What's It Like to Be an Occupational Therapist?

Imagine stepping into a role where you transform lives daily, helping individuals regain their independence and improve their quality of life. As an occupational therapist, you will design and adapt treatment plans tailored to diverse needs in settings such as hospitals, schools, and clinics. This career is filled with rewarding moments, but it also comes with challenges. Balancing administrative tasks, managing the emotional aspects of patient care, and handling physical demands can be taxing. Curious about what it takes to thrive in this profession and the unique experiences it offers? Let's delve deeper.
Career Overview

Occupational therapy (OT) is a rapidly expanding field with a projected job growth rate of 12% from 2022 to 2032, resulting in approximately 9,600 job openings annually. If you're considering a career in OT, you'll find strong earning potential, with a median annual salary of $96,370 as of 2023. This profession offers opportunities in diverse healthcare settings, including hospitals, schools, and home healthcare, providing a flexible work environment.
High job satisfaction is a significant advantage of a career in occupational therapy. This satisfaction often arises from the meaningful impact practitioners have on clients' lives, aiding in enhancing their quality of life and independence. The projected job growth suggests increasing demand for OT services, ensuring job security and opportunities for career advancement.
Occupational therapy's recognition as the 4th best healthcare job and the 19th best job overall by U.S. News & World Report in 2024 highlights its value in the job market. For those passionate about making a tangible difference in people's lives, OT offers a rewarding and prosperous career path.
Pros of the Profession
One of the major pros of the occupational therapy profession is the high level of job satisfaction. As an occupational therapist, you will experience immense fulfillment in helping clients achieve independence and enhance their quality of life. This sense of purpose significantly contributes to overall job satisfaction in the field.
Occupational therapy also offers promising job growth, with a projected 12% increase from 2022 to 2032, translating to approximately 9,600 new job openings annually. This strong demand underscores the profession's stability. Additionally, the variety of settings in which you can work—such as hospitals, schools, home healthcare, and more—provides flexibility and career diversity.
Another appealing aspect is the earning potential. In 2023, the median annual salary for occupational therapists was $96,370, making it a financially rewarding career.
One of the most exciting parts of being an OT is the opportunity to engage in creative practice. You can develop customized treatment plans tailored to the unique needs and interests of your clients. This personalized approach not only enhances your professional satisfaction but also significantly impacts your clients' progress and well-being.
Challenges Faced

Navigating the occupational therapy profession involves overcoming several significant challenges. Occupational therapists often experience high burnout rates due to the increasing demands of paperwork and unrealistic productivity standards. These pressures can detract from the ability to provide patient-centered care, the cornerstone of the profession. Balancing the quality of care with stringent productivity expectations can be both frustrating and emotionally draining.
Financial concerns are also prominent. Rising tuition costs for occupational therapy education can lead to substantial debt, exacerbated by stagnant wages due to insurance reimbursement rates. This financial strain is compounded by the necessity for continuous education, often not covered by employers, resulting in further out-of-pocket expenses.
The emotional toll from patient care and the constant pressure to meet productivity standards can significantly impact job satisfaction, despite the fulfillment derived from client interactions. Additionally, the shift in some healthcare settings from patient-centered care to profit-driven models can be disheartening. This focus on profit over quality of care may leave you feeling frustrated, as it compromises the level of care you can provide to your clients.
Educational Pathways
Becoming an occupational therapist requires a rigorous educational pathway to ensure you are well-prepared for the profession's demands. Initially, you will need a bachelor's degree with a minimum GPA of 3.0 and specific prerequisite courses, including Anatomy, Sociology, Psychology, Statistics, and Medical Terminology. The next step is applying to competitive occupational therapy programs, which can be either a Master of Occupational Therapy (MOT) or a Doctor of Occupational Therapy (OTD). These programs often receive over 300 applications for just 20-40 spots, making it essential to submit a strong application.
Once admitted, you can choose between an MOT program, which typically takes about 2 years, or an OTD program, which usually lasts approximately 2.7 years. These programs are intensive and designed to equip you with the necessary skills and knowledge for the field. After completing your degree, you will need to pass the NBCOT certification exam to become a licensed occupational therapist.
Additionally, you are required to complete 24 weeks of Level II fieldwork within 24 months of finishing your coursework. This hands-on experience is crucial for your development and ensures you are ready to meet the challenges of a rewarding career in occupational therapy.
Certification and Licensure

To practice as an occupational therapist, you must pass the National Board for Certification in Occupational Therapy (NBCOT) exam, which qualifies you as a registered occupational therapist (OTR). This certification is crucial, as state licensure requirements are contingent on your NBCOT exam results. Although each state has its own specific criteria, passing this exam is universally required.
Before you are eligible to take the NBCOT exam, you must complete 24 weeks of Level II fieldwork within 24 months after finishing your academic coursework. This hands-on experience is essential for developing the necessary skills and preparing for the professional demands of occupational therapy.
Maintaining professional conduct is imperative, especially since individuals with felony convictions may encounter obstacles in obtaining certification and licensure. After becoming certified and licensed, ongoing education is essential. Regularly updating your knowledge and skills is not only a requirement for license renewal but is also critical for staying current with best practices and standards in the field of occupational therapy.
Stress and Satisfaction
Navigating the field of occupational therapy, one often encounters a blend of stress and satisfaction, creating a multifaceted yet rewarding career. Occupational therapists frequently experience high job satisfaction as they assist clients in gaining independence and enhancing their quality of life. However, this satisfaction is often mitigated by challenges such as burnout and stringent productivity demands.
Burnout is a prevalent concern, largely driven by increasing administrative tasks and unrealistic productivity expectations set by employers and insurers. These factors can diminish overall job satisfaction, making it crucial to manage time efficiently and set attainable goals. Additionally, the emotional demands of patient care contribute to stress, as forming meaningful connections with clients can be both gratifying and taxing.
Despite these challenges, many occupational therapists find profound fulfillment in establishing rapport with clients and observing their progress. Support from colleagues and mentors plays a vital role in boosting job satisfaction and resilience. A positive workplace culture that emphasizes teamwork can significantly aid in navigating the emotional complexities of the profession.
When interviewing for occupational therapy positions, it is essential to inquire about the workplace culture and productivity expectations to ensure they align with your stress tolerance and professional aspirations.
Financial Considerations

Navigating the financial aspects of a career in occupational therapy can be challenging. The cost of obtaining an Occupational Therapist Registered (OTR) degree can range from $40,000 to over $100,000, with private institutions averaging around $80,000 for a Master's degree. Starting salaries for new graduates are approximately $70,732, which is comparatively lower than other healthcare professions. Experienced OTRs earn about $85,570 on average.
Achieving financial stability may require careful planning. Many occupational therapists work part-time due to salary constraints and the rising cost of education. Additionally, maintaining certification involves continuous education (Con Ed), and many employers do not cover these costs, necessitating personal budgeting for license and certification renewals.
The increased interest in occupational therapy has led to more educational programs, particularly in urban areas. However, this does not guarantee proportional job openings. Relocating, especially to rural areas with higher demand, may be necessary.
Consider the following:
- The high cost of your OTR degree
- Starting salaries that may be lower than expected
- The necessity for dual-income households
- Uncovered costs for continuous education
- Potential need to relocate for job opportunities
Navigating these financial hurdles is crucial for a sustainable and rewarding career in occupational therapy.
Physical Demands
Working as an occupational therapist requires significant physical exertion and can be physically demanding. You will often lift and assist patients during transfer training, making daily routines strenuous, especially in rehabilitation settings where you spend long periods standing or moving to facilitate therapeutic activities.
The physical demands can vary depending on the population you serve. For example, working with children might involve crawling, jumping, or actively participating in play-based activities. While this variety keeps the job engaging, it also requires you to be mindful of your physical limits and recognize when to take breaks to prevent injuries.
Flexibility is crucial. During therapy sessions, you'll need to adapt your approach based on each patient's specific needs, adjusting your physical engagement level to ensure effective treatment while maintaining your well-being. By implementing strategies to manage these physical demands, you can sustain a long, healthy career as an occupational therapist, helping patients achieve their rehabilitation goals.
Career Versatility

As an occupational therapist, career versatility is one of the profession's most appealing aspects. You can work in various settings, including hospitals, schools, outpatient clinics, home healthcare, and even through teletherapy. This flexibility allows you to choose environments that align with your interests and strengths, making each day unique and fulfilling.
Occupational therapists can work with diverse populations, such as children in pediatrics, older adults in geriatrics, individuals facing mental health challenges, and those needing rehabilitation. This range of specialized roles means you can continually evolve in your career, combating burnout and discovering new passions.
The projected job growth of 12% from 2022 to 2032 highlights the increasing demand for occupational therapists across different healthcare settings. This growth provides ample opportunities for career advancement and mobility, ensuring you're always in demand.
Participation in professional organizations like the American Occupational Therapy Association supports your career development by offering networking opportunities and keeping you informed about industry trends and advancements.
- Flexible work settings
- Diverse practice areas
- Specialization opportunities
- Strong job growth
- Professional development through organizations
Embrace this versatility, and you'll find a career that enriches your life and impacts countless others.




