TCS: Therapy and Counseling Services

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

Living Well With hEDSWe've covered the basics, busted the myths, and shared a breakthrough moment. This week? Practical ...
01/27/2026

Living Well With hEDS

We've covered the basics, busted the myths, and shared a breakthrough moment. This week? Practical strategies for living well with hEDS.

Because knowing you have hEDS is one thing. Knowing how to actually live with it is another.

MOVEMENT MATTERS
Low-impact, controlled movement is your friend. The goal isn't flexibility. It's control. Work with a therapist who understands hypermobility to make sure your form in your chosen activity is safe.

PACING IS NOT OPTIONAL
Good days and bad days are real. On good days, resist the urge to do everything at once. On bad days, rest without guilt. Pacing isn't laziness. It's strategy. It's how you stay consistent.

FIND YOUR PEOPLE
Living with hEDS is isolating when you're doing it alone. Connect with others who get it. Join support groups. Follow people who understand. You're not broken. You're not alone.

WORK WITH SPECIALISTS
Not all therapists understand hEDS. Find ones who do. It makes all the difference.

The truth? Living well with hEDS doesn't mean being pain-free or symptom-free. It means having the tools, knowledge, and support to do the things that matter to you.

That's what we're here for. Ready to build your toolkit? Schedule an evaluation with us today.

Therapist Spotlight: Meet Emily!Emily has been part of the TCS team since 2021, and as an autistic adult, she brings bot...
01/26/2026

Therapist Spotlight: Meet Emily!

Emily has been part of the TCS team since 2021, and as an autistic adult, she brings both lived experience and deep expertise to her speech-language pathology practice. She specializes in supporting non-speaking and minimally speaking individuals, gestalt language processing, and finding AAC systems that truly work.

Emily's approach is strengths-based and child-led, always presuming competence and valuing all forms of communication. She's a Level 3 Natural Language Acquisition Practitioner and has served on ASHA's Considerations for Autistic Populations committee.

We're grateful for Emily's passion for helping every child find their voice!

Transitions are some of the hardest things for neurodivergent brains to navigate. Sometimes (most times?) you need a gam...
01/26/2026

Transitions are some of the hardest things for neurodivergent brains to navigate. Sometimes (most times?) you need a game plan that actually works.

We just released a new video in our Free Parent Resource Center: "Transitions without Meltdowns: Simple Strategies for Home and Community." It's packed with practical, real-world strategies that help kids (and parents) move from one activity to the next without the tears, tantrums, or total shutdown.

You'll learn simple, concrete strategies: from tips to transitioning off of video games to games to use when leaving the park. Because sometimes the difference between a smooth transition and a meltdown is just knowing what to try.

Watch the video and pick one strategy to try this week. Start small. See what works for your family.

Link below.

Activities to Make Snow Day MemoriesStuck inside during the big snow? No problem. Here are some fun, supply-free activit...
01/25/2026

Activities to Make Snow Day Memories

Stuck inside during the big snow? No problem. Here are some fun, supply-free activities that'll keep everyone entertained and burning energy.

All of these use stuff you already have at home and can be adapted for many ages.

Indoor Obstacle Courses:

- Pillow/Couch Cushion Hop: Place pillows and couch cushions across the floor. Kids hop from pillow to pillow without touching the ground (the "lava").

- Furniture Maze: Arrange chairs and furniture to create a weaving path. Practice going through quickly, but then also go through in slow motion for extra proprioception!

- Blanket Tunnel: Drape blankets over chairs to create a crawling tunnel. Doubles as a fort for quiet time!

Other No/Low-Supply Games:

- Snow painting: Bring some snow in from outside, into a clean bin, tub, or bowl. Fill a couple spray bottles with water and food coloring, or use watercolor paints. Spray paint the snow in the bin. You can use bowls of water with food coloring and paint brushes if you do not have spray bottles.

- Freeze Dance: Put on music and dance. When music stops, everyone freezes. Last one to freeze is out.

- Indoor Scavenger Hunt: Have the kids find objects around the house that fit different properties (3 blue things, 4 soft things, something that is cold, etc.) Make it as easy or as hard as your kids would like. You can make it even more fun by having the kids do animal walks while they're searching.

- Simon Says: Classic and never gets old. Great for listening skills and body awareness.

- Charades: Act out animals, sports, or any other category that sounds fun!

- Shadow Puppets: Dim the lights and use a flashlight to make shadow shapes on the wall.

And of course, don't forget the hot cocoa!

What's your go-to snow day activity? Share your favorites in the comments!

All sessions will be held virtually on Monday. If you need anything or have any questions, please text the office rather...
01/24/2026

All sessions will be held virtually on Monday. If you need anything or have any questions, please text the office rather than call - we are able to access our text messaging system remotely but will not be in the office to answer the phone.

Stay safe!

Snow Day Therapy? Yes, Please!When weather hits, we shift to virtual sessions instead of canceling. And honestly? Some o...
01/23/2026

Snow Day Therapy? Yes, Please!

When weather hits, we shift to virtual sessions instead of canceling. And honestly? Some of our best therapy moments happen when we see kids in their own space.

Here's what makes snow day sessions special:

Show us your world. We get to see your favorite toys, your pet, your cozy reading nook. That's real-life therapy material.

Real-time tips. Your therapist can give you strategies that actually work in your home setup. No "that won't work at my house" moments.

Comfort zone therapy. Some kids regulate better at home. We meet them where they're at.

Favorite spots. Your child shows their therapist the climbing structure (aka the sofa) in the living room, the makeshift sensory bin on the floor, the pet that needs visiting. We work with what you've got.

Bottom line: snow days mean we get to know your family better and give you practical, home-ready strategies that stick.

Clients: If we're still digging out on Monday, you'll receive a text notification that sessions are shifting to virtual. You can access your appointment through the link via email, or by logging in to your client portal.

Stay safe out there, and we'll see you on screen.

We have an opening in our Tuesday Thrive Inclusive Preschool class, and we'd love to fill it with another amazing child!...
01/23/2026

We have an opening in our Tuesday Thrive Inclusive Preschool class, and we'd love to fill it with another amazing child!

Look at the joy happening in our classroom. This is what we're all about: kids being themselves, exploring, playing, and growing in a space where they feel safe and celebrated.

Thrive Preschool is for ages 2.5-4.5 and welcomes all learners, including autistic and neurodivergent kids, kids being introduced to preschool for the first time, or any child who is a little nervous in a large group setting. Small group (5 kids max), inclusive, sensory-friendly, and led by our experienced certified teacher Amanda and an OT. Class meets weekly from 9:30am - 12:00pm and includes sensory play, gross motor play, story time, crafts, and more...all while incorporating the Pennsylvania Learning Standards for Early Childhood.

Interested? Registration link in comments. Let's get your child thriving with us!

It’s so important to raise awareness to help with early identification! Some great info here.
01/22/2026

It’s so important to raise awareness to help with early identification! Some great info here.

A Breakthrough MomentSometimes the most powerful part of our work isn't the therapy itself. It's watching someone realiz...
01/22/2026

A Breakthrough Moment

Sometimes the most powerful part of our work isn't the therapy itself. It's watching someone realize they don't have to live in pain.

We had a client come in with 8 out of 10 pain in both knees. They were cautious, limited, and honestly, they'd accepted that this was just life now.

Eight weeks later, they reported no pain.

But here's what really got us: they said their knees felt "like they'd forgotten the pain completely."

That's not just pain relief. That's freedom. That's the moment when someone stops managing their condition and starts living their life again.

This is what specialized therapy looks like. When you work with someone who understands hEDS, who knows how to build stability safely, and who believes your pain is real, things change. Not overnight. But genuinely.

We're not here to tell you that hEDS will go away. But we are here to tell you that you don't have to white-knuckle through every day. Movement can feel good again. Pain can decrease. And yes, your knees can feel like they forget what pain feels like.

Let's get you back to the life you deserve.

We have big news. We are officially a Macaroni KID Family Favorite Finalist!If you have ever loved what we do, cheered u...
01/20/2026

We have big news. We are officially a Macaroni KID Family Favorite Finalist!

If you have ever loved what we do, cheered us on, brought your kids, told a friend, left a review, or said “this place is our favorite,” we would be honored to have your vote.

Vote here: https://forms.gle/vh8rLHA7436VQ15b8

Here's the proof: In a study of 98 hEDS patients, occupational therapy and bracing had the highest reported improvement ...
01/20/2026

Here's the proof: In a study of 98 hEDS patients, occupational therapy and bracing had the highest reported improvement rates at 70% - surpassing physical therapy, medications, and complementary treatments (Song et al., 2020).

Why? OT addresses the whole picture:
- Pain neuroscience education
- Proprioceptive and motor training
- Nervous system and sensory regulation
- Environmental enablement
- Practical daily strategies

At TCS, we blend all of these into every treatment plan. Your approach is practical, flexible, and always tailored to your needs because living well with hEDS is possible, and you deserve support that works.

Ready to reclaim comfort and independence? Read the full article for everything you need to know about hEDS pain and the path forward.

Link in comments.

PMID: 32709178, PMID: 34101520

So what actually works for hEDS pain? The evidence is clear.Pain Neuroscience Education helps you understand how pain wo...
01/19/2026

So what actually works for hEDS pain? The evidence is clear.

Pain Neuroscience Education helps you understand how pain works and reduces fear of movement. Programs that include pain education show significant improvements in pain, disability, and kinesiophobia (fear of movement) in hEDS (Celletti et al., 2021; Chew et al., 2025; Siddall et al., 2022).

Biofeedback and nervous system regulation through mindfulness, breathwork, and guided relaxation have demonstrated significant improvements in quality of life and pain reduction (Lattimore & Harrison, 2023).

Environmental modifications—ergonomic workstations, assistive devices, activity pacing—reduce strain and support safe movement (Minhas, 2021; Yew et al., 2021).

Gentle, targeted exercise focused on deep stabilizers, alignment, and reducing compensatory patterns is central to successful hEDS treatment.

These aren't quick fixes. They're sustainable, lasting changes backed by research.

Citations:
Cellatti et al., 2021: PMID: 34124258
Chew et al., 2025: PMID: 40298033
Siddall et al., 2022: PMID: 33863860
Lattimore & Harrison, 2023: PMID: 36326346
Minhas, 2021: PMID: 33741806
Yew et al., 2021: PMID: 33856167

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.