Are Occupational Therapy Sessions for Autism Enough?

Recently, I observed an 8th-grade student with high-functioning autism who, on the surface, seemed to be doing well. He could read, write, and communicate meaningfully. However, despite these strengths, there were noticeable gaps in his understanding. Important life skills like multiplication, using a calculator, telling time, and counting money were areas where he struggled. While he receives occupational therapy once a week, the question arises—what does that really look like?

In many cases, a therapist works with him and a small group of students, each with different needs, for just 30 minutes. Then, an entire week passes before those same skills are revisited. While the school can point to the IEP and check a box to show they're providing the services outlined, we have to pause and ask—is this enough? Are these brief sessions truly helping him close those gaps, or just maintaining the status quo?

I've also noticed that sometimes, occupational therapists do the absolute minimum with students. In some cases, they have them practice typing or create word searches, which might not always be the most impactful use of their time. Don't get me wrong—there are many passionate and dedicated OTs out there who work hard to help students. However, it's important to ask questions and reflect on what your child is truly gaining from these sessions. Are the skills being taught meaningful, and are they helping your child make real progress?

Questions Parents Should Ask About Occupational Therapy

• What specific goals does my child have in their occupational therapy plan?
• How often will my child receive occupational therapy, and in what setting (individual, group, or classroom)?
• What types of activities or exercises will be used during OT sessions to support my child's needs?
• How are the OT sessions integrated into my child's daily school routine?
• How does the occupational therapist collaborate with teachers and other staff to support my child throughout the day?
• What progress monitoring tools or methods are used to assess my child's improvement in OT?
• How will sensory processing challenges be addressed during therapy, and what strategies can be used at home?
• What classroom accommodations can help support my child's occupational therapy goals?
• How does OT help with handwriting, and what specific interventions are being used for fine motor skills?
• What can I do at home to reinforce the skills my child is working on in occupational therapy?

As parents, it's natural to want the best for our children. By being proactive and asking these questions, you can ensure that your child is receiving meaningful support in their occupational therapy sessions. Personalized, consistent reinforcement is key to helping children like this 8th grader not only maintain their skills but make real progress toward their full potential.

School services like occupational therapy are essential, but they often fall short in delivering the depth and consistency many children need. As parents, advocating for more focused and consistent support can make all the difference. With the right guidance and reinforcement at home and in therapy, your child can gain the critical life skills they need to succeed both in school and beyond.