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- Alaa
- Elogbi
- 300 S Jackson Street
Denver
Colorado
80209
United States - LKS and Associates
Denver
Colorado
80209
United States
The first thing I like to do in therapy is build rapport with the child in order to build trust. Speech therapy can be difficult for children and it is so important for them to feel safe and comfortable. I try to make it as fun and engaging as possible. It is a bit of dance, trying to make it engaging, while ensuring you are drilling the targets enough. I have found children are more willing to drill the targets if they trust and feel comfortable with a clinician. I will typically have a child pick out a couple toys at the start of the session, and then we drill targets for a few minutes, taking breaks in between so that the child can play with the toy they have chosen as reward for their hard work. So I alternate between drilling targets and playing to keep them motivated. When we are working on targets, you may notice I may have your child say the target with me at the same time or imitate me with or without a delay, or they may say the target by themselves. I will always give your child feedback, whether it is talking about their articulators (tongue, lips, teeth) or if they said the target, the new way of the old way. We may play around with our vocal volume all while making sure that your child is looking at my mouth as I provide a model. I may give them tactile cues by proving some input through touching their face/mouth. Our goal is to make progress and to make it an enjoyable experience for your child!
Parents are welcome to sit in our sessions to watch the therapy process. I typically will provide home practice to families as the child becomes more independent with their targets, guiding parents how to practice at home to ensure we are not doing any negative practice. I also love getting parent input about any changes they may be noticing at home or input on what functional words would have the biggest impact on their child’s communication (such family members or pet names). I like to let parents know they are an important part of this process and their input is valued. Of note, there are times where it is best for a parent to sit out of the session. If their child has increased behaviors when they are in the room, I kindly have parents wait in the waiting room and bring them back in for a debrief at the end of the session. Regardless of if the parent is in the room or not, I like to include them in the process as much as I can.
I have utilized both high tech and low tech AAC for children with CAS to help bridge the gap between a child knowing what they want to say and not being able to say in that moment. When AAC is used in a session, it can significantly reduce frustration for the child as they are able to advocate for themselves. It can be as simple as using printed picture symbols so that they can say hi, request their favorite toys or even ask for a break. High tech devices are also an option, where a child can use the device to facilitate meaningful social interactions and advocate for themselves. It is not used as a replacement for speech, but as a means to express themselves as they learn the motor movements needed for speech.