TCS: Therapy and Counseling Services

TCS: Therapy and Counseling Services Autistic led, neurodiversity-affirming pediatric and adult occupational, speech, and feeding therapy.

Lived experience matters.There's 10 days left of Match Madness, so we'd like to share our Top 10 core values. Today: We ...
03/22/2026

Lived experience matters.

There's 10 days left of Match Madness, so we'd like to share our Top 10 core values. Today: We believe in lived experience.

I've been watching all month: the people who work here aren't just trained to help neurodivergent kids. Many of them ARE neurodivergent. They live it.

Emily was working with an excited autistic kid who was happy stimming. Instead of redirecting it, Emily started stimming too. She KNEW the joy that brings because she feels it herself. The kid's face lit up. That's not in any textbook.

Andrea manages her own chronic pain, sensory sensitivities, executive functioning challenges. When a client struggles with all of that at once, she doesn't just understand it clinically. She's lived the impossible math of managing a chronic condition when your brain and body work differently. That changes everything about how she shows up.

Emma asked Megan for insight on what it's like to be neurodivergent. Then she used that to help her client solve a problem. She didn't pretend to know. She asked someone who does.

That's lived experience. That's why this place is different.

I've seen this value come to life every day at TCS. We're looking for people who share this value with us. Help us spread the word by sharing this post, adding your story, or commenting below.

Each dollar helps us create an accommodating workplace where staff bring their whole selves, where we hire clinicians with lived experience, where neurodivergence is understood from the inside out. Your support earns a portion of the $150,000 match from the Partnership for Better Health—your gift goes even further! https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829&grant_cycle_id=1000

After spending all week shadowing sessions, today I get to be the client. Emma knew I needed to move my body before feed...
03/21/2026

After spending all week shadowing sessions, today I get to be the client. Emma knew I needed to move my body before feeding so we went to the gym first. I spun. I crashed into the pads. I climbed. My body felt different after—less jumpy, more ready.

We headed to the feeding room and Emma handed me oral motor tools. I picked one up and started playing with it. My tongue moved differently. My jaw could do things I didn't know it could do. She asked me what I noticed. I told her my tongue felt stronger, like I was actually using muscles I forgot about. She nodded and handed me another one. We kept going, and I kept discovering new things about my own mouth.

Emma watched the whole time without hovering. She asked questions instead of giving directions. She waited for me to figure things out instead of explaining them first. That's what I've been watching her do with kids all week, but experiencing it myself felt completely different. When someone trusts you to discover things on your own, it changes how you feel about the whole experience.

Your gift helps us earn a portion of the $150,000 the Partnership for Better Health is providing in matching funds this Match Madness—and remember, that means your support goes even further with the match! Every dollar counts! Link in bio!

Can you spot the hidden letters in this image? Comment what you find—we're working toward unscrambling a message so I can get my social media access back! Letters found so far: C, A, 4, L

Did you know they make desks that you can sit OR stand at? Because Marissa has one and she put it in "standing mode" the...
03/20/2026

Did you know they make desks that you can sit OR stand at? Because Marissa has one and she put it in "standing mode" the whole time she was writing treatment notes, moving and shifting her weight, getting what her body needed. I want one. I'm imagining myself standing and sitting and standing and sitting and standing and —

Wait. Right. I'm supposed to be here talking about therapy.

I got to sit on the wobble stool today! It was the most fun ever. Anyway, it was also fun to see Marissa's client finally beat the fine motor game they've been working on for months. Hands stronger, precision better, and now they can actually do things in daily life they couldn't before.

Today's wishlist item is putty. All different textures and resistances so kids can build hand strength without it feeling like a chore. Will you help us keep our sessions successful AND fun for the kids? What's the best putty we just HAVE to add to the collection?

This is wishlist item #9 of 10 we're hoping to sponsor this week. Your gift helps us earn a portion of the $150,000 the Partnership for Better Health is providing in matching funds this Match Madness—and remember, that means your support goes even further with the match! Every dollar counts! https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829&grant_cycle_id=1000

Have you ever played a board game and gotten SO MAD when you lose? It's SO HARD for me. I flip the board. I storm off. I...
03/19/2026

Have you ever played a board game and gotten SO MAD when you lose? It's SO HARD for me. I flip the board. I storm off. I can't handle it. But board games are actually one of the best ways to practice emotional regulation because the stakes feel real and the emotions are genuine.

Brenna spent Friday teaching a client to notice what their body was doing. A tightness here, a flutter there, a heaviness somewhere else. The client named the body signal and began to learn what it means. That's interoception—understanding your own body from the inside out. MY body was telling me I needed upside down time, and I was able to do that in the session, no big deal!

What makes TCS unique is that parents aren't just watching from the sidelines. They can get their own 1:1 sessions to learn these same skills for themselves. Managing their own stress. Understanding their own emotions. Honing in on what their nervous system needs. When parents do the work, the whole family changes. I love that TCS provides that opportunity to our clients.

ANYWAY...back to board games: they help kids practice all of this in a way that feels like play. We're hoping to expand our collection through Match Madness. Fifty dollars worth of new games that build emotional regulation skills while kids are actually having fun.

This is wishlist item #7 of 10 we're hoping to sponsor this week. Your gift helps us earn a portion of the $150,000 the Partnership for Better Health is providing in matching funds this Match Madness—and remember, that means your support goes even further with the match! Every dollar counts! https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829&grant_cycle_id=1000

I spent Wednesday with Emily and watched one of her clients grab a communication board and point to the image for "I nee...
03/18/2026

I spent Wednesday with Emily and watched one of her clients grab a communication board and point to the image for "I need help." Just like that. Communication happened. Independence happened.

What struck me was how Emily's built her schedule around her own rhythm—when she has energy, when she needs to move, when she needs quiet. And TCS actually made that possible. It's so amazing to be part of a clinic that truly prioritizes therapist well-being over productivity, which means Emily gets to structure her day in a way that actually works for her. Turns out that's exactly what makes her better at what she does.

Laminating sheets and supplies would let us create customized communication boards in real time. Right now we're limited to what we've already made, but with more supplies on hand, we can build whatever a person needs the moment they walk in.

This is wishlist item #5 of 10 we're hoping to sponsor this week. Seventy-five dollars worth. Your gift helps us earn a portion of the $150,000 the Partnership for Better Health is providing in matching funds this Match Madness—and remember, that means your support goes even further with the match! Every dollar counts! https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829&grant_cycle_id=1000

I spent today with Andrea and one of her clients came back with the best update. They bought a body braid after trying i...
03/17/2026

I spent today with Andrea and one of her clients came back with the best update. They bought a body braid after trying it in therapy and with it they had a whole day at the park with their family. No pain. Just a normal day doing normal things.

But here's what I didn't expect: Andrea managing her own stuff the whole time. Feet up the wall during her break, electrolytes in hand, pacing her sessions so she doesn't burn out. She's not just talking about sustainable therapy, she's living it. And yeah, I wanted to try the body braid after that. Curiosity got the better of me.

A body braid costs about $200 and we're missing one size from our collection. Right now we have 2 of the 3 sizes, and we want everyone who comes through here to be able to experience what that client experienced at the park.

This is wishlist item #3 of 10 we're hoping to sponsor this week. Your gift helps us earn a portion of the $150,000 the Partnership for Better Health is providing in matching funds this Match Madness—and remember, that means your support goes even further with the match! Every dollar counts! https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829&grant_cycle_id=1000

I got to spend the whole day with Megan watching speech therapy sessions! I never knew how hard it is to teach someone h...
03/16/2026

I got to spend the whole day with Megan watching speech therapy sessions! I never knew how hard it is to teach someone how to say "sh" but one of Megan's clients got so good at it that they graduated therapy today!

But sometimes the wins aren't that easy. Today I also saw how the team handles it when one of the therapists is stuck with what to do next with a client. Megan and the team were having lunch and just... talking through it. Real conversation, people actually listening to each other, throwing out ideas without judgment. I had a moment of realization: that's how we make sure we're providing the best possible therapy for everyone.

ANYWAY. Sound level meters. I'm obsessed. You can see your volume in real time. I'm already imagining myself screaming louder and louder, watching the numbers climb, absolutely destroying my own record—

Wait. No. I'm supposed to be here asking for therapy tools for the KIDS, not screaming into a meter for fun.

A sound level meter costs about $40 and helps our clients understand their own volume and regulation. Imagine what additional wins we could have if we had THIS in our toolkit.

This is wishlist item #1 of 10 we're hoping to sponsor this week. Your gift helps us earn a portion of the $150,000 the Partnership for Better Health is providing in matching funds! Every dollar counts! https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829&grant_cycle_id=1000

We may have gotten a little carried away.All the animals. Every single one. We were doing Lion King and it was AMAZING. ...
03/15/2026

We may have gotten a little carried away.

All the animals. Every single one. We were doing Lion King and it was AMAZING. The staging, the drama, the roaring. We had a whole kingdom going.

And then Andrea walked in.

She did not appreciate our vision.

So now we're being "supervised" all week. Each of us is shadowing a different therapist every day to learn what they actually do, celebrate their wins, and to keep us from causing chaos.

Each therapist is also going to share their wishlist item in the posts this week. We'd love your help sponsoring 10 new tools to help make therapy even better! You can pitch in here: https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829

Remember, every dollar helps us earn a bigger portion of the $150,000 in matching funds being provided by the Partnership for Better Health!

Okay. We're done. We surrender. We give up.Andrea, you can have your admin duties back. Please.This week, Cinderpuff and...
03/14/2026

Okay. We're done. We surrender. We give up.

Andrea, you can have your admin duties back. Please.

This week, Cinderpuff and I tried to do what Andrea and the TCS team do every single day. Insurance portals. Authorizations. Scheduling. Documentation. Claims. Denials. More claims. More denials.

I can't. Cinderpuff can't. We're handing it back. (She doesn't seem to be thrilled about this. I think she got a little too used to not having to do these things!)

But your social media access is still ours. Sorry, Andrea. Last week you guys figured out two of the letters of her new password (A and C), but she doesn't have the whole thing yet!
Look in the image above and find the next 2 letters we hid. Comment with what you find, I'll let you know if you're right! At the end of the month, if you guys find and unscramble all of the letters, I'll give Andrea her social media access back.

In the meantime, I'm going to go spin in the sensory gym for at least an hour. Maybe two. I need to regulate after that week of paperwork.

Remember, this week's donations are going straight to therapist continuing education. Your support today can help ensure our therapists can provide the best evidence-based, trauma-informed care for years to come. Your dollar will earn part of $150,000 in matching funds from for Better Health! https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829

Documentation. Billing. Claims. More paperwork.I authorized a visit. I submitted a claim. I tracked it. And then it got ...
03/13/2026

Documentation. Billing. Claims. More paperwork.

I authorized a visit. I submitted a claim. I tracked it. And then it got denied.

After all of that work. After navigating all those insurance portals. After jumping through every hoop. The claim came back denied. Now I have to figure out why, fix it, and resubmit it.

On another claim, a family was charged a $60 copay when it should have been $20. Now we have to fight with the insurance company to correct it and resubmit that one too.

I'm so tired. I want to go back to playing in sessions. I want to see the kids smile. I want to feel like I'm actually helping instead of drowning in forms. I just want to keep hiding over here in the sensory break space.

But I keep going because families depend on this. The therapists depend on this.

I really, really want to go back to the sensory gym.

Help us earn our portion of $150,000 in matching funds provided by the Partnership for Better Health: https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829

Okay. I'm tired. I'm so tired.But today I got to sit in on sessions and wow. Just wow.I cleaned the yellow room after we...
03/12/2026

Okay. I'm tired. I'm so tired.

But today I got to sit in on sessions and wow. Just wow.

I cleaned the yellow room after we played with kinetic sand. I got the sensory gym obstacle course set up for the next client. I talked to Miss Emma about which treatment room her client needs so we could coordinate our sessions. There's so much to keep track of.

But then I'm watching a kid light up during a session. They're learning to regulate their nervous system. They smile. They try something new. They succeed.

And I'm sitting there thinking about all those insurance portals we were drowning in and all those spreadsheets Cinderpuff was color-coding and suddenly it all connects. This moment right here. This is what all of that was actually for.

Support families experiencing moments like this by helping us receive a portion of the $150,000 in matching funds being provided by the Partnership for Better Health: https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829

Okay. Prior authorizations. Doctor's scripts. Insurance authorizations. This is where things get tedious.One insurance n...
03/11/2026

Okay. Prior authorizations. Doctor's scripts. Insurance authorizations. This is where things get tedious.

One insurance needs a prior auth for everything. Another needs a doctor's signature on the whole plan of care. A third requires a script just to get started. And then there's the one that sometimes needs an auth and sometimes doesn't depending on the plan.

I have to figure out which is which. Remember which is which. Navigate which is which.

Cinderpuff's over there systematically working through each one like they're solving a puzzle. I'm just sitting here not knowing where to begin, thinking about all the families who have to do this on their own. How do they even know what to submit? How do they track it all? How do they not just give up?

This is the work that happens behind the scenes so families can actually access care.

Support families (and cats) navigating this by helping us receive a portion of the $150,000 in matching funds provided by for Better Health: https://forbetterhealthpa.fcsuite.com/erp/donate/create/grant?grant_id=1829

Address

115 S St Johns Drive
Camp Hill, PA
17011

Opening Hours

Monday 9am - 6pm
Tuesday 9am - 6pm
Wednesday 9am - 6pm
Thursday 9am - 6pm
Friday 9am - 6pm
Saturday 9am - 5pm

Telephone

+17177614754

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Tomorrows and Yesterdays

Since the early 1900’s, occupational therapy as a field has worked to improve physical, emotional, and mental health so that clients may fully participate in all of life’s activities.

What does this look like? In our pediatric occupational therapy clinic, this takes the shape of helping a child learn how to make a friend, get dressed independently, navigate a loud restaurant without a meltdown, and so much more.

We first recognize each client’s unique obstacles, then guide the client through, over, or around them to live life to the fullest.