How Occupational Therapy supports Mental Health through the NDIS

If you've ever wondered what an occupational therapist (OT) actually does, you're not alone. The title itself can be a bit misleading. It doesn't mean helping people find jobs, though that might be part of the picture. Instead, OTs help people do the things they need and want to do every day. And when it comes to adult mental health and supporting people through the NDIS, their role becomes even more important.

Let’s take a step back. Occupational therapy is all about promoting independence, improving quality of life, and helping people engage in meaningful activities. For adults living with mental health conditions, the daily routines that others might take for granted can sometimes feel like climbing a mountain. This is where an OT steps in, offering practical support with a dash of empathy and a good dose of expertise.

For NDIS participants, particularly those living with psychosocial disabilities, occupational therapy can be a game-changer. OTs are trained to look at how a person's mental health affects their day-to-day life, and then work with them to build strategies that make things more manageable. Whether it’s developing routines, managing stress, navigating social situations or getting back into the workforce, the support is always tailored to the individual.

An OT might start by assessing someone’s current abilities and challenges. This isn't about ticking boxes or running tests just for the sake of it. It’s about understanding the person’s unique story, what matters to them, and where they might be feeling stuck. From there, the OT can collaborate with the client to set goals that feel meaningful and achievable. That could mean something like learning how to cook simple meals, using public transport confidently or finding ways to reconnect with hobbies that once brought joy.

Mental health can affect every corner of life, and that’s exactly why OTs look at the full picture. They’re not just concerned with symptoms or diagnoses. They’re thinking about how someone’s environment, habits and support networks interact with their mental health. If someone is feeling overwhelmed in their home, the OT might suggest ways to reorganise the space to reduce stress. If anxiety is making it hard to attend appointments, they can help create a plan that breaks things down into small, manageable steps.

One of the big misconceptions about occupational therapy in mental health is that it’s all very clinical or task-based. The truth is, it’s deeply human work. It’s about building trust, celebrating small wins and being there for the moments that matter. An OT might work with someone over months or even years, adapting support as life changes. The aim is always to empower people to live in a way that feels fulfilling and authentic to them.

Through the NDIS, participants can access funding for occupational therapy if it aligns with their goals and is considered reasonable and necessary. That might involve regular one-on-one sessions, support with skill-building or even recommendations for assistive technology or home modifications. The OT also plays a vital role in writing reports that help advocate for ongoing support and services, ensuring the participant’s needs are clearly understood.

In the adult mental health space, the outcomes of OT support can be profound. People often report feeling more confident, less isolated and better equipped to handle life’s ups and downs. It’s not just about coping, it’s about thriving.

If you or someone you know is navigating mental health challenges and is an NDIS participant, reaching out to an occupational therapist could be a meaningful step forward. It’s not about fixing someone or pushing them to meet someone else’s expectations. It’s about working together to figure out what a good life looks like, and then taking real, tangible steps to get there.

At the heart of it, occupational therapy is about people. It’s about understanding, collaboration and genuine care. And for adults living with mental health challenges, that kind of support can make all the difference.

Disclaimer: The information in this article is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. The author and publisher make no guarantees or warranties regarding the accuracy or completeness of the information provided in this article, and any reliance on the information is strictly at your own risk. You can find our full Disclaimer here.