One Size Does NOT Fit All : Finding the Size of the Problem

shoes

Baby New Year has arrived!  The season of parties and changed schedules is coming to its end.  Back to the ‘normal’ routine! But what about those resolutions? The promises you make to yourself that come with the fine print that reads, “I maintain the option to not follow through with these resolutions because while I mean well, life truly gets in the way.”

A close friend shared her New Year’s resolution; she was NOT going to ‘sweat the small stuff’. My response was true to the bestie code: ‘Great idea!  That’ll really make a difference! I support you!’ And when we parted ways, I got to thinking how as adults we want our children to know and recognize the difference between small, medium, and large problems however lose sight of those as we become adults.

Sometimes we need to step back and take an inventory of how we categorize problems or issues.  While the resources I am using are predominately for children, it may be worth the extra 3 minutes to read through the rest of this post to reset your personal inventory and help your loved one manage his/hers.

Small Problems:

  • Affects 1-2 people
  • No one was physically hurt
  • Feelings were minimally hurt
  • Takes 5 – 15 min to ‘fix’
  • Problem can be solved by the individual OR can be ignored completely

Medium Sized Problems:

  • Affects 3-5 people
  • May be a small physical injury
  • Feelings were hurt, person/people upset
  • May take 15 min to a couple of hours to ‘fix’
  • Problem may need another adult to be solved

Large Sized Problems:

  • Affects 6 or more people
  • May be a significant physical injury
  • No easy or quick solution to ‘fix’ hurt feelings
  • May take days to weeks to ‘fix’
  • Assistance of other adults is required to solve the issue.

While these are definitely oversimplified for some of life’s problems, they do provide a pause when thinking of day to day situations.  Food for thought to start the New Year.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Simple Holiday Social Skills Practice for Families

christmas

It’s the final countdown until the big day (cue Europe’s 1986 hit song)! The lists have been checked twice, the stockings are hung by the chimney with care, and all that’s left is the wait… the long wait until we can rip open those gifts!

And when those gifts are torn into, we wait with bated breath, hoping our loved ones not only enjoy the presents, but also remember to say “Thank you”—or at the very least, acknowledge the others in the room.

Nothing derails holiday fun faster than demanding your child say “Thank you” to Auntie dear for footie pajamas, only for them to erupt into a stream of whining excuses about how hot those PJs make their feet.

Give yourself an early gift this year: take a few moments before the festivities begin for some simple holiday social skills practice. Setting clear behavioral expectations ahead of time helps everyone—big or small—know what to expect.

1. Practice Holiday Greetings

For the most part, saying hello is simple. However, given the excitement of the day, gentle reminders go a long way.

  • Roleplay entering the room: Practice walking through the front door and saying “Hi” together.

  • Eye contact alternatives: If direct eye contact is challenging, coach your loved one to look at the person’s chin or forehead instead.

  • Non-verbal greetings: Practice waving, using the ASL sign for “Hi,” or sharing a simple smile.

  • Set clear boundaries: Spell out unexpected behaviors clearly ahead of time (e.g., hiding behind adults or running straight under the table).

2. Offer Alternatives to Hugs and Handshakes

For some children, physical touch can feel overwhelming. Provide your child with comfortable alternatives to hugging:

  • Fist bumps

  • High fives

  • A friendly wave

Pro-Tip for Relatives: If you have family members who might feel hurt without a traditional hug, reach out before the gathering. Briefly explain why physical boundaries are important for your child and tell them how they can support you.

3. Prepare for Gift-Opening Disappointment

Disappointment when opening gifts isn’t unusual, but practicing reactions in advance makes a world of difference:

  • Practice with silly items: Wrap up everyday items like spoons, rocks, or paper towels. Practice unwrapping them, smiling, and saying “Thank you!”

  • Create a secret signal: Make a plan for duplicate gifts. Channel your inner baseball coach and establish a subtle gesture (like tapping your shoulder) that communicates: “I know you already have this. We will exchange it later—just smile and say thank you for now.”

Social Skills Practice Makes Permanent

In all of these scenarios, remember: practice doesn’t make perfect—practice makes permanent.

Through it all, whether behaviors go as expected or not, try to find the joy. Find something to laugh about, and cherish those small moments that fill your heart.

Happiest of Holidays!

Yours in Speech,

Lakeshore Speech Therapy, LLC

Programs Available Starting January 2019

snowman

Lakeshore Speech Therapy is as busy as the North Pole this time of year! We are excited to share upcoming programs starting in January.

Teen Social Skills Group: This social skills group is designed specifically for teens. The purpose of our group is to practice expanding and building social skills in the areas of communication, problem solving, social media, friendship, fitting in, empathy and leadership skills.

And

Assistive Technology for Executive Functioning: High School students can drop in for an hour session on how to use assistive technology to increase organization, work completion, and ultimately independence. Skills necessary for college and the workplace.

Please click on the links above for more information about both of these great opportunities.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Holiday Prep – Make the Holidays Memoriable – Part I

AAC and Communication Tips for a wonderful Thanksviging

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

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

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

Location of celebration.

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

Time of celebrate.

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

Timing of events.

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

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

 

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Halloween Ready!

Halloween trick or treat

You used your parental superpowers to navigate the full moon last week, and you will use those powers again this week, especially on Wednesday, October 31st.  Check your list: comfortable costume – done; communication method – done; prep for the big night – read on.

Halloween evening is filled with anticipated wonder.  This anticipation can lead to anxiety which can cause unexpected behaviors.  Preparing your loved one in advance may eliminate or diminish the anxiety.  These proactive techniques are not difficulty, expensive or complex.  

Communicating to your child about what they can expect on Halloween evening can make a significant difference.  This communication can look like a bedtime story – “Once upon a time, a little girl/boy was excited for Halloween. Her/His name was (your child’s name). Child’s name was going to be dressed as a (your child’s costume).  On Halloween day, she/he went to school and had a great day.  When child’s name got home from school she/he made sure her/his homework was done. Child’s name and her/his family had dinner. After child’s name ate her/his dinner she/he changed into her/his costume. Etc…..”

This communication can look like a picture book.  Draw basic stick figures to represent the expected activities o Halloween.  Please feel free to utilize these sequence pictures as well. trickortreatsequence.png

This communication can look like a social story.  We have provided a social story about Halloween for you. Social stories are more effective when read frequently.  While this is coming to you a few days before Halloween, reading the story two to three times prior to the event can decrease anxiety as well as increase success. halloween-social-story

Remember to breathe and enjoy the moment…… these moments go by too quickly.

Yours in Speech,

Lakeshore Speech Therapy, LLC

Costume Time of the Year : Preparing for Halloween

Dressed up for Halloween

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

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

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

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

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

Jeans and a flannel shirt:

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

Leggings and a long shirt:

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

Jeans and a white t-shirt:

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

Shirt and bottoms that are the same color =

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

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

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

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

Yours in Speech,

Lakeshore Speech Therapy, LLC

 

Friday Night Lights

Friday night lights

Friday night lights! High school traditions!  Go Team!

Fall is the time of year to grab your favorite sweatshirt and enjoy an evening of high school football.  “Enjoy” – that’s the difficult part especially for some. The many sounds and smells as well as the number of people all in one place can cause loved ones with integration issues difficulty in large  crowds. There are a number of proactive steps families can take to help loved ones adjust to these situations.

Paint a picture of what the individual will experience during their time at the game.  For example:

  • We are going to park the car in the parking lot (or, in some instances, the – field, street, etc.)
  • We will walk to the gate or entrance of the field.
  • We will have to stand in line to get our tickets.
    • Note: if available, please consider purchasing tickets ahead of time.  Less time anxiously waiting, the better.
  • There will be a lot of people around us; you will hear them talking and shouting.
  • We will walk to our seats
  • We will walk up or down the stadium steps
    • Note: if the stadium steps are open (meaning you can see the ground below) you may want to consider sitting in an area closer to the ground or where the steps are solid.
  • We will sit in our seats
    • Note: if the individual is sensitive to pressure – consider bringing a blanket or stadium chair to decrease the sensation of the ‘hard’ stadium bleachers.
  • Etcetera
    • Don’t forget to include what will be
      • heard (band, horns, cheering, etc.)
      • seen
      • smelled

Carry an ‘important tools’ bag.  This bag should contain items that calm the individual, items that may distract attention from an unpleasant sensation and items that will help to diminish non-preferred sensations. The bag may include noise canceling headphones, headphones and a music source,ear plugs, fidget toys, extra blankets, weighted blankets, etc.

Plan your arrival and departure around preferred events.  If the individual loves watching the marching band, but is bothered by all the whistles during the game, arrive at the game 15-25 minutes late. If the individual does not appreciate the marching band, make arrangements for an activity or get special permission to leave and re-enter the the stadium during halftime.  If the individual does or does not like the mascot, plan your seats in the location accordingly.

Give your loved one a voice during the game.  Pre-record a cheer or a special message on a voice recorded switch.  No need to get too high tech, this is a high energy exciting time, it’s more important to get the message out! If a device is not an option, make a sign that shares the message or use a horn or bell for the individual to be part of the roaring crowd.  If you need more information or ideas, please do not hesitate to ask any speech therapist at Lakeshore Speech.

Friday night lights shine brighter when everyone is involved.  Go Team!

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Stan Is Here! Stan Is Here!! – the Power of Therapy Dogs

reading with stan

Lakeshore has gone to and fallen in love with the dogs…..Stan in particular! This Fall, we will be offering a reading enrichment program co-taught by Patti Cramer and Stan, the Therapy Dog.

Patti is a graduate of the University Of Dayton.  She received her Masters in Education from Bowling Green State University. Patti has twenty years experience teaching the primary grades (Kg – 3rd grade).  Her passion is teaching Reading and Writing. Patti shared, “I have found that one major roadblock to a student’s success is the lack of confidence in their own abilities. It became my goal to discover a way to bypass that obstruction”.

3 years ago, she found that solution.

After rescuing an amazing dog, Stan, 5 years ago from the county pound, she realized he was the solution. After months of work and practice, Stan passed his Therapy Dog Test and became a Certified Therapy Dog through Therapy Dogs International. Thus, started Stan’s ‘school days’.  

Stan made an immediate impact in the classroom. His presence far exceeded expectations. Not only did he help students overcome their hesitancy to read, he actually inspired students to work extra hard to practice reading special books to Stan. Students, who otherwise feared sharing their new skills, now could not wait to show off for Stan. The growth in all of Patti’s students was amazing, but the growth in her struggling students was most apparent.

Stan motivated Patti’s classroom of First Grade students as well as having a positive effect on ALL students.  Stan spends time in six different self-contained classrooms for students with a variety of special needs. Each and every student looks forward to “Stan time”.

Stan teaches all students a variety of lessons including social/emotional skills, understanding non-verbal communication (ie: basic dog body language), compassion and care for another ( ie: students become responsible for Stan’s dog care), and basic dog training and safety skills.

Stan has become a star and time with him is an incentive in the school to promote good behavior.  Students choose to earn time reading with Stan for being respectful, responsible and safe, . His company provides a safe place when students are having a difficult day and need to cool off or just need a snuggle.

We are thrilled and fortunate that Stan has chosen to bring his talents (and those of Patti) to Lakeshore Speech Therapy.   Patti and Stan work side by side to enrich your child’s reading by practicing reading strategies to improve Accuracy, Fluency and Comprehension. Students in this 4- week program will have direct instruction with Patti, small group time to work on these strategies and of course individual time to read to Stan to show off their skills. Students will read books at their independent level to accomplish these tasks.

This reading enrichment program will be offered in two 4-week session starting September 18th from 4:30 – 5:30pm.  Each session will be limited to 4 students. Our hope it have Stan spend more time caring, working and teaching at Lakeshore Speech Therapy.  Registration for this class will open Friday, August 10th and close September 12th. Find more information at https://www.lakeshorespeech.com/events/

Don’t miss out on this incredible opportunity!

Yours in Speech,

Lakeshore Speech Therapy