Halloween Ready!

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

Trick or Treat!

Trick or Treat!  The three most important words in October! When a child experiences a language deficit, creating an environment where there is no pressure of saying ‘Trick or Treat’ is by far the most important part of Halloween!

While practicing saying those magical words is one way to prepare for the big night, there are other options that might be considered.  

Make the words “Trick or Treat” part of the child’s costume. If your child is:

  • a superhero: make a ‘speech bubble’ with the words “Trick or Treat” (like in the cartoons) and attached it to the child’s costume.
  • a cowgirl or cowboy: attach a sign that says “Trick or Treat” on the hat or lasso
  • a robot: make “Trick or Treat” part of the ‘read-out tape’ or monitor (on the child’s tummy) of the robot

Print the words on the palm of white gloves and not only are your child’s hands toasty but they can effectively communicate.

These examples are just the start of the imaginative ways you can design to help a child with a language deficit focus less on the stress of ‘talking on the spot’ and more on effectively communicating.  

Yours in Speech,

Lakeshore Speech Therapy, LLC

Costume Time of the Year

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

 

National Audiology Awareness Month!

October celebrates many worthy causes and organizations.  Our brothers and sisters in Audiology are recognized in October as it is National Audiology Awareness month!

Hearing is something taken for granted too often.  While it is a true fact that hearing acuity decreases with age, taking steps to preserve hearing is important at all ages.  The National Department of Human Services “It’s a Noisy Planet Protect Their Hearing” Campaign shares important information and reminders for parents of child of all ages.

Sound that is 85 decibels or higher may cause hearing loss.  The volume and length of time spent listening to sound at an elevated level as well as the proximity to the source,  the more damage can occur to your hearing. Our environment is filled with sounds that are well over 85 decibels (dB), some you probably have never considered.  

  • Normal conversation: 60 dB
  • Dishwasher: 75 dB
  • School cafeteria: 85 dB
  • Gas lawn mower: 90 dB
  • Snowmobile: 100  dB
  • Music player at maximum volume: 105 dB
  • Music concert: 110 dB
  • Ambulance siren: 120 dB
  • Jet engine taking off: 140 dB
  • Firecracker: 140–165 dB

We all need to be mindful of what and how long we are exposing our children and ourselves to damaging sounds.  Damage can build up over time. Simple ways to decrease the risk of hearing loss are move away from the sound source, wear hearing protectors (earmuffs, earplugs, etc) and turn the volume down, especially when wearing headphones/earbuds.

Take time this month to pay attention and make positive changes to preserve your hearing that of those you love.  More information can be found at the “It’s a Noisy Planet” website.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Down Syndrome Awareness Month

October celebrates National Down Syndrome Awareness month.  During the month of October, take time to put aside the candy corn and pumpkins and learn more about how you and your family can celebrate the abilities and accomplishments of individuals with Down Syndrome.

Some basics about Down Syndrome.  

  • A person with Down Syndrome rocks an extra pair of chromosomes, resulting in individuals with Down syndrome have 47 instead of the usual 46 chromosomes.
  • Approximately 400,000 Americans have Down Syndrome.
  • One in 700 babies are born with Down Syndrome.
  • Down syndrome was first studied and described by a doctor named John Langdon Down.

Organizations that work to ensure an individual with Down Syndrome has the services, therapies and help they (and their families) need to be successful can be found throughout the greater Cleveland area.  

Gigi’s Playhouse of Cleveland is a wonderful agency providing social, educational and support programs for individuals ages birth through adulthood.  Make the pledge and find out more about how YOU can become part of Generation G.

The Up Side of Downs of NorthEast Ohio has been supporting, educating and advocating for people with Down Syndrome (and their families) since the 1980’s.  From tennis to yoga to dances and more, this incredible organization has a calendar full of activities and resources for you to explore!

Connecting for Kids! Provides support and education to families and children throughout Northeast Ohio. Looking to better understand a diagnosis, resources and support, please take a moment to investigate this outstanding resource.

Lakeshore Speech Therapy, LLC. would like to share our most sincere well wishes, support and admiration for our friends thriving with Down Syndrome and their families.  Our world is better because of you!

Yours in Speech,

Lakeshore Speech, LLC

Dress for Fall

Fall is officially upon us!  Crunching leaves, cooler air, pumpkin spiced everything.  There’s no denying it, Fall is here! For those who appreciate a cup of hot cocoa, the changing of the leaves and busting out the sweaters and long pants, your time has arrived.  Living in Northeast Ohio poses some issues when it comes to predicting Fall weather. We experience Spring, Summer and Heat Wave all in span of 3 days. Adjusting our wardrobes to match this  temperature roller coaster can also create issues for those who don’t understand what is going on with Mother Nature or those who are very sensitive to what they wear.

The “battle of the outfit” does not have to be a daily event. Using simple materials around your home, you can focus less on getting your loved one in  clothes to match the weather. These techniques not only bridge the gap of the daily runway, but promote vocabulary growth, inferencing, and reasoning.

Materials you will need to gather:

Items: 

Pictures of (at least 2 copies of each): 

  • Long sleeved shirt & short sleeved shirt                
  • Long pants & shorts
  • Sweatshirt or sweater
  • Socks and shoes
  • Sandals or flip flops
  • Lightweight Jacket
  • Heavier jacket/winter jacket

Resources:

  • Fliers from department stores and catalogues are great resources
  • Free icons @ www.flaticon.com
  • Free icons @ www.do2learn
  • Images from the internet

Items:

Pictures of weather/temperature:

  • Sun (3)
  • Cloudy (3)
  • Rain (3)
  • Warm (3)
  • Cold (3)

Resources:

Items:

Blank week calendar (large enough to hold 2-3 pictures)

Resources:

Items:

Glue, scissors, velcro or funtack, blank paper/cardstock

Resource:

Around the house (or in the ‘junk drawer’)

The overall goal is for the adult to indicate the weather and temperature on a specific day (using the weather temperature pictures) as well as the type of clothing needed for that day (using the clothing pictures).  Eventually, the individual may want to fill in the calendar with the corresponding pictures, but initially, this is intended to be a visual cue to decrease misunderstandings, etc. Too often the beautiful sun is shining but it’s nowhere near a day for flip-flops and shorts.

Please feel free to discuss creating this type of visual cue for your loved one with your Speech-Language Pathologist. If you would like more information, please feel free to call us at Lakeshore Speech Therapy, LLC.

Yours in Speech,

Lakeshore Speech Therapy

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.

Getting out the door in one piece

A new school year, a new therapy schedule, just the time to create some new habits for a smooth transition.  Being pulled in a million different directions is enough to make anyone harried . You and your family’s stress levels do not need to be off the charts.  Help yourself and those you love create a game plan that is sure to score big this Fall.

Organizing tasks, managing time and executing a plan are all executive functioning skills.  Skills we all (no matter the age) continue to polish and refine throughout our lives. Executive functioning skills are not innate to some, butare skills that need to be taught and practiced.  When executive functioning skills begin to mature and become second nature, the stress decreases significantly.

Your game plan to create an environment that supports and teaches executive functioning skills does not have to be elaborate.  Try a few of these suggestions and see the difference for yourself. .

  • Under 5 years old
    • Specific area or tub or bin where favorite toys are kept
    • Diaper bag filled and ready to go – this bag should be kept in the same location (ie: hook, shelf) at all times so it is easy to find and grab while you are running out of the door.
    • Keep an emergency bag/bin in the car at all times – stock with snacks, diapers, change of clothes (for your child and yourself), wipes, etc.
  • School Age
    • Backpack, coat, boots, etc. all have a specific location.  This does not have to be elaborate. Grab a few empty cardboard boxes, have each child (and adult) decorate the box, arrange boxes near the entrance door. Elminiates the “trail” of belongs going through the house when your children return from school.
    • In/Out Boxes/bins for school papers.  Inevitably, your child will have a ‘home’ folder and/or school papers that need your attention.  Make a simple In/Out box system using gift boxes (reinforced with tape) to ensure these important papers do not get lost in a pile. Work with your child in getting the home folder out of the backpack and into the In/Out box.  You won’t have to worry about losing the papers and can get to them when you have time to focus your attention.
    • “Everything has a place and every place as a thing.” Words to live by!  
      • Key hooks
      • Shoe mats
      • Lunch box baskets
      • Home information Centers
      • School clothes dresser drawers vs play clothes dresser drawers
    • Simple after school “To Do” list :
      • Put folder in IN/OUTBox
      • Change clothes
      • Get a snack
      • Start homework

Your family’s unique style will dictate the creative ways in which you discover to better manage executive functioning skills.  Do not hesitate to consult with a Speech-Language Therapist for specific techniques not only for the entire family, but for specific members who could use individual attention in this area.

Yours in Speech,

Lakeshore Speech Therapy, LLC

Love of Learning

Labor Day, the holiday of the working women and men in our country, a holiday honoring us for what we do day in and day out. When what you do everyday is something you love and are passionate about, it’s hard to consider it ‘work’.

The anonymous quote, “Find something you love to do, and you’ll never have to work a day in your life” holds more true today than ever before.  In this fast paced world, with the use of computers and smartphone technology, getting ‘away’ from work is almost impossible. Finding the balance between work and the rest of one’s life at times can seem impossible, but is definitely made easier when the ‘job’ doesn’t feel like a job at all.

It’s equally important to ensure our children’s’ ‘jobs’ are loved as well.  Children’s jobs? You might be asking yourself what jobs can a 2 year old, 6 year old, 10 year old possibly have.  The job children have day in and day out is learning….learning is the job every child holds. Loving the job of learning will take children to places we have yet to  imagine.

Helping a child to love learning can be trying, but knowing when to push a little more or step back can really alter the how a child perceives learning. Challenges are adventures that need careful navigation.  Becoming a partner in discovery of these adventures helps a child realize challenges can be overcome and are not insurmountable. Those easy “lessons” are opportunities for the adult to step back and follow the child’s lead.  These opportunities help to build independence and practice leadership skills. Those lessons that keep reappearing can be looked at as steps and with every time the child get to practice her/his skills building confidence and positive self-esteem. And let’s not forget the lessons that do not result in the intended or anticipated outcome.  These lessons provide the opportunity for child and adult to reevaluate the strategy and prove that we are all human. The less than perfect lessons help a child realize it is okay to not be perfect and in that imperfection is beauty. These are the lessons that are sometimes most important.

The love of learning will span a child’s lifetime and influence every decision.

Yours in Speech,

Lakeshore Speech Therapy, LLC

 

“Flex” your social skills!

Were you ever in public with your child and his/her behavior made you wish the floor would open and swallow you whole?  Ever been without words following your child’s painfully truthful comment? Remember that time when no matter what you said or what you offered your child she/he could not and would not get his/her mind off of the one little thing that made them upset and therefore ruined the event/day/situation?

We have have experienced these ‘moments’ in life and for most these situations are not a daily occurrence, however for some these ‘moments’ happen daily.  The ability to communicate, verbal or non-verbal, as well as interact with those in our environment in a socially acceptable manner is called social skills.  Social skills are typically not taught in an out right manner, rather a child ‘picks’ up these rules and skills by watching adults interact. For example, chances are you were never sat down and given a full explanation as to why when you meet someone, you extend your hand.  There’s a pretty good chance that you had seen this occur enough times that without really thinking about it, you appropriately responded when an adult extended their hand to shake yours. All children require some level of direct instruction (formal or not) when being ‘taught’ social skills.  How many times have you said under clenched teeth in an audible whisper, “Get your finger OUT of your nose immediately. HERE is a tissue!” or “Please, when you are at your grandparent’s house, please to not burp at the table, please!!! For some children (and adults) these social nuances are not easily ‘seen’.  For some, these social skills, social graces, manners, whatever you want to call them, are very difficult skills to learn, remember and execute.

We are proud to offer the small group program based on the Superflex: A Superhero Social Thinking Curriculum by Stephanie Madrigal and Michelle Garcia Winner.  Your child will experience the adventures of our hero Superflex conquering the dastardly Team of Unthinkables such as “Rock Brain” , “WasFunnyOnce”, and “Glassman”.  All of the villains embody different challenges or behaviors that your child may experience everyday. Using ‘Superflex” as an example, your child will learn techniques and acquire ‘super powers’ to manage these villains!

Julie Ruddy will be leading our band of Superflex Heroes into battle against the Team of Unthinkables.  Julie brings 24+ years of experiences working with children with special needs grades K through 12 as an Intervention Specialist.  Julie received her Masters in Curriculum Instruction and is a proud graduate of Ohio University. Julie has super powers of her own which she will share at Lakeshore’s Superflex Main Command Room in a six week program on Tuesdays from 6:30pm – 7:30pm.  Class size is limited to 6 SuperHeros in training. Registration is open until Wednesday, September 12, 2018. Find more information at https://www.lakeshorespeech.com/events/ .

Yours in Speech,

Lakeshore Speech Therapy, LLC