Exploring the connection between meaningful activity and emotional wellbeing.
By MAC Midwest
This piece was developed in collaboration with Clare Koezly Escobar, OTD, OTR/L, BCP, Lead ) Occupational Therapist at MAC Midwest
As we reflect on Occupational Therapy Month in April and Mental Health Acceptance Month in May, it is a powerful time to recognize how closely connected these two areas truly are.
Occupational therapy (OT) has been linked to mental health since its beginnings in the early 1900s. That connection continues today not just historically, but fundamentally. At its core, OT is about helping people engage in meaningful daily activities, or “occupations.” Mental health affects how we participate in those activities, just as our routines and environments can shape how we feel.
The Daily Rhythm That Supports Wellbeing
Imagine a daily routine that includes a nourishing breakfast, meaningful work or school, time with loved ones, personal downtime, and restful sleep. That kind of structure can promote emotional stability and resilience. But when routines are disrupted, when responsibilities feel overwhelming, or when there is too little time for rest or connection, our mental health can begin to suffer.
Occupational therapists support individuals in creating healthy routines, setting up supportive environments, and using meaningful activity as a therapeutic tool. While occupational therapists do not diagnose mental health conditions (unless they hold additional licensure), they work closely with other professionals and can offer complementary strategies that support emotional regulation, self-advocacy, and engagement in daily life.
How OT Supports Mental Health
For children and adolescents especially, occupational therapy often includes:
- Sensory regulation strategies (like deep pressure, movement, breathing, and calming visuals or sounds)
- Routine-building that supports independence and lowers stress
- Self-advocacy skills to ask for help, take breaks, or express needs
- Problem-solving approaches that can carry over into school, home, and community life
Some sensory regulation tools might include deep breaths, “steamroller” massage, pushups, swinging back and forth, jumping, dim lighting, noise-cancelling headphones, or calming visuals like oil timers or bubbles. These strategies help the nervous system prepare for problem-solving, learning, and connecting with others.
And at the heart of it all is the therapeutic relationship, one built on trust, empathy, and joy. Whether in a therapy setting, at school, at home, or in the community, this sense of safety and connection creates space for growth.
Caring for the Whole Person
If you or your child are experiencing emotional stress, anxiety, or changes in mood or behavior, connecting with a licensed mental health professional is always recommended. But do not hesitate to ask how occupational therapy can be part of your care plan, especially if daily activities and routines feel hard to manage.
Sometimes, meaningful activity can be a powerful part of healing. Occupational therapy is here to help you find it.
