5 Teletherapy Tips for Families – What You Need to Know

drawing of therapist performing teletherapy

As we are all beginning to adjust to teletherapy as well as online or elearning, we thought it best to share some tips to make you and your loved ones time in therapy, albeit significantly different than ever before, more successful. 

  1. Count on some sort of technology failure – if you count on the fact that the mic won’t turn on or your wifi will be running slow, you won’t panic when it does happen.  If there is a technology failure (on your side or on the therapist’s side), the first thing to do is breathe. Next calmly begin to troubleshoot. Prior to the appointment, you may want to trial the mic and speakers on the device you intend to use for therapy.  If your bandwidth on your wifi is slow, as those in your home to stay off the network or not engage in activities (streaming videos) that use a lot of bandwidth. If the session can’t happen, you can reschedule. Flexibility is key.
  2. Create a “Therapy Space” or designate a “Therapy Space” for the duration of the session.  You may want to create a ‘Therapy in Session’ sign with your loved one and hang it on the door of the room you are in for the session.  If you will be in a shared living area, you may want to consider the use of a headphone and mic combination. This will decrease the amount of background noise your loved one will hear as well as the therapist. Consider scheduling therapy at a time when others in your family would be napping or engaged in more quiet activities as well.  Creativity is key. 
  3. Count on staying with your loved one for the onset of the therapy session. For individuals that may need support to pay attention, consider this time extra snuggle time.  Have your loved one sit on your lap or very close to you during the session to help guide her/his attention to the therapist. This is time for your loved one to receive the critical therapy services needed as well as a time for YOU to better understand the techniques used to elicit specific behaviors, actions, and sounds from your child.  Teamwork is key. 
  4. Listen to the therapist and therapy session.  Remember, this is your loved one’s therapy time, not necessarily yours.  While it may be hard, refrain from answering the therapist’s questions for talking for your loved one. You may consider the situation/task that the therapist is asking your loved one to do is too difficult, but creating these situations to ‘push’ your loved one to the next level is necessary in progress towards mastery of goals. Trust is key. 
  5. Carryover of all the new skills learned during the therapy session (both for you and your loved one) is extremely important for everyone! You will have new skills to support your loved one as he/she works on speech-language skills.  Share what you have learned with others in your family. Help everyone realize the necessary supports to help your loved one succeed. Practice is key. 

Keeping in mind the importance of flexibility, creativity, teamwork, trust and practice will ensure your loved ones success with this different approach to speech-language therapy.  

More information about the telepractice services offered at Lakeshore Speech can be found at www.lakeshorespeech.com/telepractice or by calling 1-440-417-4190.

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Learning to be Social

Expressions of love

The calendar doesn’t lie.  How is it we are only 10 days away from Valentine’s Day!? With all the attention on sharing love and kindness on that day (as well as every day), we need to take a moment to pause and take into account the skills that bring people closer are really hard to learn.

Some loved ones pick up on social cues and nuances without issue and others require a very clear explanation.  As parents, taking the time to frame acceptable and unacceptable  behaviors for your family’s values is crucial.  Society dictates a number of ‘unwritten’ rules, which makes learning these skills even more difficult for some. Providing a safe environment to discuss and process these ‘unwritten’ rules is important at every age of development. The American Speech-Language Hearing Association (ASHA) provide a nice resource for families focused on this area of speech and language.

Your friendly speech-language pathologist would be happy to help you and your family with any questions or concerns you may have related to social communication, social skills, or social pragmatics.  Please feel free to give Kelly a call at 440-471-7190 to set up an appointment.

Yours in Speech,
Lakeshore Speech Therapy, LLC.

 

Hope in the New Year

Happy New Year!  It’s a new decade filled with hope! Hope for a year filled with much health and happiness! Hope that the closets will organize themselves!  Hope that somehow, someway tiny building blocks will no longer find themselves in the path of an adult walking barefoot. Hope that dinner will be made and eaten without issue.  Hope, hope, hope! 

Hope is what keeps us all moving forward.  Setting goals or evening having ideas of what hope can bring to the New Year is expected at this time of year; so long as this hope isn’t a disguise for bringing the feeling of failure to the New Year as well. 

Sessions with a Speech-Language Pathologist is filled with the promise of hope and belief in your loved one.  Your therapist believes in your loved one and his/her language potential all the while continually promoting your good work at home and navigating the developmental process to guide you all towards mastery and success.  Walking out of a therapy session, you and your loved one should have a renewed feeling of strength to continue working on the specific skills, techniques, etc. until you see your therapist again. 

Cheers to the New Year filled with much hope, happiness and health!

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Special Gifts

This message is short and sweet.  First and foremost an open apology for seemingly abandoning my post writing these blog message this month.  While I wish there was a great explanation, but all I really can say is life definitely gets in the way of the best of intentions!

Second, we at Lakeshore would be remiss if we didn’t take a moment to thank each and everyone of our amazing clients and families.  You appreciate your trust in us to provide your loved one’s therapeutic services.  We are thrilled to have  you all as part of our Lakeshore Family.

Lastly, please take a moment to look around to see all the amazing gifts in your world this holiday season.  These gifts aren’t wrapped in festive paper with a bow.  These gifts are wrapped with your arms and love.  Enjoy these gifts this holiday as we will enjoy ours.

Happy Holidays!

Lakeshore Speech Therapy, LLC

Revving up the holiday season – Proactive Actions

aac and communication strategies and tips for increasing your child's communication during Thanksgiving

The holiday season is revving up to get ready to roll.  While we acknowledge there are significant stressors for you and your loved ones at this time of year, we could also consider the stress and comfort of extended families and friends. It is not your job to do everyone else’s job, however, taking a few moments to realize the impact you and your loved ones have on others could make family and friend gatherings more enjoyable for everyone. 

Providing information about characteristics that are unique to your loved one, may create a more tolerant and understanding environment.  A simple phone call, text or email to the host or hostess the explain those ‘quirks’ that you and your immediate family may not even notice.  For example, let the homeowner know if your loved one needs to see all the bathrooms upon entering a new location or if your loved one may go around the home and close all the doors.  

Help your extended family and friends better understand your loved one’s form of communication.  Share his/her successes and any ‘triggers’ that may exist (ie: asking more than 3 times to clarify a phrase or word).  Provide a few simple tips for the best way to engage your loved one (ie: asking yes/no questions or asking questions about the here/now vs past/ future).

Anticipate situations that may prove to be very stressful not only for you and your loved one, but the host/hostess.  Communicate that you may be bringing a different meal for your loved one to enjoy vs eating the traditional meal. Share that your loved one may take a ‘break’ during the meal and what that can be expected (ie: your loved one may need to take a  break in a room where you can guide your loved one to quiet area).

Open and host communication and preparation can create a setting where everyone enjoys their time together creating memories!

Yours in Speech,

Lakeshore Therapy Speech, LLC. 

How to Make A Candy Plan : Take the Stress Out of Halloween

Orange plastic pumpkin basket spilled over with candy pouring out

You’ve planned the costume, you’ve walked the route, you’ve practiced knocking on doors… a few more thoughts to help make your family’s trick or treat evening sweet.  

What will you do with all that candy?  Once your loved one sees her/his bounty of sweetness, she/he may not want to part with a single piece. Create a plan and share that plan well before that candy is in your house.

Will your family spend the last minutes of Halloween counting and sorting candy?  Will there be a huge candy trading event in the middle of your living room? Providing a plan for the evening can make a difference in ending the evening on a sweet note. 

Create a ‘buy back’ program if you would prefer your loved ones not have free access to that much candy.  Make your program work in a way in which your loved one will receive a certain number of dollars, stars, tokens, etc. when they ‘trade in’ a certain number of pieces of candy.  Check with your dentist to see if they are offering a buy back program. 

Create a ‘decorate a gingerbread house’ program.  Decorate a box with pictures of gingerbread houses.  Put candy that could be used to decorate a gingerbread house in the box.  You now have everything you need to decorate your holiday gingerbread house. 

Create a ‘week long candy plan’.  Divide a shoe box into 7 sections. Place one or two pieces of candy in each section.  Give your loved one the opportunity to choose the candy in one section every day. 

Whatever your plan, share it with your loved ones well before the candy starts pouring in the house.  Make it very clear where the candy will be stored and what the plan will be once it is collected. It may feel like you’re taking the fun out of the candy collection, rather you are providing the framework for a fun and enjoyable evening from start to finish!

Yours in Speech, 
Lakeshore Speech Therapy, LLC.

Costume Creations!

Dressing-up, costumes, masks and make-up….some would say these are the best parts of Halloween and others would beg differ significantly.  While the stores are filled with the newest versions of costumes, consider making one that best ‘fits’ your loved one. One that ‘fits’ her/his physical body, sensory needs, and emotional needs.

Consider costumes that follow the ‘less is more’ theory.  Less different pieces of a costume, more focus on making the pieces ‘scream’ exactly the theme or character of the costume. 

  • Jeans, t-shirt, bandanna around the neck  – you have a cowgirl/boy
  • Jeans/leggings, t-shirt, bandanna around the head – depending on your fold the bandanna, you now have a rocker or a pirate
  • Larger sized white t-shirt (your going to want a pair of pants of sorts under it :)) 
    • draw a face on it – you have a ghost
    • Add black dots on it – you have a die
    • Add black lines on it – you have a zebra 

Consider costumes that do not have tags or items that will distract your loved one to the point where she/he is unable to focus on walking, the party, etc.  While adorable and fun, things like fringe, beads, sparkles, and sequins can create an entirely different issue. In this category lives masks and make-up. While both of these items bring a lot to a costume, please consider staying away from these if you know your loved one will be distracted or upset by these additions. 

Consider costumes that can go over the layers of possible winter gear that may or may not be part of your evening.  Given the weather, being prepared to add or take away a layer on a moments notice will make the difference on the stress level of the evening. 

Consider incorporating the phrase “Trick or Treat” on the costume itself if your loved one is non-verbal or might ‘freeze’ .  Somehow, someway, make the words part of the costume – add a simple button to the costume with the words ‘Trick or Treat’.

Consider practicing wearing the costume around the house – remember practice makes permanent.  This gives your loved one not only the time to become familiar and comfortable with the costume, but will give you time to troubleshoot potential issues (ie: costume too long and possibly a tripping hazard, costume too tight/loose, etc.).

Prior planning with the costume will prevent unneeded stress and potential unexpected behaviors so you can all enjoy a fun evening being together. 

Yours in Speech, 
Lakeshore Speech Therapy, LLC.

Fall into Fall!

Season change so do the clothes we wear.

How it is that September is just about over?  While we continue to enjoy the final days of warm weather, living in Northeast Ohio, we all know what will be knocking on our door much sooner than later.  It always seems like there are so many outdoor activities in the summer months and as soon as the mercury drops below 60, everyone retreats into hibernation mode. 

Enjoying the area’s many Fall activities and festivals gives not only the opportunity to spend valuable time together, but the time to practice and experience a variety of language rich activities.  These language rich activities are the foundation and play an extremely important role in a child’s language development and maintenance. As a parent/caregiver, you naturally provide these opportunities to practice language skills naturally.  This article provides information to not only validate your hard work, but provides information for more or different techniques that can be added to your repertoire.  

Speaking of Fall activities, please take a moment to research the many different and wonderful opportunities in your area for you and your loved ones to enjoy together.  If you are in the Northeast Ohio area here are a few activities to fill your calendar:

Northeast Ohio Family Fun article #1
Northeast Ohio Family Fun article #2

Yours in Speech, 
Lakeshore Speech Therapy, LLC. 

Take Time To Celebrate – Acknowledge the Big and Small Wins

School is officially in full swing across the country!  This too is the time of year where you may be receiving a lot of information related to your child’s development and skills in comparison to same age peers. Too often we lose sight of typical development, especially if our child is developing on their own time.  The information is shared in this blog not to make anyone feel bad about their child’s development or skill set, rather to celebrate those skills and provide clear information of what would be expected related to language development at the END of their specific school year. 

Your Child’s Communication Development: Kindergarten Through Fifth Grade

Ultimately, if your child’s skills are moving forward, regardless of the pace, he/she is making progress and there is much to celebrate!  Take the time to celebrate every small step forward!

Yours in Speech, 
Lakeshore Speech Therapy, LLC.

Friday Night Lights, Coming Soon!

It’s almost impossible to believe that August has come and will be leaving in a few days!  Time flies when you’re running at land speed records in a million different directions. First day of school pictures have been taken and posted, ‘normal’ routine has started, and “Friday Night Lights” will soon be starting! Those “Friday Night Lights” can help build language as well as social skills more than you have thought. 

“Friday Night Lights” harkens memories of high school football, marching band, and hanging out on the bleachers with your friends.  Add adulthood and a family and “Friday Night Lights” might not conjure up the same warm feelings as it once had. Running to the restrooms, purchasing way too much from the concession stand and  listening to complaints of being bored or the seats are too hard…..ah yes, “Friday Night Lights”. Preparing your family for these evenings can only make those “Lights” shine brighter.  

Just like the football team, cheerleaders and marching band, your family ‘team’ needs to practice for the big night as well.  How do spectators practice? Read on.

Go to practice games and rehearsals.  Chances are the local middle and high school teams and marching bands are practicing daily.  Take advantage of these less formal settings to PRACTICE sitting on the bleachers. Take note of any  issues related to the bleachers (seats are too hard, sitting up high is scary, being able to see through to the ground is scary) to find the areas that are most comfortable for you and your family. Visit the restrooms. Locate the changing area if needed.  Bring your family members in to the restrooms to become familiar with these surrounds so there won’t be any issues when there are larger crowds. Experience the sounds of the practices to decrease being alarmed during a game. The whistles on the field, the marching band playing the fight song, the cheerleaders cheers, all of these sounds are new and can be very upsetting.  Help your family anticipate these sounds. 

Learn the lingo. If a family member is non-verbal, create signs that have simple messages – Go Team – to get them to be part of the fun.  Practice simple messages for family members with limited language – Go! – Fight! – Win! A football game is language rich.  Choose one or two words that will have the most meaning and practice at home and at practice games. 

Recognizance. Get the low down on your local “Friday Night Lights” game by making it a date night or going alone.  Take note of how crowded certain sections of the bleachers become. When the marching band plays (typically there’s a pre-game and of course the half-time show). Where the cheerleaders stand. If there is a mascot. And maybe the most important piece, what is offered at the concession stand. These pieces of information will help you to better plan and anticipate your family’s needs during the game. 

Concession stand mania.  So much of the game is about the food and rightfully so. Make a plan for how your family will make purchases. Make that plan very clear to everyone to avoid melt-downs at the stadium.  Create a snack board of the items at the concession stand (You have this information because you went to the game alone before.). Not only does a snack board provide a visual cue for everyone, put gives non-verbal members of the family a way to communicate their choice without play the ‘yes/no’ or ‘point and cry’ game. 

Set a time limit, initially. At the onset of the season, you may need to make it very clear when or how long your family ‘team’ will be attending the event.  You want to leave the game on a high note. Setting this parameter may avoid a melt-down when it is time to leave. Give a concrete time that may or may not necessarily be associated with the clock.  Because of your recognizance trip, you have the information you need. Give warnings prior to departure time (“After this song, we are leaving.” “When the cheerleaders finish we are walking to the car.”). Expand the amount of time you spend at each game you attend, if only by 10 minutes. 

Don’t forget, this is fun! Time together is the biggest victory of all!  Enjoy!

Yours in Speech, 

Lakeshore Speech Therapy, LLC