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We’re setting the record straight on some of the most common myths about occupational therapy! From the idea that OTs just help people find jobs to the belief that OT is only for kids with disabilities—we’re debunking it all. Whether you’re new to OT or a seasoned pro, this episode will leave you with a clearer understanding of what OTsreally do and how they support individuals across the lifespan.
We also answer a listener question about supporting a 9-year-old adopted daughter navigating ADHD, dyslexia, dysgraphia, and sensory challenges—including eating struggles, emotional regulation, and more.
Tune in for practical insights and encouragement, and share this episode with someone who still thinks OT is just arts and crafts!
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At Harkla, we believe that every child deserves the opportunity to thrive, and occupational therapy (OT) is a powerful tool for helping that happen. But even today, many misconceptions about OT still exist.
In honor of Occupational Therapy Month, we’re dispelling some of the most common myths about OT—especially in pediatric and sensory-focused settings—and setting the record straight. Whether you're a parent, teacher, or therapist, this post is for you!
Because of the word"occupation," people often assume that OTs are career coaches. In reality, "occupation" refers to the meaningful activities that fill our daily lives—especially those that support independence and well-being.
For children, these "occupations" include:
Playing.
Learning.
Eating.
Getting dressed.
Regulating emotions.
Socializing with peers.
So no, we won’t build your resume—but wewill help your child climb the monkey bars, hold a pencil, or feel calm in a noisy classroom.
While OTs often work with children on the autism spectrum, that’s just one part of our caseload. OTs support children with:
ADHD
Sensory Processing Disorder
Learning differences like dyslexia or dysgraphia
Motor delays
Developmental trauma
Or no diagnosis at all! The goal is to help all children build the foundational skills they need to succeed in everyday life, regardless of a diagnosis.
Both OT and PT (physical therapy) are essential but not the same.
OTs focus on function: what a child needs and wants to do in daily life. That includes fine motor coordination, emotional regulation, executive functioning, and sensory processing.
PTs focus on movement and mobility, such as walking, jumping, balance, and gross motor strength. Best results often happen when OTs and PTs work together, combining strengths to support the whole child.
While OT is vital in hospitals and rehab centers, it’s also essential in prevention and early intervention, especially in pediatrics. OTs in schools and clinics help children:
Develop motor skills.
Build emotional resilience.
Overcome sensory sensitivities.
Improve classroom participation.
OT isn’t just for recovery—it’s for growth, development, and thriving.
It’s true that arts and crafts are a fun and motivating way to work on fine motor, visual-motor, and executive functioning skills. But OT goes way beyond glitter and glue.
Depending on the child’s goals, sessions may include:
Heavy work activities.
Sensory play.
Obstacle courses.
Executive function coaching.
Self-regulation strategies.
Crafts are atool, not the destination.
Children don’t need a formal diagnosis to benefit from OT. If your child struggles with:
Transitions.
Meltdowns.
Fine motor skills.
Self-care routines.
Focus and attention.
...then OT could help. Early support builds confidence and prevents bigger challenges later on.
While fine motor skills (like handwriting or buttoning a coat) are a common focus, OT addresses the entire child:
Sensory processing.
Emotional regulation.
Social participation.
Executive functioning.
Gross motor coordination.
OT is whole-child focused—mind, body, and emotions.
Let’s clear this one up once and for all. Occupational Therapy Assistants (COTAs) are highly trained, licensed professionals who specialize in implementing interventions, building rapport, and delivering care under the supervision of an OT.
At Harkla, our podcast hosts Rachel and Jessica—both COTAs—have helped thousands of families and professionals through their expertise, creativity, and heart. It’s not about the letters after your name—it’s about your passion, skills, and ability to connect with the child in front of you.
This listener question from the podcast touches on many common concerns: ADHD, food aversions, clothing sensitivity, and big emotions. What can help?
A sensory-informed OT evaluation.
A consistent sensory diet.
Reflex integration work.
Visual motor and ocular skills assessment.
Nutritional support (like protein-packed smoothies).
Support starts with understanding—and we’re here to help every step of the way.
BORING, BUT NECESSARY LEGAL DISCLAIMERS
While we make every effort to share correct information, we are still learning. We will double check all of our facts but realize that medicine is a constantly changing science and art. One doctor / therapist may have a different way of doing things from another. We are simply presenting our views and opinions on how to address common sensory challenges, health related difficulties and what we have found to be beneficial that will be as evidenced based as possible. By listening to this podcast, you agree not to use this podcast as medical advice to treat any medical condition in either yourself or your children. Consult your child’s pediatrician/ therapist for any medical issues that he or she may be having. This entire disclaimer also applies to any guests or contributors to the podcast. Under no circumstances shall Rachel Harrington, Harkla, Jessica Hill, or any guests or contributors to the podcast, as well as any employees, associates, or affiliates of Harkla, be responsible for damages arising from use of the podcast.
Keep in mind that we may receive commissions when you click our links and make purchases. However, this does not impact our reviews and comparisons. We try our best to keep things fair and balanced, in order to help you make the best choice for you.
This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast.
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