Hopeful Hearts Consulting

Hopeful Hearts Consulting, LLC provides personalized, family-centered pediatric occupational therapy and coaching to help children and young adults build skills for everyday life. Founded by Nicole Kristal, a licensed occupational therapist with more than 20 years of experience, the practice supports individuals with diverse developmental needs and equips caregivers with practical strategies. Services are delivered through home- and community-based support, informed by a holistic, child-centered, and neurodevelopmental approach.

The practice helps families address challenges involving activities of daily living, including feeding, dressing, hygiene, and toileting, as well as sensory processing, emotional regulation, and motor development. Additional services include caregiver coaching for positive behavior change, social coaching for adolescents and young adults, and in-home strategies for executive functioning skills such as organization, time management, planning, and attention. Hopeful Hearts Consulting aims to help clients reach their potential and participate more successfully in daily routines, relationships, and learning. Families can contact the practice to arrange a free consultation. It is based in Durham, North Carolina.