Occupational therapy is specialized for each person, but the occupational therapist always works on any areas of difficulty, which may include; Sleeping, Feeding, practising self-care, participating in school activities, participating in social activities, writing and responding to sensory stimulation appropriately. The first step in the treatment is to make the right diagnosis. When a child presents with hyperlexia, that diagnosis is best made by a multidisciplinary team familiar with Autism spectrum disorder (ASD) and the several forms of hyperlexia described above. If the diagnosis involves an ASD consideration, that diagnosis should best be listed as a differential diagnosis until the passage of time reveals the true nature of the “natural history” of the disorder. i.e. whether the hyperlexia fits the hyperlexia 2 or 3 categories. Such a workup would generally occur at a child developmental or similar clinic and the multi-disciplinary team would ordinarily include a speech and language therapist. The final diagnostic findings would be shared with the school team responsible for the Individual Education Plan (IEP) for appropriate education decisions. And such work up would provide the right foundation for such other interventions.