Maternal Mental Health Awareness

Posted on May 13, 2025

You’re Not Alone, Mama: Supporting Maternal Mental Health During Every Step of Your Journey

Motherhood is often described as magical, but moms know it can also be messy, overwhelming, and emotionally exhausting, whether you’re preparing for your first child or navigating postpartum with a newborn in your arms, your mental health matters just as much as your baby’s.

At Carolina Therapy Connection, supporting moms goes beyond baby check-ups and diaper tips. Our team of compassionate, trained therapists—many of whom are moms themselves—are here to walk beside you during this transformative time.

What is Maternal Mental Health?

Maternal mental health refers to the emotional and psychological well-being of women during pregnancy and the postpartum period. According to the Maternal Mental Health Leadership Alliance (MMHLA), up to 1 in 5 women experience significant mental health symptoms during this time, but many go untreated.

Why? Stigma, lack of awareness, and difficulty accessing care.

At CTC, we’re committed to changing that narrative by offering a safe, judgment-free space where moms can be heard, understood, and supported.

What Does Maternal Mental Health Look Like?

Maternal mental health conditions come in many forms, including:

Perinatal Depression (during or after pregnancy)
Perinatal Anxiety
Postpartum OCD or intrusive thoughts
Birth Trauma
Postpartum PTSD
Emotional struggles related to NICU stays, feeding difficulties, or loss

It’s not just “baby blues.” These are serious, but treatable, conditions that can affect any mom, regardless of age, background, or birth experience.

Signs You (or Someone You Love) Might Need Help:

Persistent sadness, irritability, or emotional numbness
Racing thoughts or constant worry
Difficulty bonding with your baby
Feeling hopeless, overwhelmed, or out of control
Withdrawing from friends or family
Trouble sleeping (even when the baby sleeps)
Thoughts of self-harm
Feelings of inadequacy, or fear of “not being a good enough mom”

If any of this feels familiar, please know: it’s not your fault, and you don’t have to suffer in silence.

How Carolina Therapy Connection Supports Moms

At Carolina Therapy Connection, we recognize that maternal mental health is just as important as physical recovery after childbirth. That’s why we offer:

Individual Counseling – customized sessions with trained mental health therapists who understand the unique emotional needs of moms.
Teletherapy Options – ideal for busy moms or those who prefer to talk from the comfort of their own home.
Therapists Who Are Moms Too—Many of our clinicians have walked the path of motherhood themselves and offer genuine empathy and guidance.
Cognitive Behavioral Techniques – These approaches help moms become more aware of negative thought patterns and teach practical tools for reframing those thoughts and making healthier choices.
Interpersonal Support-Based Therapy – This focuses on navigating relationship challenges, building stronger communication skills, and finding confidence in seeking emotional support from others.

We serve families across Eastern North Carolina with both in-person and virtual care, and no referral is needed to get started.

Why This Week Matters

Maternal Mental Health Week is more than a moment of awareness—it’s a call to action. According to MMHLA, untreated maternal mental health conditions are the most common complication of pregnancy, yet 75% of affected women go without treatment. That’s not okay.

Let’s normalize mental health conversations around motherhood, advocate for better access to care, and check in with the moms in our lives—not just about the baby but about them.

Take the First Step—You Deserve It

You deserve to feel heard, supported, and emotionally well, not just as a mom, but as a person. At Carolina Therapy Connection, we’re here to help you through every wave of motherhood—from the joyful highs to the difficult days.

Book your complimentary consultation today to speak with a therapist who truly understands you.
Learn more about maternal mental health at www.mmhla.org and share this blog with a fellow mom to spread the message: you are not alone.

Sensory Integration Therapy and Sensory Diet Toolkit

Posted on January 27, 2025January 27, 2025

Enhancing Sensory Processing with Sensory Integration Therapy

Sensory integration therapy is designed to help children who experience sensory processing challenges respond to sensory input more regulated and effectively. It can play a vital role in improving a child’s sensory awareness, emotional regulation, and overall well-being. At the core of this therapeutic approach is the Sensory Diet Toolkit, a collection of activities and interventions that support sensory processing and help children navigate their sensory needs throughout the day.

What is Sensory Integration Therapy?

Sensory integration therapy is a treatment approach that focuses on how the brain processes and responds to sensory information. It helps children become more aware of their sensory experiences, such as touch, sound, sight, and movement. The therapy aims to balance how a child responds to different sensory stimuli, helping them function better in everyday environments like home, school, and playgrounds.

For children with sensory processing disorders, such as those with Autism Spectrum Disorder (ASD), ADHD, or other developmental conditions, sensory integration therapy can make a significant difference. It can improve how children respond to sensory experiences, whether feeling overwhelmed by loud noises or seeking out constant motion.

What is a Sensory Diet?

A sensory diet is a personalized set of sensory activities strategically scheduled throughout the day to help the child meet their sensory needs. It is called a “diet” because it involves a routine of activities providing specific sensory input to regulate the sensory system. Think of it as a balanced approach to sensory stimulation—just like a balanced meal plan supports your physical health, a sensory diet supports emotional and sensory well-being.

The Sensory Diet Toolkit: Key Components

The Sensory Diet Toolkit consists of various activities and strategies to help children with sensory processing challenges. These activities are designed to either stimulate, calm, or organize the sensory system, depending on the child’s specific needs. Here are some examples:

Therapeutic Brushing: This involves using a special brush to apply gentle pressure to the skin, providing calming tactile input. It can help children who are sensitive to touch or who have difficulty calming down.
Therapeutic Drumming: Using drums or rhythmic activities helps children who need proprioceptive input (sensory input related to body movement) to organize their movements and improve focus.
Deep Pressure Techniques: Activities like squeezing a stress ball or using weighted blankets can help children who need calming sensory input to feel more grounded and relaxed.
Movement Breaks: Short bursts of physical activity like jumping on a trampoline or spinning can help children who seek sensory input and may need extra stimulation to feel regulated.
Fidget Tools: Fidget spinners, chewable jewelry, or putty provide sensory input that helps children stay calm and focused, especially in situations that may be overstimulating.

How the Sensory Diet Helps Children

By integrating sensory activities into daily routines, children can improve their ability to process sensory information, which can help them:

Stay calm and focused: Sensory activities help children regulate their emotional and physical responses, promoting a more balanced state of being.
Develop better social skills: By managing sensory needs, children may have fewer meltdowns or emotional outbursts, allowing them to interact more comfortably with others.
Improve motor skills and coordination: Sensory activities also support the development of fine and gross motor skills, which can lead to improved physical coordination.
Enhance emotional well-being: Children who can self-regulate their sensory input are better equipped to handle stress, frustration, and other emotional challenges.

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, we offer sensory integration therapy as part of our comprehensive therapy services for children. Our team of skilled occupational therapists is trained to assess your child’s unique sensory processing needs and create a personalized sensory diet that will work for them. Whether your child struggles with sensory overload, seeks constant movement, or finds it difficult to focus, we can help with strategies tailored to their needs. If you want to learn more about sensory integration and how we incorporate this approach into therapy, including intensives, please schedule an evaluation. You can also use this link to explore more about our pediatric intensive therapy services.

The Best Chores for Kids by Age: Recommendations from a Pediatric Occupational Therapist

Posted on November 1, 2024October 23, 2024

Chores can be essential to a child’s development, helping them build responsibility, independence, and various motor skills. Pediatric occupational therapists often recommend specific chores based on a child’s age to optimize their development and ensure appropriate and manageable tasks. Here’s a guide on the best chores for kids by age, highlighting how these activities can benefit their growth.

Ages 2-3: Building Basic Skills

Chores:

– Picking Up Toys: Encourages organization and fine motor skills.

– Wiping Spills: Helps with motor coordination and understanding cause and effect.

-Putting Clothes in Hamper: Teaches responsibility and hand-eye coordination.

Benefits:

– Motor Skills: These chores enhance fine and gross motor skills through simple movements.

– Cognitive Development: Understanding instructions and following through improves cognitive abilities.

– Responsibility: Starting with simple tasks helps instill a sense of duty and accomplishment.

Ages 4-5: Enhancing Coordination and Responsibility

Chores:

– Setting the Table: Develops sequencing skills and hand-eye coordination.

– Feeding Pets: Teaches empathy, responsibility, and routine.

– Watering Plants: Enhances motor skills and an understanding of plant care.

Benefits:

– Coordination: Tasks that involve multiple steps improve coordination and planning.

– Responsibility: Regular chores like feeding pets build a routine and sense of duty.

– Cognitive Skills: Following more complex instructions aids cognitive development.

Ages 6-7: Introducing Independence

Chores:

– Making the Bed: Encourages independence and fine motor skills.

– Sorting Laundry: Teaches categorization and organization.

– Clearing the Table: Develops responsibility and an understanding of teamwork.

Benefits:

– Independence: These chores promote self-reliance and the ability to complete tasks without assistance.

– Organizational Skills: Sorting laundry and clearing the table enhance organizational abilities.

– Motor Skills: Making the bed involves coordination and fine motor skills.

Ages 8-10: Building Competence and Confidence

Chores:

– Vacuuming: Enhances gross motor skills and a sense of thoroughness.

– Taking Out the Trash: Teaches responsibility and the importance of cleanliness.

– Folding Laundry: Develops fine motor skills and attention to detail.

Benefits:

-Competence: Successfully completing more complex chores builds competence and confidence.

– Responsibility: Regular tasks like taking out the trash teach the importance of contributing to household upkeep.

– Motor Skills: Folding laundry and vacuuming involve both fine and gross motor skills.

Ages 11-13: Encouraging Independence and Time Management

Chores:

– Cooking Simple Meals: Teaches life skills, safety, and time management.

– Mowing the Lawn: Enhances gross motor skills and responsibility.

– Cleaning Bathrooms: Develops an understanding of hygiene and thoroughness.

Benefits:

– Life Skills: Cooking and other complex chores prepare kids for future independence.

– Time Management: Balancing chores with other activities helps develop time management skills.

– Responsibility: Taking on significant chores like cleaning bathrooms fosters a deeper sense of responsibility.

Ages 14-17: Preparing for Adulthood

Chores:

– Managing Finances: Teaches budgeting, saving, and financial responsibility.

– Grocery Shopping: Develops planning skills and an understanding of nutrition.

-Maintaining Vehicles: Teaches practical skills and the importance of upkeep.

Benefits:

– Adulting Skills: These chores prepare teens for adult responsibilities and independence.

– Financial Literacy: Managing finances instills essential budgeting and saving habits.

– Practical Skills: Tasks like vehicle maintenance provide practical knowledge useful in adulthood.

How can Carolina Therapy Connection help?

Incorporating age-appropriate chores into your child’s routine can significantly aid their development. Pediatric occupational therapists emphasize the importance of tailoring tasks to a child’s age and capabilities to foster motor skills, cognitive development, and a sense of responsibility. As children grow, their chores should evolve to challenge them appropriately and prepare them for future independence. Encouraging kids to participate in household chores not only helps them develop crucial life skills but also fosters a sense of accomplishment and confidence.

What is Play Therapy in a Mental Health Setting?

Posted on August 14, 2024October 23, 2024

Play Therapy is a type of therapy that uses play to help children understand and deal with their emotions and problems. It’s a natural way for kids to express themselves and work through issues they may face. In a mental health setting, Play Therapy can be very helpful in addressing various psychological problems, offering many benefits for young patients.

Appropriate Age Range for Play Therapy

Play Therapy is usually for children aged 3 to 12 years. However, it can also be adjusted for older kids and teens who might benefit from it. This flexibility makes Play Therapy accessible and useful for different age groups, ensuring that each child gets the support they need in a way that works for them.

Who Can Benefit from Play Therapy?

Play Therapy can help children with many emotional and behavioral problems, including:

Anxiety and depression
Trauma and PTSD
Behavioral disorders
ADHD
Autism Spectrum Disorders
Social and relationship issues
Grief and loss

Children can deal with complex emotions and experiences by playing in a safe and supportive environment. This therapy is also great for kids who may struggle to talk about their feelings, as it lets them communicate through play.

The Process of Play Therapy

The Play Therapy process has several stages, each tailored to the child’s needs:

Assessment: The therapist first understands the child’s needs, behaviors, and family situation.
Building Rapport: Creating a trusting relationship between the therapist and the child is crucial. This is done through engaging and non-directive play.
Therapeutic Play Sessions: In these sessions, the child can play with various toys and materials. The therapist watches and interacts, using specific techniques to address the child’s problems.
Parental Involvement: Parents or caregivers are often involved in the therapy process, receiving guidance to support the therapy at home.
Evaluation and Progress Monitoring: The counselor regularly checks the child’s progress and adjusts the therapy as needed.

Positive Impact on Mental Health

Play Therapy provides deep insights into a child’s emotional world and helps them develop healthier coping skills. It builds resilience, enhances emotional intelligence, and improves problem-solving abilities. By working through their issues in a playful and non-threatening way, children can achieve significant psychological growth and stability.

How Can Carolina Therapy Connection Help?

At Carolina Therapy Connection, we understand how powerful Play Therapy can be. Our team of skilled mental wellness counselors is here to support your child’s mental health journey. We offer free screenings to see if Play Therapy is the right fit for your child. Contact us today to schedule a screening and take the first step toward your child’s mental well-being.

Zones of Regulation

Posted on June 15, 2024February 27, 2024

What are the Zones of Regulation?

The Zones of Regulation is a curriculum that your child’s therapist may use to help your child develop self-regulation skills. Self-regulation is “the ability to achieve the preferred state of alertness for the given situation.” Other terms often interchanged for self-regulation include self-control, impulse control, and self-management. The curriculum focuses on lessons and activities to help the child identify their different “Zones” and strategies to increase self-regulation. Additionally, your child will be able to increase their understanding of emotions and coping skills.

The Zones: Self-Regulation

“The Zones of Regulation creates a system to categorize how the body feels and emotions into four colored Zones with which the students can easily identify.”

There are four zones within the Zones of Regulation

Blue Zone
Green Zone
Yellow Zone
Red Zone

The Blue Zone is a state of low alertness. Feelings can include sad, tired, sick, or bored.

The Green Zone is a state of ideal alertness. This includes feeling calm, happy, or focused.

The Yellow Zone is a state of heightened alertness. Feelings can include frustration, worry, excitement, silliness, or fear.

The Red Zone is a state of extremely heightened alertness. This includes anger, rage, extreme fear, and explosive behavior.

How are the Zones used?

Your child’s therapist will work with them to identify which Zone they are in and strategies to help them self-regulate within each Zone. They will work together to develop a “toolbox” with strategies and techniques for obtaining optimal alertness in everyday situations. It is important to understand that no zone is “bad,” and all are expected from time to time. Instead, the intention is to help your child identify tools and coping strategies to self-regulate within each Zone.

What can Carolina Therapy Connection help?

For the Zones of Regulation to work as intended, home carryover is super important. Strategies include using the same language and talking about the Zones within the home and community environments. Applying strategies to yourself can also increase carryover. For example, you may say, “This is super frustrating, and I am starting to go into the Yellow Zone. Maybe I will take some deep breaths.” Additionally, validate the zone that the child is in and help them implement the strategies and tools to self-regulate. Your child’s therapist can share the language and strategies used with the Zones of Regulation to increase carryover at home.

By: Carolina Zissette, OT

Winter Activities for All Ages!

Posted on January 15, 2024January 12, 2024

What are Some Winter Activities When the Weather is too Cold Outside?

Ever wonder what you can do to keep your Kiddo occupied and safe while providing the necessary sensory input when it’s too cold to play outside? It is recommended to take indoor breaks every 20-30 minutes when the temperature outside is between 13-30 degrees; however, some kiddos tolerate cold weather better than others. Here are some tips for activities that can be done indoors when it’s just too cold to go outside this winter!

A Fun Winter Activity: Play Board Games

This is dependent on your child’s age and skill set. If you have some board games tucked in the closet, break them out and have family fun! This will work on building your child’s reciprocal play skills, following multistep direction skills, coping skills, and emotional regulation. Check out our Amazon storefront for some of our recommended board games!

Build a Pillow/Blanket Fort

Who didn’t love making a fort under the kitchen table as a kid? Build a fort in the kitchen and living room, then place some of their favorite books, toys, and stuffed animals inside. This can be a fun way to get your kids into critical thinking mode and build their visual perceptual and motor skills!

Scavenger Hunt

Another fun winter activity is to hide some items in your house and have your kiddos find them! This can be graded according to skill level and age. For example, for a younger kiddo, have them locate items they would typically use. For older kiddos, give hints to the item they are looking for. “Find two things mom uses to stir within the kitchen (utensils)” or “Find something round and blue in your bedroom (ball).” This will work on their figure ground skills and get their body moving!

Bake/Cook

Have your kiddos help you bake/cook your favorite snack or dessert in the kitchen. Have your kiddos follow the directions given or help with the messy tasks. This can be great for our sensory-seeking kiddos and those resistant to messy play!

Dance Off!

GET MOVING with a fun dance-off! Put off some of your favorite music and have a contest to see who dances best to the song! This is a great way to work on gross motor skills, coordination, and auditory processing, and it’s just plain fun!

Watch your Favorite Movie and Act Out the Scenes.

Many kids like to watch movies; however, do you ever notice that they get bored halfway through and are on to the next thing? Get them involved with the movie. Have that pause button ready and have them act out a scene to see if they can recall what happened!

Indoor “Snowball” Fight

Do you have some extra tissue paper lying around after wrapping those Christmas presents? Make snowballs and toss them at each other! This is a great way to get kiddos moving without fear of knocking things off tables/counters and breaking things!

Keepie-uppie with Balloons

Everyone knows this one! Can we keep the balloon off of the ground? Try it! It is so much fun, works on your kiddo’s hand-eye coordination, and has less risk of damaging something in your home!

How can Carolina Therapy Help?

With winter in full swing, ask your therapist about tips/tricks to have fun indoors with adaptations specifically for your child’s sensory-related needs. A therapist at Carolina Therapy Connection can help adapt the activities listed above and give more ideas for your specific child! Also, check out our link for Amazon storefront to find fun toys/activities to make the indoors fun! Many great toy ideas and sensory-related tools can be used when your child needs to get some energy out!

I hope these tips have helped build some fun ideas for you and your family for this winter season! Stay happy, healthy, and warm!

By: Shelby Godwin, COTA/L, AC

Greenville Clinic Expansion Updates

Posted on August 16, 2021October 4, 2023

Greenville Clinic Expansion Updates

We’ve got BIG things happening at Carolina Therapy Connection and we are so excited to be sharing them with you! After years of prayer and planning, we have been blessed with the ability to expand our Greenville clinic to serve more kiddos and families in Eastern NC. Out of the trust and kindness our community has shown to us we have been able to expand both our services and our physical clinic space from 1200 sq ft. to 15,000 sq ft. over the past 11 years! We are so grateful to our families, our community partners, and our referral sources for the overwhelming support of Carolina Therapy Connection!

What will this new expansion entail?

Everything to help our kiddos and families reach their goals by serving them more efficiently! This new space will include:

3 new sensory gym spaces that vary in sensory feedback to meet the sensory needs of each child (low stimulation and high stimulation environments).
An interactive fiber optic sensory space for a serene and calming experience.
A space designated for our Interactive Metronome treatment modality. Learn more about this evidenced-based system here.
2 feeding spaces to host feeding groups that develop sensory-based feeding skills for kids of all ages, and to house our feeding specialist team.
A separate physical therapy gym with state-of-the-art equipment to build developmental skills.
Collaborative workspaces and technology for all of our clinicians and staff.
Private treatment rooms for all disciplines.
An even larger lobby for caregiver comfort.
A space dedicated for expansion of our Educational Services.
A large outdoor, protected courtyard space for the option to provide services in a safe outdoor area.
Marketing and communications studio for improved ability to develop content for our families.
State-of-the-art training center for continuing education and advanced training of our staff. This will also be used for community events like our Neurodivergent Hangouts and Parent Support Groups.AND… several other spaces for future expansion of our services.. stay tuned for more information about what these will be!

How will this expansion impact our current families?

We have entrusted our amazing local contractors at WIMCO to ensure that our families and kiddos are SAFE during all of the construction. Construction will move in phases beginning on Monday, August 16th and ending sometime in April (or sooner). Each phase will allow our families to have access to parking with safety fencing and signage that will be posted. Please be sure to follow these signs! Our current building will be updated and outfitted during the process, but not until towards the later phases. In the meantime, we should see very little effects of construction inside of our current space. We will be keeping you all updated as we move throughout this process. WIMCO will have a superintendent on site daily to make sure that the needs of our families, kiddos, and staff are always being met! Safety is their #1 goal! THANK YOU for extending us grace during this time and for having patience as we navigate this exciting adventure!

Please feel free to reach out at any time with any questions or concerns you may have.

Thank you again, from the bottom of our hearts, for making this dream a reality for all of us and allowing us to serve out our mission of informing families, enriching lives, changing futures for all of Eastern NC!