Pediatric Occupational Therapy vs. Mental Health Therapy: What’s the Difference?
- Evan Hunter Blumenthal
- 11 minutes ago
- 3 min read
How do caregivers know if occupational therapy or mental health therapy is the right fit for their child? While both provide many benefits, they serve different purposes. Let’s break down the key differences, similarities, and how to choose the best path for your child.
What is Pediatric Occupational Therapy (OT)?
Pediatric occupational therapy supports kids & teens to develop the skills they need to participate in everyday activities and address specific barriers that hinder participation. Pediatric OTs look at the “whole child” by assessing and treating differences in:
fine motor, visual motor, & gross motor skills
sensory processing, emotional regulation, and self-advocacy
executive functioning
activities of daily living
While a formal diagnosis isn’t required to benefit from occupational therapy services, OTs often work with kids who present with the following diagnoses:
Autism
ADHD
Developmental delays
Sensory processing difference
For kids, occupations include:
Participation in daily routines and self-care (e.g., dressing, hygiene, feeding, sleep, etc.)
Play (e.g., exploring interests, gross motor skills, building ball skills)
School readiness (e.g., scissor skills, handwriting, executive functioning, other fine and visual motor skills)
Meaningful social connection (e.g., building friendships, self-advocacy, exploration of social situations)
Supporting regulation to participate in daily activities (e.g., sensory processing, sensory regulation, body awareness, and emotional regulation)
Supporting environmental access through adaptations, strategies, and accommodations
What is Pediatric Mental Health Therapy?
Pediatric mental health therapy - such as play therapy, talk therapy, or family therapy - supports emotional growth and psychological healing. This type of therapy can support children in processing:
Emotional regulation concerns, including expressing and processing emotions
Anxiety
Depression
Trauma (past or current)
Behavioral concerns
Depending on the child’s specific needs, you may choose one of the following mediums to support their mental health:
Play therapy utilizes play-based toys, activities, and strategies as a medium for children to explore and express various emotions and behaviors.
Talk therapy supports children and teens in understanding and managing their emotions, thoughts, and behaviors through conversation-based methods.
Family therapy involves working with the entire family system to improve communication, strengthen relationships, and address patterns or dynamics that may be contributing to a child’s emotional or behavioral concerns. It helps families build tools for connection, conflict resolution, and support.
Key Differences Between OT and Mental Health Therapy
OT addresses both the body and the mind
Occupational Therapists assess how the body’s physical, sensory, and cognitive systems are impacting a child’s ability to engage in meaningful activities. OTs support a child’s development and independence. OTs also have a unique background in sensory processing, which often impacts a child’s overall regulation.
Mental health therapy focuses on emotional and psychological well-being
Therapists support clients in exploring various emotions, addressing psychological concerns, processing difficult experiences, and building emotional resilience.
How OT and Mental Health Overlap
Though each specialty is distinct, both share several important qualities:
Play-based: Both therapies utilize play as a powerful medium for learning and growth.
Holistic: Both therapies aim to support the child’s overall wellbeing.
Personalized: Treatment plans are designed to meet the unique needs of the child.
Safe & supportive environments: Each provides a space where children can feel safe, seen, and supported.
When to Choose One…Or Both
If your child is primarily struggling with daily life skills, executive functioning, sensory processing, or motor skills, OT may be the best starting point. If the main concerns are related to emotional distress, trauma, anxiety, or depression, a pediatric mental health therapist may be a better fit. In some cases, a child may benefit from a combination of both occupational therapy and mental health therapy to ensure the most comprehensive support for their development and wellbeing.
At Blume, we recognize the importance of collaborative care. If your child’s needs fall outside the scope of occupational therapy, we will always refer you to a trusted mental health professional. Our team is ethically committed to making sure your child receives the most appropriate care, whether that’s through us, a mental health specialist, or a combined team approach.
Still unsure where to start?
Reach out to us! We’re here to guide you through the next step and help you find the support that fits your child best.
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