Practice makes permanent!

Practice – 8 little letters that require discipline and dedication.  Practice – 8 little letters that can enrage and irritate the most patient of souls. Practice – 8 little letters that have a profound effect on a life.  

Whether you yourself are learning a new skill or are helping a loved one learn a new skill, the time and dedication required can feel overwhelming and insurmountable. Practice provides the opportunity to try and fail and start again. Practice is part of the journey NOT the end goal.

Practicing speech and language skills may seem unnatural as these skills, for some, come naturally when communicating and engaging with the world.  Without knowing it, children who are developing language are ‘practicing’ these skills every time they engage with a person, a friend, or a toy. Sometimes loved ones require practice on a very specific element of language, one that may easily be taken for granted.  Be it eye contact, sharing, anticipating, or requesting, these skills may need practice toward mastery of communication.

Practicing communication skills should become a natural part of the day. Incorporating the practice of specific skills throughout the day may require a little planning, but eventually will become second nature. Clearly identify where and when the ‘practice’ could occur helps to create a less stressful and meaningful event. Start with a very manageable expectation, not only for your loved one, but yourself and eventually increase the expectation in small increments.  You will amaze yourself at how quickly these skills improve.

While the saying goes, “Practice makes perfect.”, a preferred saying is “Practice makes permanent.”

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.

Holiday Prep – Make the Holidays Memoriable – Part I

AAC and Communication Tips for a wonderful Thanksviging

Preparing Loved Ones for the Holidays is the Best Gift of all!

The weather reminds us the season of Holidays is at hand. Cooler days and nights, leaves and snowflakes falling.

While your are prepping your house for the Holidays, don’t forget to prep your friends and family as well. Earlier this year, we suggested ideas for making your loved one’s time celebrating the 4th of July more enjoyable. Now is the perfect time to begin preparing for you and your family to create an environment during these Holidays that supports your loved one as much as possible.

Location of celebration.

While your family may have always celebrated the Holidays at Aunt Millie’s house, is it really the best place? Does Aunt Millie’s house have enough room so your loved one can comfortably participate in the festivities? Does Aunt Millie’s house have a place where your loved one might be able to ‘escape’ the whirl of activity? You may need to suggest a different venue for the Holiday celebration, a venue that better supports your loved one. If a venue change is not possible, you may need to suggest or abridge the time you spend at Aunt Millie’s to a time frame that better supports your loved one.

Time of celebrate.

Is there a law stating all Holidays must be celebrated at dinner time? This year you may need to suggest a different time of day to celebrate the Holidays, a time of day when your loved one is at her/his best. Holiday brunch? Holiday lunch? Holiday snack time? You know your loved better than anyone. When she/he is at their best, YOU are able to relax and enjoy the festivities as well.

Timing of events.

Is the best part of the celebration held for later in the day or evening? Can the highlight of the day be the first thing that happens? Relieving the anticipation of the highlight will decrease unexpected behaviors, which better supports your loved one.

This is not a finite list of considerations.  These are examples to get you thinking of the best plan for you and your family. These are examples to begin your prepping for the Holidays to best support your loved one so ultimately everyone can enjoy being together for the Holidays.

 

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Press Pause

The clock is beginning to tick….loudly!  Time to pack up the Halloween decorations and get ready for the mad dash of the Holiday season!  There is no escaping the hustle and bustle of the Seasons.

Typically, we share information to help to improve a loved ones communication or self-regulation; this week we are focused on Y.O.U. – the caregiver, the superperson, the parent, the great juggler of all! Why would we spend a week thinking about YOU?  The answer is simple….YOU are just as important and need to be cared for as much as everyone else in your world.

Take 5 more minutes after you read this blog to focus on the person that keeps all the gears of your family’s life running smoothly – YOU!  We realize this is easier said than done. Let’s get to work before your 5 minutes is up!

Where do/can you find a quiet moment? At the grocery store? At line at the bank? On break at work? Sitting in the waiting room at Lakeshore Speech? When we say a moment, we mean it.  We aren’t talking about a 2 hour massage (while that is a great thing in itself) or a 1 hour meditation session. We are talking 5-10 minutes. Don’t brush this step off, think about it, really think about it.

What helps calm you? What re-centers you? What makes you smile? Does listening to a certain song bring a smile to your face? Does looking at pictures of vacation lower your blood pressure? You know immediately what brings you calm. Keep those items close at hand, especially during the busy days ahead.

Now put it all together on your schedule – DAILY.  Reserve those moments for yourself. Make an appointment with yourself every day….. every day! Use your time not to plan for what will happen later or what you have to purchase or what you need to wrap, but to calm and rejuvenate yourself.  

Those few moments may make the difference in creating a less stressful, more joyous Holiday Season.

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

Costume Time of the Year

Halloween is just a few days away!  The night of candy collection! Whatever will your child wear?  How many times will that choice change? If your children are anything like the majority of the universe, she/he will have a definite idea of what they would like to be and then about 23 hours before the big night – change their mind!  Hopefully this will NOT be the case for your and your world this year!

Choosing a Halloween costume, while exciting, can create a completely different set of stressors one might not typically consider.  While being able to see clearly as well as being seen clearly is of utmost importance, there are more significant issues as well adjustments that need to be made for choosing a costume if your child experiences any sensory issues.

Masks – they are fun for some and not so fun for others.  When a mask might be part of the costume, have your child wear it around the house prior to the ‘big night’.  All children will tell you they LOVE the mask while in the store but when faced with having to wear it longer than 2 minutes, they are unable to manage.  Consider a soft version to a hard mask or even a half-mask. Using make-up vs a mask might really make a difference. Really look at the costume –  is covering the child’s face necessary?

Hats or headbands – here too are lovely items that make sense for some but will ruin an evening for others.  Similar to a mask, have your child wear it around the house for longer than 2 minutes. Initially you may have to start at 2 min and work his/her tolerance up to 15-20 minutes.  Consider a softer version and/or if it HAS to be part of the ‘look’.

Major clothing part of the costume  – tags, buttons, velcro, and zippers are scarier to some children than goblins and monsters! You might consider taking a page from your mother’s or grandmother’s handbook – make your own costume. Please do not think for one moment we are talking about getting the sewing machine out or whip stitching something together!  Consider the following ideas using the clothes that are hanging in the closet now:

Jeans and a flannel shirt:

  • Adding a tool box or tool belt = construction worker, carpenter, Paw Patrol character
  • Adding a piece of fake wood (ie: cardboard tube) = lumberjack or jane

Leggings and a long shirt:

  • Adding a cape on the shirt = superhero
  • Adding a belt with a few fake flowers on it = fairy

Jeans and a white t-shirt:

  • Adding maybe a scarf around the neck = ‘50’s girl
  • Rolling up the sleeves = ‘50’s guy

Shirt and bottoms that are the same color =

  • Tape a white ‘M’ on the shirt = M&M character
  • Tape a picture of any character from the movie “Inside Out” on the shirt

Look at the PJs your child currently wears – chances are those worn to school or to a party could pass as a costume without issue.

By now, your costume creator self has probably more than enough ideas for this Halloween. Feel free to share pictures of your costume creations with vkotansky@lakeshorespeech.com and we’ll post them on our Facebook page.  Your photo might be the inspiration which makes a difference in the life of a little one this year or for years to come.

Happy Halloween Prep!  And above else, remember to enjoy the time with your child making memories that will last a lifetime!

Yours in Speech,

Lakeshore Speech Therapy, LLC

 

Audiology Awareness

October celebrates many worthy causes and organizations.  Our brothers and sisters in Audiology are recognized in October as it is National Audiology Awareness month!

Hearing is something taken for granted too often.  While it is a true fact that hearing acuity decreases with age, taking steps to preserve hearing is important at all ages.  The National Department of Human Services “It’s a Noisy Planet Protect Their Hearing” Campaign shares important information and reminders for parents of child of all ages.

Sound that is 85 decibels or higher may cause hearing loss.  The volume and length of time spent listening to sound at an elevated level as well as the proximity to the source,  the more damage can occur to your hearing. Our environment is filled with sounds that are well over 85 decibels (dB), some you probably have never considered.  

  • Normal conversation: 60 dB
  • Dishwasher: 75 dB
  • School cafeteria: 85 dB
  • Gas lawn mower: 90 dB
  • Snowmobile: 100  dB
  • Music player at maximum volume: 105 dB
  • Music concert: 110 dB
  • Ambulance siren: 120 dB
  • Jet engine taking off: 140 dB
  • Firecracker: 140–165 dB

We all need to be mindful of what and how long we are exposing our children and ourselves to damaging sounds.  Damage can build up over time. Simple ways to decrease the risk of hearing loss are move away from the sound source, wear hearing protectors (earmuffs, earplugs, etc) and turn the volume down, especially when wearing headphones/earbuds.

Take time this month to pay attention and make positive changes to preserve your hearing that of those you love. 

Yours in Speech,

Lakeshore Speech Therapy, LLC.