The past decade has seen the emergence of rehabilitation treatments using virtual reality environments. One of the main advantages of using this technology is that it creates positive motivation. Currently, most virtual-reality-based games for children are not suitable for use in a therapeutic setting. This case study reports on the use of Growing with Timocco, a specially devised virtual reality computer game, as part of an occupational therapy regimen that addressed the developmental needs of a five-year-old patient diagnosed with dyspraxia, impaired postural structure, weak shoulder, and insufficient bilateral integration, bilateral coordination, and proprioception regulation. Developed specifically for use by occupational therapists and caregivers working with children, Growing with Timocco is equipped to provide exercises for both cognitive and motor skills, but most importantly, it provides a positive setting for this practice, by harnessing the advantages of VR to promote play, pleasure, and motivation.