Both of Isabel’s parents are present for the visit, which offers you a golden opportunity to talk with them. When you ask how things are going with Isabel’s signing, her mother replies, “Well, she’d be learning if her father didn’t just do everything for her. Isabel doesn’t even have to sign at all.” These two sentences set…

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If you haven’t read it yet, be sure to check out the first blog post in this 2-part series, Milestone or Modern Convenience?  – Part I: Overuse of the Sippy Cup and Pacifier, to learn important information about an infant’s need for sucking and the risks involved with overuse of the pacifier and sippy, cup! Now…

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Although shocking to many, the sippy cup is NOT a developmental milestone.  Nor is sucking on a pacifier, for that matter.  But why do we (therapists, parents and caregivers) celebrate these acquired “skills” as developmentally appropriate achievements?  Why do we allow these “skills” to happen for much longer than they should?  Is it just easier…

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It is hard to believe but it is almost May!  The final Talk of the two-part series, entitled “Ditch the Animal Sounds: Writing Appropriate Outcomes that Lead to Effective Implementation,” will be presented live on May 5th!  In anticipation of the upcoming webinar, I am excited to share with you just a few of the…

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We definitely have challenges in getting specific-to-speech-related services paid for in early intervention (EI). And we should!  Targeting specific speech sounds in isolation before the age of three years does NOT make sense on a developmental level—and this is exactly why insurance companies tend to question the claims.  We know, however, that we need to…

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Joey is 25 months old.  He was referred to his local early intervention intake coordinator by his parents secondary to their concerns about his intelligibility and inability to effectively communicate his needs or wants.  They reported that he uses approximately 15 words but “talks in such a garbled manner” that both parents and Joey’s older…

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On March 3, 2015, I was honored to present a Talk on Tuesday (ToT) webinar entitled, It’s Almost Never Apraxia: Understanding Appropriate Diagnoses of Speech in Early Intervention, that addressed appropriate diagnoses of speech sound disorders in infants and toddlers.  The participants had some great questions and we wanted to ensure that the conversation continues…so here I am!  My…

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On Reagan’s first visit with Cole’s family, she feels like she is “under the microscope.” Cole’s grandmother, Celia, seems wary of Reagan, and of early intervention. Cole’s physician recommended the referral due to delays with Cole’s communication, but his grandmother is not concerned. She has raised three children, all of whom, she says, “talked when they…

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Today I want to share someone else’s blog post that just wow’ed me. Before you read what I write, read this short post by Lisa Reyes: Someone Asked My Son with Autism Why Eye Contact Is Hard. This Was His Answer. As I read Phillip’s answer, I kept thinking what if we approached toddlers with this…

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Ben is joining Marissa and her mother during breakfast because Mrs. Smith asked for support with helping Marissa communicate at meals. At first, Ben just observes and chats with Mrs. Smith. He asks her what her goals are for Marissa during breakfast. She says that she really wants Marissa to say or sign “please” and “thank…

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