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.

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.

Programs Available Starting January 2019

Lakeshore Speech Therapy is as busy as the North Pole this time of year! We are excited to share upcoming programs starting in January.

Teen Social Skills Group: This social skills group is designed specifically for teens. The purpose of our group is to practice expanding and building social skills in the areas of communication, problem solving, social media, friendship, fitting in, empathy and leadership skills.

And

Assistive Technology for Executive Functioning: High School students can drop in for an hour session on how to use assistive technology to increase organization, work completion, and ultimately independence. Skills necessary for college and the workplace.

Please click on the links above for more information about both of these great opportunities.

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

Halloween Ready!

You used your parental superpowers to navigate the full moon last week, and you will use those powers again this week, especially on Wednesday, October 31st.  Check your list: comfortable costume – done; communication method – done; prep for the big night – read on.

Halloween evening is filled with anticipated wonder.  This anticipation can lead to anxiety which can cause unexpected behaviors.  Preparing your loved one in advance may eliminate or diminish the anxiety.  These proactive techniques are not difficulty, expensive or complex.  

Communicating to your child about what they can expect on Halloween evening can make a significant difference.  This communication can look like a bedtime story – “Once upon a time, a little girl/boy was excited for Halloween. Her/His name was (your child’s name). Child’s name was going to be dressed as a (your child’s costume).  On Halloween day, she/he went to school and had a great day.  When child’s name got home from school she/he made sure her/his homework was done. Child’s name and her/his family had dinner. After child’s name ate her/his dinner she/he changed into her/his costume. Etc…..”

This communication can look like a picture book.  Draw basic stick figures to represent the expected activities o Halloween.  Please feel free to utilize these sequence pictures as well. trickortreatsequence.png

This communication can look like a social story.  We have provided a social story about Halloween for you. Social stories are more effective when read frequently.  While this is coming to you a few days before Halloween, reading the story two to three times prior to the event can decrease anxiety as well as increase success. halloween-social-story

Remember to breathe and enjoy the moment…… these moments go by too quickly.

Yours in Speech,

Lakeshore Speech Therapy, LLC

Trick or Treat!

Trick or Treat!  The three most important words in October! When a child experiences a language deficit, creating an environment where there is no pressure of saying ‘Trick or Treat’ is by far the most important part of Halloween!

While practicing saying those magical words is one way to prepare for the big night, there are other options that might be considered.  

Make the words “Trick or Treat” part of the child’s costume. If your child is:

  • a superhero: make a ‘speech bubble’ with the words “Trick or Treat” (like in the cartoons) and attached it to the child’s costume.
  • a cowgirl or cowboy: attach a sign that says “Trick or Treat” on the hat or lasso
  • a robot: make “Trick or Treat” part of the ‘read-out tape’ or monitor (on the child’s tummy) of the robot

Print the words on the palm of white gloves and not only are your child’s hands toasty but they can effectively communicate.

These examples are just the start of the imaginative ways you can design to help a child with a language deficit focus less on the stress of ‘talking on the spot’ and more on effectively communicating.  

Yours in Speech,

Lakeshore Speech Therapy, LLC

Dress for Fall

Fall is officially upon us!  Crunching leaves, cooler air, pumpkin spiced everything.  There’s no denying it, Fall is here! For those who appreciate a cup of hot cocoa, the changing of the leaves and busting out the sweaters and long pants, your time has arrived.  Living in Northeast Ohio poses some issues when it comes to predicting Fall weather. We experience Spring, Summer and Heat Wave all in span of 3 days. Adjusting our wardrobes to match this  temperature roller coaster can also create issues for those who don’t understand what is going on with Mother Nature or those who are very sensitive to what they wear.

The “battle of the outfit” does not have to be a daily event. Using simple materials around your home, you can focus less on getting your loved one in  clothes to match the weather. These techniques not only bridge the gap of the daily runway, but promote vocabulary growth, inferencing, and reasoning.

Materials you will need to gather:

Items: 

Pictures of (at least 2 copies of each): 

  • Long sleeved shirt & short sleeved shirt                
  • Long pants & shorts
  • Sweatshirt or sweater
  • Socks and shoes
  • Sandals or flip flops
  • Lightweight Jacket
  • Heavier jacket/winter jacket

Resources:

  • Fliers from department stores and catalogues are great resources
  • Free icons @ www.flaticon.com
  • Free icons @ www.do2learn
  • Images from the internet

Items:

Pictures of weather/temperature:

  • Sun (3)
  • Cloudy (3)
  • Rain (3)
  • Warm (3)
  • Cold (3)

Resources:

Items:

Blank week calendar (large enough to hold 2-3 pictures)

Resources:

Items:

Glue, scissors, velcro or funtack, blank paper/cardstock

Resource:

Around the house (or in the ‘junk drawer’)

The overall goal is for the adult to indicate the weather and temperature on a specific day (using the weather temperature pictures) as well as the type of clothing needed for that day (using the clothing pictures).  Eventually, the individual may want to fill in the calendar with the corresponding pictures, but initially, this is intended to be a visual cue to decrease misunderstandings, etc. Too often the beautiful sun is shining but it’s nowhere near a day for flip-flops and shorts.

Please feel free to discuss creating this type of visual cue for your loved one with your Speech-Language Pathologist. If you would like more information, please feel free to call us at Lakeshore Speech Therapy, LLC.

Yours in Speech,

Lakeshore Speech Therapy

Friday Night Lights

Friday night lights! High school traditions!  Go Team!

Fall is the time of year to grab your favorite sweatshirt and enjoy an evening of high school football.  “Enjoy” – that’s the difficult part especially for some. The many sounds and smells as well as the number of people all in one place can cause loved ones with integration issues difficulty in large  crowds. There are a number of proactive steps families can take to help loved ones adjust to these situations.

Paint a picture of what the individual will experience during their time at the game.  For example:

  • We are going to park the car in the parking lot (or, in some instances, the – field, street, etc.)
  • We will walk to the gate or entrance of the field.
  • We will have to stand in line to get our tickets.
    • Note: if available, please consider purchasing tickets ahead of time.  Less time anxiously waiting, the better.
  • There will be a lot of people around us; you will hear them talking and shouting.
  • We will walk to our seats
  • We will walk up or down the stadium steps
    • Note: if the stadium steps are open (meaning you can see the ground below) you may want to consider sitting in an area closer to the ground or where the steps are solid.
  • We will sit in our seats
    • Note: if the individual is sensitive to pressure – consider bringing a blanket or stadium chair to decrease the sensation of the ‘hard’ stadium bleachers.
  • Etcetera
    • Don’t forget to include what will be
      • heard (band, horns, cheering, etc.)
      • seen
      • smelled

Carry an ‘important tools’ bag.  This bag should contain items that calm the individual, items that may distract attention from an unpleasant sensation and items that will help to diminish non-preferred sensations. The bag may include noise canceling headphones, headphones and a music source,ear plugs, fidget toys, extra blankets, weighted blankets, etc.

Plan your arrival and departure around preferred events.  If the individual loves watching the marching band, but is bothered by all the whistles during the game, arrive at the game 15-25 minutes late. If the individual does not appreciate the marching band, make arrangements for an activity or get special permission to leave and re-enter the the stadium during halftime.  If the individual does or does not like the mascot, plan your seats in the location accordingly.

Give your loved one a voice during the game.  Pre-record a cheer or a special message on a voice recorded switch.  No need to get too high tech, this is a high energy exciting time, it’s more important to get the message out! If a device is not an option, make a sign that shares the message or use a horn or bell for the individual to be part of the roaring crowd.  If you need more information or ideas, please do not hesitate to ask any speech therapist at Lakeshore Speech.

Friday night lights shine brighter when everyone is involved.  Go Team!

Yours in Speech,

Lakeshore Speech Therapy, LLC.