Occupational therapy is a health profession that many people have heard of but never quite pinned down. The word "occupation" covers far more than paid work. It means all the everyday activities that fill our time: getting washed and dressed, cooking, learning, playing, working, socialising and enjoying hobbies.
An occupational therapist (OT) helps people of all ages do these activities as independently, safely and comfortably as possible, whether they are affected by a disability, illness, injury, developmental difference or ageing.
What does an occupational therapist actually do?
OTs start with a simple question: what do you need or want to be able to do, and what is getting in the way? They then look at three things together:
- The person: physical abilities, thinking skills, sensory processing, emotions and motivation.
- The activity: what the task involves and whether it can be done differently.
- The environment: the home, school, workplace or community, and how it helps or hinders.
Depending on what they find, an OT might teach new techniques, run a rehabilitation programme, recommend equipment or adaptations, advise teachers or employers, or coach families and carers.
Who can benefit from occupational therapy?
Almost anyone whose health or development affects daily life. Common examples include:
- Children with handwriting, coordination or sensory processing difficulties
- Autistic children and adults, and people with ADHD or dyspraxia
- People recovering from stroke, brain injury, surgery or a hospital stay
- Adults living with long-term conditions, chronic pain or fatigue
- Older people who want to stay safe and independent at home
- People returning to work after illness or injury
What happens at a private OT assessment?
Most private assessments take place where the difficulties actually happen, usually at home, school or work. Your therapist will talk with you about your history, routines and goals, observe you doing relevant tasks and may use standardised assessments that compare skills against expected ranges.
Afterwards you receive clear recommendations and, in most cases, a written report. If therapy is recommended, you will agree goals and a plan together, with progress reviewed along the way.
Tip: Before the assessment, jot down the three things you most want to change. It helps your therapist focus on what matters most to you.
How do I choose a private occupational therapist?
In the UK, "occupational therapist" is a protected title. Anyone using it must be registered with the Health and Care Professions Council (HCPC), and you can check registration on the HCPC website. Beyond that, look for:
- Experience with your specific condition or age group
- Clear information about fees, what is included and report timescales
- A focus on your goals rather than a one-size-fits-all package
- Willingness to work with your school, employer or other professionals
- Professional indemnity insurance and, for children, an enhanced DBS check
Next steps
If you are not sure whether occupational therapy is right for you or your family, a short initial conversation can usually answer that. Tell us a little about the situation using the form on this page and we will advise on the most helpful next step.