BACKGROUND AND AIM According to WHO, 40 million children of ≤15 years old are abused in a year. Child abuse is the contravention of rights and dignity of children whether it is physical, sexual, neglect or emotional, causes depression, anxiety, antisocial life, low self-esteem, destructive personality, disturbed sexual behavior and suicide. Pediatric occupational therapy plays an important role in physical, emotional, cognitiv e and sensory development of the children. This study outlines that Occupational Therapy interventions play significant role in reducing depression, anxiety and improving self-esteem among children with abuse METHODOLOGY It was Quasi experimental study. This study was conducted at NGOs on abused children. This study carried out on 50 participants, aged 8-17 years. Pre and post evaluations and assessments with two scales were administered for 10 weeks program with Occupational Therapy interventions that has been implemented in different groups consisted of 6-7 members in group settings with art therapy and play therapy. RESULTS The Revised Children’s Anxiety and Depression Scale-25 (RCADS-25) measured for anxiety and low mood to conclude for the total anxiety and total depression. CONCLUSIONS Occupational therapy serves an effective intervention to reduce anxiety, depression and improves self-esteem providing better life quality, boosting confidence, trust and rebuilding personality of abused and neglected children. KEY WORDS Abuse, Depression, Anxiety, Self-Esteem, Occupational Therapy, Rehabilitation.

Feeding and eating are basic activities of daily living (B/ADL) thus it is one of the major occupation domain of occupational therapy. The role of an occupational therapist at this domain is to evaluate occupational performance and develop feeding skills that includes sensory-motor, fine motor, oral motor and processing skills. Moreover behavior pattern, habit and routine along with contextual factors during the mealtimes that facilitate feeding mechanism. Picky and fussy eating is also called choosy eating which is most common form of feeding difficulties [2] among both typically developed and delayed milestone children. The aim of case study is to promote the effectiveness of occupational therapy in picky eater children who have attained developmental milestones within typical ranges but healthy eating habits are not developed. The occupational performance of the 5 year old picky eater child was monitored through ABLLS-Assessment of Basic Language and Learning Skill. Feeding issues of the child were affecting her physical and behavioral health eventually leading to struggle in functions for BADL- basic activities of daily living and social participation. It is observed that continuous occupational therapy session with individualized intervention plan, inculcate healthy eating habits and improve results at ABBLS.