Find a quiet, non-distracting space in your home for you and your child.  Rooms that have less “traffic” are usually the best.  Try to keep background noise to a minimum (i.e. turn off TVs, music, etc).  Clear an area, so your child can easily complete movement activities.


Let your child know the expectation prior to the session.  Using first/then directions might work well for the kids who are hesitant to participate.  Example- “First you get to see your super fun therapist, then you can play legos.”  Have tools and materials handy, specifically paper, glue, scissors, and markers or crayons for occupational therapy sessions.


If possible, have your child ready just a few minutes before the start of the session.  High chairs or boosters work well for little ones.  If seated on the floor, mark off an area by using painter’s tape or a towel as a visual guide.  This will help your child to know when they are in or out of view of the camera.  Go hands-free if you are using a phone or tablet.  Set your device out of reach and prop it.  Empty egg cartons work well for propping!


Make sure the space is well-lit.  Try to not have bright light (i.e. window) directly behind the child as it may create a shadow.


Try to limit other’s use of internet during the session.  This will help improve the clarity of the connection needed during the session.


Make sure an adult or responsible older siblings is present during the session to help with anything hands-on.  If the child is older and does well working independently, you may just need to be available when needed.