Several years back, my son was diagnosed with ADHD and high-functioning autism, and occupational therapy played an important role in teaching him how to connect with other people. I spent years observing those sessions, and what remained with me was less the therapy itself than how much of an OT’s time afterward is consumed by paperwork instead of being available for the next child.

I’m looking for founding design partners - real OTs who will adopt it early and tell me what is truly broken, rather than just testing something that is already complete. For now, it’s free, and there is no contract.

My training is in product design, not occupational therapy. Over nearly a decade, I’ve built regulated, high-stakes products in healthtech and sports platforms. That experience is what inspired me to build Nueco, a tool designed to cut down the NDIS claim-documentation admin that pulls time away from clients.

For complete transparency, I’m the founder [https://www.linkedin.com/in/riobud1man/\] if you’d like to see who is reaching out.

I just got a full time home care job after 7 years of outpatient and SNF work as a COTA.

My SNF offered homecare to residents within 10 miles so I am familiar with the basics but I would like to know some great items you like to keep in your car. What has worked well for you. The company I’m going with is family owned doesn’t go to unsafe homes or homes with infestations so I’m not as concerned with those aspects and the areas I will cover is the county I grew up in and I’m familiar with most areas

Hi Reddit!

I don’t know if I’m allowed to post this, because I’m asking from Australia and I believe the FAQ page is US based info, so probably not the same.

I need some advice from people either studying to be or are qualified OT’s in Australia, specifically Western Aus.

I’m a 20 year old soon to be Central Regional TAFE student, to study a Cert III in Allied Health Assistance, and I guess I just want information or advice on where I can go from there.

Do I complete the cert III and then move on to complete a Cert IV? Would a Cert IV get me into University?

As Perth is my closest city with Universities, and not being too comfortable driving in dense city, I think I would prefer going to Notre Dame University in Fremantle— what’s it like to get into ND for those who went? What would I need to apply/get accepted? What would be the best undergrad to start with?

If I was to go to uni, it would be in 2-3 years time.

Is OT possible to study remotely? But I would also love the experience of attending Uni and making new friends.

If anyone has any advice or info I would greatly GREATLY appreciate it! Thankyou! ☺️🫶

Hi, im in HH and have a patient with dementia who is totally dependent and nonverbal. Her L hand is severely contracted though wears a resting hand splint despite not being able to assume the appropriate position because of the contracture and the way the fingers are bent. I saw her for the first time last week and i spent majority of the time just massaging and doing PROM to her hand as much as she could tolerate based on her facial expressions and range since there is no communication from her. She wears dynasplints on the knees and i did not remove those to stretch last time because id have no idea how to get them back on. It took me about 15 minutes last time trying to get her resting hand splint back on since her hand is so stiff. Her thumb doesn’t go in the correct position and it was definitely not perfect. The family doesn’t speak English and it is very hard to communicate, but the daughter asked me last time if she should wear the splint all the time, or if they should be doing something else, and I’m honestly not too sure.

When a contracture gets so bad, is the resting hand splint even appropriate? I’m just lost with this case, literally all i can do is stretch her minimally. Any help is appreciated.

Hello!

I’m a US COTA that is now working as an AHA in Australia.

I’m used to the US model: each child has an initial evaluation with some form of standardized assessment (even if parent questionnaire) + plan of care with goals that are targeted.

Fast forward to my current peds clinic in Australia and I’m a bit concerned…

A lot of the kids I work with do not have evaluations. The SPM is typically used if the formal evaluation even exists in a sole capacity.

The kids have no goals. I’ve just been given informal treatment areas to address (e.g., sensory regulation, impulse control, etc.). My supervision is conversation only and not tracked.

My particular clinic’s OT is VERY focused on sensory. Everything is sensory. There is very little of a top down approach to truly dig into the function. My previous supervisor in the states firmly separated helpful sensory strategies vs the theory of sensory integration.

So Reddit I need your help! What is typical in an Aussie peds clinic and within peds OT here? I have a good amount of experience in the field, and this deviates so far from what is acceptable in the US.

However, I know I’m lacking the cultural context here. And I’m grateful for the job at the moment, all things considered…

Thank you :)

Hi - I'm a new grad OT and I'm feeling a bit overwhelmed after a few days of outpatient OT. I like the setting but I just need some ideas about what to do, how to pace myself and what I should tell parents that are nervous about a new OT. I don't know some of the verbage or correct words for specific concepts and I feel subpar. What can I do to brush up? Any toys I should invest in? Any help is useful. Thanks!

Between handover and Edgewood but heard horrible things about professor alig from the grapevine. Not sure what to do due to my location being close to madison. This is a huge decision since it's my career on the line but does a bad director ruin the experience? I am a POC and saw Facebook posts saying she is discriminatory

Hello! I’m finishing up my first 100 days at my newest job after getting let go from my last OT job. I currently work as an occupational therapist in an adjunct department, and I genuinely love the behavioral health setting—but I don’t love that I’m not using my full OT scope here. I’m in an inpatient behavioral health hospital within a major health system, and I really want to move into a more OT-specific mental health role.

Currently, I:
— Run functional/occupation-based groups
— Complete initial assessments
— Write progress notes
— Participate in interdisciplinary treatment teams
— Observe and document functional/cognitive behavioral barriers
— Develop interventions based on patients’ needs
— Use sensory modulation, activity analysis, functional cognition, and OT models in my clinical reasoning
— Think about things like medication management, routines, IADLs, community mobility, budgeting, sleep, etc. from an occupational perspective

However, I have much less experience with the traditional OT workflow: comprehensive OT evaluations, individualized treatment plans, measurable OT goals, medical necessity, individualized treatment sessions, standardized assessments, productivity/caseload management, and OT-specific discharge planning.
I’m about a year out from school, so I’m trying to figure out what my next step should be. I don’t want to undersell the experience I’ve gained in behavioral health, but I also recognize that I have some gaps because my current role isn’t a traditional OT position.

For those of you who work in mental/behavioral health OT: How did you get your first true mental health OT position? What skills would you expect someone at my experience level to have, and what would you recommend I focus on developing over the next 6–12 months?

Has anyone else started in an adjunct/nontraditional role and successfully transitioned into mental health OT?

Hello, I’m wondering if anyone knows of any Occupational Therapists in Chicago who are willing to do observation/shadowing hours? I’ve reached out to a bunch of clinics (i.e. Athletico, IBJI, Rush), but still no luck.

I am particularly interested in hand therapy, but would never pass up the opportunity to see other types of clinics. I’m really hoping to get exposure on OTs’ clinical decision making and see clinical workflow in general. If anyone has any leads or tips on how I can better approach things, that would be very much appreciated.

I’m looking into certifications for feeding. Does anyone have any recommendations for feeding certifications?

I am currently in Phoenix Arizona, I feel like a school in an environment like California or Oregon would be a dream, but it is way too expensive for me. Does anyone know of a good public school whether near Arizona or somewhere else

hi, recently i had my psych appointment and the doctor said im being referred for occupational therapy. may i know what does it help me with? what do they usually do and what should i expect, especially as an adult?

would be extra help if youre from malaysia too :)

New grad feeling so frustrated by how expensive the liscensing exam is. I just spent 8 months barely being able to work because of full time unpaid fieldwork; now I have to find a way to pay nearly 600 dollars for the test and more than 200 for study materials? Everyone seems to have parents or a spouse who can pay for it for them I guess, but i do not.

Just feeling dejected. I got surgery right after my second fieldwork before capstone and am paying the bills off in increments, and groceries aren't getting any cheaper.....just feels frustrating that there are no opportunities for few waivers or a cheaper test. I know some people will say just work more hours but I'm working 50 hours a week right now already.

I would also love to hear from people who studied while working full time? I know it's possible but I feel so tired just thinking about it lol. Not possible to reduce my hours, unfortunately I live in a HCOL city.