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  • Are You Ready to Order?

    A good waitress communicates, well, tells you the specials and maybe how long something will take to make. A good waitress knows her customer so well that they can remember what kinds of foods you like and maybe recommend something else around your taste buds. She remembers your name and asks how you've been and demonstrates a genuine ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on July 11, 2016
  • Faith in Your Clients

    I remember many years ago when I worked for a public school district and I was touching base with the teacher about one of her students. I asked her if she had any insight about the child's motivators — things I could use to motivate him in therapy. The next few words out of her mouth really made an impact on me forever. She said, ''Johnny? ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on June 21, 2016
  • Articulation: Social Belonging and Safety

    How do you decide if a child needs articulation therapy? My colleague and I discussed different factors.Does it sound like the child has an accent?A mother shared with me that everyone thinks they’re from another part of the country.Their son’s articulation disorder sounds like an accent. Whenever they meet people who have met their son first, ...
    Posted to Speech in the Schools (Weblog) on May 17, 2016
  • Saying Sorry

    My motor speech disorders class this semester covered the sometimes uncomfortable and personal task of giving an oral mech. So every class, we prepped with a different checklist for facial and oral structures with accompanying disordered physiology, practicing on other classmates to become more comfortable with the process. At the end of each ...
    Posted to The First Session: New SLP Experiences (Weblog) on April 21, 2016
  • Benefits of Insecurity

    Confidence is widely regarded as an important trait for success, and insecurity is often considered a liability. Recently, a colleague who is transitioning to a new team shared her fears with me about her position change. She will soon be working alongside Occupational Therapists and Physical Therapists to serve children who use Augmentative and ...
    Posted to Speech in the Schools (Weblog) on April 12, 2016
  • Hearing Two Phonemes

    A child who is substituting /w/ for /r/ makes progress producing /r/. He is now using /r/ in initial position in words. Surprisingly, he is also now substituting /r/ for /w/. He is producing “right” correctly, but now he is no longer saying “white”. My colleague shared this story with me and explained how she needed to provide specific ...
    Posted to Speech in the Schools (Weblog) on April 5, 2016
  • Evaluating Attention vs. Hearing

    Over the past few years, I have come up with a few techniques to evaluate whether a child who does not respond to their name may be having hearing issues or whether the lack of response could be due to attention. When doing an evaluation, rather than asking the parents whether their child responds to their name, I actually have the parent call ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on March 29, 2016
  • What is Speech Worth?

    Speech sound production and articulation are often treated casually in comparison to their fancy partner, language. The complexity of language and the mysterious relationship between language and cognition tend to overshadow the finely timed coordination of motor movements for speech clarity. Speech, however, isn’t an unimportant subdomain of ...
    Posted to Speech in the Schools (Weblog) on March 29, 2016
  • Degree of Professionalism

    I would like to award you an honorary degree in professionalism. You worked hard for this degree. You studied and learned every day of your career, gaining insight from daily clinical, family, and staff interactions. You have specialized skills specific to clinical practice that you acquired through hard work and dedication. As practitioners, we ...
    Posted to Speech in the Schools (Weblog) on March 22, 2016
  • Recovering From an Angry Email

    I received an unfriendly email message from a colleague. The message started nicely with kind words, but ended with criticism and complaints. I felt stung. The whole situation was a misunderstanding and I had not even caused the problem. “I’m innocent,” I wanted to proclaim. “It wasn’t my fault. We didn’t even know that there could be a problem.” ...
    Posted to Speech in the Schools (Weblog) on March 16, 2016
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