occupational therapy for kids focuses on the "occupations" of childhood — playing, learning, self-care and connecting with others. A paediatric OT looks at how your child moves, processes information from their senses, and manages daily routines, then works on the underlying skills that make these activities easier.
Common areas of support include:
- Fine motor skills — grip, handwriting, using scissors, doing up buttons and zips
- Gross motor and coordination — balance, ball skills, planning and sequencing movements
- Sensory processing — helping children who are over- or under-sensitive to sound, touch, movement or textures
- Daily-living (self-care) skills — dressing, toileting, eating and sleep routines
- Play and social participation — turn-taking, attention and emotional regulation
Sessions are usually play-based and tailored to your child's goals, with practical strategies you can carry over at home and at school.
Signs a child might benefit from OT
Every child develops at their own pace, but you might consider an OT assessment if your child:
- Avoids or struggles with drawing, writing or cutting
- Finds getting dressed, using cutlery or toileting harder than peers
- Is very sensitive to noise, textures, clothing tags or messy play (or seeks out lots of movement)
- Has trouble with balance, coordination or seems clumsy
- Becomes easily overwhelmed, has big emotional reactions, or struggles to settle
- Finds it hard to sit still, focus or follow multi-step instructions
An OT can also support children with diagnoses such as autism, ADHD, developmental delay, or coordination difficulties. If you have any medical concerns, speak with your GP or paediatrician first.
Suitable ages
Paediatric OT can help from the early years right through to the teenage years. Early intervention (roughly ages 0–6) is often emphasised because young children's skills are developing rapidly, but many practices also support school-aged children and adolescents with handwriting, organisation, independence and self-care goals.
What a first appointment looks like
The first session is usually an assessment and a chance for the therapist to get to know your child and family. Expect the OT to:
- Talk with you about your concerns, your child's history and your goals
- Observe your child playing or doing tasks, sometimes using standardised assessments
- Discuss what they've noticed and suggest a plan or number of sessions
Bring any relevant reports (paediatrician letters, school observations, previous assessments) and think ahead about the specific goals that matter most to your family. It's completely fine to ask questions and take notes.
Typical costs and NDIS funding
As a general guide, private OT sessions in Australia commonly range from around $180 to $220+ per hour, and assessments or reports may be charged separately. The NDIS publishes price caps in its Pricing Arrangements each year, which registered providers must follow — these caps set the maximum, and actual fees vary between practices. Always confirm current pricing directly with the provider, as figures change over time.
Under the NDIS, occupational therapy usually sits within the Capacity Building — Improved Daily Living budget. If your child has this funding in their plan, it can generally be used for OT assessment, therapy sessions and reports. Some families access OT privately, through Medicare (if eligible under a GP Chronic Disease Management or mental health plan — usually with a rebate on a limited number of visits), or via private health extras.
How to choose a Gold Coast provider
When comparing OT clinics on the Gold Coast, check the following:
- AHPRA registration and OT Australia membership — every practising occupational therapist must be registered with AHPRA. Membership of Occupational Therapy Australia is a good sign of ongoing professional standards.
- NDIS registration — if you're plan-managed or self-managed you can use registered or unregistered providers, but agency-managed (NDIA-managed) plans generally require an NDIS-registered provider. Confirm which applies to you.
- Paediatric experience — ask whether the therapist regularly works with children of your child's age and needs.
- Waitlists — waiting times can vary considerably across the Gold Coast, so ask upfront how long before your child can start.
- Location and telehealth — clinics range from Varsity Lakes and Robina to Southport, Ashmore and Burleigh Heads. Some also offer home, school or telehealth sessions, which can help with access and consistency.
Questions to ask before you book
- Is the therapist AHPRA-registered and experienced with my child's age and goals?
- Are you an NDIS-registered provider, and do you support plan-managed or self-managed families?
- What is your current waitlist for a first appointment?
- What are your fees for assessment, sessions and reports?
- Do you offer home, school or telehealth visits?
- How will you set goals and measure progress, and how do you involve parents and teachers?
Taking the time to ask these questions helps you find a provider that fits your child, your funding and your family's routine.