Our 10 Favorite Occupational Therapy Activities

by Shea Brogren, MOT, OTR/L June 06, 2019 5 Comments

occupational therapy activities blog post

Occupational therapy (OT) practitioners can address many of the common concerns parents have for a child who has autism or sensory processing disorder. The goal of occupational therapy is to promote the highest level of functioning in daily life.

Occupational therapists must be creative when developing activities in order to address underlying issues and keep the child interested and engaged.

To help support the child outside of OT sessions, you can plan activities at home that promote the development of many important life skills!

10 Great OT Activities for Children

1) Make a sensory bin

sensory bin

Sensory bins are a great way to promote a variety of skills. For example, many children with autism or SPD are sensitive to certain textures.

A sensory bin is a playful way to introduce them to a variety of tactile (touch) experiences! This activity can also promote visual perception skills, language skills, and fine-motor skills.

To make a sensory bin, simply gather common household items and place in a plastic container. Items might include cotton balls, uncooked rice or beans, popcorn, cut up paper, coins.

It is important to be aware of your child’s unique sensory preferences so they are not overwhelmed, but can also develop important skills. It is also very important not to leave your child alone while playing with items that can be a choking hazard.

2) Target practice using a swing

Swings are a great way to incorporate calming, organizing and sensory input.

Harkla Compression Swing

For this activity, have your child lay on their stomach on a swing. The Harkla compression swing a great option! Then, place about 6-7 empty containers around the swing, giving enough distance so the child has to move to reach the containers.

Give the child several small balls or bean bags and explain that their goal is to put one ball or bean bag in each container. This activity promotes body awareness, visual perception skills, coordination, and muscle strength.

To learn more about the wonderful benefits of sensory swings, check out this article!

3) Use video clips to address social skills

Children with autism typically have difficulty with social skills. One of the main skills commonly addressed in Occupational Therapy is perspective-taking. Often, it is difficult for them to understand what others might be feeling or thinking.

For this activity, find out what the child’s favorite cartoon character is. You can then look up video clips (Youtube is a great resource) from the show. Use this as a motivating way to talk about how the characters might be feeling, what they are doing, or what they might be thinking.

This is an engaging activity and can be a helpful way to introduce emotions and different perspectives. 

4) Make play dough

play dough

The activity of making playdough is not only enjoyable for kids, but it also addresses numerous important skills.

To make the dough, combine 1 cup of fine salt and 1 cup of flour in a bowl and mix. Once it is mixed well, add ½ cup water and knead and form the dough until it is smooth.

Skills addressed in this activity include:

  • following directions
  • exploration of textures
  • vision skills
  • even emotion regulation skills, like frustration tolerance

5) Have a straw race

Children with sensory processing difficulties often struggle with oral motor concerns, such as coordinating movements of the mouth or accepting different textures. One way to assist with desensitizing this area is to have a straw race.

For this activity, gather a large plastic container and fill it with water. Then, place two lightweight objects, such as a paper cup in the water. You and your child then use straws to try and blow the paper cups to the other side. Whoever reaches the other side first, wins!

If your child is not ready for competitive games, you can modify the activity and have the child blow the cup as fast as he can. Let him know how many seconds it took. This activity also addresses vision and coordination skills, besides being a great oral exercise.

6) Make a coping skills flipbook

Visual aids are a tool that most children with autism respond very well to. Making a coping skills flip book provides a visual aid for children to use when they are in distress.

Work with your child to come up with 5-7 things they can do when they become frustrated or need a break. Then, take pictures of your child engaging in the activities they identified. Print out these photos, laminate them, and secure with a loop ring. Some examples of coping skills might be reading a book, using a stress ball, going to a quiet space, or talking to an adult.

You can find more great ideas here!

7) Engage in a repetitive activity as a warm-up 

Start by engaging your child in an activity that encourages repetition, such as throwing a ball back and forth to one another or tossing bean bags back and forth. Repetitive activities activate the part of the brain involved in regulating our emotions. Starting each session with this type of activity will help your child feel calm, organized, and ready to work.

8) Play OT Simon Says

Simon Says is a classic game children typically learn in school. It can be a great activity to try at home, too! There are many different skills that can be addressed and sensory diet activities that can be incorporated.

For example, crawling through a lycra tunnel (deep pressure) and then jumping five times (body awareness). To add a social skill component, your child can also have a turn directing you! This encourages perspective-taking and creativity.

9) Make an emotion thermometer

emotional thermostat

Typically, children with autism have trouble identifying different levels of frustration or distress. They can become over-stimulated or frustrated without much warning.

An emotion thermometer can be a helpful visual tool to assist with this. Draw or trace a thermometer on a standard piece of paper and cut it out. Then, work with your child to identify 3-5 levels they experience. For example, a 1 might be completely calm and a 3 might be starting to feel frustrated.

Let your child color or decorate their thermometer for added motivation, fine motor skills, and visual perception skills.

For other strategies to help calm meltdowns, click here!

10) Make-A-Person Activity

For this activity, you’ll need a paper plate, four popsicle sticks, and cutouts of different eyes, noses, mouths, and ears. Work with your child to make a person. Let them know they are able to choose the way the face looks by choosing certain eyes, nose, ears, and mouth.

This activity works on body awareness and orientation, vision skills, and can be a way to discuss emotions. Have your child identify how their person might be feeling, depending upon which type of facial features they chose.


Creativity and skill-building are two of the most crucial elements of an occupational therapy session. There are so many different ways to address the necessary skills, but it is always most important to consider each child’s unique needs and interests.

Hopefully, the activities described above will provide some inspiration when planning occupational therapy activities to do at home!

Check out our Top 5 Signs that Your Child Might Need Occupational Therapy


Shea Brogren, MOT, OTR/L
Shea Brogren, MOT, OTR/L

Shea Brogren, MOT, OTR/L, is an occupational therapist with over three years of experience in pediatrics and child/adolescent mental health and has also worked as an adjunct lecturer at the University of North Dakota. Shea has a special interest in program development and developed and implemented occupational therapy programming at a residential treatment center for children. She now practices in an outpatient setting.

Her primary area of interest involves working with children who have experienced developmental trauma. Shea has advanced training in SMART treatment (Sensorimotor Arousal Regulation Treatment), the Zones of Regulation, using sensory-based interventions to address trauma, infant mental health, attachment, and arousal regulation related to trauma disorders.

5 Responses


October 31, 2022

Really practical activites to follow. Thank you for sharing.

Ashish Rai
Ashish Rai

May 28, 2019

Thanks Shea Brogren, the above OT concepts and ways are unqiue and has helped us a lot, many thanks


May 28, 2019

thankyou, its helpful


March 20, 2019

Hey Neelratan,

Thanks for your feedback! We’re glad you found the article helpful.

Take care!
Harkla Happiness Ninja

neelratan ohdar
neelratan ohdar

December 28, 2018

These activities are helpful for children with developmental delay

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