Sensory-Friendly Thanksgiving

Thanksgiving table set with food

Celebrating Thanksgiving with a child with Autism may require some preparations ahead of time and on the special day to ensure a comfortable and enjoyable experience.

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Learning to be Social

The calendar doesn’t lie.  How is it we are only 10 days away from Valentine’s Day!? With all the attention on sharing love and kindness on that day (as well as every day), we need to take a moment to pause and take into account the skills that bring people closer are really hard to learn.

Some loved ones pick up on social cues and nuances without issue and others require a very clear explanation.  As parents, taking the time to frame acceptable and unacceptable  behaviors for your family’s values is crucial.  Society dictates a number of ‘unwritten’ rules, which makes learning these skills even more difficult for some. Providing a safe environment to discuss and process these ‘unwritten’ rules is important at every age of development. The American Speech-Language Hearing Association (ASHA) provide a nice resource for families focused on this area of speech and language.

Your friendly speech-language pathologist would be happy to help you and your family with any questions or concerns you may have related to social communication, social skills, or social pragmatics.  Please feel free to give Kelly a call at 440-471-7190 to set up an appointment.

Yours in Speech,
Lakeshore Speech Therapy, LLC.

 

Hope in the New Year

Happy New Year!  It’s a new decade filled with hope! Hope for a year filled with much health and happiness! Hope that the closets will organize themselves!  Hope that somehow, someway tiny building blocks will no longer find themselves in the path of an adult walking barefoot. Hope that dinner will be made and eaten without issue.  Hope, hope, hope! 

Hope is what keeps us all moving forward.  Setting goals or evening having ideas of what hope can bring to the New Year is expected at this time of year; so long as this hope isn’t a disguise for bringing the feeling of failure to the New Year as well. 

Sessions with a Speech-Language Pathologist is filled with the promise of hope and belief in your loved one.  Your therapist believes in your loved one and his/her language potential all the while continually promoting your good work at home and navigating the developmental process to guide you all towards mastery and success.  Walking out of a therapy session, you and your loved one should have a renewed feeling of strength to continue working on the specific skills, techniques, etc. until you see your therapist again. 

Cheers to the New Year filled with much hope, happiness and health!

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Sensory Sensitive Holiday Fun!

December has arrived and as with every year, it seems as if the calendar speeds up during this festive time.  Packing in all the shopping, decorating and taking in the holiday fun can seem overwhelming. The elves at Lakeshore Speech Therapy took a little time to compile a one stop list of events in the Northeast Ohio area that are sensory friendly.   These events are not only sensitive to the amount of unnecessary smells, sounds and sights, but often the pace of the event is slowed as well as those ‘working’ the event have been given some information on how to best engage with individuals with special needs.

We hope you are able to take a few moments and enjoy these events with your loved ones. 

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Revving up the holiday season!

The holiday season is revving up to get ready to roll.  While we acknowledge there are significant stressors for you and your loved ones at this time of year, we could also consider the stress and comfort of extended families and friends. It is not your job to do everyone else’s job, however, taking a few moments to realize the impact you and your loved ones have on others could make family and friend gatherings more enjoyable for everyone. 

Providing information about characteristics that are unique to your loved one, may create a more tolerant and understanding environment.  A simple phone call, text or email to the host or hostess the explain those ‘quirks’ that you and your immediate family may not even notice.  For example, let the homeowner know if your loved one needs to see all the bathrooms upon entering a new location or if your loved one may go around the home and close all the doors.  

Help your extended family and friends better understand your loved one’s form of communication.  Share his/her successes and any ‘triggers’ that may exist (ie: asking more than 3 times to clarify a phrase or word).  Provide a few simple tips for the best way to engage your loved one (ie: asking yes/no questions or asking questions about the here/now vs past/ future).

Anticipate situations that may prove to be very stressful not only for you and your loved one, but the host/hostess.  Communicate that you may be bringing a different meal for your loved one to enjoy vs eating the traditional meal. Share that your loved one may take a ‘break’ during the meal and what that can be expected (ie: your loved one may need to take a  break in a room where you can guide your loved one to quiet area).

Open and host communication and preparation can create a setting where everyone enjoys their time together creating memories!

Yours in Speech,

Lakeshore Therapy Speech, LLC. 

Costume Creations!

Dressing-up, costumes, masks and make-up….some would say these are the best parts of Halloween and others would beg differ significantly.  While the stores are filled with the newest versions of costumes, consider making one that best ‘fits’ your loved one. One that ‘fits’ her/his physical body, sensory needs, and emotional needs.

Consider costumes that follow the ‘less is more’ theory.  Less different pieces of a costume, more focus on making the pieces ‘scream’ exactly the theme or character of the costume. 

  • Jeans, t-shirt, bandanna around the neck  – you have a cowgirl/boy
  • Jeans/leggings, t-shirt, bandanna around the head – depending on your fold the bandanna, you now have a rocker or a pirate
  • Larger sized white t-shirt (your going to want a pair of pants of sorts under it :)) 
    • draw a face on it – you have a ghost
    • Add black dots on it – you have a die
    • Add black lines on it – you have a zebra 

Consider costumes that do not have tags or items that will distract your loved one to the point where she/he is unable to focus on walking, the party, etc.  While adorable and fun, things like fringe, beads, sparkles, and sequins can create an entirely different issue. In this category lives masks and make-up. While both of these items bring a lot to a costume, please consider staying away from these if you know your loved one will be distracted or upset by these additions. 

Consider costumes that can go over the layers of possible winter gear that may or may not be part of your evening.  Given the weather, being prepared to add or take away a layer on a moments notice will make the difference on the stress level of the evening. 

Consider incorporating the phrase “Trick or Treat” on the costume itself if your loved one is non-verbal or might ‘freeze’ .  Somehow, someway, make the words part of the costume – add a simple button to the costume with the words ‘Trick or Treat’.

Consider practicing wearing the costume around the house – remember practice makes permanent.  This gives your loved one not only the time to become familiar and comfortable with the costume, but will give you time to troubleshoot potential issues (ie: costume too long and possibly a tripping hazard, costume too tight/loose, etc.).

Prior planning with the costume will prevent unneeded stress and potential unexpected behaviors so you can all enjoy a fun evening being together. 

Yours in Speech, 
Lakeshore Speech Therapy, LLC.

Practice Makes Permanent

children trick or treating with pumpkin baskets

We’ve shared the idea of “practice makes permanent’ in previous posts. This technique is ever important when preparing for an evening of ghosts and goblins and candy acquisition – aka, Halloween. You may think it’s too early and there are so many days to prepare before the end of the month, however we all know how quickly the days fly.

Practicing for an evening of trick-or-treating does not have to look like ‘practice’ or be announced as such. Take a walk on the trick-or-treat route you intend to follow during the day. Make sure to point out various landmarks as well as the changes (different decorations, leaves falling off the trees, etc.). Expand that practice walking the route as it begins to get dark, note the street lights turning on as well as pointing out how the houses may look different, but are the same during the day or night. If your loved one enjoys a good map, make a map of your route and fill in the landmarks together.

As the day draws closer, practice trick or treating from room to room in your house. Close the bathroom door and have your loved on practice trick-or-treating for toothpaste or a toothbrush. While it sounds silly, it’s a safe non-pressured way to practice this exchange as well as gives you a marker for future experiences (“Remember how we did this at home for toothpaste?”). Trick-or-Treating for everyday items (ie: while getting dressed or cleaning a room) may also be the ticket for ‘fun’ buy in for a less enjoyable activity.

Share with neighbors and family the ‘practice makes permanent’ theory and request a practice time that is more similar to the actual event. While your loved one may need a few rounds of practice, it will soon make sense how the exchange of events will occur and the pay-off is well worth the time invested in practicing. Note: the pay-off does not necessarily need to be candy. While candy may be a delight and preferred, practicing these skills can result in the acquisition of other items not necessarily of the sugar food group sort.

A final round of practice making permanent may be partaking in some of indoor or less conventional trick or treat options in the area. Here are a few links that may help in planning these practice sessions:

We’ve said it once and we’ll say it again, practice makes permanent which can significantly decrease unexpected behaviors which creates a less stressful situation for EVERYONE to enjoy!

Yours in Speech,
Lakeshore Speech Therapy, LLC

Friday Night Lights, Coming Soon!

It’s almost impossible to believe that August has come and will be leaving in a few days!  Time flies when you’re running at land speed records in a million different directions. First day of school pictures have been taken and posted, ‘normal’ routine has started, and “Friday Night Lights” will soon be starting! Those “Friday Night Lights” can help build language as well as social skills more than you have thought. 

“Friday Night Lights” harkens memories of high school football, marching band, and hanging out on the bleachers with your friends.  Add adulthood and a family and “Friday Night Lights” might not conjure up the same warm feelings as it once had. Running to the restrooms, purchasing way too much from the concession stand and  listening to complaints of being bored or the seats are too hard…..ah yes, “Friday Night Lights”. Preparing your family for these evenings can only make those “Lights” shine brighter.  

Just like the football team, cheerleaders and marching band, your family ‘team’ needs to practice for the big night as well.  How do spectators practice? Read on.

Go to practice games and rehearsals.  Chances are the local middle and high school teams and marching bands are practicing daily.  Take advantage of these less formal settings to PRACTICE sitting on the bleachers. Take note of any  issues related to the bleachers (seats are too hard, sitting up high is scary, being able to see through to the ground is scary) to find the areas that are most comfortable for you and your family. Visit the restrooms. Locate the changing area if needed.  Bring your family members in to the restrooms to become familiar with these surrounds so there won’t be any issues when there are larger crowds. Experience the sounds of the practices to decrease being alarmed during a game. The whistles on the field, the marching band playing the fight song, the cheerleaders cheers, all of these sounds are new and can be very upsetting.  Help your family anticipate these sounds. 

Learn the lingo. If a family member is non-verbal, create signs that have simple messages – Go Team – to get them to be part of the fun.  Practice simple messages for family members with limited language – Go! – Fight! – Win! A football game is language rich.  Choose one or two words that will have the most meaning and practice at home and at practice games. 

Recognizance. Get the low down on your local “Friday Night Lights” game by making it a date night or going alone.  Take note of how crowded certain sections of the bleachers become. When the marching band plays (typically there’s a pre-game and of course the half-time show). Where the cheerleaders stand. If there is a mascot. And maybe the most important piece, what is offered at the concession stand. These pieces of information will help you to better plan and anticipate your family’s needs during the game. 

Concession stand mania.  So much of the game is about the food and rightfully so. Make a plan for how your family will make purchases. Make that plan very clear to everyone to avoid melt-downs at the stadium.  Create a snack board of the items at the concession stand (You have this information because you went to the game alone before.). Not only does a snack board provide a visual cue for everyone, put gives non-verbal members of the family a way to communicate their choice without play the ‘yes/no’ or ‘point and cry’ game. 

Set a time limit, initially. At the onset of the season, you may need to make it very clear when or how long your family ‘team’ will be attending the event.  You want to leave the game on a high note. Setting this parameter may avoid a melt-down when it is time to leave. Give a concrete time that may or may not necessarily be associated with the clock.  Because of your recognizance trip, you have the information you need. Give warnings prior to departure time (“After this song, we are leaving.” “When the cheerleaders finish we are walking to the car.”). Expand the amount of time you spend at each game you attend, if only by 10 minutes. 

Don’t forget, this is fun! Time together is the biggest victory of all!  Enjoy!

Yours in Speech, 

Lakeshore Speech Therapy, LLC

Sweet Dreams

Preparation for the start of a new school year is well under way for many.  As you may have noticed, the sun is setting a little earlier as we inch our way from summer into fall.  Late nights chasing fireflies and roasting s’mores gives way to sports practices, music lessons, and therapy sessions. There are many ways to begin to prepare you and your family for the inevitable change of schedule, none as important as remembering the critical role SLEEP plays in our lives.  Young and old, sleep is one of the more overlooked aspects of healthy living.  

Please take a moment and read through these two articles not only to understand the role sleep plays for children learning, but some techniques that make help increase your loved ones sleep (as well as your own). 

Children and Sleep

12 Sleep Tips for Kids with Special Needs

Sweet dreams!

Yours in Speech, 
Lakeshore Speech Therapy, LLC.

It’s All Routine

This month we’ve focused on schedules and free activities to fill those schedules. This week we are discussing routines and the importance of routines related to speech-language development.  Personal, familial, classroom, or therapy routines provide a framework of certainty. Within these routines are the skills and expectations that help to introduce and maintain speech-language skills, social pragmatic skills and increased independence with executive functioning skills.

Take a moment and replay your morning routine back in your head.  Do you brush your teeth before you wash your face? Do you take a medication right away or do you take it with your first cup of coffee? It’s easy to picture yourself completing your morning routine and if something is off, you know it immediately.

Routines for infants and toddlers provide a number of opportunities to practice important speech-language and social skills. Anticipating the steps, sequencing steps, learning the vocabulary associated with the steps are all skills infants and toddlers need to develop meaningful associations with language and action. Daily routines provide the repetition of vocabulary and actions leading to independent participation in these routines.

Routine for school aged children can provide a calming environment for anticipating activities as well as expectations throughout the day.  Similar to infants and toddlers, sequencing steps, learning vocabulary and making associations provides the foundation for increasing successful independence throughout the day.  Routines also give the child the opportunity to learn the expected behaviors and unwritten social rules in a repeat practice setting. Daily routines facilitate conversations between child and adult to specifically explain and model appropriate social and behavioral expectations.

Routines for older children and young adults create a setting where focus can be more on new skills and independence versus the actual steps.  These routines are not only part of the day, but provide the opportunity to increase independence and demonstrate expected behaviors and social skills which should be the focus of mastery for young adults.  Routines at this age also provide opportunities for increased independence imperative for vocational and secondary education settings.

Individuals who have tendencies to become rigid regarding implementation and execution of routines, such that any variation creates adverse behaviors need to have their routines continuously changed.   This does not mean the target task or activity needs to change, however change when the task or activity occurs. For example, night time routine might go tv time -change in pjs – brush teeth – book time – lights out. Consider changing to book time – brush teeth – change in pjs – tv time – lights out or some variation.  You know your loved one best and will be able to determine how often the change needs to occur.

If you have any questions or need a sounding board regarding routines, please reach out to your speech-language pathologist.

Yours in Speech,

Lakeshore Speech Therapy, LLC