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How do occupational therapists use visual supports with autistic children?

Where visual supports fit in OT, using them for daily living and regulation, and helping families and schools carry them over.

By The Autism Kit teamUpdated Sep 27, 2026 · 1 min read
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A therapist bending to talk with two children sitting in chairs in a bright room
Photo: Mikhail Nilov on Pexels
The short answer

Occupational therapists use visual supports to make daily activities predictable and achievable: visual schedules for routines, picture task analyses for self-care steps, choice boards for participation, and calm plans for regulation. They work best when built into real routines and shared with families and schools, so the child sees the same supports everywhere.

Key takeaways
  • Visual supports make daily activities predictable and achievable.
  • Use them for routines, self-care steps, choices and regulation.
  • Build them into real routines with families.
  • Keep supports the same across home, school and therapy.

Where do visual supports fit in OT?

Occupational therapy helps people do the everyday activities they need and want to do.1 For autistic children, visual supports often make those activities easier to understand and complete independently. They are an evidence-based practice across ages.2

Which visual supports do OTs use?

Visual supports in OT
SupportUse it for
Visual scheduleMorning, bedtime and school routines
Picture task analysisSelf-care steps like dressing, handwashing, toileting
Choice boardParticipation and choosing activities
Calm planRegulation: what to do when things feel big
TimerShowing how long an activity lasts

How do I help supports carry over?

Try
  • Making the support with the family during the session
  • Using the child's own photos
  • Sending the same support to school
  • Checking in on use at the next session
Skip
  • Handing over a stack of generic cards
  • Different symbols in every setting

What can I try with my next client?

0 of 3 done

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Common questions

When it's no longer needed for the goal. Some supports, like schedules, may remain useful tools for life, much like adults use calendars.

Sources

  1. American Occupational Therapy Association: What is occupational therapy? aota.org
  2. AFIRM (UNC Frank Porter Graham): Visual supports evidence-based practice brief. afirm.fpg.unc.edu
  3. Occupational Therapy Australia. otaus.com.au

This guide shares general information and our team's perspective, based on the sources above. Rules and services differ by country, region and school, so always check your local guidance and your organisation's policies. How we write our guides.

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