Articles by: focustherapy
Our FOCUS Fort Myers speech therapists must admit: We were a little heartbroken upon learning there would be no more Sweethearts Conversation Candy Hearts this Valentine’s Day (MISS U!). In addition to the fact they can be used in a bunch of fun kids’ speech-language therapy exercises, we had a great idea for a special speech therapy line: TALK 2 ME. I LUV SPCH. WORD UP. LETS LINGO. I HEAR U. SLPZROCK. Not to worry, though – our speech therapists have other ways of making you talk…
In the spirit of spreading the love (despite being candy heart-less), our speech therapists are sharing some of our favorite positive affirmations for kids. Positive affirmations are the kind of declarations that go a step beyond praise and shine a light on something that is special and inherent in that child. Instead of simply, “Nice work!” we say, “You are a hard worker!” Instead of, “Good job on that one!” we say, “You are so brave to try new things.” Rather than just, “Cool picture!” we might say, “You have such a creative mind!”
Praise and compliments obviously are great too, but positive affirmation is more specific. It shines a light on something that is both inherent and special to that person. It acknowledges the challenge and validates the effort. Positive affirmation can help a child gain the confidence to keep going – even when it gets hard. Research shows that children who receive regular positive affirmations will believe, internalize and be motivated by it. In speech therapy, we often see them excel farther and faster.
The positive affirmation boost is backed by extensive research. One analysis published in the Annals of Behavioral Medicine found that children with cancer who practiced self-affirmation were overall more optimistic and coped better, achieved goals faster and ultimately had better health outcomes. Another study by psychology professors Carnegie Mellon University found that when people are under pressure, they can actually improve their ability to problem-solve by using positive self-affirmations. And a brain scan study published in the journal Social Cognitive and Affective Neuroscience established that people who practice self affirmation had higher activity levels in areas of the brain associated with reward.
Our Speech Therapists’ Favorite Positive Affirmations
In building communication skills – the ability to understand and be understood – speech therapists must first spur engagement. For young children or those with significantly disparate expressive/receptive language skills compared to peers, we’ll use “communication temptations” such as a fun swing, new toy or favorite book.
But self-motivation proves a powerful driver in its own right. Some of the positive affirmations speech therapists offer our clients include:
- You are a very good listener.
- You are so energetic and fun!
- You are a very creative problem solver.
- You sure enjoy eating healthy snacks.
- You have such a positive attitude.
- What a great friend you are!
- I know that was a hard thing to do, but I love that you didn’t give up.
- I saw how you remembered to _. Really great thinking!
- You are so responsible.
- You really enjoy learning new things – I love it!
- You are getting stronger and stronger every day.
- You are so caring and thoughtful of others.
- I love the way your mind works! There is a really special job out there for you someday.
- You are a very skilled artist, especially with _.
- I’m impressed by the way you took a breath and stayed calm, even when it was tough.
- I can tell you really tried your best today because _.
- You are really becoming a leader!
- You can do hard things.
- Getting it right takes a lot of practice, but you did a fantastic job not giving up.
- You are amazing the way you are.
Whatever positive messages you convey, just make sure they are both believable and reachable. Teach your child to parrot a few of these back to you on occasion, beginning with phrases like:
- I can…
- This time I will…
- I choose to…
Giving them the confidence to succeed – in our book – is one of the best ways to show your love.
Dad and daughter inspire with morning affirmations, Sept. 22, 2016, By Ally Hirschlag, Upworthy, USA Today
More Blog Entries:
When a Child Doesn’t Respond to Their Name: Speech-Language Pathologist Insights, Jan. 8, 2019, FOCUS Fort Myers Speech Therapists Blog
As FOCUS Fort Myers occupational therapists, we help children with disabilities overcome impediments to independence, adapt to the world around them (or adapt the world to them) and acquire the tools necessary to navigate each day. One key component of this is learning appropriate socialization – particularly with peers. Through play-based approaches, our clients learn to recognize personal space, read body language, handle greetings, manage unexpected interactions, participate in conversations, take turns, avoid conflicts and understand and express their emotions.
Problems with socialization for children with disabilities can be compounded when peers’ reactions are overwhelmingly negative. To be fair: It’s natural for any child to be curious, hesitant or possibly even scared when encountering notable differences for the first time. Every parent has at least one story about the time their child said something mortifying in pointing out another person’s differences (usually very loudly, in public, and in a line where there is no quick escape). But the truth is: They’re still learning socialization skills too. It’s a teaching moment.
Talking to your kids about peers with disabilities increases understanding and acceptance, encourages inclusion and can even help reduce bullying (to which children with disabilities are especially vulnerable).
Long-practicing occupational therapists in South Florida know it wasn’t so long ago children with disabilities were far more isolated from society in daily life. The 13 percent of Americans with disabilities were often taught in different classrooms, denied accommodations allowing them access to the same facilities and arbitrarily boxed out of many career choices. The good news is that’s changing, most recently with the U.S. Department of Education’s new policy statement on inclusion in early childhood programs. The DOE policy declares unequivocally that inclusion of children with disabilities from a young age offers maximum benefit and should be every district’s goal.
That means if he or she is not already, your child will soon have daily interaction with at least one peer who has a disability. Helping them understand differences – and framing those differences in a positive way – can make a big difference.
When parents of children with down syndrome are referred to Fort Myers ABA therapy, their initial response is often, “Wait, I thought that was for autism?”
It is. But it’s also proven extremely effective when incorporated into the treatment plans of kids with other special needs – especially down syndrome.
Certain challenging behaviors common among children with down syndrome are very similar to those displayed by children with autism. These behaviors, left untreated, can impede progress with academics, socialization and independence – blocking their path to realizing their full potential.
Good news for Florida parents of children with down syndrome: ABA therapy coverage is mandated for them, this month marking two years since the legislature agreed this, along with early intervention speech therapy, occupational therapy and physical therapy should be guaranteed for children diagnosed with down syndrome.
The Florida mandate – House Bill 221, codified in and amendment to F.S. 627.6686 – helps families and individuals with down syndrome access effective, science-based therapy without having to mount a massive fight with your health insurer.
Many of our FOCUS pediatric speech therapists were initially drawn to this field in part because we share a love of language. Sure, some of us are self-professed grammar nerds and logophiles, but in working with kids with special needs, we’ve seen that the real beauty of language is the way it facilitates communication and sparks connections. That’s a universal truth of language, but in helping children overcome speech delays, receptive language deficits or phonological disorders, we’ve come to appreciate language on a whole new level.
In stacking the developmental blocks for communication, social interaction and connection, one of the best (and easiest) things any parent can do: Read bedtime stories. This is especially true for kids with special needs, for whom language doesn’t come easily. Frequent storybook sessions help children learn new words, recognize the importance and subtle differences of tone, inflection and pitch, explore complex feelings and confusing interactions in a safe space and better grasp the intricacies of the world around them.
Most children – even if some have shorter attention spans – love bedtime stories. (Although story time can be anytime, bedtime is ideal – especially if you’re child is antsy – because you’re more likely to have a captive audience just before bed, as opposed to morning or mid-day, unless they still nap. Plus, many parents who work find it difficult to nail down a story time routine in the morning rush or simply can’t swing it on their lunch hour.) Making stories-and-snuggles part of the nightly groove works best for most, gives kids something to look forward to and a chance to wind down. And, as most parents of kids with special needs know, having a routine is a lifeline.
Even if your child doesn’t seem to understand the stories, follow along or pay much attention, research shows they still glean advantages from the one-on-one time, routine and mental exercise. Most speech, ABA and occupational therapists would argue children who struggle with expressive and receptive language skills may even need those bedtime stories more than most.
“Tummy time” is a cute little phrase referencing an essential infant exercise that our pediatric occupational therapists know so many parents come to dread. Per the American Academy of Pediatrics, tummy time should start when your child is a newborn, placing your child (always supervised) on their tummies. This begins with short, 2-to-3-minute increments three times a day and eventually extending it for longer periods of 30-to-40-minutes as they get older.
The whole concept of “tummy time” started back in the early 1990s, when the AAP first began recommending that babies be put “back to sleep,” placed on their backs during naps and at night to reduce the incidence rate of sudden infant death syndrome (SIDS) – which has really worked! Researchers around the globe report SIDS deaths have decreased 40 to 50 percent since the Back to Sleep campaign began.
The problem is this has been accompanied by a rise in other problems physicians and pediatric occupational therapists believe is related, most commonly plagiocephaly. In layman’s terms, this refers to when infants develop a flat spot on the back of their skull. The American Academy of Physical Therapists reports an “alarming rise” of skull deformation, with one analysis published in the Cleft Palate-Craniofacial Journal finding it rose approximately 600 percent from an incidence rate of 5 percent prior to 1992 (when the “Back to Sleep” campaign began) until now. “Back to Sleep” is almost certainly a driving factor, but also the increasingly inordinate amount of time infants spend in car seats, strollers, etc.
Most any Fort Myers speech-language pathologist will tell you one of the first questions families of young children ask when inquiring whether certain missed milestones are cause for concern: “What if my child doesn’t respond to his name?”
It’s impossible to give a blanket answer because every child develops at a uniquely individual pace. (It’s also physicians – usually specialists – responsible for the actual diagnosis.) That said, a long-time speech-language pathologist will likely agree: If your child doesn’t respond to his name by the time they turn 1-year-old, it could indicate a developmental delay that requires action. You’ll want to alert your child’s primary care physician and discuss whether the concern warrants referrals for closer evaluation by specialists.
Responding to one’s name is a critical building block of functional communication. This wouldn’t be just a single instance when he couldn’t tear his attention from a riveting show or “selective hearing” in a moment of intense fun. This would be an issue that is consistent and noticeable (at least by you).
What Child’s Failure to Respond to Name Could Mean
Almost all our FOCUS families are looking forward to a little down time spent with loved ones over the winter holidays. But – You Better Watch Out! As our occupational therapists can explain, a break from the routine of regular school, sports, occupational therapy and other activities for three full weeks can be enough to throw any child off-balance. It’s especially true for children with sensory processing disorder, exacerbated when in lieu of those routines, they’re feeling the sensory overload of parties, people, music, lights, recitals/ plays/ shows, decorations and different foods.
Reducing the risk of over-stimulation and the kind of routine disruption that leads to major meltdowns, our Fort Myers pediatric occupational therapists urge parents to “ease through the season.” That doesn’t mean your child can’t participate in or won’t enjoy your family’s much-cherished traditions. In fact, this time of year can be an excellent learning opportunity for those with sensory challenges or social anxiety. It just means that to maximize the time you have, plan ahead when possible and be mindful of the ways in which your child is experiencing these same events.
Occupational Therapists Want to See a Merrier Season for All
Although it’s been said many times, many ways: Prepare, prepare, prepare. It doesn’t necessarily have to be a huge ordeal, but just take a few minutes to consider where you’re going, whether you’re traveling, how many are likely to be there and what sensory obstacles can you reasonably foresee. For example, if you’re planning a busy day with lots of activities or an extended trip, a weighted or compression vest might go a long way. Keep sensory tools handy. And even if you think your child may not fully understand, take a little time to explain the plan – the night before, the morning of, on the way there and just before you get there. That way they aren’t completely caught off guard.
“Alexa, where can I find the best speech therapy for child stuttering in Fort Myers?”
In this increasingly digital age, we’re engaging with artificial intelligence more than ever. It’s a trend unlikely to slow, and chief among these new communication advances are voice assistants. Apple’s Siri, unveiled in 2011, is a great example. Amazon’s Alexa is another. However, for as “intelligent” as these devices are, they have by-and-large failed to account for user difficulty by those with speech and language disorders, like stuttering, childhood apraxia of speech and more. In an era when these kinds of technologies are becoming more pervasive than ever, early intervention speech therapy for child stuttering and other speech impairments becomes even more critical.
Speech Impairments and Artificial Intelligence
Part of the problem with voice assistant technology is that it wholly fails to account for those with speech delays or difficulties. Let’s take Siri, for instance. It’s supposed to be a time-saving device that allows us to cull information hands-free (making it ideal for multi-tasking or safer for activities like driving). But in giving speech therapy for child stuttering, we’ve noticed Siri doesn’t account for the stutter. Once a person pauses or stops over a word – the voice assistant stops listening. In other words, something that was created to help save time ends up creating more stress.
Speech recognition software systems used in technology like Alexa and Siri fail are undoubtedly impressive. However, it has not been programmed to account for the extra pause or sounds that can be created when a person stutters or has some other speech impairment.
It’s been well established over decades of rising autism rates that two things are proven most effective to ensure the best outcomes: Early diagnosis and early intervention, the latter incorporating an initially intense schedule of Fort Myers ABA therapy (applied behavioral analysis), usually in combination with speech therapy, occupational therapy and sometimes physical therapy. (Most children with autism have co-occurring conditions.)
Now, a very interesting new study published in the journal Cell Reports indicates it may be possible to address some of the social behavior deficits characteristic of autism even well into adulthood with a novel approach: Electric currents. While the sensitive time period for treating social behaviors is longer than for repetitive behaviors, it’s still a pretty small window of early childhood. Citing a growing body of evidence that there is a genetic component to autism impacting certain neural pathways, the new study concludes we *might* be able to successfully tackle social behavioral inflexibility in much older children with autism or even adults with magnetic stimulation or low-dose electrical currents.
Now, we need to pause a moment and point out this isn’t a mad scientist / “One Flew Over the Cuckoo’s Nest” kind-of-deal. So-called “electric shock therapies” got a terrible rap in the 19th and 20th centuries – and for good reason due to some wildly unethical tactics with tragic results. Today though, electroconvulsive therapy has proven both safe and very effective for conditions like severe depression and bipolar disorder, while neuromodular therapy (similar) has been effective in treating Parkinson’s disease and epilepsy.
Critical School Shortage of Florida Pediatric Speech-Language Therapists Makes Private Therapy More Pivotal
A critical shortage of Florida pediatric speech-language therapists in public schools is making private speech therapy for kids with special needs in Fort Myers all the more crucial. It’s important to note off-the-bat that the Lee County School District does hire some phenomenal speech-language therapists. (Some of our own, including founder Jennifer Voltz, MS/CCC-SLP, are proud to have launched or furthered careers there). The problem is the Florida pediatric speech-language therapists hired by the district are very limited in allotted time for each school and every child with an individualized education plan (IEP). For many of these kids, consistency is key to generalization of communication skills in everyday life.
Parents whose children aren’t getting adequate time investment from the district’s speech therapy (which honestly is probably most) can make sure their kids don’t fall further behind by researching and arranging speech therapy at FOCUS Fort Myers. Our self-pay rates are competitive, but many health insurers will cover Florida pediatric speech-language therapists’ services with certain diagnoses and/ or documented supporting evidence of medical necessity.
Shortages of speech therapy professionals isn’t an especially new problem, nor is it unique to Florida. In 2007, University of Central Florida researchers concluded the lack of Florida speech-language therapists in public schools was “critical.” The National Coalition on Personnel Shortages in Special Education and Related Services, an advocacy group of about 30 participating member organization, reported 47 percent of schools in 2014 didn’t have enough speech therapists for their students.