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  • Things I Want Every Patient & Family to Know

    One of the joys of writing this blog over the past year has been the ability to share my perspective on family and patient interaction. Of course, it has been focused on my passion of giving the non-verbal a voice. So today I would like to talk specifically to those families and users that I hope to get more SLPs to serve. Here are the ...
    Posted to Speech Therapy: The ABCs of AAC (Weblog) on February 25, 2015
  • Compensatory Articulation for /r/

    Compensatory articulation means that we can produce a sound in more than one way. We can use different configurations of our tongue, jaw, lips, etc. to form a target sound. This target sound is perceived to be the same sound by a listener regardless of which mouth posture we are using. Compensatory articulation guides /r/ production. In the ...
    Posted to Speech in the Schools (Weblog) on February 23, 2015
  • When Therapy Goals Do Not Sync

    Each person that we provide therapy for has his or her challenges. Sometimes the challenge is that his or her goals do not sync with the goals we think are appropriate. Sometimes the family dynamic has too many external stressors which either reduces attendance or participation of stakeholders in therapy more than likely reducing the efficacy ...
    Posted to Speech Therapy: The ABCs of AAC (Weblog) on February 18, 2015
  • Vowel /r/: Starting with the Vowel

    Vowel /r/ distortions are common and often challenging to remediate. We may benefit from starting with the underlying vowel and then re-introducing the /r/. In the United States, we generally have a rhotic /r/, where the vowel is “colored” (changed) by the /r/. Many children recognize this change in the state of the vowel, and when they ...
    Posted to Speech in the Schools (Weblog) on February 16, 2015
  • Child-Led vs. Adult-Led Therapy

    I think all of us in some way have a style to our therapy that prefers one or the other. I have made it my own challenge to be able to do both: the reason being that there should not just be one type of approach for all children. I feel like some kids thrive and respond better when they feel like they can lead the play in a session. Other ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on February 16, 2015
  • Learning with Small Steps

    When I was in middle school, I liked running and signed up for track team. When we met with the coach, she pointed to a far away water tower that was a tiny speck in the distance. “At the end of the season, you will be running to the water tower and back,” she announced.  I could barely see the water tower, and I did not ...
    Posted to Speech in the Schools (Weblog) on February 3, 2015
  • Questions about Communication Device Use in Treatment

    As an SLP who helps treat and train those with communication devices, I get lots of questions about device use. Sometimes families tell me that the therapist or teacher that works with the user “does not want to use the device until they are trained.” In some ways this seems reasonable, technology is really scary, but to me who deals with it ...
    Posted to Speech Therapy: The ABCs of AAC (Weblog) on February 3, 2015
  • Behaviors in Young Children

    Behaviors and speech delays tend to go hand-in-hand, and deciphering which is causing which can be a very frustrating task. Judging and offering opinions right away, I have learned, can come back and hurt the parent/therapist relationship. I try to remember that kids and parents are truly doing the best that they can in the moment. So what to ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on February 3, 2015
  • What's in a Name?

    It’s always exciting when someone gets a new communication device. It’s even more exciting when they have been waiting (because the old one broke). Yesterday, Corey brought me his brand new device to set up. He looked at the student that is working with me and said, “I’ve named this one ‘Sky.’” Corey’s last communication device was named ...
    Posted to Speech Therapy: The ABCs of AAC (Weblog) on January 21, 2015
  • Emotional Intensity in Adolescence: Teaching Nuance

    Semantic gradient is the fancy term for ranking concepts along degrees of intensity -- making nuanced measurements of meaning. We use gradients in everyday casual speech. When someone asks you how you're doing, you might use gradations of neutrality, e.g., ''so-so,'' ''okay,'' ''not bad,'' ''fine,'' ''alright,'' or ''pretty good.'' Reading ...
    Posted to Speech in the Schools (Weblog) on December 15, 2014
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