10/01/2026
NEURODIVERGENCE & DRIVING 🚗✨
Driving is a meaningful occupation that supports independence, employment, community access, choice, control and social connection. Occupational therapists support safe, confident and skilled driving for people across the neurodivergent spectrum.
🔎 Important reminder:
NOT ALL TYPES OF NEURODIVERGENCE = UNSAFE TO DRIVE.
Eligibility to drive is determined through specific on- and off-road assessments completed by a Driver Trained OT and GP, based on legal fitness-to-drive standards. Support, adjustments and the right pathway matter.
🧭 What Driver Trained Occupational Therapists do (Australia):
• Complete clinical off-road and on-road driving assessments
• Provide reports to licensing authorities
• Recommend strategies, supports & vehicle modifications
• Understand sensory, attention and regulation differences
• Advocate with licensing agencies
• Support NDIS participants where appropriate
• Explore alternative transport options when needed
🆚 Driving Instructors ≠ Driving OTs
Driving instructors teach road rules and vehicle handling (important!)
They are not trained to assess medical fitness to drive, complete licensing reports, or clinically support neurodivergent needs. Best outcomes happen when instructors work with a Driver Trained OT, rather than instead of one.
🛣️ Accessing a Driving OT:
• Ask your GP or health professional
• Self-refer to a Driver Trained OT service
• Use NDIS funding under Improved Daily Living where it aligns to goals
• Search via Occupational Therapy Australia and filter for “Driver Trained”
⚖️ Licensing outcome ≠ quality of OT
Not everyone will obtain a licence. That disappointment is valid.
Driving OTs balance goals, legal responsibility, safety, and thorough assessment. Outcomes must be both supportive and safe.
📚 Important resource to know:
The 2022 Assessing Fitness to Drive standards recognise autism as needing individual assessment, not blanket assumptions.
💙 Neurodivergent people deserve equitable access to driving pathways, informed support, and clinicians who understand their brains.