What occupational therapy involves for children
Occupational therapy (OT) helps children develop the practical skills they need for daily life. For kids, an "occupation" simply means the everyday activities they need or want to do — getting dressed, holding a pencil, eating with cutlery, playing with friends, or coping with busy classrooms.
Paediatric occupational therapists commonly work on:
- Fine motor skills — handwriting, using scissors, doing up buttons and zips, building with blocks.
- Gross motor and coordination — balance, ball skills and body awareness.
- Sensory processing — helping children who are over- or under-sensitive to sounds, textures, movement or light.
- Daily-living (self-care) skills — toileting, dressing, eating and sleep routines.
- Attention, planning and emotional regulation — skills that support learning and calm behaviour.
Therapy is usually play-based, so sessions often look like fun activities rather than formal exercises. A good OT also coaches parents and teachers so skills carry over into real life.
Signs a child might benefit from OT
Every child develops at their own pace, but you may consider an assessment if your child:
- Struggles with pencil grip, drawing or handwriting compared with peers.
- Avoids or gets very upset by certain textures, noises, foods or clothing.
- Finds self-care tasks like dressing, toileting or feeding difficult.
- Is very clumsy, bumps into things or tires quickly during physical play.
- Has trouble sitting still, focusing or following classroom routines.
- Seems overwhelmed, melts down often, or is hard to calm.
If you have concerns, it's worth talking with your GP, paediatrician or maternal and child health nurse. This guide is general information only and not medical advice.
Suitable ages
Paediatric OTs work with children from birth through the teenage years. Early support can be valuable, but it's never "too late" to start. Many Melbourne clinics see toddlers, primary-aged kids and adolescents, and some focus on particular ages or needs — so it's worth asking whether a provider suits your child's stage.
What a first appointment looks like
An initial session usually involves an assessment. The therapist will ask about your child's development, health history and the challenges you're noticing. They may observe your child playing or completing tasks, and sometimes use standardised assessment tools.
You'll typically leave with a picture of your child's strengths and areas for support, and a discussion about goals and a possible therapy plan. Bring along any reports (from your GP, paediatrician, school or previous therapists) and a list of your main concerns.
Typical costs and NDIS funding
As a general guide, private paediatric OT sessions in Australia often range from around $180 to $220+ per hour, with assessments and detailed reports charged separately. The NDIS publishes price caps that registered providers work within, and these are updated regularly — so always confirm current fees directly with the clinic.
Under the NDIS, occupational therapy usually sits under Capacity Building — Improved Daily Living. If your child has NDIS funding, ask the provider how they invoice and whether they charge in line with the NDIS Pricing Arrangements. Families may also access some support through Medicare (with a GP referral and care plan), private health extras, or state early-childhood services — eligibility varies, so check what applies to your situation.
How to choose a provider in Melbourne
Melbourne has clinics across the CBD and suburbs — from Dandenong and Mount Waverley to Essendon, Brunswick and Port Melbourne. This page features providers including Wonder Kids OT (Dandenong), Hope Kids OT (Mount Waverley, Burwood East and Wantirna), Bloom Healthcare (Melbourne CBD), The OT Group (Moonee Ponds) and others. When comparing options, look at:
- NDIS registration — confirm whether the provider is a registered NDIS provider, especially if your child's plan is NDIA-managed. Plan- and self-managed families have more flexibility, but should still check invoicing.
- Therapist credentials — occupational therapists in Australia must be registered with AHPRA (the Australian Health Practitioner Regulation Agency). You can verify a practitioner's registration online. OT Australia is the peak professional body and a useful reference too.
- Paediatric experience — ask how much of their work is with children and whether they have experience with your child's specific needs.
- Waitlists — demand is high across Melbourne, so ask about current wait times before you commit.
- Telehealth — some providers offer video sessions, which can suit rural families or busy schedules; ask whether this is appropriate for your child.
- Location and reviews — a nearby clinic makes regular sessions easier to keep up. Star ratings and review counts can help, but talk to the clinic directly too.
Questions to ask before booking
- Are you registered with AHPRA, and how much of your work is paediatric?
- Are you an NDIS-registered provider, and how do you charge?
- What are your current waitlist times for an initial assessment?
- What does the first appointment involve, and what should I bring?
- How do you set goals and measure progress?
- Do you offer home, school or telehealth sessions?
- How will you involve me and my child's teachers?
Taking time to ask these questions helps you find a therapist who's the right fit — for your child and your family.