Changing Like the Weather

The weather in this area is notorious for fluctuating between winter and spring on almost an hourly basis.  One moment it’s a balmy 61 degrees and the next it’s a frosty 33. The constant up and down can be frustrating and not to mention confusing.  What does the weather have to do with speech therapy? Much like the weather at this time of the year, progress in speech therapy (or any therapy for that matter) can be just as frustrating and confusing.

It is not uncommon for a child to be progressing along on her/his therapy goals and suddenly stop progress and/or seemingly lose skills.  These fluctuations can be the natural progression of the brain changing as it processes and learns new skills. These fluctuations may also be a sign that your child has been practicing using new skills and needs a break.  Changes in progress should be short lived and not interpreted as a loss in skills. If you feel the changes in progress are more significant or are lasting too long, do not hesitate to talk to your clinician and review their data.  Your clinician will be able to address these concerns and provide a more clear picture of what you might expect.

Learning a new skill or changing a habit/behavior can take time and progress at time may be slow moving and seemingly nonexistent.  Keep looking for the small changes. These small changes add up over time in creating large life long changes.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Testing..1, 2, 3….Testing

The end of March marks the start of the ‘testing’ season for student’s in the elementary, middle, and high schools. These high stakes tests are stressful for everyone, but imagine the stress your loved one might be experiencing knowing these tests are looming in the near future. Your loved one may appear more irritable or extremely giddy. Your loved one may want to sleep more or have more energy than you’ve ever seen. You may be eaten out of house and home or begging your loved one to eat just something. Stress looks different on everyone, but what is a parent or caregiver to do?

Breathe.

Helping your loved one cope with high stress situations is a life lesson that will span the ages. Helping your loved one not only cope with the stress, but providing much needed relief can make these days and weeks less ….. stressful.

You know your loved on the best and can probably tell their stress level just be the look in their eye. Unfortunately, being able to relieve that stress may take more convincing and patience on your part.

Create a ‘stress-less zone’. Make a special corner of a bedroom or living room the ‘stress-less zone’. A comfy pillow and cozy blanket may be the needed tools. Consider some music (some students prefer the louder the better rather than quiet music) and lighting (dim or bright) as the invisible walls of the ‘stress-less area’. Aromatherapy may be an option to add to the stress-less zone. Expensive oils may or may not be needed; consider an old t-shirt with familiar perfume or cologne on it or a stuffed animal with powder on it – any smell that is soothing to your loved one.

Create a ‘crash zone’ for your loved one. An old mattress or gym pads on the floor or a mini trampoline may provide just the place to for your loved one to ‘crash’ into at the end of the day. Old school blow up punching doll or an actual punching page may prove to be effective tools to de-stress. A few empty cardboard boxes that can be stomped and crushed may also be great additions to this area.

Create a ‘silent zone’ for your loved one. An area that is void of all stimuli. An area in the corner of a closet may be just the spot to recenter and decompress. Make the area as simple as possible with a mat or a single pillow. Remove as much visual and auditory clutter as possible. A place where silence is truly golden.

Create a ‘zone’ for your loved one that is combination of the few mentioned here and those that you know work best. Take the time to designate the space and materials to creating these ‘zones’. Your loved one may not be able to express how much it is appreciated or how they enjoy their special zone, but you will know by the look in their eye.

Yours in Speech,
Lakeshore Speech, LLC.

Express your love!

February – the month of love; loving and caring for our family, our friends, our significant other.  Everyone needs a little help now and then. Helping our loved ones express themselves is important in February and all year through. Expressing one’s self cannot be limited to talking.  Expressions of love come in variety of shapes, colors, and sounds. Give your loved ones the opportunity to express and communicate with the world.

Opportunities to communicate happen every minute of the day, knowing the best or most effective way to communicate may take some practice.  Give you and your loved the time to practice. This practice doesn’t have to take long or even have a lot of ‘moving parts’. Valentine’s day is only a few days away, what a wonderful reason to practice and share your loved one’s communication skills with the special people in their lives.  Here are a few ideas to get your creative communication juices flowing.

  • Teach your loved one the sign for “I love you”.  Remember to teach those in your lives the sign as well so when your love one signs “I love you”, the recipient will understand that wonderful message.
  • Use a speech bubble and write a Valentine’s message in the bubble or a simple heart cut from paper.  Have your loved one hold the speech bubble or heart and snap a picture. Whose day won’t be uplifted receiving that message via text or email?
  • Using pink or red lipstick/chapstick, have your loved one decorate a Valentine with lip prints by having them kiss the paper.  Not only is this just adorable, but it’s a GREAT oral motor exercise for speech.
  • Simple communication boards or pictures are also a great way of communicating. Making a video of your loved one creating a message and send it out via text or email will definitely brighten the day!

Let the world hear your loved ones message loud and clear this Valentine’s Day!

Yours in Speech,

Lakeshore Speech Therapy, LLC

The Month of Love

February – the month of love; loving and caring for our family, our friends, our significant other. February gives us the opportunity to show our loved ones what WE see when we look at them. When you look at your child, spouse, friend, what do you see? The unevenness of their eyebrows? The gray hairs? The blemishes? The love handles? No! You see the light that they give. You see the love in their eyes – the window to their soul. You see the kindness they share. You see how amazing they are, have been and will be.

So how does this relate to speech and language? Too often when a loved one experiences a speech-language deficit – regardless of the severity – we are quick to explain this deficit to others in front of them. This is not to say that we need to ‘hide’ this deficit or only speak of it in hushed whispers when our loved one is not in earshot. This is to say we need to be more aware of how we explain our loved one’s communication style.

Our loved ones tune into everything we say and do, especially when they know we are talking about them. Challenge yourself to first, listen to how you describe or explain your loved ones speech-language deficits; second, work to change this dialogue to create a more positive uplifting exchange.

When we first meet someone and they address your loved one who experiences a language deficit, consider using phrases that explain their style of communication versus their inability to talk.

  • Instead of “He doesn’t talk ….” try “My son communicates using gestures ….” or “My daughter communicates so well with her device….”.
  • In place of putting your child on the spot to perform, “Say Hi….say hi” try incorporating the use of visual and verbal cues to encourage your loved one’s communication – (while waving your hand slightly) “My son waves to say hi when he meets a new person.” You may be surprised at your loved ones eagerness to imitate and ‘show off’ their skills.
  • Acknowledging your loved ones hard work may result in increased willingness to carry-over difficult skills to a variety of settings. Instead of insisting on your loved one maintaining eye contact when greeting/talking to others, try using phrases like “My daughter is working so hard on making eye contact when talking to friends and family, we are so proud of her.” or “Eye contact can be hard for my son, but he is really working hard on it, he’s doing a great job.” Your loved one may look as though he/she is not paying attention to what you are saying, but they are and want to make you proud.
  • Parents and caregivers, without thinking, will answer questions asked specifically to loved ones as a way of protecting or helping. Instead of immediately answering a questions, try silently counting to 10 to give your loved one time to process the question. If after 10-15 seconds (which can seem like a 10-15 hours) use sentence starters to help your loved one – “I go to…..” or “My name is….” Your loved one will be much more aware of what is expected as well as how to answer the question. If your loved on uses a communication device being navigating to the page or buttons that have the information. Begin the response as you would modeling it with words and gesture (by pointing) to the button that would complete the answer.

These changes, while seemingly small, can make a significant difference in how your loved one perceives her/his ability and desire to communicate with others.

February – the month to show our love!

Yours in speech,
Lakeshore Speech Therapy, LLC

Play Time!

2019 is underway….OK – 2 weeks into the New Year.  The rest of the holiday decorations are put away and celebrations are at an end.  Although there are 256,894 new toys in the house, the children are ‘bored’. The question of the day is, are the children really bored and do they need to be taught how to play?  For some of our loved ones, play is NOT as innate as it is for others. Play is definitely a skill that needs and should be taught from a very young age. Parents need to ‘teach’ and be part of the art of play.

Play is the ‘work’ of childhood.  Play is the official format of therapy for the majority of children as well.  The reasons are many but here are a few examples of how teaching to how play benefits a child’s language and overall development.

Play increases a child’s ability to process and practice emotions. Through imaginative play children can act out emotions of fear, anger, etc. as well as practice empathy and understanding.  Play also provides children with a sense of accomplishment and self-satisfaction, which help to build confidence and self-esteem.

Play increases a child’s social skills.  Through the art of play, a child learns to navigate turn-taking, sharing, and overall group dynamics.  Play provides the opportunity to develop friendships and practice compromise.

Play increases a child’s cognitive ability and brain development.  Through play a child gains reasoning, attention, and memory skills as well as problem solving skills – all important and crucial for success academically and socially.

Play increases a child’s communication skills.  Plays provides a safe, unassuming venue to practice sentence structures, sound effects and overall listening skills.  Plays helps to facilitate initiating, maintain and concluding conversations – with real or imaginative friends. Play also provides children with the opportunity to work on recognizing non-verbal cues and body language.

So much goes into playing.  It can be exhausting for both child and adult, but worth every glorious moment.  Now stop reading and get out there and PLAY!

Yours in Speech,

Lakeshore Speech Therapy, LLC

One Size Does NOT Fit All

Baby New Year has arrived!  The season of parties and changed schedules is coming to its end.  Back to the ‘normal’ routine! But what about those resolutions? The promises you make to yourself that come with the fine print that reads, “I maintain the option to not follow through with these resolutions because while I mean well, life truly gets in the way.”

A close friend shared her New Year’s resolution; she was NOT going to ‘sweat the small stuff’. My response was true to the bestie code: ‘Great idea!  That’ll really make a difference! I support you!’ And when we parted ways, I got to thinking how as adults we want our children to know and recognize the difference between small, medium, and large problems however lose sight of those as we become adults.

Sometimes we need to step back and take an inventory of how we categorize problems or issues.  While the resources I am using are predominately for children, it may be worth the extra 3 minutes to read through the rest of this post to reset your personal inventory and help your loved one manage his/hers.

Small Problems:

  • Affects 1-2 people
  • No one was physically hurt
  • Feelings were minimally hurt
  • Takes 5 – 15 min to ‘fix’
  • Problem can be solved by the individual OR can be ignored completely

Medium Sized Problems:

  • Affects 3-5 people
  • May be a small physical injury
  • Feelings were hurt, person/people upset
  • May take 15 min to a couple of hours to ‘fix’
  • Problem may need another adult to be solved

Large Sized Problems:

  • Affects 6 or more people
  • May be a significant physical injury
  • No easy or quick solution to ‘fix’ hurt feelings
  • May take days to weeks to ‘fix’
  • Assistance of other adults is required to solve the issue.

While these are definitely oversimplified for some of life’s problems, they do provide a pause when thinking of day to day situations.  Food for thought to start the New Year.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Boxing Day!

Here’s to the success and survival of the big day!  Given the millions of new toys that may now ‘live’ in your home, nothing is quite as exciting for some children as the boxes that once housed those toys. Why is that a thing? Generation after generation have been stymied by the same question.

Who are we to question? Turn those hours of climbing in boxes into therapy opportunities.

Large or small, playing with boxes, or any toys, is a wonderful way to practice shared attention, turn taking, and sharing. These exchanges, for a moment or a while, are so important to developing conversation skills, play skills, and social skills.

Large boxes – let the creativity go wild. Large boxes are ideal for creating a playhouse, cave, tent, or castle. Add a few blankets and pillows and a flashlight and you have the makings of hours of imaginative play.  Not only are these great vessels to take imaginations to the outer limits, these are wonderful oases of quiet. The language opportunities are never ending. Every empty box needs decorations. A few crayons and stickers and a masterpiece is born. Requesting crayon colors or stickers or continuation of the activity are all ways to get a little language practice in with no one being the wiser.

Medium boxes aren’t just for sweaters or shirts anymore. Line the floor with opened boxes and create games of moving in and out of the boxes – lily pad jumping, indoor hopscotch.  These games can incorporate vocabulary and language concepts of in, out, go, stop, more, waiting for your turn, etc. All important skills for developing and practicing language.

Small boxes – the gems of the box family. Tape these closed and use as building blocks – great for individuals with dexterity issues. Build box towers. Up, on top, bottom, more, help, crash, boom, uh-oh – vocabulary and language concepts waiting to be part of the tower construction.  

Once the boxes lose their charm, it’s off to the recycling bin! However,  the opportunity to practice language and social skills will never lose its charm!

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Practice Makes Permanent!

It’s the final countdown until the big day (cue Europe’s 1986 hit song). The lists have been checked twice, the stockings are hung by the chimney with care, and all that’s left is the wait……the long wait until we can rip open those gifts!

And when those gifts are torn into, we wait with baited breath willing and hoping our loved ones not only enjoy the gifts, but remember to say “Thank you” or at the very least acknowledge the others in the room.  Nothing says holiday fun like demanding your child say ‘Thank you’ to Auntie dear for the lovely footie pajamas and your child erupts into a stream of whining crying excuses while he/she will never wear them and how hot those PJs make their feet.

Give yourself an early gift this year, take a few moments and share with your loved ones your expected behaviors during the holidays.  Sometimes it just needs to be laid out there for everyone to realize it IS expected and no one, big or small, is exempt.

Greetings – for the most part, this one is pretty easy, HOWEVER, given the excitement of the day, simple reminders are good.  Practice walking into a room or through the front door and saying ‘Hi’ with your loved ones. If eye contact isn’t the best, coach your loved one to look at the person’s chin or hair.   If your loved one is non-verbal, practice waving or the sign for ‘Hi’ or a simple smile may be just as effective. Hiding behind you is NOT an expected behavior. Running in the door and hiding under the table is NOT an expected behavior. Spell out these unexpected behaviors very clearly.

Hugs, handshakes and the like – for some this is nothing short of a fingernails down a chalkboard moment. Give your loved one alternatives to hugging if that’s NOT the preferred choice of interaction.  Fist bumps, high fives, and waving are all expected behaviors everyone can live with. If there are  relatives that would be offended if they didn’t get a hug, take a few seconds before the holiday and explain to them why this is difficult.  Tell THEM what to expect and WHY you need their support.

Disappointment when opening gifts – this is something not foreign to most of us.  Practice expected reactions by opening ‘gifts’ of spoons or rocks or paper towels.  Smile and say ‘Thank you’. Smile and say ‘Thank you’. Make a game plan for when a gift is opened that your loved one already owns.  Make-up a simple gesture (channel your inner baseball coach) that tells your loved one, “I know you already have that. We will exchange this one and you can get something else. Smile and say Thank you.” . Once you have the gesture established, practice.  Wrap up current belongings and practice

In all of these cases, practice does not make perfect. Practice makes permanent….something that is more applicable for everyone.

And please, through it all, expected or unexpected find the joy. Find something to laugh about. Find those moments that fill your heart.

Happiest of Holidays!

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Adventures and Memories

In the midst of sorting through your Black Friday deals and your Cyber Monday steals, you may be interested in some Winter Holiday activities in the greater Cleveland area.  This list is just the start of all the area has to offer; please share via Facebook or email if you find others that provide you and your family some fun adventures and treasured memories.

Remember most city centers (especially downtown Cleveland at Public Square – https://www.clevelandpublicsquare.com/what-s-happening ) have lovely light displays as well as many neighborhoods.  

 Share adventures and build memories!

Yours in Speech,

Lakeshore Speech Therapy, LLC

Holiday Prep – Part II

In a few days we will gather with family and friends to be thankful for all we have our lives. The days leading up to Thanksgiving (or any holiday) can be exciting, yet filled with anxiety, which could result in unexpected behaviors and reactions for some of our loved ones.

We talked about making changes in the actual celebration to better support your loved ones.  We need to focus on preparing them for what they might experience – the different smells, sounds and expectations – during the Thanksgiving celebration.

Social Stories:  These tools help by creating a simple straightforward explanation of what will happen during or leading up to an event, as well as behavior expectations.  Ideally social stories should be reviewed multiple times prior to an event and directly before. Bring the social story to the event and reread it in a quiet place. This may help to decrease the stress and refocus behaviors.  Please feel free to print and use these social stories or you may find some free by searching the web.

Visual Schedule:  Enjoying a relaxed unscheduled day may sound perfect, however your loved one may need to ‘see’ his/her day to decrease anxiety and unexpected behaviors.  A visual schedule may prove to be the needed tool. Visual schedules are helpful for all family members. You can use actual photos, simple stick-figure drawings or icons to depict your daily events.  You may choose to split the day by listing the AM schedule first and then changing it to the PM schedule at a natural break. You may choose to list the entire day and have your loved one remove the icon/picture as each part of the day is completed. Please feel free to print and use these icons to create a visual schedule of your loved one’s day.

First-Then cards: First-Then cards may be a new tool in your toolbox.  These cards use the same icons or pictures as a visual schedule, however are presented two at a time.  This tools gives your loved one a focused message of the immediate expected event or behavior and what will directly follow.  You may consider following a non-preferred activity with a ‘break’ or ‘leisure choice’ to increase his/her attention to the non-preferred activity.  For example, First: eating dinner – Then: going outside to swing. Please feel free to print and used these materials to create a First-Then card for your loved one.

Remember to take a moment to step back and truly see all the beauty that surrounds you.  Cherish your time with family and friends. We at Lakeshore Speech Therapy are thankful for our Lakeshore families.  We wish you and your family a wonderful Thanksgiving day filled with laughter and happiness.

Yours in Speech,

Lakeshore Speech Therapy, LLC