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Category: Communication

Zones of Regulation

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What are the Zones of Regulation?

The Zones of Regulation is a curriculum that your child’s therapist may use to help your child develop self-regulation skills. Self-regulation is “the ability to achieve the preferred state of alertness for the given situation.” Other terms often interchanged for self-regulation include self-control, impulse control, and self-management. The curriculum focuses on lessons and activities to help the child identify their different “Zones” and strategies to increase self-regulation. Additionally, your child will be able to increase their understanding of emotions and coping skills. 

The Zones: Self-Regulation

“The Zones of Regulation creates a system to categorize how the body feels and emotions into four colored Zones with which the students can easily identify.” 

There are four zones within the Zones of Regulation

  • Blue Zone
  • Green Zone
  • Yellow Zone
  • Red Zone

The Blue Zone is a state of low alertness. Feelings can include sad, tired, sick, or bored. 

 

The Green Zone is a state of ideal alertness. This includes feeling calm, happy, or focused.

 

The Yellow Zone is a state of heightened alertness. Feelings can include frustration, worry, excitement, silliness, or fear. 

 

The Red Zone is a state of extremely heightened alertness. This includes anger, rage, extreme fear, and explosive behavior. 

 

How are the Zones used?

Your child’s therapist will work with them to identify which Zone they are in and strategies to help them self-regulate within each Zone. They will work together to develop a “toolbox” with strategies and techniques for obtaining optimal alertness in everyday situations. It is important to understand that no zone is “bad,” and all are expected from time to time. Instead, the intention is to help your child identify tools and coping strategies to self-regulate within each Zone. 

 

What can Carolina Therapy Connection help?

For the Zones of Regulation to work as intended, home carryover is super important. Strategies include using the same language and talking about the Zones within the home and community environments. Applying strategies to yourself can also increase carryover. For example, you may say, “This is super frustrating, and I am starting to go into the Yellow Zone. Maybe I will take some deep breaths.” Additionally, validate the zone that the child is in and help them implement the strategies and tools to self-regulate. Your child’s therapist can share the language and strategies used with the Zones of Regulation to increase carryover at home. 

 

By: Carolina Zissette, OT

 

24-Month-Old Milestone

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What speech development will my child be doing at this time? 

At 24 months, most children have developed a vocabulary of at least 200 words or more. They can now use simple two-word phrases and may even begin to form simple phrases. These sentences may not be grammatically correct, but they convey meaning and reflect the child’s attempts to express themselves more elaborately. For example, a 24-month-old might say “big truck” or “mommy book.”

One notable aspect of language development at this age is the emergence of pronouns. Many toddlers start using pronouns such as “I,” “me,” and “you” to refer to themselves and others. This marks a significant step in their ability to express personal experiences and interact with others. 

In addition to vocabulary expansion and sentence formation, toddlers are refining their articulation skills at this stage. While their speech may still be unclear to unfamiliar listeners, families can usually understand their child’s words and phrases. Sound errors are typical at this age, and most children gradually improve as they continue to practice and refine their speech sounds. 

What else should my child be doing for Speech Development?

Another exciting 24-month-old milestone in language development is the ability to follow simple directions. Toddlers can often understand and respond to basic instructions, such as “give me the ball” or “come here.” This newfound skill contributes to their growing independence and ability to engage in simple tasks.

Social communication skills also make significant strides at this age. Many 24-month-olds enjoy engaging in simple conversations and sharing their thoughts and observations with those around them. They may imitate adult speech patterns and gestures and even attempt to participate in back-and-forth exchanges. Furthermore, imaginative play also begins to blossom. They might pretend to play with dolls or stuffed animals, using words to narrate their play and express creativity. 

What Can I Do at Home? 

It’s important to note that while there are general milestones for speech and language development, each child is unique and may progress at their own pace. Regular exposure to language-rich environments, positive interactions with caregivers, and engaging activities that stimulate language development all contribute to a child’s linguistic advancement.

The 24-month mark is an exciting stage in a child’s speech and language development. It represents a time of significant growth in vocabulary, sentence structure, and social communication skills, laying the foundation for more advanced language abilities in the future. Parents and caregivers play a crucial role in fostering this development through supportive and enriching interactions with their toddlers.

 

By: Lindsey Bryant CF, SLP

 

Nurturing Mental Wellness in Children: The Vital Role of Pediatric Therapy

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In today’s fast-paced world, children face many challenges that can impact their mental well-being. From academic pressures to social dynamics, the stressors they encounter can take a toll on their emotional health. As parents and caregivers, it’s essential to recognize the signs of mental distress in children and provide them with the necessary support to thrive.

At Carolina Therapy Connection, we understand the importance of nurturing childhood mental wellness from an early age. Our comprehensive counseling services are designed to address various issues, empowering children to develop coping mechanisms and build resilience for life’s challenges.

Understanding Childhood Mental Wellness

Childhood is a crucial period for mental development. It’s a time when children form their perceptions of the world and learn how to navigate their emotions. However, factors such as family dynamics, peer relationships, academic pressures, and societal expectations can influence their mental health.

As children grow and develop, they may encounter difficulties that affect their emotional well-being. These challenges can manifest in various ways, including:

  1. Behavioral Changes
  2. Sudden changes in behavior, such as increased irritability, withdrawal, or aggression, may indicate underlying emotional struggles.
  3. Academic Decline
  4. Difficulty concentrating, declining academic performance, or reluctance to attend school could be signs of anxiety or other mental health issues.
  5. Physical Symptoms
  6. Headaches, stomachaches, and other physical complaints without underlying medical causes may be linked to stress or emotional distress.

Recognizing these signs early on is crucial for addressing children’s mental health needs and preventing further complications.

The Role of Pediatric Therapy in Promoting Mental Wellness

Pediatric therapy plays a vital role in supporting children’s mental wellness. Our team of skilled therapy providers specializes in working with children and adolescents, providing a safe and nurturing environment for them to express their thoughts and feelings.

Through evidence-based therapeutic techniques tailored to each child’s unique needs, we help them:

  1. Develop Coping Skills
  2. Children learn healthy coping mechanisms to manage stress, anxiety, and other emotional challenges.
  3. Build Resilience
  4. Children develop resilience to bounce back from setbacks and adversities by fostering a sense of self-esteem and self-efficacy.
  5. Improve Communication
  6. Effective communication is key to expressing emotions and resolving conflicts. Our therapists help children improve their communication skills, both verbally and non-verbally.
  7. Strengthen Relationships

Healthy relationships are fundamental to children’s well-being. We work with families to improve communication and strengthen familial bonds.

Promoting Childhood Mental Wellness for a Brighter Future

At Carolina Therapy Connection, we believe every child deserves the opportunity to thrive emotionally and socially. Promoting mental wellness from an early age lays the foundation for healthier, happier futures.

If you’re concerned about your child’s emotional well-being or want to learn more about our counseling services, we’re here to help. Contact us today to schedule a consultation with one of our experienced pediatric therapists.

Together, we can empower children to overcome obstacles, embrace their strengths, and live fulfilling lives. Let’s work together to nurture their mental wellness and unlock their full potential.

 

Best Toys for Kids with Autism as Recommended by Therapists

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Sensory Friendly Toys that Don’t Involve Electronics

Welcome to our exploration of the beautiful world of toys uniquely crafted for children with autism. Selecting toys for kids with autism involves a delicate dance between understanding sensory needs, promoting skill development, and, most importantly, ensuring hours of joy and engagement. In this blog, we’ll delve into a curated list of favorite toys that cater to the diverse interests and preferences of children with autism.

 

Sensory Toys: A Symphony of Textures and Colors:

 

 

Cause-and-Effect Wonders:

 

 

Educational Gems:

  • Puzzles: Offering a mix of challenge and satisfaction, puzzles contribute to cognitive development and problem-solving skills.
  • Building Blocks: The timeless joy of building and creating, these blocks encourage imaginative play and enhance fine motor skills.

 

Calming Oasis:

  • Weighted Blankets: Not exactly a toy, but a soothing addition to any space, providing comfort and a sense of security.

 

 

Communication and Social Play:

 

  • Board Games: Structured play with clear rules, board games provide a fun way to learn social interaction and turn-taking.

 

Outdoor Adventures:

 

 

Artistic Expression:

  • Playdough Fun: The joy of squishing, molding, and creating with playdough offers a satisfying tactile experience.
  • Markers and Crayons: Encouraging creativity, drawing, and coloring provide an expressive outlet for children with autism.

 

Choosing toys for kids with autism is a personalized journey that requires attention to individual preferences and needs. The toys mentioned above are just a glimpse into the vast array of options available, each offering a unique way to engage, inspire, and bring joy to children on the autism spectrum. As you embark on this exploration, remember to observe, communicate, and, most importantly, have fun discovering the perfect toys for your child’s unique world.  Check out our specially curated Amazon Storefront for more toy suggestions!

 

Let’s Talk Articulation!

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When Do I Bring My Child for a Speech Sound Evaluation?

As our children grow and develop speech, they don’t learn to use all the speech sounds in their native language simultaneously.  That’s why my little one tells me that “it’s dart outside” when he looks out the window after dinner these days!  But how do you know when to seek out a speech therapist for your child?  

Check out the chart below, which is available as a downloadable PDF on the SLP now website at https://blog.slpnow.com/the-slps-guide-to-speech-sound-disorders-articulation-phonological-development/; when looking at the chart, understand that some children start to develop sounds before the ages listed. The ages listed represent the age at which 90% of children have mastered each sound. For many speech sounds, there is a wide range of ages at which a child may start to produce the sound or approximations inconsistently before they truly master the sound. However, it is a quick rule of thumb that if a child cannot produce one of the sounds listed under their age, speech therapy may be indicated.

 

 

What Can I Do at Home to Help My Child with Their Speech Sounds?

So, what can a parent do to help their child develop speech sounds correctly at home? The first strategy I recommend is to make sure your child is looking at your face when you’re producing words or sounds that they had difficulty with. Draw attention to your mouth by pointing.  Children learn a lot about how a sound is produced by observing you. 

Another strategy that you can use is called recasting. Recasting is when you repeat what your child says precisely, including the errors, in a questioning voice. For example, if your child says, “Look at the tar” when they mean “Look at the car,” you might respond by saying, “Tar? Is that what you meant?” When the child attempts to correct himself or herself, if he or she cannot do so, I suggest using the first strategy we discussed.  Your child may not produce the sound at that moment, but that’s okay because they are still learning from what they see and hear from you.

I also recommend reading with your child regularly. Even if a child cannot read independently, draw their attention to some of the letters in the book, especially if the book has large decorative letters at the beginning of paragraphs. Talk about the sound the letters make, and again, ensure your child is watching your face. 

For emerging readers, phonics activities are an excellent time to work on articulation at home. While doing phonics homework with your child, could you talk about how each sound is made?  For example, the “T sound is made with our tongue on the roof of her mouth.” If you’re unsure how to describe how sounds are made, PeechieSpeechie.com has an excellent video library with tutorials for each sound.

If your child is receiving speech therapy services, their SLP will be able to provide you with additional, personalized resources.

How Can Carolina Therapy Connection Help? 

If you are still unsure or feel that your child’s speech is difficult to understand compared to others his/her age, Carolina Therapy Connection has licensed Speech Language Pathologists at the clinics in Greenville, Goldsboro, and New Bern that are highly qualified to evaluate and diagnose speech sound disorders.  You can schedule a speech sound evaluation at whichever clinic is most convenient for your family at 252-341-9944.  Our professionals can also provide personalized resources for your child’s needs. 

 

By Michelle Berghold

 

Stuttering: Developmental or Disordered?

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Stuttering in children is a speech disorder characterized by disruptions in the natural flow of speech. Developmental stuttering is a common experience, typically emerging between the ages of 2 and 5 when children are first learning to speak fluently and developing a large repertoire of words, phrases, and sentences. While many kids experience a phase of disfluency in their normal speech development and may outgrow it, some might continue to stutter as they grow older. In this case, speech therapy may be recommended.

 

 

Causes of Stuttering in Children

The exact cause remains unclear, but it’s believed to arise from a combination of genetic, neurophysiological, and environmental factors. Children with a family history of stuttering are more likely to develop it. Some kids experience stuttering due to differences in brain structure or function related to speech production. Emotional factors like stress, pressure to communicate quickly, or a hurried environment can also increase stuttering. Stuttering occurs at the initiation of voice, which is why we typically hear disfluencies at the beginning of words and phrases.

 

According to Johns Hopkins Hospital, A child is more likely to stutter if he or she has:

 

  • A family history of stuttering
  • Stuttered for 6+ months
  • Other speech or language disorders
  • Strong emotions about stuttering or family members with fears or concerns

 

Types of Disfluencies

Stuttering manifests in various ways, such as repetitions (repeating sounds, syllables, or words), prolongations (elongating sounds), and blocks (inability to produce sounds). These disruptions can lead to tension and anxiety, causing the child to avoid certain words or situations where they might feel pressured to speak.

 

Speech Therapy for Stuttering:

Speech therapists play a crucial role in assessing, diagnosing, and treating stuttering. Here are some primary approaches utilized in speech therapy:

 

Speech Modification Techniques: Therapists teach children to use gentle starts to sentences, and employ smooth, relaxed breathing patterns. This helps in reducing the frequency and severity of stuttering moments. Continuous phonation, for example, is a technique where speakers learn to keep their voice on and vocal folds vibrating throughout speech. 

 

Fluency Shaping: This technique focuses on reshaping the child’s speech patterns by teaching smoother speech movements. It involves controlled breathing, gentle voicing, and gradually increasing sentence length to enhance fluency.

 

Stuttering Modification: This approach concentrates on changing the child’s emotional and cognitive reactions to stuttering. It involves desensitizing the child to the fear and anxiety associated with stuttering and teaching strategies to manage and accept disfluency.

 

Parental Involvement: Educating parents about stuttering and how to support their child’s speech development is key to increasing the child’s success. Therapists often teach parents techniques to practice at home, creating a supportive environment for the child’s progress.

 

Communication Skills Training: This includes enhancing overall communication skills, like turn-taking and using pauses effectively. It helps in building the child’s confidence and reducing the pressure associated with speaking.

 

Long-Term Outlook

Many young children outgrow developmental stuttering; however, some might continue to stutter into adolescence and adulthood. In such cases, ongoing therapy, support groups, and strategies for managing stuttering in social and professional settings become vital.

 

How can Carolina Therapy Connection help?

Children who sutter often benefit from therapy from skilled Speech-Language Pathologists. Stuttering in children is a complex speech disorder that necessitates early intervention and specialized therapy. Speech therapists employ a variety of techniques focusing on speech modification, emotional support, and overall communication enhancement to help children manage and, in many cases, overcome stuttering. Family involvement and a supportive environment are fundamental in the child’s journey towards improved fluency and confidence in communication. At Carolina Therapy Connection, our treatment is highly individualized to your child’s needs. A standardized assessment will be administered to detect any disfluencies, and our therapists will work with you and your child to develop a plan for enhancing skills to build confidence across all social environments (home, school, social groups, etc). If you have any concerns or questions regarding your child’s development, call our clinic at (252) 341-9944.

 

By Ashley Holloway, MS, CCC-SLP, CAS

 

 

Winter Activities for All Ages! 

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What are Some Winter Activities When the Weather is too Cold Outside?

Ever wonder what you can do to keep your Kiddo occupied and safe while providing the necessary sensory input when it’s too cold to play outside? It is recommended to take indoor breaks every 20-30 minutes when the temperature outside is between 13-30 degrees; however, some kiddos tolerate cold weather better than others. Here are some tips for activities that can be done indoors when it’s just too cold to go outside this winter!

A Fun Winter Activity: Play Board Games

This is dependent on your child’s age and skill set. If you have some board games tucked in the closet, break them out and have family fun! This will work on building your child’s reciprocal play skills, following multistep direction skills, coping skills, and emotional regulation. Check out our Amazon storefront for some of our recommended board games! 

Build a Pillow/Blanket Fort

Who didn’t love making a fort under the kitchen table as a kid? Build a fort in the kitchen and living room, then place some of their favorite books, toys, and stuffed animals inside. This can be a fun way to get your kids into critical thinking mode and build their visual perceptual and motor skills! 

Scavenger Hunt

Another fun winter activity is to hide some items in your house and have your kiddos find them! This can be graded according to skill level and age. For example, for a younger kiddo, have them locate items they would typically use. For older kiddos, give hints to the item they are looking for. “Find two things mom uses to stir within the kitchen (utensils)” or “Find something round and blue in your bedroom (ball).” This will work on their figure ground skills and get their body moving!

Bake/Cook

Have your kiddos help you bake/cook your favorite snack or dessert in the kitchen. Have your kiddos follow the directions given or help with the messy tasks. This can be great for our sensory-seeking kiddos and those resistant to messy play!

Dance Off!

GET MOVING with a fun dance-off! Put off some of your favorite music and have a contest to see who dances best to the song! This is a great way to work on gross motor skills, coordination, and auditory processing, and it’s just plain fun!

Watch your Favorite Movie and Act Out the Scenes.

Many kids like to watch movies; however, do you ever notice that they get bored halfway through and are on to the next thing? Get them involved with the movie. Have that pause button ready and have them act out a scene to see if they can recall what happened! 

Indoor “Snowball” Fight

Do you have some extra tissue paper lying around after wrapping those Christmas presents? Make snowballs and toss them at each other! This is a great way to get kiddos moving without fear of knocking things off tables/counters and breaking things! 

Keepie-uppie with Balloons

Everyone knows this one! Can we keep the balloon off of the ground? Try it! It is so much fun, works on your kiddo’s hand-eye coordination, and has less risk of damaging something in your home!

How can Carolina Therapy Help?

With winter in full swing, ask your therapist about tips/tricks to have fun indoors with adaptations specifically for your child’s sensory-related needs. A therapist at Carolina Therapy Connection can help adapt the activities listed above and give more ideas for your specific child! Also, check out our link for Amazon storefront to find fun toys/activities to make the indoors fun! Many great toy ideas and sensory-related tools can be used when your child needs to get some energy out!

I hope these tips have helped build some fun ideas for you and your family for this winter season! Stay happy, healthy, and warm!

By: Shelby Godwin, COTA/L, AC

What is AAC?

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AAC stands for Augmentative and Alternative Communication. It encompasses all of the ways in which an individual may communicate outside of speaking verbally. Augmentative communication means to add to someone’s existing speech skills, and alternative means to be used in place of verbal speech. There are many different kinds of AAC including, but not limited to: gestures, facial expressions, writing, pictures symbols (e.g., picture exchange communication system/ PECS), drawing, sign language, high-tech speech generating devices, communication boards, etc. Some people may use one of these modalities, and some may use multiple modalities depending on the way in which they can most quickly and clearly communicate the topic.

Who Needs AAC?

Many different people use AAC throughout their lifetime. It can be used across the lifespan by any age, at any time, and for a variety of different reasons. Some people use AAC for their entire life, and some use it for only a short period of time. AAC can help any person who has difficulty fully or partially meeting their daily communication needs such as expressing wants and needs, socializing, asking questions, and a variety of other functions.

 

 

How can AAC help your child?

AAC may be able to help your child if they have difficulty being understood by others, have a limited vocabulary, demonstrate limited spontaneous speech, are non-speaking, and a variety of other different reasons. There are no prerequisite skills to your child beginning to use AAC. One common misconception is that AAC will hinder language development or cause your child to become dependent on it for communication. While some children may have minimal to no verbal speech throughout their lifetime, there is research to show that AAC can actually help children to develop language. Using AAC can also help to reduce frustration surrounding communication attempts, and help your child to communicate their needs more clearly, quickly, and effectively.

 

 

Parent’s Role in AAC

When introducing AAC to your child, it is important for family members/ caregivers to make the commitment to help the child succeed with the chosen AAC device. Your input is crucial in helping to choose and develop an appropriate AAC system, and using the device at home and in the community is a vital step to help both you and the child continue to learn the system. According to Jane Korsten, SLP, the average 18-month-old has been exposed to 4,380 hours of oral language at a rate of 8 hours/ day from birth. A child who has a communication system (AAC) and receives speech/language therapy 2 times/week for 20-30 minutes will reach the same amount of language exposure (in their AAC language) in 84 years. It is our role as professionals and caregivers to help minimize the communication gap between oral language users and AAC users. 

Modeling:  Modeling is an awesome way to both learn your child’s AAC system, and teach them an example of how they can use it. The best way to model is to speak and use the system at the same time, although you do not always have to select an icon for every word you say. For example, you may verbally say “time to go to school” while modeling “go” and “school” on the AAC system. A general rule of thumb is to model the number of icons your child is currently using, plus one. If your child uses 1 icon at a time, you may choose to model 1-2 icons at this time. It is important to model without expectation, meaning that you use the AAC system without expecting or requiring the child to respond, withholding items or activities, or “testing” their skills. The goal is to provide an example to the AAC learner, which they will then learn by watching and listening to what you do/say.

 

How can CTC help you and your child?

Whether your child is already receiving speech/language therapy services at our clinic or not, CTC is ready to help support both parents and children through their own individual journey with Augmentative and Alternative Communication. If you believe that your child may benefit from the use of AAC, talk to one of our many incredible speech-language pathologists to begin the process of figuring out what type of system (no tech, low-tech, mid-tech, high-tech) will work best. This process can take time, but with your support and the support of your SLP, it is possible to find the right system for your child! 

Your Baby’s Communication: Prelinguistic Vocalization

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What can I expect before my baby begins talking?

Your baby’s first form of communication will be nonverbal and happens soon after birth. Your may baby grimace, cry, or squirm to express a range of emotions and physical needs, from fear and hunger to frustration and sensory overload. Oftentimes, parents learn to listen and interpret their baby’s different cries, coos and babbles. Many parents wonder when their baby will begin using words, imitate them, laugh and form a variety of other communication methods to express how they are feeling. A very important part of language development is the prelinguistic stage, which is the stage that is characterized by vocalizations before language begins. So for starters, what is language? How does it develop during a baby’s first year of life?

Language is when we use and organize sounds and words to convey meaning. Language development is considered a continuum, and there is not an abrupt shift from babbling to talking. There is an overlap between all stages of language development. Every child is different in the way they learn and grow; however there are many exciting milestones to watch for as your baby explores their environment in the first few months of life. Continue reading to learn more about the prelinguistic stage, how you can interact with your child during this stage, and how Carolina Therapy Connection can help your child reach their full potential!

What can I expect from my baby during the prelinguistic vocalizations stage?

Carolina Therapy Connection Prelinguistic Behaviors

 

1: Reflexive and Vegetative

  • Occurs birth – 2 months
  • Reflexive sounds (crying, coughs, burps)
  • Cries that mean different things (hunger, pain, etc.)

2: Cooing and Laughter

  • Occurs 2 – 4 months
  • Vowel like sounds
  • Squeals

3: Vocal Play

  • Occurs 4 – 6 months
  • Longer vowel like sounds
  • Some consonant sounds
  • Changes in pitch and loudness

4: Canonical Babbling

This stage is when babies may start to imitate what they hear! This is a fun time to sit and play with your babies and babble to them and see if they imitate!

  • Occurs around 6 months – until first words
  • Reduplicated or strings of identical syllables: “mamamama” “babababa”
  • Variegated or strings of varying consonants and vowels: “madagama”

5: Jargon

During this stage, it will seem like your baby is trying to tell you a story. They may look at you and make facial expressions and use hand movements. This is a fun time to encourage them and engage with them in conversation. Check out this awesome resource from Reading Rockets for Tips and Activities to Encourage Speech & Language Development!

  • Occurs around 10 months or older
  • This stage overlaps with first words
  • Strings of babbling
  • Paired with eye contact, gestures, and adult like intonation

Why does the prelinguistic stage matter?

Research indicates that babbling correlates to later language development. Greater babbling complexity and a variety of sounds used positively indicate greater language growth. Delayed babbling may be an indicator for speech/language delays. If you notice that your child is not babbling by 10 months of age, it may be beneficial to consult with a Speech Language Pathologist. While this is not the only factor, it can be helpful when looking at your child’s overall development.

How can Carolina Therapy Connection help?

There is so much new information and research these days that can be overwhelming for a parent. At Carolina Therapy Connection, our team of pediatric speech therapists are licensed professionals who are trained to help children with any communication difficulties. We know that developing strong communication skills is one of the most important elements to socializing and creating relationships.

Our knowledgable and experienced team of SLP’s provide screenings, assessments, consultations, and treatment to children birth through 21 years old. If you have any questions about your child’s development or would like to set up a FREE screening with one of our speech language pathologists to determine the need for an evaluation, call our clinic at 252-341-9944 to speak with one of our staff members. 

Meet the Author

Kayla Hudson Prelinguistic Communication Carolina Therapy Connection Speech Therapist

Carolina Therapy Connection Prelinguistic Communication Blog Greenville, New Bern, Goldsboro North Carolina Speech Therapy

Optimizing Therapy Progress

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Competence Brings Confidence

When we begin treatment with a new patient, or we begin working on a new skill at home as a parent, we often become so excited about the goal, or the end game, that we forget about all the small steps we should take to get there. Over the past 20 years working with children and families as an SLP and raising my own children I have learned that we need to celebrate the small steps in life and for therapy progress.

At some point I started telling parents of preschoolers and early elementary students, “Competence brings confidence!”

Your child might learn a very small step toward their goal in a therapy session. This small step should bring a lot of excitement, praise, and chances to “show it off” at home. These chances are growing your child’s confidence in their abilities. Those chances are giving neural connections a chance to form. Those chances are reinforcing new motor patterns. Being competent in a new skill, no matter how small, brings confidence! Confidence gives us the drive and the will to keep working hard and keep going. It keeps us excited in our pursuit to learn something new or difficult and optimizes therapy progress.

Focus on the Small Steps for Big Victories

Often parents and practitioners focus too much on the end goal.  Young children do not even know what the end goal is. We need to celebrate each very small step along the way.

With the confidence your child has from practicing a seemingly small skill at home, they come to therapy ready to move on and add more new skills. They will have the skill they have become so good at in their tool belt, and add to it! They might have started making a speech sound with confidence in isolation. When they are confident with that skill because they have shown it off many times, they will be ready to move on to making that sound in words.

In the opposite scenario we might spend time working on the small skills, try to speed along, and forget to give praise and practice at each step. We are focused on the end goal, for example, clear speech. All along your child or patient might practice and never realize all the small gains because we forget to praise them with small steps or have them show off their small steps. In this scenario, opportunities to practice important building blocks are missed. Opportunities to build confidence are missed, and ultimately the pace of progress is slower.

In the end, learning the “end goal” should have felt like many moments of satisfaction and praise to finally reach where we wanted the child to be.  It should not feel like many moments of trying and not {quite} getting there and being corrected over and over until we {finally} get good enough.

Incidentally, this works for grown ups too! If you are trying to learn something new, give yourself some grace. Focus on a small step you have mastered and practice it or show it off many times, and then move on. In the long run, you will be smarter and stronger for building competence in the small steps all along, and you will be more confident with your goal when you get there!

Optimizing Therapy Progress at Carolina Therapy Connection

The key to success is realizing that our large or end goals aren’t going to happen overnight, in the next week or maybe even the next year, but this is okay. We tend to take the present moment for granted – it seems insignificant, and we believe the little things we do in the moment are not changing us. At Carolina Therapy Connection, we believe in a culture that embraces the small victories for your family! Each time your child has milestone achievement, we will find a way to celebrate. We believe it is critical to make therapy as fun and motivating as possible by celebrating the small victories as well as major achievements. After all, when children enjoy what they are doing, who they are with and the environment they are in, anything is possible! If your family has concerns regarding your child’s development or goals you would like to achieve, call us at 252-341-9944. We would love to help you and make you a part of our CTC family and culture. 

 

Written by: Susan Hill, MS, CCC-SLP

Optimizing Therapy Progress Susan Hill SLP Greenville New Bern Goldsboro NC

 

 

 

 

 

 

 

 

 

Optimizing Therapy Progress Greenville NC Pediatric occupational speech and physical therapy written by Susan Hill