8 | Occupational Therapy for Autism & Daily Life Skills | Brian Keene

Many parents hear the term “occupational therapy” shortly after their child receives an autism diagnosis or developmental evaluation, but understanding what occupational therapy actually addresses can feel confusing at first.

In this solo episode of the Autism Family Toolkit Podcast, occupational therapist Brian Keene explains the role of occupational therapy and how OTs support autistic and neurodivergent children through meaningful everyday activities.

Brian discusses how occupational therapists help children participate in daily life by supporting areas such as sensory processing, emotional regulation, routines, play, communication, executive functioning, self-care skills, and social participation. He also explains why occupational therapy goes far beyond handwriting or fine motor skills alone.

This conversation gives families a practical overview of pediatric OT while helping parents better understand how therapy can support their child’s development and participation in everyday life.

Listen to the Full Episode

This episode is especially helpful for parents trying to better understand occupational therapy services, sensory processing, emotional regulation, routines, or developmental support options for their child.

Memorable Quote

“Occupations are central to a client’s identity and provide meaning and value.”

In This Episode We Discuss

• What occupational therapy is
• The eight occupations occupational therapists address
• Sensory processing and nervous system regulation
• Executive functioning and coordination
• Social emotional development
• Daily living skills and routines
• Environmental supports and adaptations
• How families can maximize OT support at home

Key Themes From the Conversation

Occupational Therapy Focuses on Meaningful Daily Life

One of the biggest themes throughout this episode is that occupational therapy focuses on helping children participate in meaningful everyday activities.

For children, this may include:
• Play
• Sleep
• Self-care
• Social participation
• School activities
• Leisure activities
• Routines
• Community participation

OTs look at the whole child and how developmental differences may impact participation in these areas.

Sensory Processing Impacts Everyday Life

Brian explains how sensory processing differences can affect emotional regulation, attention, routines, behaviors, and participation.

Children may:
• Become overwhelmed by sensory input
• Seek extra movement or sensory experiences
• Struggle with transitions
• Have difficulty regulating emotions

OTs often help children build regulation strategies and support environments that better match their sensory needs.

Family Collaboration Matters

The episode also emphasizes the importance of parent collaboration during therapy.

Families can support progress by:
• Asking questions
• Following through with home activities
• Sharing updates about routines and triggers
• Participating actively in sessions when possible

Small changes throughout the week can create meaningful progress over time.

Common Questions Parents Ask

What does occupational therapy help with for autism?

Occupational therapy may support sensory processing, emotional regulation, play, social participation, executive functioning, coordination, self-care skills, and daily routines.

Is occupational therapy only for fine motor skills?

No. Occupational therapy supports many areas of daily life beyond handwriting or fine motor development, including regulation, routines, participation, and independence.

How can I support my child’s OT goals at home?

Parents can support therapy by communicating openly with therapists, practicing home activities when possible, and helping create consistent routines that support regulation and participation.

Why This Conversation Matters for Families

Many parents enter therapy services feeling unsure about what occupational therapy actually involves or how it connects to their child’s everyday life.

This episode helps families better understand the purpose of OT while emphasizing practical, family-centered strategies that support children through connection, participation, and meaningful daily experiences.

About the Host

Brian Keene is a pediatric occupational therapist and founder of Pure Hearts Therapy. Through his work with neurodivergent children and families, he focuses on emotional regulation, sensory processing, participation, and family-centered support using practical, real-life strategies.

Related Resources for Parents

If you found this episode helpful, you may also enjoy these resources:

• When to Seek Help: Signs Your Child May Need Occupational, Speech, or Physical Therapy
• Sensory Processing 101: Understanding Your Child’s Sensory Needs
• Creating a Supportive Home Environment for Pediatric Occupational Therapy
• Understanding Developmental Goals in Pediatric Therapy

Explore more parent resources at:
https://pureheartstherapy.com/blog