All Things Sensory by Harkla
Amanda Mathers, OTR/L & Rachel Harrington, COTA/L, CPRCS

Latest episode
425 episodes
- 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?
LINKS
We’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3
All Things Sensory Podcast Instagram
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Harkla Website
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Harkla YouTube
https://www.youtube.com/c/HarklaFamily
Harkla Instagram
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Harkla Digital Courses
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Force of Nature Cleaning Products
https://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!
Links
We’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 Instagram
https://www.instagram.com/harkla_family/
Harkla Digital Courses
https://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?
Links
We’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3
Primitive Reflex Digital Course
https://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 Instagram
https://www.instagram.com/harkla_family/
Harkla Digital Courses
https://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?
Links
We’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3
Primitive Reflex Digital Course
https://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 Instagram
https://www.instagram.com/harkla_family/
Harkla Digital Courses
https://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?
Links
We’d love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3
Primitive Reflex Digital Course
https://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 Instagram
https://www.instagram.com/harkla_family/
Harkla Digital Courses
https://harkla.co/collections/courses
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About All Things Sensory by Harkla
Amanda Mathers, OTR/L, and Rachel Harrington, COTA/L, CPRCS, are two passionate pediatric therapy practitioners who answer your questions related to all things sensory, occupational therapy, parenting, self-care, nutrition, and health, from a therapist’s perspective. Providing raw, honest, fun ideas, and strategies, for parents and families to implement into daily life. Great for those who work with children with sensory processing disorder, special needs, autism, and ADHD. This podcast is brought to you by Harkla, where our goal is to help those with special needs live happy and healthy lives
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