May 2, 2025

7 Signs Your Child Might Benefit from Occupational Therapy

Does your child struggle with daily tasks or motor skills? Discover 7 signs they might need pediatric occupational therapy and how it can help them thrive.

As parents, we all want our children to thrive at home, at school, and in their everyday activities. But sometimes, kids face challenges that make daily tasks harder than they should be. If you’ve noticed your child struggling with things like coordination, focus, or self-care, it may be time to consider whether pediatric occupational therapy can help.

Pediatric occupational therapy focuses on building vital skills that help children thrive in daily life. It is designed to empower children and support their overall development, whether it’s learning to hold a crayon correctly, managing sensory processing disorders, or interacting with peers. Recognizing the signs that your child may benefit from occupational therapy early on can lead to significant, long-lasting improvements in their confidence and abilities.

If you’re feeling unsure or worried, know this: seeking support for your child's development is a sign of strength. It’s a proactive step towards giving them the tools they need to succeed. Below, we outline key signs that may indicate your child could benefit from occupational therapy and how you can take the first steps toward support.  

1. Struggles with Daily Activities

Have you noticed your child having difficulty with everyday self-care skills, like getting dressed, brushing their teeth, or using utensils during meals? If your child:

  • Has trouble dressing independently, such as managing buttons, zippers, or putting on socks and shoes  
  • Avoids or becomes frustrated with tasks like brushing their teeth or feeding themselves  
  • Frequently seeks help for activities that other children of similar ages can do on their own  

They may benefit from pediatric occupational therapy. Challenges with daily activities often stem from underlying motor skill or sensory processing difficulties that a trained occupational therapist can address.  

2. Fine Motor Delays  

Fine motor skills involve the use of small muscles in the hands and fingers for tasks like writing, cutting with scissors, or fastening a button. These skills are crucial for school readiness and everyday activities. Signs of delayed fine motor development may include:

  • Trouble holding crayons, pencils, or markers  
  • Using an unusual or awkward pencil grip  
  • Difficulty with scissors, buttoning, or other small-hand movements  
  • Sloppy or hard-to-read handwriting  

Pediatric occupational therapists can provide tailored strategies to strengthen these fine motor skills through engaging and practical activities.

3. Difficulty with Gross Motor Skills  

Gross motor skills involve the large muscle groups used for activities like running, climbing, and catching a ball. If your child seems clumsy, uncoordinated, or struggles with physical activities other children enjoy, consider these signs:

  • Challenges with climbing, balancing, or jumping  
  • Difficulty catching or kicking a ball  
  • Appears clumsy, frequently trips, or bumps into objects  

Through carefully designed exercises to address your child's specific needs, an occupational therapist can help improve balance and overall physical confidence.  

4. Sensory Processing Disorders

Is your child sensitive to loud noises or bright lights? Avoids certain textures or messy activities like finger painting? Sensory processing disorders can impact how your child experiences and interacts with the world around them. This might look like:

  • Startling easily at loud noises or bright lights  
  • Avoiding messy play activities like sand or play-dough  
  • Seeking excessive physical movement or touch, or sometimes avoiding it altogether  
  • Frequently bumping into objects or people  

These behaviors may be a sign that your child has trouble processing sensory input. Pediatric occupational therapists work with children to regulate their sensory responses through therapeutic interventions, making the world feel less overwhelming.

5. Emotional or Behavioral Challenges  

Does your child frequently experience meltdowns, get easily frustrated, or struggle with transitions from one activity to another? Emotional and behavioral challenges can sometimes signal underlying issues with sensory processing or emotional regulation. Signs to look for include:

  • Becoming overwhelmed in new or busy environments  
  • Frequent meltdowns or tantrums, especially over seemingly minor issues  
  • Difficulty handling changes in routine or unexpected transitions  

Occupational therapy helps children develop coping skills, emotional regulation techniques, and strategies to thrive in various environments.  

6. Trouble with Focus and Attention  

Does your child have difficulty staying on task or following directions at home or school? Signs of attention challenges may include:

  • Struggling to sit still or focus on an activity for an appropriate amount of time  
  • Frequently abandoning tasks before completing them  
  • Difficulty following simple directions or routines  

By incorporating activities that strengthen focus and attention, pediatric occupational therapists can help children build the skills needed to stay engaged and organized.  

7. Delays in Social Play or Interaction  

Social play is a critical part of childhood development, helping children learn cooperation, communication, and problem-solving skills. You may observe behaviors like:

  • Avoiding play with other kids or preferring to play alone  
  • Difficulty taking turns, sharing, or following social cues  
  • Becoming upset during group play or structured activities  

Through targeted play therapy techniques, occupational therapists can help children develop social skills that empower them to connect with others more easily.  

Children with Autism or Developmental Delays

Children diagnosed with autism spectrum disorder (ASD) or developmental delays often benefit greatly from pediatric occupational therapy. Occupational therapists work with these children to build skills in communication, sensory regulation, daily routines, and play. OT provides structured, therapeutic interventions tailored to each child’s unique strengths and challenges—empowering them to participate more fully at home, in school, and in the community.

Occupational Therapy for School Readiness and Academic Success

Pediatric OT doesn’t just support physical or emotional development—it also plays a critical role in preparing children for success in school. Occupational therapists help children develop the foundational skills needed for the classroom, including attention, organization, fine motor control for handwriting, and following routines and transitions. For children who find the school environment overwhelming or challenging, occupational therapy can be the bridge that helps them participate more confidently and independently in their learning.

When to Seek Support

Every child develops at their own pace, and momentary struggles are a natural part of growth. But if you notice consistent developmental delays and concerns with your child’s daily activities, motor skills, sensory processing, or social interactions, these could be signs that your child might benefit from pediatric occupational therapy.

The good news? Early support can lead to incredible improvements! Occupational therapy not only helps children build essential daily living skills but also fosters a sense of independence, confidence, and joy in their lives. Early intervention can make a significant difference in your child’s confidence, participation, and overall well-being.

Pediatric Occupational Therapy at NSPT

At NSPT, we’re here to guide you every step of the way. If you’re wondering whether your child could benefit from occupational therapy, contact us today. Our compassionate and skilled clinicians provide assessments and tailored treatment plans designed to help your child reach their full potential.

Together, we can create a roadmap for your child’s growth, one meaningful step at a time. Learn more about our services.

Download our Guide for Families

We know that choosing a local ABA facility can be a hard decision. We’ve created an informational guide to help you understand more about the questions you should be asking while meeting with different providers.

Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
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Testimonials

Success looks different for every child... But we bet we have a story that matches your child's needs. Like James, who started with us as non-speaking and lacking the ability to initiate and maintain social interactions. Today, he can speak complete sentences, clearly state his needs, and navigate social interactions with his friends!

Our infant daughter was in physical therapy with Anna Zahn for about five months.  Anna was consistent, patient, and wonderful with our daughter.  Anna was also clear in her communications with us as parents which helped us understand our daughter's progress and needs, as well as how we could help our daughter at home.  While we are proud that our daughter graduated PT, we will miss Anna's warmth and kindness.

Emily

I love this place! Chista is an amazing person, so sweet and kind and very professional in her work. All staff are very kind with children. I feel happy to find this place for my daughter. Thank you!!!

Maria Di Rita

I cannot say enough nice things about the staff! My son worked with Khadija as his ABA therapist and is finishing up this week with his OT, Sabrina. They were really instrumental in helping us navigate a new diagnosis. Both were so easy to approach with questions. From Leeann at the front desk to the RBTs (Alex, Rabbia, Molly, and many others), we always felt so welcomed. It seems like the staff genuinely enjoy their jobs, consistently offering feedback and suggestions on how to help my son.

Jennifer Peyer

We have been working with the amazing team at NSPT for many years. They have been essential in understanding and supporting our child. I recommend their services to anyone looking for their specific type of support.Posted to

Monica Terése Carranza

They are so sweet and kinds persons with professionalism and really worried about the kids and how help they to get new skills and moving forward with knowledge.

Alejandra M.

NSPT is fantastic! All of the staff are wonderful, accomodating, and make you feel welcome and comfortable. Alan is fantastic - he has helped our family tremendously and has such patience and purpose in everything he does.

Alex Ehrhardt

North Shore Pediatric Therapy has been amazing.  They have done a great job adjusting to the specific needs of my autistic child.

Matt Nakanishi

My 12 yr old son has a lovely support team in Robert (Social Work) and Lindsay (OT)! He gains so much from his sessions & I gain so much from the communication and brainstorming! Thanks!

Jennie Meyer

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