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Occupational Therapy Changes Lives

 Occupational therapy uses meaningful everyday activities to support health, purpose, and resilience.

Occupation and its relationship with health and wellbeing is complex. Occupations are our self-care, work, and leisure activities that create purpose and meaningfulness in our lives.

I love being an occupational therapist (OT), though historically people have often struggled to understand what it is we actually do. More recently, other professions have begun to recognise the power of meaningful occupation.

Originally written in recognition of Occupational Therapy Week 2020 (26th Oct – 1st Nov), this explores the enduring power of using everyday activity as a therapeutic tool to support health, meaning, and wellbeing.

Meaningful Living Promotes Health

A sense of meaning and purpose in life is a strong predictor of good psychological and physical wellbeing (Zika, 1992).

The opposite of having meaning in life is meaninglessness. This is like an existential vacuum, where life is experienced as empty and meaningless, and is associated with psychological & physical discomfort (Reker, Peacock and Wong, 1987). For example, lower meaning in life predicts greater PTSD severity in military veterans (Owens, et al. 2009) and mediates the relationship between uncontrollable stress and substance use (Newcomb & Harlow, 1986).

A challenge that all people face is this existential search for the meaning of life. If meaning is understood as the worth of your life, then the meaning of life is, to give life meaning and purpose.

Occupations create meaning in many ways:

  • Occupational habits and routines create predictability and calm

  • Occupations build connection through shared social and cultural experience

  • They strengthen self-esteem and enable self-actualisation

  • Occupational balance can lead to flow states, helping people feel present and fulfilled

Meaning is created by how occupation is done (form), what it produces (function), and the experience it leaves behind (meaning) (Larson, Wood, & Clark, 2003).

Doing, Being, Becoming and Belonging

“Occupational therapists are in the business of helping people to transform their lives through enabling them to do and to be and through the process of becoming.” — Wilcock (1999)

  • Doing is the act of performing tasks and functional activities—essential to daily life.

  • Being involves connecting with your true self, values and capacities.

  • Becoming is about growth and transformation over time.

  • Belonging reflects our sense of connection to people, places, and purpose.

“The value of doing, being and becoming is at the centre of (occupational therapy) practice. The appreciation that people live in a physical and social context, and that people have biopsychosocial, cultural and spiritual aspects is central to practice.” — Bronnie Lennox Thompson (2020)

Together, these four dimensions—doing, being, becoming and belonging—form the Pan Occupational Paradigm, a holistic framework to promote health at individual, family, and societal levels.

Power of Occupation

One of the most rewarding aspects of being an OT is seeing how small changes in everyday life can lead to powerful, sustainable improvements.

Power is the capacity to influence behaviour and outcomes. Occupation holds this power—quietly and consistently transforming people’s lives in ways that feel authentic and lasting.

Whole-Person Centred Therapy

Occupational therapists want you to move, think, and feel alive. We help you fully participate in life by focusing on what you need, want, and are expected to do. That means supporting your:

  • Skills and capabilities

  • Values and preferences

  • Environment and routines

We look at people not in isolation but as part of complex adaptive systems—constantly influenced by physical, psychological, social, and environmental factors.

When people lose the ability to carry out daily occupations independently, how do they function in the world—and who do they become?

Occupational therapy answers this with a personalised, systems-based approach designed to restore and redefine daily living.

A Simple Cup of Tea

Try making yourself a cuppa. Think about all the steps, decisions, and movements required. Then reflect on the environment that supported that task: the kitchen layout, the kettle, even your energy levels and mental clarity.

That’s occupation. It’s layered. It’s personal. It’s complex.

Still unsure what an OT does? Let’s have a cuppa together sometime—we can talk through the beauty and importance of living well, one small task at a time.

Final Note

Occupational therapy and the power of occupation changes lives.

Occupations are the everyday activities that shape our health and wellbeing—tending a garden, caring for children, commuting to work. Often habitual, their complexity becomes invisible, but their impact remains deeply personal.

Occupational therapy is the art and science of enabling people to engage in their valued occupations—so they can live rich, meaningful lives. This is the simple complexity of the power of occupation. This is why I love being an occupational therapist.

Written by:
Sasha Wray – Principal Occupational Therapist, Naturopath and Five Element Acupressure Practitioner with a special interest in helping people live well with pain or mental health concerns.

OT Week 2020 Theme:
“Resilience: Supporting our communities to rebuild, recover, and reengage.”
www.otaus.com.au

Want to learn more? The steps are below:

  1. Connect – We start with a meaningful conversation about your life and routines
  2. Assess – We evaluate the skills, barriers, and opportunities that shape your daily activities
  3. Plan – Together, we build a personalised therapy approach based on your goals
  4. Support – We guide you through changes that restore function and foster purpose
  5. Evolve – As life changes, so too can your routines—we stay alongside you through it

 Benefits

Occupational therapy may help you:

  • Rediscover purpose and motivation
  • Restore confidence and independence
  • Rebuild routines that foster mental wellbeing
  • Engage more fully with work, relationships, and leisure
  • Develop resilience through personalised, practical change

Our Gallery

FAQ

What is an “occupation” in occupational therapy?

It’s any meaningful activity you do regularly—like getting dressed, cooking, working, or socialising.

Anyone facing challenges in everyday function, due to pain, trauma, disability, stress, or life transitions.

We explore your life roles and routines, then build practical strategies to enhance engagement and independence.

Yes, many of our services are eligible under NDIS or private health. We can guide you through the process.

References

  • Zika, S., & Chamberlain, K. (1992). On the relation between meaning in life and psychological well‐being. British Journal of Psychology, 83(1), 133–145.
  • Reker, G. T., Peacock, E. J., & Wong, P. T. P. (1987). Meaning and purpose in life and well-being. Journal of Gerontology, 42(1), 44–49.
  • Owens, G. P., et al. (2009). PTSD, guilt, depression, and meaning in life among military veterans. Journal of Traumatic Stress, 22(6), 654–657.
  • Newcomb, M. D., & Harlow, L. L. (1986). Life events and substance use among adolescents. Journal of Personality and Social Psychology, 51(3), 564.
  • Wilcock, A. (1999). Australian Occupational Therapy Journal, 46, 1–11.
  • Thompson, B. (2020). What do occupational therapists add to pain management? Health Skills Blog.

Larson, E., Wood, W., & Clark, F. (2003). Science of occupation: Multidisciplinary approaches to broadly defined problems.