Amanda Mathers, OTR/L, and Rachel Harrington, COTA/L, CPRCS, are two passionate pediatric therapy practitioners who answer your questions related to all things sensory, occupational therapy, parenting, self-care, nutrition, and health, from a therapist’s perspective. Providing raw, honest, fun ideas, and strategies, for parents and families to implement into daily life. Great for those who work with children with sensory processing disorder, special needs, autism, and ADHD. This podcast is brought to you by Harkla, where our goal is to help those with special needs live happy and healthy lives
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Feeding a baby can feel overwhelming, especially when things don't go as planned. In this episode, I sit down with Kristin and Maureen from Wild Milk Co., two International Board Certified Lactation Consultants (IBCLCs), for a conversation about infant feeding, lactation support, oral ties, and what families really need to know during those early months. We talk about common feeding challenges like painful latch, supply concerns, reflux, colic, and bottle feeding struggles, as well as how oral f...
If potty training, constipation, accidents, or stool withholding feel way harder than they should, you are not alone. In this episode, we’re talking about pediatric pelvic floor health and why many toileting struggles are actually connected to body awareness, sensory processing, nervous system regulation, and coordination. Amanda shares her perspective as an OT specializing in pediatric pelvic floor health, while Rachel brings in the sensory and regulation lens. Together, we break down why kids ...
Vibration plates are everywhere right now, but how do you actually use them safely and effectively with kids? In this episode, I’m diving into one of my favorite tools and sharing how I use vibration plates in therapy, what the research is saying, and what families and therapists need to know before trying one at home. I talk about how vibration plates work, why they were originally developed, and why they can be such a powerful tool for sensory regulation, body awareness, muscle activation, and...
If your child is constantly crashing into things, squeezing you a little too tight, or always on the move, there’s a good chance they're seeking out proprioceptive input. In this episode, we’re breaking down one of the most important (and often overlooked) sensory systems and why it can feel like a “secret tool” when it comes to regulation. We talk about what proprioception actually is, how it helps with body awareness, and why so many kids need more of this type of input throughout their day. Y...
In this episode, I’m sharing a very real, very personal story about my daughter and what led me to take her to a developmental optometrist. As both a COTA and a mom, I always tell families “when in doubt, rule it out,” and this was one of those moments where I had to take my own advice. I walk through what I started noticing at home, from how she was positioning her head while writing, to her difficulty with attention during fine motor tasks, to hesitations with sports and play. At first, it was...
If your child seems to get a burst of energy right before bed, asks for one more hug, one more drink, or one more lap around the house, it can feel confusing and exhausting. In this episode, we’re breaking down what might really be going on, especially for kids who are sensory seekers. We talk about what it means to have a high sensory threshold and why some kids need more movement, pressure, and input throughout the day to feel regulated. For many of these kids, bedtime isn’t a behavior issue. ...
In today’s episode, I’m sharing something a little more personal. This conversation is all about ADHD in women and moms, why it’s so often missed, and what it can actually feel like in real life. For so many of us, ADHD doesn’t look like what we're taught to expect. It’s not always the hyper, can’t-sit-still version we picture in young boys. For women, it often shows up as mental overload, constant overwhelm, emotional ups and downs, and feeling like we just can’t keep up no matter how hard we t...
Recess is often the first thing to go when kids are struggling at school. But what if taking it away is actually making things worse? In this episode, we break down why recess is not a reward and should never be used as a punishment. From a sensory and nervous system perspective, movement is one of the most important tools kids have to regulate, focus, and learn throughout the day. We talk about what a typical school day looks like today and how different it is from previous generations. Many ki...
There are a few phrases I hear over and over again from parents, usually right after they’ve tried everything and nothing worked. If you’ve ever been told things like “they just need more discipline” or “they’ll grow out of it,” this episode is for you. In this episode, I share my perspective as a certified occupational therapy assistant and primitive reflex clinical specialist, reacting to common parenting advice I hear all the time. This isn’t about calling that advice wrong. It’s about unders...
Have you ever wondered why your child seems “fine” all day at school… and then completely falls apart at home? In this episode, we’re breaking down what’s really going on through a sensory lens. We walk through what sensory integration actually means in everyday life, how the brain receives, organizes, and responds to sensory input, and why this process can look very different from child to child. We talk about the difference between being over-responsive, under-responsive, and sensory seeking, ...
In this episode, I share some honest reflections on pediatrician visits - what’s working, what could be improved, and what families truly need more of in those early appointments. This isn’t about criticizing pediatricians, but about opening up the conversation and advocating for better support for babies, kids, and their families. I walk through common phrases like “wait and see” or “they’ll grow out of it,” and why those approaches can sometimes delay important support. I'll also share my pers...
Hosts Rachel and Amanda examine proposed legislation in Kansas that would require kindergartners to be toilet trained, considering its implications from an occupational therapy perspective. They delve into why toileting readiness is complex, covering factors like sensory processing, interoception, and pelvic floor dysfunction. The discussion emphasizes practical tips for parents and schools to support children's development and advocates for understanding over strict policy, especially for kids without formal diagnoses.
Today’s episode is a special one because we’re introducing someone new to the podcast. If you’ve been listening for a while, you know our mission has always been to support families, therapists, and educators with practical, real-life strategies rooted in occupational therapy. As the Harkla team continues to grow, we’re excited to welcome Amanda, our new co-host and in-house occupational therapist to the podcast. In this episode, you’ll hear more about her journey into occupational therapy, the ...
Today’s episode is a little different. We’re sharing an important update about the podcast, our team, and what’s coming next as we move into a new season of All Things Sensory. We talk about Jessica’s decision to step away from her role as co-host and return to the clinic full time, why this transition feels meaningful for her, and what this change means for the future of the podcast. While this marks the end of an era, the mission of the podcast remains the same. Rachel also shares a personal r...
In this episode, the hosts review current research on supplements for children with sensory processing disorder (SPD) and neurodevelopmental challenges. They discuss the role of multivitamins, specific amino acids like L-carnitine, Vitamin D, Omega-3 fatty acids, and probiotics in supporting regulation and neurological health. The episode highlights the importance of quality, third-party testing, and a cautious approach when exploring supplementation, advising listeners to consult with holistic practitioners.
What if movement was built into the school day instead of saved for recess? In this episode, we’re talking about how retained primitive reflexes can impact emotional regulation in the classroom and sharing three simple, powerful activities teachers can use with the entire class. In this episode, you’ll learn: What primitive reflexes are and why they matter for learning and behavior How retained reflexes can show up as anxiety, dysregulation, or inattention The connection between the Moro, STNR, ...
Making friends can be hard, and for neurodivergent kids, the path to connection often looks a little different. This episode was inspired by a question from Instagram and dives into practical, compassionate ways to support social connection without forcing kids to fit into a mold that doesn’t work for them. In this episode, you’ll learn: Why friendship can be more challenging for neurodivergent kids How sensory processing, executive function, and communication impact social skills Why quality of...
Is your child constantly sucking their thumb or fingers and you’re wondering if it’s sensory, habit, or something else? This episode comes straight from a parent question on Instagram, and we’re breaking it all down. In this episode, you’ll learn: Why thumb and finger sucking is considered oral sensory seeking When sucking is developmentally appropriate and when to look closer Common reasons older kids continue sucking for regulation or anxiety How to talk to your child about the habit in a supp...
“I didn’t crawl and I’m fine.” We hear this all the time - from parents, grandparents, and even professionals. And while it can be true, there’s a lot more nuance to the conversation. In this episode, you’ll learn: Why crawling plays such a critical role in development How crawling supports strength, coordination, vision, and primitive reflex integration Why skipping crawling may not seem like a problem early on, but can impact coordination, learning, and regulation later Simple ways to encourag...
Movement coach Taylor Kruse discusses applied neurology, explaining how imbalances in visual and vestibular systems, and poor breathing habits like chronic mouth breathing, can lead to pain and dysfunction. He provides practical insights and drills for improving body awareness, posture, and CO2 tolerance, emphasizing the universal application of these neuro-based strategies for all ages. The key takeaway is using immediate feedback to assess exercise effectiveness and build a "high payoff drill toolbox."
Discover how to effectively utilize vestibular input, or movement, for sensory regulation without triggering meltdowns or motion sickness. The hosts delve into the vestibular system's importance, differentiate between sensory seekers, avoiders, and under-responders, and outline clear signs of vestibular overload. Practical strategies are provided, emphasizing starting slow, integrating proprioceptive activities, and real-time adaptation to ensure movement supports rather than overwhelms the sensory system.
This episode explores the transformative power of visual supports for sensory regulation in children across various environments. It details different types of visuals, including schedules, timers, and emotional intelligence programs like Zones of Regulation. Learn how these tools provide structure, aid smooth transitions, enhance emotional understanding, and build independence, with practical advice on consistent implementation for parents and therapists.
Starting out in pediatrics can feel overwhelming and it’s easy to fall into some common traps. In this episode, we’re sharing the top 5 mistakes new pediatric therapists make (yes, we made them too!) and how to avoid burnout while still giving your clients the best support possible. We cover: Why staying on top of continuing education is essential The danger of passive treatment sessions How to involve families for better carryover Why a bottom-up approach matters in pediatrics The importance of...
Holiday shopping doesn’t have to be stressful or overwhelming 🎁 In this episode, we’re sharing our favorite sensory-friendly gift ideas for kids and adults, plus creative experience gifts that go beyond toys. We cover: Our top 10 sensory-friendly gift ideas for kids. Unique and practical gift ideas for adults. Why experience-based gifts can be so meaningful. Links to products and tools we use and recommend. Thanks for listening 🩷 Tell us what’s on your holiday gift list this year. We’d love to...
Teachers and therapists often see students struggling with focus, posture, handwriting, or behavior but the root cause might not be what you think. Retained primitive reflexes can have a huge impact in the classroom. 📚 In this episode, you’ll learn: What primitive reflexes are and why they matter How retained reflexes show up in school settings Simple classroom strategies to support students Why movement breaks and alternative seating make a difference Thanks for tuning in 🩷 If this episode wa...
Is your child refusing sensory play you know would help them? You’re not alone — and it doesn’t always mean they’re being “defiant.” 💡 In this episode, you’ll learn: Why kids say “no” to sensory activities How rapport & co-regulation make a difference When hunger, sleep, or illness affect behavior Simple ways to modify activities so kids succeed Thanks for listening 🩷 We’re so glad you’re here and can’t wait to hang out with you again next week! 🌈 LINKS Black Friday/Cyber Monday Sale http...
Feeding challenges in infancy can feel overwhelming especially when solids are hard, weight gain is a concern, or oral motor skills seem delayed. In this episode, we respond to a real-life question from a parent about their 10-month-old struggling with solids and tongue movement. In this episode, you’ll learn: Why core and trunk strength impact oral motor development The importance of ruling out tongue ties, torticollis, or delayed milestones Play-based strategies to support oral motor skills ou...
The transition from fall into the holiday season can feel overwhelming for both parents and sensory kids. Between weather changes, shorter days, holiday stress, and immune system struggles, it’s no wonder regulation gets harder this time of year. In this episode, you’ll learn: Why meltdowns and anxiety increase in fall and winter How weather, daylight, and school routines affect regulation The impact of rigid thinking with clothing changes Simple strategies to reduce stress and support sensory k...
This episode explores the critical distinction between low core strength and a retained Tonic Labyrinthine Reflex (TLR), a primitive reflex crucial for posture and motor development. It outlines signs to differentiate these conditions during exercises like the Superman pose and discusses the broader functional implications of a retained TLR. The hosts also share practical assessment methods, intervention strategies, and highlight the importance of a holistic approach to supporting children's development.
Discover the critical role of co-regulation in emotional development, exploring how nervous systems sync and mirror neurons facilitate learning. This episode provides actionable, non-verbal strategies for adults, emphasizing self-regulation, creating safe environments, and using movement to help children develop independent emotional control. Learn about practical tools and resources to support effective co-regulation.
