TCS: Therapy and Counseling Services

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

Clinics have to make hard choices about which insurances they can afford to accept. The math is real. Reimbursement rate...
02/04/2026

Clinics have to make hard choices about which insurances they can afford to accept. The math is real. Reimbursement rates for Medical Assistance are low.

We made a different choice.

We structured TCS as a nonprofit because we wanted to prioritize access over everything else.

Everyone who walks through our door gets the same therapists, the same care, the same respect. Whether you have commercial insurance, Medical Assistance, or you're paying out of pocket.

Because the quality of your therapy shouldn't depend on the quality of your insurance card.

This month's featured condition is FND, or Functional Neurological Disorder. But what is FND?FND is the second most comm...
02/03/2026

This month's featured condition is FND, or Functional Neurological Disorder. But what is FND?

FND is the second most common condition diagnosed in outpatient neurology clinics. Second only to headaches. And it affects both children and adults.

So what is it?

Think of it like a glitching WiFi signal. Your body's hardware is fine. Your brain, nerves, and muscles are all there. But the connection between them isn't reliable. The signal keeps dropping and sending mixed messages.

In FND, your nervous system isn't reliably transmitting signals to your body. Your brain "misfires" and sends signals by mistake.

WHAT DOES FND LOOK LIKE?

Symptoms vary widely and can show up differently in children and adults:
- Weakness or paralysis in limbs
- Tremors or involuntary movements
- Seizure-like episodes (without epilepsy's electrical brain activity)
- Numbness or tingling
- Balance or coordination issues
- Speech difficulties
- Brain fog or memory problems
- Vision or hearing changes
- Pain

FND symptoms are real. Your nervous system is genuinely struggling to send reliable signals.

Symptoms often appear suddenly and fluctuate. Good days and bad days are part of FND. This unpredictability affects both kids and adults.

HERE'S THE GOOD NEWS

FND is diagnosed by positive clinical signs, not by ruling out everything else. And FND is treatable. With the right approach, both children and adults see real improvement and recovery.

This month we're breaking down the myths, talking about what it really feels like to have FND, and showing you how we treat it.

Ready to understand FND better? Follow along.

Oscar ran halfway up the ladder before Cinderpuff even finished examining it! Today they're exploring our climbing ladde...
02/02/2026

Oscar ran halfway up the ladder before Cinderpuff even finished examining it! Today they're exploring our climbing ladder, which was a new addition to the clinic last year thanks to our friends at Camp Hill Walmart.

Oscar's challenging his balance and coordination while getting all the movement and proprioceptive input his body craves. Cinderpuff feels safe to try something new, since it's not too high off the ground and they can see exactly what they're doing. Plus, having Oscar show them the way makes all the difference.

Both of them are building confidence in their bodies in their own way.

Curious what Oscar and Cinderpuff discover next? Stay tuned for more adventures!

You will not believe what happened at TCS this week. We had TWO new members join our team. After a few weeks of behind-t...
02/01/2026

You will not believe what happened at TCS this week. We had TWO new members join our team. After a few weeks of behind-the-scenes orientation (and let's be honest, a rigorous hiring process that involved way too many interviews), we are so excited to introduce them! Introducing....(drumroll, please)...Cinderpuff and Oscar!

Cinderpuff (with that calm, knowing look) is a talented musician who loves a good cozy reading nook. Oscar (with that mischievous grin) loves to play soccer and is always ready for the next adventure.

They're both incredible storytellers and are already making themselves at home. Oscar's bouncing around asking "can we try that?" Cinderpuff's already assembled every Lego set in the clinic and flagged which ones are missing pieces.

Spoiler alert: In the coming weeks, Oscar's about to discover he has a new favorite piece of equipment. Cinderpuff's going to learn ALL THE THINGS about nervous system regulation. And we're pretty sure there's going to be a chef's hat involved at some point.

Stay tuned as their adventures unfold. We think you're going to love getting to know them!

*Congrats to our naming contest winners, and thank you everyone for your entries and votes!

It’s been a rough week for everyone. Weather changes, ice storms, shoveling, stress, big emotions…all things that bring ...
01/30/2026

It’s been a rough week for everyone. Weather changes, ice storms, shoveling, stress, big emotions…all things that bring out symptom flares for all of our clients with hEDS, hypermobility or other chronic conditions. And, all of the schedule disruptions also brings out dysregulation in all of the kids. Living with hEDS myself, I have been in a flare all week ever since overdoing it clearing the snow early in the week.

These are the weeks I try extra hard to find the glimmers - those positive moments that remind you of all the good still in life. The moments that help you find meaning and that keep you going. For me, some of my glimmers were hearing these things from clients this week:

“I was having a bad pain day, but I did all of my ‘OT things’ and the pain is gone now.”
“I tried the strategy you suggested and it helped me manage an anxiety attack.”
“I feel so much more grounded lately, like I can handle more.”

I am so honored that each of my clients has trusted me to be a part of their journeys. Their resilience and growth inspires me daily.

Normally, writing treatment notes is one of my least favorite tasks as an OT. But today, I get to document all of these moments while in our staff sensory break space, with the pellet stove going. I’m choosing to see this quiet moment as another glimmer.

Shoe tying. It sounds simple until it's not.If your kid is struggling with laces, you're not alone. We just added a quic...
01/29/2026

Shoe tying. It sounds simple until it's not.

If your kid is struggling with laces, you're not alone. We just added a quick video to our Parent Resource Center with practical tricks that actually work: the pipe cleaner hack, two-color laces, and the Double X method as an alternative to bunny ears.

These aren't complicated techniques. They're therapy-informed strategies that make learning easier and less frustrating for both of you.

Watch the video, grab a pair of shoes, and give one of these tricks a try. Sometimes that's all it takes.

Link below.

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.

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

Website

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Category

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.