What is Play Therapy in a Mental Health Setting?

Posted on August 14, 2024August 14, 2024

Play Therapy is a type of therapy that uses play to help children understand and deal with their emotions and problems. It’s a natural way for kids to express themselves and work through issues they may face. In a mental health setting, Play Therapy can be very helpful in addressing various psychological problems, offering many benefits for young patients.

Appropriate Age Range for Play Therapy

Play Therapy is usually for children aged 3 to 12 years. However, it can also be adjusted for older kids and teens who might benefit from it. This flexibility makes Play Therapy accessible and useful for different age groups, ensuring that each child gets the support they need in a way that works for them.

Who Can Benefit from Play Therapy?

Play Therapy can help children with many emotional and behavioral problems, including:

Anxiety and depression
Trauma and PTSD
Behavioral disorders
ADHD
Autism Spectrum Disorders
Social and relationship issues
Grief and loss

Children can deal with complex emotions and experiences by playing in a safe and supportive environment. This therapy is also great for kids who may struggle to talk about their feelings, as it lets them communicate through play.

The Process of Play Therapy

The Play Therapy process has several stages, each tailored to the child’s needs:

Assessment: The therapist first understands the child’s needs, behaviors, and family situation.
Building Rapport: Creating a trusting relationship between the therapist and the child is crucial. This is done through engaging and non-directive play.
Therapeutic Play Sessions: In these sessions, the child can play with various toys and materials. The therapist watches and interacts, using specific techniques to address the child’s problems.
Parental Involvement: Parents or caregivers are often involved in the therapy process, receiving guidance to support the therapy at home.
Evaluation and Progress Monitoring: The counselor regularly checks the child’s progress and adjusts the therapy as needed.

Positive Impact on Mental Health

Play Therapy provides deep insights into a child’s emotional world and helps them develop healthier coping skills. It builds resilience, enhances emotional intelligence, and improves problem-solving abilities. By working through their issues in a playful and non-threatening way, children can achieve significant psychological growth and stability.

How Can Carolina Therapy Connection Help?

At Carolina Therapy Connection, we understand how powerful Play Therapy can be. Our team of skilled mental wellness counselors is here to support your child’s mental health journey. We offer free screenings to see if Play Therapy is the right fit for your child. Contact us today to schedule a screening and take the first step toward your child’s mental well-being.

Understanding Eye Movement Desensitization and Reprocessing (EMDR) Therapy

Posted on August 14, 2024

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a special treatment that helps people heal from trauma and other difficult experiences. Created by Francine Shapiro in the late 1980s, EMDR is now used to treat many mental health issues.

Benefits of EMDR Therapy

This therapy has several advantages:

Quick Results: EMDR often works faster than regular talk therapy. Many people feel better after just a few sessions.
Trauma Treatment: EMDR is very good at treating post-traumatic stress disorder (PTSD) and other trauma-related problems.
Whole-Person Healing: EMDR addresses the root cause of distress, helping people feel better overall.
Versatile: EMDR can help with anxiety, depression, phobias, chronic pain, and grief.
Less Need for Medication: Some people find they need less medication when using this method.

The EMDR Therapy Process

This therapy has eight phases:

History Taking: The counselor learns about your history and plans your treatment.
Preparation: The counselor explains how this type of therapy works and teaches relaxation techniques.
Assessment: The counselor identifies specific memories and the negative beliefs and feelings connected to them.
Desensitization: The counselor uses bilateral stimulation, like guided eye movements, to help you process the traumatic memory and lessen its emotional impact.
Installation: Positive beliefs replace the negative ones linked to the traumatic memory.
Body Scan: You check for any leftover physical tension related to the memory.
Closure: The counselor ensures you feel safe and stable before the session ends.
Reevaluation: The counselor checks your progress and addresses any remaining issues in future sessions.

Differences Between EMDR and Other Therapies

EMDR is different from other therapies in a few ways:

Eye Movements: This type of therapy uses bilateral stimulation, like eye movements, to help process memories, which is different from regular talk therapy.
Memory Focus: EMDR targets specific memories and the negative feelings linked to them rather than just focusing on current symptoms.
Faster Relief: Many people feel better faster with this type of therapy when compared to other types of therapies.

Who is Appropriate for EMDR Therapy?

This therapy can help many people, including those who:

Have experienced trauma, like abuse, accidents, or natural disasters.
Suffer from PTSD or other trauma-related conditions.
Struggle with anxiety, depression, or phobias.
Have unresolved grief or loss.
Experience chronic pain or distress related to illness.
Want an alternative to traditional talk therapy or medication.

How Can Carolina Therapy Connection Help?

Carolina Therapy Connection offers EMDR therapy as part of our mental wellness and counseling services. Our trained counselors are ready to help you find relief from trauma and other distressing issues. We provide a free screening with one of our mental wellness counselors to get you started. Contact us today to schedule your screening and take the first step toward healing.

For more information or to make an appointment, visit our website or call our office. We look forward to helping you improve your mental well-being.

Celebrating Excellence: Our Pediatric Therapy Company Named Best Employers of NC for 2023 and 2024!

Posted on July 15, 2024August 2, 2024

We are thrilled to announce that our pediatric therapy company has been recognized as one of the Best Employers of North Carolina for 2023 and 2024 by Business North Carolina! This incredible achievement is a testament to the dedication, passion, and hard work of our entire team, and it highlights our commitment to providing exceptional care and services to the children and families in our community.

A Commitment to Excellence in Pediatric Therapy

Over the past 14 years, our organization has specialized in a comprehensive range of pediatric therapy services, including occupational therapy, speech therapy, physical therapy, mental wellness and counseling, and educational services. We have recently expanded to include services for adults in the past year and a half. Our multidisciplinary approach ensures that each child receives individualized care tailored to their unique needs, fostering their development and helping them reach their full potential.

Occupational Therapy: Our skilled occupational therapists help children develop the skills they need for daily living and academic success, focusing on fine motor skills, sensory processing, and more.

Speech Therapy: Our speech-language pathologists work with children to improve their communication skills, addressing challenges related to speech, language, and social communication.

Physical Therapy: Our physical therapists are dedicated to enhancing children’s mobility, strength, development, and coordination, enabling them to participate fully in everyday activities.

Mental Wellness and Counseling: We provide a supportive environment for children and adults to explore their emotions, develop coping strategies, and improve their mental health and well-being.

Educational Services: Our educational specialists offer academic testing and tutoring support for children with learning differences, helping them thrive academically.

Serving Eastern North Carolina with Dedication and Care

With multiple locations around Eastern North Carolina, our clinic is committed to making our services accessible to families throughout the region. We also have several virtual speech-language pathologists who can serve children across all of North Carolina. We understand the importance of providing high-quality care close to home, and our convenient locations ensure that children and families can receive the support they need without extensive travel.

Recognized as a Top Employer

Being named one of the Best Employers of North Carolina for two consecutive years is an honor that reflects our dedication to creating a positive and supportive work environment for our staff. We believe that happy, fulfilled employees are the foundation of excellent patient care. Our team members are passionate about their work and committed to making a difference in the lives of the children and families we serve.

The survey conducted by DataJoe for Business North Carolina covered essential workplace topics, including organizational health, leadership, engagement, work-life balance, pay, training, benefits, and corporate social responsibility.

Looking to the Future

As we celebrate this achievement, we remain focused on our mission to provide the highest quality pediatric therapy services in Eastern North Carolina. We are continually exploring new ways to enhance our programs, support our staff, and expand our reach to better serve our community.

Thank you to our incredible team, our wonderful patients and families, and everyone who has supported us on this journey. We look forward to continuing to provide exceptional care and to being a part of your child’s growth and development for many years to come!

Visit our website or contact us today to learn more about our services and how we can support you and your child’s needs. Together, we can help every child reach their full potential!

https://businessnc.com/topping-the-list-of-north-carolinas-best-employers-2024/

Why Is My Child Picky About Clothing?

Posted on April 15, 2024April 15, 2024

Is your child picky about clothing? It is common for children to have a favorite shirt, blanket, or pants, but what if they refuse to wear anything besides their one outfit of choice? In the pediatric world of occupational therapy, we often work with children who cannot tolerate wearing various clothing items. We have seen the stress of dressing tasks for children and their caregivers. The intended purpose of this blog is to educate parents on why a child may be sensitive to clothing and point caregivers in the right direction to address these concerns.

Why is My Child Picky About Their Clothing?

Every child processes sensory information differently. Children who demonstrate intolerance to various clothing textures may often have sensory sensitivities to tactile (touch) information, also known as tactile defensiveness. This indicates that the neurons responsible for processing tactile information have lower neurological thresholds, meaning more sensory information reaches their brain quicker, which can cause children to become overwhelmed by the stimulus. This results in heightened responses (ex., Crying, screaming, itching) when a child is prompted to wear clothing that feels uncomfortable to them. Another underlying reason for tactile sensitivities can be connected to retained primitive reflexes. Retained primitive reflexes often contribute to a child’s hypersensitivity to general sensory information and can make clothing items with tags or tight waistbands challenging to wear.

When Should I Be Concerned About My Child’s Intolerance for Clothing?

It can be hard to discern when a child’s intolerance to clothing is a behavioral or sensory concern. A child who doesn’t “like” to wear a particular clothing item or texture is very different from a child who physically cannot tolerate certain textures. True sensory concerns will present with consistent behaviors across settings. For example, a child with true tactile defensiveness will have difficulty wearing a non-preferred clothing item at home or daycare. Additionally, consulting a professional is not customarily warranted if their limited clothing items do not impact a child’s performance and participation in meaningful activities. However, if a child’s clothing sensitivities are impacting their meaningful activities, then it may be beneficial to talk with a pediatric occupational therapist to determine what options or strategies are appropriate. An example could be a child who wants to play soccer but cannot tolerate wearing soccer cleats or sneakers and, therefore, refuses to play. Another example would be a child or adolescent who refuses to wear clothing to match the temperature outside, such as refusing to wear gloves or mittens in the middle of winter.

Strategies to Expand A Child’s Wardrobe

Keep a diary/log:
- Children will normally demonstrate a pattern of behaviors to show caregivers what types of clothing are uncomfortable. It will be essential to keep a log of what items/fabrics are preferred to limit the child’s discomfort when presented with new clothing items to try on.
Present sensory-friendly clothing:
- There are common characteristics of clothing that can be aversive to children with tactile defensiveness. For these reasons, we have provided a list of clothing items that are often more tolerable for sensory-sensitive children:
  - Clothing without seams
  - Clothing without tags
  - Loose fitting clothing
  - Soft/smooth fabric
  - Breathable clothing: avoid clothing that holds moisture
Invite them into the process:
- Providing the child with autonomy in choosing their clothing will help remove feelings of stress that surround dressing activities. One way to do this is to take them shopping and ask them what clothing they want. Depending on the child’s comfort level, it can also be beneficial to have them choose a variety of clothing to try on and have a “fashion show” in the dressing room.

What Other Concerns Can arise with Children Being Picky About Clothing, and How Can Carolina Therapy Connection Help?

Tactile defensiveness does not only impact a child’s ability to tolerate various clothing items. Typical areas of difficulty for tactilely defensive children include, but are not limited to, difficulty with hair brushing/washing, hair cuts, tooth brushing, nail clipping, and bathing. If your child has difficulty tolerating any of the above activities, then it may be beneficial to meet with a pediatric occupational therapist to discuss the best care plan for the child. Call our clinic at (252) 341-9944! Your child may benefit from an occupational therapy screening or formal evaluation!

By: Emily Britt

Spring Activities For All Ages!

Posted on April 1, 2024February 27, 2024

Join us as we welcome spring!

As the world outside bursts into color and warmth, it’s the perfect time to dive into some fun activities that celebrate the season. We’ve put together a bunch of excellent OT spring activities for all ages that you can do that are fun and help you learn and grow.

From making yummy flower-shaped snacks to crafting bird feeders and sensory bottles, there’s something for everyone to enjoy. Whether you’re a parent looking for fun OT activities with your kids at home or a teacher searching for exciting activities, you’ve come to the right place!

Join us as we explore the wonders of spring through activities that work on our fine motor skills and try new foods! Let’s make this season even more remarkable by having a blast with these therapeutic activities.

Spring Activities: Flower Snacks:

This fun and creative activity works on fine motor skills, food play, and meal preparation skills. It is also a great way to introduce healthy snacks into your child’s diet.

Beet slices flower snack– Use a flower-shaped cookie cutter to cut beet slices (or other soft fruit/veggies: pineapple, apples, thin potatoes…)
Mandarin orange flower– Peel an orange and open one end. Add celery for a stem.
Orange with flair– Add a grape tomato to the center of your orange to add a little color. Other fruits could also be arranged into a flower shape: apple, pear, and banana slices would work.
Dried cranberry mini flowers– Arrange cranberries (or raisins) into petal shapes. Add chickpeas for a center to each flower.
Tulip cucumbers– Cut a jagged line into cucumber slices. Add a piece of the peel for stems for each flower.
Flower art– Get the kids involved in this one! Provide carrots, broccoli, red peppers, and grape tomatoes, and create a flower design as a family. Enjoy!

Paint With Flowers:

This is an easy and cheap activity to complete at home that only requires paint, paper or plate, and flowers. Use the flower as a brush and press it into the paint, then paint away!

Oral Motor Exercise With Plastic Easter Eggs:

This is a fun activity to incorporate into your routine before feeding. Adding oral motor exercises provides sensory input and “wakes up” the muscles of the mouth. Give your child a straw and ask them to blow into the straw to push easter eggs toward a target.

Spring Animal Walks:

This is a fun gross motor activity that can be done in the home or outside. Have your child bunny hop, bear walk, frog jump, and snake slither from one side to the other. You can even have an animal race to see who gets to the finish line first!

Homemade Bird Feeders:

This is a great activity to improve executive functioning skills and bilateral coordination skills. You will need toilet paper rolls, peanut butter, birdseed, and spreading tools. Spread the peanut butter on the toilet paper, roll it in the birdseed, and hang it up outside!

Spring Themed Sensory Bottle:

Sensory bottles can provide a calming sensory experience to children by focusing on the different moving objects inside. All you need is 4 ounces of clear glue, warm water, hot glue (to seal the lid), a bottle, and any desired spring-themed objects to put inside (glitter, small toy animals, flowers, etc.).

CTC Ranked in North Carolina’s ‘Best Employers 2023’

Posted on June 9, 2023October 4, 2023

Who ranks North Carolina’s Best Employers of 2023?

See Our Ranking Below Under ‘Medium Sized Employers’

See the FULL issue of Business North Carolina’s annual list of Best Employers HERE

What sets Carolina Therapy Connection apart from other Employers?

Carolina Therapy Connection is a therapist-owned, growing private pediatric outpatient practice with sensory clinic locations in Greenville, Goldsboro, and New Bern, North Carolina. For the past 12 years CTC has been providing OT, PT, ST, and educational services to children of all ages and diagnoses including: autism spectrum disorder, sensory processing disorder, cerebral palsy, feeding disorders, and developmental delay. Children are served within our newly expanded, state-of-the-art sensory clinics, within the community, and within school settings. In 2023 we added Mental Wellness and Counseling to the umbrella of services CTC offers.

Carolina Therapy Connection is the first outpatient therapy clinic Certified Autism Center™ (CAC) in Eastern North Carolina. Carolina Therapy Connection covers the cost of all staff to complete this professional certification within their first year of hire. Our culture at CTC is faith-based, built around serving others while creating a fun and exciting place to work that will motivate you!

Just a few reasons to join our team …

Competitive Compensation with weekly and monthly incentive bonuses (salary or pay per visit- based on yourpreference and goals!)
Flexible schedules perfect for therapists with families (all staff choose their own schedule- what works best for you?)
Fun, social clinic setting with company sponsored events every month (team building, potlucks, snack bars, ice cream socials, etc!)
Prizes that reward team members who carry out our core values and supportive culture (monthly core value cash prizes!)
Multi-disciplinary setting with supervision and mentorship programs to help you grow and based upon the support you need!
Supportive, faith-based culture that values teamwork as well as individual team member goals (meetings on a monthly and quarterly basis to check in on your personal and professional growth!)
Opportunity for growth within the company including management and leadership opportunities (clinical and administrative ladder programs)
Web-based, electronic documentation system (document anywhere that suits you!)
Simple IRA with retirement matching (no vesting period!)
Health, vision and dental group insurance through BCBSNC with Company contribution
Disability insurance
Life insurance and Employee Assistance Program (free mental health/wellness services) paid 100% by employer
PTO and all major holidays observed (let’s hear it for no weekends or holidays!)
Continuing education compensation and company sponsored CEU opportunities
We invest in every team member to receive credentialing as an Certified Autism Specialist or Autism Certificate through the IBCCES certification program
We credential all of our interested clinicians in becoming certified in the Interactive Metronome treatment modality
Private offices for speech language pathologists (and SLP assistants)
Clinical Fellowship program with close mentorship and training
Relocation assistance and sign on/retention bonuses for certain positions
Annual licensing fees and professional liability costs covered
Referral bonuses
Travel reimbursement
Computers and other technology options (iPads) for each employee
15,000 sq.ft. clinic with state of the art sensory spaces for enhanced therapy experiences
All treatment equipment and assessments provided by company
Amazing administrative staff that handle all scheduling, billing and insurance authorizations (YES… Let’s hear it for less time spent documenting!)
A variety of settings offered based on clinician preference (schools, homes, daycares, clinic)

Interested in joining our team? Head over to our Careers Page to apply NOW!

Optimizing Therapy Progress

Posted on February 1, 2022October 4, 2023

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

All About Physical Therapy

Posted on October 15, 2021September 11, 2024

National Physical Therapy Month

October is National Physical Therapy Month — a time to celebrate the profession and all the ways physical therapists promote independence, increase participation, facilitate motor development and function, improve strength and endurance, enhance learning opportunities, and ease daily challenges in the lives of their patients. This month we would like to shout out our awesome physical therapists and give thanks to each them for their hard work to help kiddos and families across Eastern North Carolina. Learn more about our physical therapists by visiting our team page for Greenville HERE and for New Bern HERE.

What is physical therapy?

Physical therapy is the science of movement, how our muscles move our body, and how abnormal muscle activity may lead to movement disorders or developmental delays, birth defect, chronic illness or an injury. Pediatric physical therapy promotes independence, increases participation, facilitates motor development and function, improves strength and endurance, enhances learning opportunities, and eases challenges with daily caregiving.

We offer Physical Therapy services to children birth through adolescence, with a wide variety of needs and diagnoses:

Autism Spectrum Disorders
Asperger’s Syndrome, Pervasive Developmental Disorder (PDD)
Attention Deficit Hyperactivity Disorder (ADD & ADHD)
Sensory Processing Disorder
Torticollis
Developmental Delay
Downs Syndrome
Cerebral Palsy
Neuromuscular Disorders

Children with neurological, orthopedic, or developmental disorders may need assistance of special equipment, customized orthotics, and/or exercises to build up motor skills.

Our team of physical therapists provide screening, assessment, consultation, and treatment in the following areas:

Gross and Fine Motor Development
Early Intervention Services
Balance and Coordination Skills
Age-Appropriate Daily Living Skills/ Self-Help Skills
Adaptive Equipment Purchasing and Modification
Wheelchair Assessments
Evaluations for Orthotic Devices and Equipment (AFO’s, Helmet, etc.)

In addition to the services above, we are so excited to announce that we are now offering physical therapy services at our Greenville and New Bern clinics for back pain and sports injuries!

PT for Sports Injuries

At Carolina Therapy Connection, our team of physical therapists can help your child overcome a sports injury by promoting independence, facilitating motor development and function, improving strength and endurance, and easing challenges with daily activities. We offer PT services to children ages 4 to 14 who have experienced a sports injury. We use our extensive clinical knowledge and therapeutic understanding to deliver evidence-based and innovative therapeutic interventions. Our physical therapists will work with your child to:

Provide an individualized treatment plan
Promote an efficient healing process
Decrease pain and inflammation
Regain strength and range of motion
Reduce recovery time for return to sport
Prevent future injuries

Common Sports Injuries:

Sprained Ankles
Knee Pain
Shin Splints
Foot Pain
Elbow Pain
Shoulder Pain
Achilles Tendonitis

Treatment we provide:

Tissue healing
Stretching and mobility exercises
Stability and control of movement
Exercises focusing on proper movement patterns
Sport specific performance improvement
Advanced agility and coordination exercises

PT for Back Pain

At Carolina Therapy Connection, our team of physical therapists can help your child overcome back pain by promoting independence, facilitating motor development and function, improving strength and endurance, and easing challenges with daily actvities. We offer PT to children ages 4 to 14 years old who are experiencing back pain. We use our extensive clinical knowledge and therapeutic understanding to deliver evidence-based and innovative therapeutic interventions. Our physical therapists will work with your child to:

Provide a comprehensive evaluation to assess the causes of back pain
Decrease pain and inflammation
Build muscle strength in the core
Restore mobility and range of motion
Improve posture
Restore their quality of life
Reduce the risk for further injury

Common causes of back pain:

Muscle weakness
Increased flexibility of the spine
Decreased flexibility leg muscles
Poor posture
Muscle strain
Scoliosis
Heavy backpacks

Treatment we provide:

Tissue healing
Stretching and mobility exercises
Exercises focusing on proper movement patterns
Tips and exercises for improved posture

If you are interested in scheduling a physical therapy evaluation for your child, call our office to get started today!

Greenville office: (252) 341-9944

New Bern office: (252) 341-9944 (EXT. 2)

Goldsboro office: (252) 814-8044

Our office staff will take all of your health insurance information and complete any authorizations or referrals that you may need. Visit our referrals page for more information HERE. Happy Physical Therapy Month

Apraxia and PROMPT

Posted on May 16, 2021October 4, 2023

May is Apraxia Awareness Month

According to Apraxia Kids, for the first time, the entire month of May has been designated Apraxia Awareness Month and corresponds with May is Better Hearing and Speech Month, sponsored by the American Speech-Language-Hearing Association (ASHA). Childhood Apraxia of Speech is a motor speech disorder in which a child knows what they would like to say but has difficulty sending the message from their brain to their mouth. It is a significant problem with motor planning and coordination of the lips, tongue, jaw and palate to produce intelligible speech. Parents of children with childhood apraxia of speech commonly say things like, “No one can understand my son,” “It looks like he is trying to say the word, but can’t get it out,” and “He said that word one time, and then I never heard it again.” Our goal this month, is to educate families about apraxia, spread awareness, and provide resources that may be helpful for children struggling with apraxia.

A quote from Apraxia Kids: “The more people that know and understand Apraxia, the more support children and families will have. Early intervention is crucial. A team supporting a child with Apraxia is crucial. I’ve learned along the way, we don’t know what we don’t know. Let’s help people know about Apraxia!”

What are the signs of apraxia?

According to the American Speech-Language-Hearing Association (ASHA, 2007), the three most common features in children with apraxia of speech are:

Inconsistent errors on consonants and vowels in repeated productions of syllables or words (for example, a child says the same word differently each time he tries to produce it).
Difficulty producing longer, more complex words and phrases.
Inappropriate intonation and stress in word/phrase production (for example, difficulty with the timing, rhythm and flow of speech).

Apraxia and PROMPT

PROMPT (Prompting for Restructuring Oral Muscular Phonetic Targets) is a multifaceted approach used to treat a variety of speech production disorders such as expressive language, stuttering, motor planning, articulation/phonology, and auditory processing as well as cognitive or global delays. PROMPT is a highly successful treatment method for children with motor speech disorders such as apraxia. During PROMPT, a speech-language pathologist manually guides a patient’s jaw, lips, vocal folds, and tongue by targeting certain words, phrases, or sentences. They use touch cues to shape and support the proper movements. In doing so, the therapist helps the patient produce phonemes, or the smallest units of sound that distinguish one word from another. Together, the therapist and child progress through different sounds at a steady pace, moving to new sounds only when the patient is ready. The child learns through assistance and repetition to plan, organize, and create steadily more advanced vocal sounds. For more information about PROMPT, watch this quick video.

Carolina Therapy Connection is now using PROMPT

To be certified in the PROMPT method, a speech-language pathologist attends PROMPT training courses and meets a number of certification requirements established by the PROMPT Institute. One of our amazing Speech-Language Pathologists at Carolina Therapy Connection, Lindsey Grant, is now certified in PROMPT! Lindsay graduated Summa Cum Laude in 2012 from East Carolina University with her Bachelor of Science degree in Communication Sciences and Disorders and a minor in Hispanic Studies. She then continued at East Carolina University, receiving her Master of Science degree in Communication Sciences and Disorder in 2014. While completing her Master’s degree, she completed a research project on the relationship between dyslexia and language. Lindsay has experience working with children of all ages in a variety of settings including school, home, daycare, and clinic. She is a member of the American Speech-Language-Hearing Association, where she received her Certificate of Clinical Competence. She is also a Certified Autism Specialist through the International Board of Credentialing and Continuing Education Standards. Lindsay has a passion of helping children with apraxia of speech make significant improvements to their speech and communication skills.

If you have any questions about your child’s speech development, apraxia or PROMPT, call our clinic at 252-341-9944!

Sibling of an Autistic Child

Posted on April 15, 2021October 4, 2023

Introducing Melana Griffee

Melana Griffee is Carolina Therapy Connection’s Office Support and Community Outreach Coordinator. She also recently completed her Autism certificate designation, granted by the International Board of Credentialing and Continuing Education Standards (IBCCES). Her role is to embrace and encourage our culture within our organization and support our mission being carried out within our community. She graduated from Craven Community College in 2019, with her Associates in Arts degree. Since she was 16, she has worked with children at the YMCA and has helped lead summer camps and afterschool programs. She grew up with a brother with Autism and has a heart for serving children that need extra support. Melana is a huge asset to our team and has helped us launch our New Bern Clinic. In her spare time, she loves to spend time with her hubby, hang out with her family, and be outside!

Becoming the Sister of an Autistic Child

My brother said only a few words at the age of 1, but then stopped suddenly and was diagnosed with Autism at the age of 4. I was only 1 at the time and obviously, I did not understand. Now, I am 22 years old and my brother, Ashton, will soon be 25. Ashton is non verbal, has a seizure disorder, a venus implant and has had major back surgery. The one thing I remember from my childhood is how I always wished that my brother would start speaking. My family and I always joked about what he would say when he did start talking. It gave us hope.

Once I was old enough to understand more about my brother’s special needs, I became very interested in it. I volunteered at Special Olympics, with a special needs baseball team, and I was even the club president for Project Unify when I was in high school. Doing all these things made me feel more involved in not only Ashton’s life, but the life of other children who have special needs. I hoped to learn all I could about Autism so that I could help my brother.

Developing Patience and an Understanding of Autism

I can say from experience in my own life that growing up with an Autistic brother has made me more mature and aware of the needs of others. Without knowing, Ashton has taught me more about patience then anyone in my life. I believe that is one of the more important things to realize when you have a Autistic family member or friend: Patience. Patience. Patience. There will be times when they’re not understanding you, and they may get frustrated or upset. As long as you are patient and kind, you will be able to help that person calm down.

Another important thing to remember when dealing with the different behaviors of someone with Autism, is knowing what helps them calm down – whether that be a favorite activity, movie or place. My brother has never said one word to me, yet I still know what he loves and hates. He loves watching Clifford, Thomas the Train, Barney, and Lilo & Stitch – all the classics, right?! He absolutely loves lighthouses and clocks. His room is filled with them, and I like to think it gives him joy seeing them all around him.

Sometimes I picture what it would be like to see through Ashton’s eyes. I think he would see the world so differently than us. He would see others differently and understand the difficult things life can throw at you. Whenever I am around Ashton, I just love to watch. Watch him smile and laugh at the show he is watching. Watching him smile at me every time I say, “I’m going to get your sugar, Ashton!” My favorite thing is whenever I first see him, he comes to me with the sweetest face and hugs me. That always makes my day ten times better.

It wasn’t always easy growing up with the struggles that come with Ashton’s diagnosis. I can remember countless nights crying to my mom, wondering why he was the way he was. Was he ever going to talk? Will the seizures ever stop? Why do people stare at him at school? I can remember times I would hear the word ‘retarded’. Even in high school, hearing that word made me cringe in frustration. I would hear people saying things like, “You are so retarded,” or “That is retarded,” almost as if they were comparing that word to something stupid or dumb. I could go on and on about how that is not the proper word to use at all. Mental Retardation is a formal diagnosis my brother has and I was always very offended when I heard someone call someone that.

As I have gotten older, I have realized this word is not being thrown around so easily. It has become less of a slang word and more of a word, that when heard, people may feel uncomfortable about. I feel like people are more aware of how the word is offensive and disturbing.

It was during those moments in my life that I realized there needs to be more awareness for Autism. It is so important that people start learning about Autism, because 5.4 million adults have Autism in the United States. That is about 1 in every 45 people (First US Study of Autism, 2020). I am so grateful for Carolina Therapy Connection. Even though my brother did not have a facility like this to come too growing up, I recognize how important it is for an Autistic child to start these services early on. I would recommend Carolina Therapy Connection to anybody who is in need of life changing services for their child!

Continuing to Embrace and Serve the Autism Community

Carolina Therapy Connection of Greenville, NC is now the first Certified Autism Center™ (CAC) in Eastern North Carolina. The CAC designation is granted by the International Board of Credentialing and Continuing Education Standards (IBCCES). This certification requires staff to complete autism-specific training and professional certification. Carolina Therapy Connection is one of only two therapy clinics in NC with the Certified Autism Center designation. The Carolina Therapy Connection listing for becoming a Certified Autism Center can be found here.

At Carolina Therapy Connection, our highly qualified and diverse staff provide a collaborative approach to apply extensive knowledge and understanding for children with ASD. We are committed to providing your family with the necessary tools, resources, and encouragement throughout your autism journey, making a way for greater resilience. Our team will work with your family to co-construct a sustainable story for how autism shapes who your child is, both personally and relationally.