Royal Oak Pediatric Therapies

Royal Oak Pediatric Therapies Top-tier occupational therapy in your child’s natural environments: at home, school, library, or park We are also credentialed through Early Intervention.

Royal Oak Pediatric Therapies provides home based Occupational Therapy Services for Children ages 0-6. We serve the North Shore of Chicagoland on-site, and have therapists licensed in both Illinois and Michigan for remote, teletherapy sessions.

01/30/2026

Ditching the bottle?
Choose straw cups over sippy cups

Why?
• Encourages better oral motor skills
• Supports mature sipping patterns
• Fewer spills (bc who wants puddles of water everywhere)

Even better for littles who have trouble keeping the cup down: weighted straw cups

01/19/2026

Ever notice that you tend to rub a spot that hurts on your body to dull the pain?

Same idea for our kids- use vibration or deep pressure before doing something perceived as uncomfortable for a tactile sensitive kid..these kids feel heightened discomfort from what you might consider to feel okay or normal.

These strategies look like:
👍vibration to the mouth before tooth brushing with something like an electric toothbrush on the gums and lips or ZVibe tool
👍deep pressure/massage to the hands and fingers before nail clipping
👍squeezes on the scalp or head massage before hair washing or brushing

01/13/2026

Any toy can be used to work on skills.

My 14 month old can’t connect these dinos but he can pull them apart, do container play, fine motor control for standing the dinos up, and work on animal sounds

As he gets closer to the intended age, he’ll be able to use the toy in more ways— and that’s really great so that we don’t have to buy more toys to work on the same skills.

01/09/2026

For the kiddo who is in their own world, who normally will just throw toys as play, that doesn’t interact with you, and doesn’t respond to their name when you call it-

Get down on the floor and start throwing toys in the air too, with them. Make some happy sounds or narrate what you’re doing (“throwing UP!” or “UP UP UP DOWNNN”). The first time you may not get much interaction, but the next time you do it, you may get some eye contact, and then the next your kiddo might hand you a toy to throw. It might also take longer than that, but you’ll notice small differences.

Little by little, once they’re giving some shared eye gaze, see if you can add on to their preferred play. Using their preferred toy to roll down a surface or try throwing something into a container while narrating.

When you follow your kid’s lead, you enter their world. That sense of ‘shared joy’ is the heart of social skill development and how to help your littles who seem like they are in their own world, start noticing more, and share in yours.

01/03/2026

Before kids can move well, they need to hold well.

Static control (like a plank) builds the strength, stability, and body awareness kids need before adding movement (like a wheelbarrow walk).

Think of it as building the foundation before adding motion - stronger basics = safer, more confident movers.

In the position shown, the goal is holding at the ankles with a strong, straight body- no sagging at the hips or flaring at the scapulae. If your child is sagging/flaring, move closer towards the hips until they are in a stronger position.

Start with static holds, see if your little can hold for x seconds and build up.

If too easy, add weight shifts from hand to hand. Reach for a toy and place in a basket. Tap a box with one hand and then the other- whatever is motivating.

Then add forward walks.

12/27/2025

As a pediatric OT, I don’t (and can’t) diagnose- but I can often spot early indicators of social differences, even in babies...the kids who may get diagnoses when a little older.

Here’s what I look for (“typical” social skills)-

• Shared enjoyment & reciprocation: Like looking at something and then back at you to share in that experience, smiling back, playing peek-a-boo, taking turns with vocalizations, gestures, or facial expressions. It’s not just about “eye contact,” but whether gaze is used to share experiences or check in with caregivers. Like when I look at a book and then look at you and smile.
• Early gesture development: Reaching to be picked up, pointing, waving, or showing objects.
• Regulation + engagement: Ability to stay regulated and calm enough to interact, shift attention, and participate with others.
• Play patterns: Play that is people-oriented, varied, exploratory, and flexible.

If your kiddo’s interactions don’t look like these, that’s okay! The lack of these early patterns don’t mean something is “wrong,” but they can tell us how a child experiences and connects with the world- and when extra support might help.

12/22/2025

The energy levels 😵‍💫😵‍💫😵‍💫

Movement can help kids focus again, but not all movement is equal.

Random running or spinning can make some kids more dysregulated, not more calm.

‼️What helps is goal-oriented movement like pushing, pulling, climbing, crawling, carrying, and deep “squish” work with a goal. Like crawling over couch cushions to a puzzle piece, pushing a laundry basket to retrieve toys, jumping on the trampoline to a song, spinning on a sit and spin while counting to ten (and then spinning in the opposite direction too). These activities help the body feel organized, calm, and ready to sit, listen, and learn.

…for at least another couple of minutes 😅

12/17/2025

Can we not 😅😅😅
0/10 fun.

If we could avoid the mess, the clean up 3x a day, we would too.

But messy play is beyond important and sets your little up for a resilient sensory system.

And, embracing the mess at meals is a great way to do it. Pro tip, strip them to just a diaper and clean up sucks slightly less.

What food that your kiddo eats makes you want to scream for clean up? Yogurt sends us. Pasta sauce is a close second.

12/14/2025

For kids with low coordination or body awareness, traditional blocks can feel impossible. They slip, fall, and collapse the second a little too much force is used.

Frustration builds fast. So, they gravitate towards destruction- knocking toys down, throwing them. And rarely building.
✨ Magnetic blocks change the game.

The instant pull-together gives clear tactile feedback:
👉 “That pressure worked.”
👉 “That force was just right.”

They stay connected long enough for success, which means kids can:
• Experiment without everything falling apart
• Practice gentle pressure and control
• Build confidence before fine motor skills fully catch up
•Build arm and hand strength

Magnetic blocks are great for babies/toddlers, who are also learning how to control their hands (and get frustrated easily).

Magnetic blocks meet kids where they are - especially the ones who want to build but don’t yet have the coordination to make it stick.

12/01/2025

Imitation is one of the biggest signs of growing social skills. When your baby copies you, it means they’re watching, learning, and trying to join your world. If your kiddo isn’t imitating gestures, words, or what you’re doing, start here:

•Start with actions they already like. If they clap, stomp, tap a toy, or bang on a drum- join in and copy them first.
•Use big, fun movements. Wave, blow kisses, stomp feet, shake a rattle, or pop bubbles. Bigger actions are easier to notice and copy.
•Use songs with motions. “Itsy Bitsy Spider,” “Wheels on the Bus,” or any simple action song gives clear, repeatable movements.
•Pause on purpose. This is so important ‼️ and so hard for us as adults. Do an action, then pause and wait. Many kids need extra time to process and respond.
•Use high-interest objects. Bubbles, cars going down a ramp, a toy that lights up- model simple actions with them (“push,” “pop,” “drop”).
•Sit face-to-face and get on their level. Kids imitate more when they can clearly see your face and hands.
•Celebrate any attempt. Even a small try counts. Big reactions and smiles help them want to do it again.
•Keep it playful…no pressure. None of the “say this”, “look, look, copy me”. Follow their lead. Kids are more likely to engage when it’s fun, meaningful to them, and motivating!

11/24/2025

When a child can’t hold tummy time/prone extension, it tells you a lot:

•Core and proximal strength are likely limited – They may have weak neck, shoulder, or trunk muscles, which are foundational for sitting, standing, and fine motor tasks.
•Vestibular or proprioceptive processing differences – How well you can lift against gravity gives us insight into your ability to process movement, maintain balance, and understanding of where your body is in space.
•Motor planning – Getting in and out of the position, coordinating the movement, and holding the position requires organized motor planning. I’ll usually see a kiddo having trouble both initiating and holding the position.

If your kiddo has issues getting into or holding the position?
Build it into their day, add movement while they’re in the position, and make it motivating.

👍🏻Addressing underlying sensory processing issues, motor planning, and body strength while not belly down are important to address, too.

Address

Evanston, IL
60201, 60202, 60203, 60204, 60208, 60209

Opening Hours

Monday 7:30am - 4pm
Tuesday 7:30am - 4pm
Wednesday 7:30am - 4pm
Thursday 7:30am - 4pm
Friday 7:30am - 4pm

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