

Kare 2 Communicate
Pediatric Occupational Therapy
Welcome to Kare 2 Communicate’s Pediatric Occupational Therapy! We’re here to help you understand this special type of therapy, its associated disabilities and milestones, and what to expect during therapy sessions.
Pediatric Occupational Therapy can benefit children with various disabilities, including
- Autism Spectrum Disorder,
- Down Syndrome,
- Cerebral Palsy,
- other genetic disorders,
It can also help children with
- learning disabilities,
- attention deficit disorders,
- sensory processing disorders,
- and motor skill delays.
Remember, every individual is unique, and therapy is tailored to meet their individual needs.
Autism Spectrum Disorder
Down Syndrome
Cerebral Palsy
Other Genetic Disorders
Learning Disabilities
Motor Skill Delays
Attention Deficit Disorders
Sensory Processing Disorders
Other Disorders
What is Occupational Therapy?
Pediatric Occupational Therapy aims to help children gain independence while strengthening their development of:
- fine motor,
- sensory-motor,
- and visual motor skills.
All of which are essential for functioning and socializing.
This therapy is often recommended for children who may be experiencing challenges in these areas.
What to Expect in Occupational Therapy
In Pediatric Occupational Therapy, expect a lot of fun, engaging, and meaningful activities!
Therapists use play-based techniques to encourage children to develop new skills. Each session is tailored to the child’s needs and can include activities to improve fine motor skills, sensory-motor skills, and visual motor skills.
Parents and caregivers are an integral part of the therapy process. You’ll be involved in setting goals for your child and will be given strategies to help your child continue their development at home.
Remember, the journey of development is not a race, but a beautiful process of growth and discovery. We’re here to support you and your child every step of the way!
Milestones in Occupational Therapy
Developmental milestones are behaviors or physical skills seen in infants and children as they grow and develop. These include
- fine motor skills like grasping objects,
- sensory skills like responding to sounds,
- and visual motor skills like following moving objects with their eyes.
While every child develops at their own pace, significant delays in reaching these milestones can be a sign of a developmental disorder. Pediatric Occupational Therapy can help children reach these milestones at their own pace in a supportive and nurturing environment.
Language Development
Birth to 6 months
- Reacts to loud sounds
- Turns head toward a sound source
- Watches your face when you speak
- Vocalizes pleasure and displeasure sounds (laughs, giggles, cries, or fusses)
- Makes noise when talked to
6 – 12 months
- Initiates vocalizing to another person
- Has different vocalizations for different emotional states (e.g. anger, contentment, hunger)
- Understands “no-no”
- Babbles (says “ba-ba-ba” or “ma-ma-ma”)
- Tries to communicate by actions or gesture
- Imitates novel sounds or actions
- Understands 3 to 50 words
- Vocalizes during play and to the mirror
12 – 18 months
- Attends to a book or toy for about two minutes
- Follows simple directions accompanied by gestures
- Answers simple questions nonverbally
- Points to objects, pictures, and family members
- Says two to three words to label a person or object (pronunciation may not be clear)
- Tries to imitate simple words
- Requests objects by pointing, vocalizing, or using word approximations
- Answers simple wh-questions (who, what, when, where and why) with a vocal response
- Average receptive (understands) vocabulary of 200 words or more by 18 months
- Average expressive (spoken) vocabulary of 50 to 100 words by 18 months
Meet Your Therapists

Maddie Keeton: Occupational Therapist (OT) *details coming soon!
Teresa founded KARE 2 COMMUNICATE (K2C) to assist families in Chapel Hill, Durham, Roxboro, and surrounding areas with obtaining quality speech therapy services in 2015, added special instruction services in 2020, and Occupational Therapy in 2022.
As an SLP, Teresa works with children in their natural environments, including homes, preschools, and daycare centers. The practice focuses on making sure that every client receives the most appropriate services and that K2C maintains a high standard of excellence. Providing solutions that allow children to reach their full potential in all areas of social, communication, behavioral, cognitive, motor, and motor skills. Our goal is to enhance the success of all our clients.
Teresa is a Pediatric Speech-Language Pathologist who holds a Master’s degree in Communication Disorders, is ASHA-certified (CCC), and is licensed in the state of North Carolina. She participates in continuing education on relevant, timely topics as well as on current therapy techniques and approaches to provide up-to-date services according to best practices.











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Patient Forms
The following are a few forms for current, new, and general inquiries.
Our forms are HIPPA Compliant, ensuring the privacy and security of protected health information (PHI).