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Debbie's Blog - speech therapy

Frequency of Speech Therapy Sessions


Question:  Do all children with speech problems have to attend regular speech therapy?

Not necessarily.  Sometimes you can place mild cases on consultation to monitor their development and progress. 

For example, I recently saw a child with an L distortion in a private school. She was four years old, and I knew the parents would be very conscientious about home follow-through. The child had already figured out how to elevate her tongue to the alveolar ridge and produce the L sound.  I provided her parents with information to work on at home. After a couple weeks of home practice, I checked her and found that the L in blends was developing. I’ll check her once again in a few weeks. 

On the other hand, I’ve had some children on my caseload for years who need to see me, an occupational therapist, and an ABA therapist on a regular basis.  So it can really vary based on the issue, how they’re progressing, and what goals you want to accomplish.


Tongue Thrust Therapy

Question:  I am an SLP seeing a 8 year old student with a tongue thrust.  What products would be the best for addressing the tongue thrust?  How long does it usually take for them to affect a change in a child's lingual placement? . Great question.  For tongue thrust therapy, I use the protocol outlined in the book [...]

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DIY "Talk Back" Auditory Feedback Device

When working on articulation, I often find it best to begin the session with an auditory discrimination activity.  Not only does this help children better hear their own speech, but it also helps them settle into therapy and focus their attention. Auditory discrimination is the ability to tell the difference between correct and incorrect speech sounds.  Some [...]

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Tongue Tip Elevation Exercises

Tongue tip elevation is the ability to lift the tip of one's tongue up to the alveolar ridge (the spot just behind the upper front teeth).  As a shorthand, we often call this location "on spot," as in, "get your tongue tip on spot!" Tongue tip elevation is an oral motor skill necessary to say certain speech [...]

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Isolating Back of Tongue Elevation for K, G, and Y

For the K, G, and Y sounds, the back of the tongue elevates to the palate.  One of my favorite "tricks" to assist back of tongue elevation is to use the Z-Vibe with the Hard Spoon Tip. . . Place the bowl of the Spoon Tip on the tip of the tongue, and then have the child say [...]

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Building a Therapy Lego Wall

A lego wall is a very simple DIY project that packs a ton of therapeutic benefit.  To assemble:  simply attach a lego board to a wall.  Mine is from at least 20 years ago so I don't know the exact brand anymore, but any lego / brick set that comes with a mat to stack [...]

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DIY Thanksgiving Turkey Craft

This friendly turkey is a quick and easy craft, both for Thanksgiving and beyond.  You'll need: Play dough of your choice (funky colors welcome) Two eyeballs Pasta of your choice . . If you don't have eyeballs, you can substitute for beads, etc.  If you don't have the pasta shown, you can substitute for almost anything you do have.  There's no "right way" [...]

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How to Decrease Tongue Protrusion & Encourage Retraction

Question: I have a 2 year old on my EI caseload, our program purchased a z-vibe kit for him. He is demonstrating some sensory aversion, drooling, and an open mouth posture with tongue protrusion. His tongue protrusion is beginning to affect production of his speech sounds. Are there any specific exercises I can have him do to [...]

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Halloween Activity for Fine Motor & Language Play

We drew up some "spooktacular" free printables for you all.  Introducing: Frankenstein (“Frankie”) and his Bride.  Each character is available in both blank and colored in, all of which can be downloaded  here.  Read below for ideas on how to use them for Halloween-themed learning activities: . To encourage speech and language: Print off the blank characters and have the [...]

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Preparing for Halloween

With just over two weeks left before Halloween, now is a good time to help children get ready for trick-or-treating.  Some of my kids say "fick or feet" or "sick uh seat" or "twick or tweet."  So we'll spend time practicing how to say "Trick or Treat" correctly (or the best way they can to [...]

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