The School OT Guide to IEPs, 504s & Classroom Support

Starting your first school-based OT job can feel overwhelming. Between IEP meetings, evaluations, accommodations, and the endless acronyms, it can be hard to know where to start.In this episode, we break down the basics of school-based occupational therapy. Amanda shares what she wishes every new school-based OT knew before walking into their first IEP meeting, explains the differences between IEPs, 504 plans, and MTSS, and offers practical tips for collaborating with teachers, administrators, and the rest of the educational team.We'll also discuss how school-based OT differs from clinic-based practice, why goals need to be educationally relevant, what consultative services actually look like, and how to feel more confident advocating for students while working as part of a multidisciplinary team.Whether you're a new graduate, transitioning into the schools, or just curious about how school-based OT works, this episode is packed with practical advice to help you feel more prepared.LinksWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 Sensory Strategies for the Classroom Coursehttps://harkla.co/products/classroom-sensory-training?srsltid=AfmBOoqG8NnYkiSWB_T-oxJNV3RI0lYd5-kUy9draacDoX5fsnDIxqvtClassroom Sensory Kitshttps://harkla.co/products/classroom-sensory-kit?srsltid=AfmBOopRCtKs2HeI1HXt-Iw30p0DTLiFkRgc2SyW7PUyCSGW8Zd5e__HSlant Board for Writing https://amzn.to/44GU0mILoop Scissorshttps://amzn.to/4pv9x2qAll Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses 

Have you ever worked with a child who seems extremely cautious, shuts down when something feels hard, or gives up before they even get started? There may be more going on than meets the eye.In this episode, we take a closer look at the Fear Paralysis Reflex (FPR), one of the lesser-known primitive reflexes that can have a significant impact on a child's development. We explain what the reflex is, why it serves an important purpose before birth, and what it can look like if it's retained beyond infancy.Together, we explore how a retained Fear Paralysis Reflex may contribute to challenges like anxiety, perfectionism, selective mutism, low self-esteem, emotional regulation, and an intense fear of making mistakes. We also share why it's so important to look beyond behavior, connect with the child in front of you, and remember that your therapeutic relationship is often more powerful than any activity you have planned.Whether you're a therapist, educator, or parent, this episode will help you better understand the nervous system and offer a more compassionate lens for supporting children who seem fearful, hesitant, or overwhelmed.LinksWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses

Here's a hot take: sometimes the most dysregulating part of occupational therapy is the clinic itself.In this episode, we take a closer look at how the therapy environment can impact a child's nervous system and why the space around us is just as important as the intervention itself. From fluorescent lighting and visual clutter to noisy waiting rooms, strong fragrances, and harsh cleaning products, we discuss simple ways to create a calmer, more regulation-friendly environment for both kids and therapists.We also share practical ideas for reducing sensory overload, organizing therapy spaces with intention, making thoughtful product swaps, and creating an environment that helps children feel safe, regulated, and ready to learn.Whether you're an OT, PT, SLP, educator, or clinic owner, this episode will leave you thinking differently about the spaces where we support children every day.Thanks for listening 🩷 We'd love to hear from you! What's one small change you've made, or want to make, to create a calmer therapy environment?LINKSWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses Force of Nature Cleaning Productshttps://www.forceofnatureclean.com/

I know this might be a controversial opinion, but I don't think screens belong in preschool classrooms.In this solo episode, I share what I've observed as a school-based occupational therapist and why I believe we've become too reliant on technology in early education. This isn't about being anti-screen or anti-teacher. It's about asking whether screens are replacing the hands-on, movement-rich experiences that young children actually need to develop.I talk about SMART Boards, educational apps, handwriting, fine motor development, free play, and why movement, creativity, and real-world learning can't be replaced by a screen. I also share practical ideas for parents, therapists, and educators who want to reduce screen time without eliminating technology altogether.At the end of the day, technology isn't the enemy, but development has to come first.Thanks for listening 🩷 I'd love to hear your perspective. Do you think screens belong in preschool classrooms? Let me know on Instagram or in the comments!LinksWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses

If you're writing goals for primitive reflex integration, this episode is for you.In this episode, we break down one of the biggest mistakes therapists make when writing goals for primitive reflex integration and explain how to connect reflex work to meaningful, functional outcomes that matter to families, IEP teams, and insurance providers.We discuss why reflex integration itself should never be the goal, how retained reflexes can impact skills like handwriting, attention, coordination, regulation, and participation, and how to write goals that focus on the real-life challenges a child is experiencing. We also share practical examples of how to connect primitive reflex interventions to functional outcomes that support independence and participation.Whether you're an OT, COTA, PT, or therapist interested in reflex integration, this episode will help you think differently about goal writing, advocacy, and demonstrating the value of the services you provide.Thanks for listening 🩷 If you work in pediatrics, we'd love to hear from you. What's one goal-writing tip that's helped you better advocate for the kids you support?LinksWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 Primitive Reflex Digital Coursehttps://harkla.co/products/primitive-reflexes-course All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses

If you asked 100 occupational therapists whether they've experienced burnout, how many do you think would say yes?In this episode, we have an honest conversation about burnout in the OT profession. We share our own experiences working in clinics, schools, and early intervention, and talk about the realities that many therapists face every day: overwhelming caseloads, endless documentation, productivity demands, long commutes, emotional exhaustion, and the pressure to constantly do more. We also discuss something that doesn't get talked about enough: how caring deeply about the children and families we serve can make it difficult to leave work at work. From challenging cases to social media comparison, there are so many factors contributing to burnout that go beyond simply being "too busy." Most importantly, we share practical strategies that have helped us protect our nervous systems, advocate for ourselves, set better boundaries, and create more sustainable careers. Thanks for listening 🩷 Whether you're a new grad, a seasoned therapist, or somewhere in between, we hope this conversation helps you feel a little less alone. And reminder: GO ON THE TRIP. We’d love to hear your thoughts: have you experienced burnout and what have you used to combat it? LinksWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3Primitive Reflex Digital Coursehttps://harkla.co/products/primitive-reflexes-course All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses

If your child was born between 2018 and 2022, should they have their primitive reflexes screened?In this episode, we explore how the COVID-19 pandemic may have impacted child development and why Rachel believes primitive reflex screenings should become a routine part of early childhood care. From pregnancy stress and delayed services to increased screen time, fewer social opportunities, and less movement, they discuss how these experiences may have affected (and continue to affect) kids today.We also explain what primitive reflexes are, how retained reflexes can impact learning, behavior, coordination, and emotional regulation, and what signs parents, therapists, and educators may want to watch for.This conversation isn't meant to cause fear or point blame. We want people to get curious, focus on early identification, and give kids the support they need to thrive.Thanks for listening 🩷 We'd love to hear your thoughts. Do you have a pandemic-era child, and have you noticed any of the challenges we discussed?LinksWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 Primitive Reflex Digital Coursehttps://harkla.co/products/primitive-reflexes-course All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses 

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 function and oral ties can impact feeding. We also explore the connection between feeding, sensory processing, nervous system regulation, and infant development, along with what families can expect when working with an IBCLC.Whether you're breastfeeding, bottle feeding, pumping, or doing a combination of all three, this episode is full of practical guidance, reassurance, and encouragement to help you feel more confident in your feeding journey.Thanks for listening 🩷If this episode helped you feel more supported in your feeding journey, share it with another parent who might need to hear it.LINKSWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 Wild Milk Co.https://www.wildmilkco.com/ Follow Wild Milk Co. on Instagram https://www.instagram.com/wildmilkcoReal Food for Pregnancyhttps://www.amazon.com/Real-Food-Pregnancy-Prenatal-Nutrition/dp/0986295043 IBCLC Masterclass:https://www.lactationmasterclass.com/How to find a masterclass trained IBCLC: https://www.lactationmasterclass.com/findanibclcIdaho Breastfeeding Coalition:https://www.idahobreastfeeding.org/Spectra S2:https://www.spectrababyusa.com/products/spectra-s1-plus-premier-rechargeable-double-electric-breast-pumpEufy Wearable:https://www.eufy.com/products/t8d04121?variant=43660277121210Ninni Co. Pacifier:https://ninnico.com/Medela Harmony:https://www.medela.com/en-us/breastfeeding-pumping/products/pumps/manual/harmony-manual-breast-pump?productId=1021Natural Breastfeeding Video:https://naturalbreastfeeding.com/First Droplets Educational Resource:https://firstdroplets.com/Pigeon Glass Bottles:https://www.pigeonstore.com/Inno Baby Teethers:https://www.innobaby.com/All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses 

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 who struggle with toileting are not being lazy, stubborn, or defiant, and why pressure and shame often make things worse.We also talk about common signs a child may need extra support, how stress and dysregulation impact the body, and practical strategies families can use at home to make toileting feel safer and more manageable.This episode is all about helping parents better understand what’s happening beneath the surface and reminding families that their child is not broken and they are not failing.Thanks for listening 🩷 If this episode made you feel less alone, share it with another parent navigating toileting struggles right now.LINKSWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 Amanda’s Potty Training Resources https://stan.store/yourpediatricOT All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses 

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 reflex integration. I also share some of the biggest safety considerations, including when to avoid using vibration plates, what signs to watch for during sessions, and why “low and slow” is always the best place to start.Throughout the episode, I walk through practical ways I incorporate vibration plates into therapy sessions using functional activities instead of just having kids stand on them. From balance work and yoga flows to games, primitive reflex activities, and sensory integration exercises, I share ideas that make this tool purposeful and engaging.I also discuss what current research is showing around toe walking, constipation, cerebral palsy, and sensory regulation, along with how I decide whether a vibration plate might be helpful for a child at home versus something better used in a clinical setting.This episode is designed to help you feel more informed, more confident, and more thoughtful about using vibration plates with kids in a way that supports the nervous system safely and intentionally.Thanks for listening 🩷If you’ve ever used a vibration plate with your child or in therapy, I’d love to hear about your experience!LINKSWe’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 LifePro Vibration Plateshttps://lifeprofitness.com/collections/vibration-therapy Therapeutic Use of Vibration Plates Webinarhttps://sensationalbrain.com/product/vibration-plates-pediatric-occupational-therapy/ All Things Sensory Podcast Instagram https://www.instagram.com/allthingssensorypodcast/ Harkla Website https://harkla.co/ Harkla YouTube​​https://www.youtube.com/c/HarklaFamily Harkla Instagramhttps://www.instagram.com/harkla_family/ Harkla Digital Courseshttps://harkla.co/collections/courses