Occupational therapy (OT) is one of the most useful — and most misunderstood — services for autistic kids. OTs work on the "occupations" of childhood: play, self-care, school, and sensory participation.
What OTs typically address
- Sensory processing — regulation strategies, sensory diets, environmental modifications
- Fine motor — handwriting, buttons, utensils
- Gross motor — coordination, balance, praxis
- Daily living — dressing, toileting, feeding
- Executive function — routines, transitions
Sensory integration
Ayres Sensory Integration® (ASI) is the most-studied sensory OT approach. Evidence is mixed but generally positive for functional outcomes when delivered by SI-certified OTs at adequate intensity.
What to look for
- Certification: OTR/L; ideally SIPT-certified or SI-trained
- Play-based sessions with real equipment (swings, ball pits, climbing)
- Collaboration with family and school
- Neurodiversity-affirming language
Sensory diets
Not a food thing. A "sensory diet" is a personalized set of movement and sensory activities scheduled through the day to help a child stay regulated. A good OT teaches parents to run one at home.
Access
Covered by early intervention (0–3), school services, and most private insurance with an autism or sensory processing diagnosis.