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July 30, 2015 5:03 PM by Teresa Roberts of Speech in the Schools

How we ask questions and the types of questions that we ask our clients may encourage success-based thinking patterns. Forward-thinking and future-based questions may help clients envision themselves meeting their goals. Being able to see oneself in the future is a metacognitive skill.

As clinicians, we believe that our clients are able to make gains. We have faith that they will make progress toward ...

July 30, 2015 9:30 AM by Speech Merion of Speech and Hearing Perspectives

Having managed nearly 200,000 patient visits, and conducted in excess of 12,000 education and wellness classes, the Muhammad Ali Parkinson Center in Phoenix is celebrating its extraordinary accomplishments with a unique testimonial video featuring patients paying tribute to the 17-year-old comprehensive center and its famous ...


At our agency, we firmly believe in working alongside the parent and family to address speech and language delays in young children.

We provide speech and language services in homes, parks, and day cares if that is the normal routine location that the family participates ...

July 24, 2015 8:21 AM by Teresa Roberts of Speech in the Schools

Which of the following is not an easy way to ask a question?
a)    Inclusivity
b)    Exclusivity
c)    Negation
d)    Both (b) and (c)

My colleague and I worked with a friendly, middle school student, who had language-learning ...

July 16, 2015 7:26 PM by Teresa Roberts of Speech in the Schools

"My caseload is really diverse. About 25% of the students are African-American, 25% are Hispanic, 25% are Asian, and the rest are American."

One of my colleagues offered this description of her caseload at a social event attended by other clinicians and university faculty. Did you notice anything interesting about the above statement? Perhaps you thought about ...


There are many test tools on the market to use with young children. I think it is important to understand the information that each of these tools can yield and that testing should contain a play component, a parental report component, and a standardized testing component whenever ...

July 9, 2015 10:34 PM by Teresa Roberts of Speech in the Schools

Many people are enthusiastic communicators who love to share stories and talk about their hobbies and interests.

I once worked with an 11-year-old boy who was creative, engaging, and entertaining. He had specialized interests and advanced skills in engineering. He loved to talk about his latest inventions - in a long, detailed, running monologue.

As much as people may have been interested in his projects, ...


"Are you kidding?" I chuckled to myself at the thought of the title of this blog entry.

In grad school, I actually thought that you evaluated a toddler's speech and language skills by breaking out a standardized testing tool and you administered the test and that was that. ...

July 3, 2015 6:04 AM by Teresa Roberts of Speech in the Schools

Last week I met a skilled clinician who had recently relocated, transitioning from running a private practice in an urban environment to working in a rural school district. After our conversation, she shared the following sentiment: "I was encouraged by your own strong feelings that school-based clinicians aren't second class therapists and shouldn't be viewed that way."

The inherent desire for humans to categorize, ...

June 30, 2015 10:22 AM by Speech Merion of Speech and Hearing Perspectives

Elizabeth Kenkel is a 21-year-old young woman with Moebius Syndrome and cerebral palsy who no longer has to rely on anyone to share her ideas, thoughts and feelings thanks to her speech-generating augmentative and alternative communication (AAC) device. Her mother, Sandra Kenkel, shares the following tips for other parents of children using AAC:

Don't underestimate your child. Set the bar high ...

June 25, 2015 3:07 PM by Teresa Roberts of Speech in the Schools

As clinicians, many of us do not have a societally recognized form of disability. We have the privilege of able-ness. Our work ensures daily contact with individuals who may be identified by society and/or may self-identify as individuals with a disability.  

Even though providing therapeutic services is our calling, we are still only able to see life events from the viewpoint of ability. We make assumptions ...


I am so grateful to have chosen the career that I have as a speech-language pathologist.

At one point in my education, I remember being worried about choosing the right job. I did all of the prerequisites to become a nurse at first. At the last minute, I decided to pursue the field of speech therapy at San Francisco State University.

Looking back, what a great decision that was for me. This field ...

June 18, 2015 5:14 PM by Teresa Roberts of Speech in the Schools

In the early days of my career, I apprenticed with a clinician who specialized in Augmentative and Alternative Communication (AAC). She was highly skilled and in tune with her clients, who used forms of AAC to communicate. One day, a young girl arrived for her therapy appointment. The girl wore ankle/foot orthotics on both legs and had a stilted gait. The therapy room had a charming child-sized table with matching ...

June 11, 2015 9:05 PM by Teresa Roberts of Speech in the Schools

As dedicated professionals, we work long hours, possibly staying late to finish just one more thing. In providing supports to others, sometimes we may not think of our own needs.

Exhaustion is an interesting phenomenon. It may be a slow process. We may not realize that we are nearing exhaustion until we are completely fatigued. Perhaps you have been working at an untenable speed for months. Our jobs ...


It is common for parents to indicate they are concerned about their toddler's speech sounds at age two. Although most of the time these concerns are typical and age appropriate, there are times when further evaluation or consideration for speech therapy is necessary.

We have all heard baby-talk, or children who use phonological processes. Phonological processes are speech sound substitutions that ...

June 5, 2015 8:04 AM by Teresa Roberts of Speech in the Schools

It may take a great deal of bravery to try something new - something that you don't know how to do, something that feels foreign or strange. When we ask our clients to produce sounds in different ways, we are asking them to experience unfamiliar motor movements. When we shape progressive approximations of targets, we ask our clients to make sounds that they are not currently producing by forming a new movement pattern ...

June 4, 2015 7:56 AM by Speech Merion of Speech and Hearing Perspectives

Many people who waited eagerly for the day they could stop working and enjoy a leisurely retirement find that the reality doesn't match their dreams.

"Some people are not prepared financially or mentally to retire," says Michael Bivona, a retired CPA and author of the book "Retiring? Beware!! Don't Run Out of Money and Don't Become Bored" (www.michaelbivonabooks.com).

He suggests a part-time ...

May 29, 2015 9:46 AM by Teresa Roberts of Speech in the Schools

As speech language pathologists, we are highly trained at observing and listening. We recognize and identify client productions that deviate from normative targets. We listen for errors and sort errors by type, degree, and frequency to plan remediation. Our testing methods enable us to pinpoint specific areas of difficulty and design intervention to provide multiple opportunities to practice correct productions. Our ...

May 21, 2015 10:42 PM by Teresa Roberts of Speech in the Schools

An excited student (working on generalizing /r/) recently told me all about an upcoming summer blockbuster dinosaur movie. He wanted us to watch the movie trailer (and he was highly motivated to talk about the movie). We made a list of /r/ words from the film clips and our own articulation ...

May 15, 2015 9:11 AM by Teresa Roberts of Speech in the Schools

Once upon a time, not so long ago, I was testing a second-grade boy who is African-American. The student was bright and engaging, and I was beginning to wonder about the validity of the initial referral for evaluation. I was administering a comprehensive standardized language assessment. ...

May 13, 2015 3:47 PM by Speech Merion of Speech and Hearing Perspectives

Personal experience has helped make Heather Storie, SLP, a speech-language pathologist at Texas Health Harris Methodist Hospital Fort Worth, passionate about helping patients with something most people take for granted - the ability to eat.

Storie began her career at Texas Health Fort Worth as a speech-language pathologist in 2008. She has spent her entire career passionately helping people speak and swallow ...

May 8, 2015 10:03 AM by Teresa Roberts of Speech in the Schools

Early in my career, I was completing what I expected to be a routine oral mechanism examination for a shy girl in the 4th grade. She opened her mouth wide and I shined my flashlight into her mouth. She had two complete sets of teeth, side-by-side - like a shark's mouth. I was shocked. I had never seen anything like that, nor imagined that children could have two sets of teeth. I attempted to suppress the physical ...

April 30, 2015 8:44 PM by Teresa Roberts of Speech in the Schools

May is Better Speech and Hearing Month and a wonderful opportunity to increase awareness of every individual's fundamental right to communication. Communication allows us to make social connections, develop emotional bonds with others, and have a sense of agency - to be active in the daily decisions of our lives.

Visible markers, from a poster, a button, a flyer, a coffee ...

April 28, 2015 4:27 PM by the Bloggers of Speaking of Apps

By Jordyn Sims, MS, CCC-SLP

With the emergence of technology in speech-language-pathology there have been many benefits to clinicians' productivity and access to therapy materials, particularly in the world of apps.

Constant Therapy is one of those apps, providing ...

April 28, 2015 10:06 AM by jasna cowan of The Ins and Outs of Early Intervention

Just when you think you are invincible the unimaginable happens. I am sad to my core.

Today I got word that a beautiful young man that we have been working with has passed away. His life was cut short. This was all so unexpected and unimaginable.



Stephanie Bruno Dowling, M.S. CCC-SLP, discusses her experiences in early intervention and offers tips to clinicians and families.

A blog by and for school-based speech-language pathologists.

Tips, tricks, reviews, and ideas for using touch screen apps and technology to enhance therapy, work, and the lives of your clients. 

Josh Gilbert is entering his third year as a Doctor of Audiology student at The University of Florida. He is a graduate of Baylor University in Texas, where he earned a Bachelor of Science degree in Biology and a minor in World Affairs.

Darlida is a school based and early intervention therapist and evaluator who works with culturally and linguistically diverse infants and middle school students.

Guest bloggers working anywhere within the speech and hearing field share their therapy experiences, new research, lessons learned, useful tools and more.

This blog is about using a common sense, evidence-based approach to evaluating, treating and implementing Augmentative and Alternative Communication.

A pediatric SLP shares her experiences in early intervention, and offers tips, tricks and strategies for other speech therapists.

Advocating for national accreditation.