Tag: speech therapy

  • Spring themed DOT dauber games for repetitive practice

    spring cover

     

    My speech kids love using BINGO daubers!  It’s great too because I can get a lot of practice repetitions in while making it fun and playing a game.  Each player gets a game board.  Then we roll the dice and practice saying our target words the number of times on the dice while filling up the spots on the board.  Whoever fills it up first wins!

    Slide5 Slide7

    Slide4 Slide10

     

    You can also use chips or color in the dots.

    If you don’t have dice, I included some game cards that can be cut out and used as well.

    Slide11Slide12

    Find it in my TpT store here!  Enjoy!

  • Old Lady Who Swallowed a Chick Speech/Language Activity Pack

    Slide1 (2)

     

    This is a little late, but I see private clients on Saturday and I needed an activity to go along with the book “There was an Old Lady Who Swallowed a Chick,” by Lucille Colandro.  As you probably know, I usually incorporate repetitive books into therapy as a way to provide vocabulary in context, but to also have the kids participate by having a part in the book to practice language and/or speech targets.

    I start with story cards while I’m telling the story:

    Slide2 (2)

    Afterward, I have a sequencing grid place the pictures in order and work on various concepts such as first, next, last or before/after; or to aid in a story retell.

    Slide3 (2)

     

    I included two separate following directions activities for the kids who need additional work with receptive language:

    Slide4 (2)Slide5 (2)

     

    Slide6 (2)

     

    Sentence stem pages for subject pronoun and has/have agreement: she (pictured), he, and they

    Slide8 (2)

    Finally a blown up picture of the “Old Lady” to place on a manila envelope or cereal box and have students “feed” her the story cards.  We usually practice saying “She at the…..”

     

    To get this activity, visit my TpT store: SLPMommyofApraxia TpT store

     

  • Why nature weighs more heavily than nurture

    Why nature weighs more heavily than nurture

    Nature versus nurture.  It’s a phrase that comes up in my profession, even if it’s unspoken.  I’m in the business of child language development, and nothing raises more eyebrows about nurture than a child who can’t talk…. or who has poor vocabulary knowledge…… or is lacking in language skills.

    Oh it comes up in psychology too.  We’ve all heard the stories of twins separated at birth and raised in different environments.  How do they turn out?  Are they a product of their environment, or did nature play a bigger part?  I don’t really know the answers to those particular studies except what I’ve seen on talk shows like all of you.

    However, I’m here to talk about speech and language development.   I’m a professional in it, but nothing could have taught me more about nature versus nurture than having two of my own children.

    Maybe that’s why it took me until my daughter with CAS was almost three to get tested.  Was I in denial?  What the heck?  Well,  I’ve seen the eyebrows from fellow colleagues about children I’ve treated.  I’ve been privy to the comments, “well, his parents just never read to him!” or  “they just don’t talk to their children” or “those parents anticipate all of his needs that he has no NEED to talk.”  So yeah, I’m pretty sure THOSE comments were exactly why I waited so long.

    Deep breath.

    Teachers and speech/pathologists, we need to talk.  This talk is cancerous.  If only you KNEW what a parent who has a child with delays goes through on a daily basis, you would instantly take back your words.

    I am a speech/language pathologist, and had been practicing five years prior to the birth of my daughter.  I might have been unknowingly pompous once.  Let’s face it, I was.  I was convinced my first child, my daughter, would come out practically gifted.  Heck, I had a master’s degree in childhood language development and disorders.  If anyone could give their child the upper hand, it was going to be this mama.  I remember when she was very young, maybe a month, I had a red and green light rattle that I would slowly move around her visual field.  I even think I wrote on facebook I was having withdrawals from my job and was just doing some “speech therapy” with my child.

    I remember cooing at her, using “motherese,” talking to her while I went about my activities, and even using baby sign with her paired with visual models each time she went to “eat” “drink” or wanted “more.” I remember locking toys out of reach so she would have to request them, demanding some sort of verbal response before she received anything of interest, and having her use AAC on my iPad. We (I) sang nursery rhymes, sang our ABC’s, and had letters all over the house like in the bathtub and on the fridge.  I read religiously to her EVERY, SINGLE, NIGHT.  She was going to be a prodigy.  I just knew it.

    It pains me to write her whole story in this post.  I have an entire blog for that.  Suffice it to say, things didn’t quite turn out as I had envisioned.  Her SLP mama who knew the tips and tricks didn’t seem to know the key to unlocking her voice, or her other motor skills.  Despite nightly therapy sessions, it seemed I was to be the only SLP on the planet who had a child who couldn’t talk.  Who I couldn’t TEACH to talk.  Despite going to work everyday and helping my students find their voice, my daughter struggled with hers.

    Despite throwing myself in research, attending conference after conference on early intervention, or consulting with my colleagues, my daughter STILL struggled to speak.

    I’ve come a long way in this journey, but let’s just say my guilt and feelings of failure for Ashlynn were so strong that I specialized in the disorder.  I love what I do, and I love CAS, but I thought at least if I were a specialist I could finally and truly say I really did EVERYTHING I could to help her.

    “You’re an SLP” you might be saying.  “I have parents who don’t care like that.”

    Let me just tell you, that your parents are now MY parents and I have treated many kids with CAS….and I can tell you with absolute, positive, and definitive truth, that EVERY mother feels or has felt like me.  They may manifest it in different ways, but isn’t that to be expected?  We are all individuals after all.  However, every mother I have met is worried.  Every mother I have met is a praying woman.  Every mother I have met feels helpless.  I felt helpless and I’m a speech pathologist!!!

    My dear colleagues, I don’t want to get another phone call from a mother in Arizona who has a bubbly voice and seemingly carefree personality, confess that despite every night that she lays her head on her pillow pleading with God that her child gets better and praying it was nothing she did, the SLP told her if she had just read to her daughter more, she would have been in a different position.

    This is not okay.

    If you don’t believe that mother, than believe me.  I have finally come to terms with the fact that nothing I could have done would have made my daughter talk on time.  Please, please, don’t add to that mother’s guilt.  I assure you, she is full to the brim already with it….despite the fact there is nothing she could have done.

    I have another SLP mommy I have met now with a child who has CAS get a note from an SLP that stated,”still remains delayed despite excellent familial support.”

    That statement, seemingly benign, implies that that SLP believes nurture plays more than nature, and she is having a difficult time reconciling such delays that are accounted for….GASP…..an actual disorder.

    Friends, speech and language disorders are your livelihood.  Please stop assuming nurture played more of a part.  My son was born in the midst of my daughter’s diagnosis.  He never received the FRACTION of therapy my daughter did, and he said mama at 8 months old.  He went onto to say and do things that left me speechless.  Not  because I doubted him, but because based on my experience with my daughter with global apraxia, I didn’t have to TEACH him any of it!  Time after time, I shook my head asking him, “how can you say that?” or “how can you do that?  I haven’t taught you that yet!”

    If this journey has taught me anything, it’s that speech and language delays really ARE an actual disorder like we all learned in graduate school; and SLP’s, your role couldn’t be more important.  Please don’t taint it by coming in with an assumption “if only they had…..”

    Come in with the assumption that “they have….and they are spent.”  Please, please be the parent’s champion as much as you are the child’s.

     

    nature vs nurture

     

  • Spooky Spider Web Game For Apraxia

    Spooky Spider Web Game For Apraxia

    Since Childhood Apraxia of Speech requires a different approach to treatment, principles of motor learning theory need to be driving therapy.   You can read more about this in my two interviews: Sharon Gretz interview and Ruth Stoeckel Interview

    Since getting 100-200 reps per session can be tedious and difficult to keep new and fresh, I came up with this fun Halloween game to play while you work on the child’s target sounds.
    Download it at my TpT store: Spooky Spiderweb game
    Happy Halloween!
  • The Little Old Lady Who Was Not Afraid of Anything: SLP activity pack

    The Little Old Lady Who Was Not Afraid of Anything: SLP activity pack

    I made my first companion pack today to go along with the book, The Little Old Lady Who Was Not Afraid of Anything, by Linda Williams.  This book is awesome for speech.  I use it for elementary school children, but also read it to my young kids and they are spellbound.  The pack includes a sequencing, describing and following directions activity related to the book.

    The book is a repetitive book that builds on the page before.  This little old lady goes for a walk in the forest and runs into various articles of clothing and each item makes a certain sound: shoes (clomp), pants (wiggle), shirt (shake), gloves (clap), hat (nod), and a big pumpkin head (boo) at the end.  As you will learn from me, repetitive books are excellent books to use to promote language and practice speech since the children can catch on after a few repetitions.  You can read more about how to use repetitive books for apraxia in my free handout .

    I always make sure to get out props as it engages the children to pay attention and participate in the book even more.  If you have my companion pack though, there are printable pictures you can also use.  For my verbal students, they have to say the sound that goes with their item each time it comes up in the book.  For my nonverbal students, I might record the sound on an assistive technology device of some sort that they must press when it is their turn.
    I usually choose which items to give the kids depending on their level of speech or language development.  Since Ashlynn has apraxia, I gave her the pumpkin head that said, “boo” when she was younger, since she was working on bilabials (b,p,m) in CV combos.  As she got older, I have her saying the more complex syllable CCVC ‘l’ blend shapes (i.e. clomp, clap).

    Once the kids catch on to their word or phrase, as I read the book I stop at their part to have them say it.  Lots of participation and lots of fun!

    To get my activity pack that includes a sequencing and following directions activity: go to my teachers pay teachers store.

    Happy Halloween!

  • Summer speech with a little sidewalk chalk

    Summer speech with a little sidewalk chalk

    Looking for a fun way to incorporate some speech practice into your summer schedule?  All you need is some sidewalk chalk and your kid!

    I picked some sound combos Ashlynn is currently working on in speech and drew them in the boxes of a hopscotch grid.  We then would throw a rock and whatever the rock landed on, we would hop to that picture and say the picture.  She was so busy having fun, she didn’t really realize I was working on her /l/, /l/ blends, and /s/ blends!   Not sure if you can see here, but we have a firefly, spider, butterfly, ladybug, dragonfly, bumblebee, roly poly, star, and clouds in the sky.  

    As a bonus, since Ashlynn has global apraxia, the added jumping and keeping feet in the boxes would make any PT or OT happy too!

    Look at those good jumps!  My heart smiles at this picture because jumping did not come easy.  If you’re interested, you can read about here: Jumping on the bed

    Not to be outdone, her 24 month old brother was hopping right along too and practicing speech! Fun for everyone, and momma stays sane with kids entertained!