When a child is struggling with daily life skills, self-regulation, sensory challenges, or independence, Occupational therapy is often one of the best places to start. In this episode of Growing Strong Roots, Lee-Anne Bloom explains what OT truly is at its core: helping people participate more fully in the occupations that matter most in everyday life. She breaks down how occupational therapy supports development, why mismatched expectations can create barriers for children, and how parents can better understand what is age-appropriate. You’ll hear real-life examples of how OT empowers children toward independence while guiding families with practical strategies. Leanne also clarifies the three main practice settings in pediatric OT: medical, school-based, and private practice. This episode will help you understand when OT may be the right support for your child and what steps to take next.

[00:00:00] Areas of occupation and OT’s role in child development [00:00:30] What occupational therapy really means at its core [00:00:52] Removing barriers to participation in daily life [00:01:19] Individualized therapy through real-life activities [00:01:42] Developmental timelines and pediatric OT focus [00:02:02] Supporting children who struggle with milestones [00:02:24] Holistic care in private practice OT [00:02:44] Mismatch between expectations and a child’s abilities [00:03:12] How helping too much can limit independence [00:03:41] Underestimating ability versus expecting too much [00:04:08] Example: shoe routines and building self-help skills [00:04:35] Parent-child dynamics and effort differences [00:04:56] Empowering independence through daily tasks [00:05:24] Letting kids do hard things and avoiding dependence [00:05:50] Observation as a key tool for understanding struggles [00:06:16] Example: wiping independence and motivation [00:06:57] Coaching parents to step back during routines [00:07:25] High expectations and ADHD-related challenges [00:07:48] Identifying where a child gets stuck in tasks [00:08:09] Practical adaptations: breaking tasks down, timers, rewards [00:08:39] OT guidance for problem-solving and regulation [00:09:02] Practice area 1: medically based occupational therapy [00:09:22] Practice area 2: school-based OT and curriculum access [00:09:45] Understanding IEP eligibility and OT services [00:10:27] School OT focus: handwriting, regulation, classroom skills [00:10:47] Limits of school OT versus home-based needs [00:11:12] When challenges fall outside the school setting [00:11:33] Combining supports across medical and private contexts [00:11:58] Practice area 3: private practice OT and family routines [00:12:23] Support without diagnosis and “gray area kids” [00:12:45] ADHD, autism, and kids who don’t qualify but still struggle [00:13:11] Sensory processing and self-regulation challenges [00:13:35] OT’s mission: helping children thrive in meaningful life roles [00:13:57] Choosing the right support path: school, medical, or private OT [00:14:23] Next steps: referrals, IEPs, and combined approaches [00:14:52] Closing thoughts and invitation to subscribe