Hi Faith, I like you, wanted my days to be full and for days to be different re clients etc. I have worked in hospitals, rehab, skilled nursing and schools for over 16 years and there are parts of the job that are the same , they are the foundational paperwork requirements that we have to complete . But each day is as different and creative as you want it to be. I see different students every day, so Mondays are the same set of students, Tuesdays the same set, etc, but each week I choose different themes, activities , and each hour is different because each child is different. I go from a 5 th grader to a 4 year old all within the same day, or morning....from play dough to executive functioning skills........OT will satisfy that need you have for yourself. Creativity and joy is up to you.