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

“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

Help with Stuttering. You’re NOT alone!

silhouette for students jumping at sunset

We have all experienced a moment when what you are trying to say just won’t come out. Those episodes of stuttering are typically a blip in time occurring far and few between.  Stuttering is a natural part of development for children between the ages of 2 and 5. When a young child stutters, she/he may repeat certain syllables, words or phrases, prolong them, or making no sound for certain sounds and syllables.  These ‘episodes’ can be attributed to the child having so much to say, but can’t get the information out quickly and don’t want to lose her/his audience or turn to talk. Developmental stuttering my last for a few weeks or several months, and it may be sporadic.  Most children stop stuttering by age 5 without speech-language therapy intervention. However, if these episodes are accompanied with facial or body movements, become worse and more frequent, a speech-language evaluation is suggested for children as young as 3 years of age.

While there is no cure for stuttering, there are effective treatments that can help an individual control his/her speech.  As fluency therapy is a complex marriage of clinical and psychological intervention, It is recommended these treatments and therapies be administered by a speech-language pathologist who has experience or specializes in the area of fluency therapy.  As a child matures, intervention/therapy techniques adjust from learning the techniques for fluent or smooth speech to learning how to best manage dysfluencies given specific situations in the home, peer, work and academic settings.

Middle and high school years are filled with uncertainty and the constant feeling of trying to ‘fit in’.  Anything that makes you ‘different’ isn’t necessarily considered a ‘positive’. For teens who have a fluency disorder or stutter, these years can be a time of significant social struggle and self-doubt.  We take for granted the number of times in any one given day we are required to answer, comment, question or defend ourselves with clarity and ease.

Lakeshore Speech Therapy is fortunate to have Wendi Willmer as part of our staff.  As a Board Certified Specialist in Fluency, Wendi possesses in-depth knowledge on how to treat stuttering in people of all ages. Sensitive to the struggles teens and young adults experience with stuttering, she is offering two six-week small group sessions to help students..  One group is specifically designed for the needs of students in grades 6th thru 8th and another for students in grades 9th thru 12th. While working in a group setting, not only will the students learn new techniques to control stuttering, but practice those skills they do have; all the while creating a network of friends that truly understand what they are going through.  Class sizes are limited and registration is open until Wednesday, September 12, 2018. Find more information at https://www.lakeshorespeech.com/events/.

Yours in Speech,

Lakeshore Speech Therapy, LLC

Stan Is Here! Stan Is Here!!

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

Summer, don’t leave us!

There’s still plenty of Summer left, but it’s getting to be that time of the year when our attention must turn back to the hustle and bustle of the school year.  For those not at that point or past that point, it’s that time of year that there seems to be some sort of switch from the lazy hazy days of Summer to the fast and furious time of Fall.

The types of clothes you are wearing will change, the leaves will change, and your schedule will change.  Much like our blog in June, it’s time to ask a few questions about these changes. Will you focus on a few activities or many? When is your child her/his best – morning? Late afternoon? Early evening? When do you have the most support? From whom? Spouse? Friend? Parent? In-law? How can the change to the Fall be less dramatic? Crock-pot meals? Pre-frozen meals? Assigning chores to everyone? Only you have the answers. However do yourself a favor, ask those questions and give yourself some REAL answers, you’ll be the better and so will everyone around you!

Lakeshore Speech has a number of amazing programs available for children this Fall season.  Ranging in areas of focus from Reading Tutor Groups to Social Skills Groups to Fluency Groups, we have something that your child might need or want to make a smooth start to the school year and the Fall.  Please check-out www.lakeshorespeech.com/events  for a full listing and explanation of our programs.

Lakeshore is also beginning to set up Fall schedules for private therapy.  Please contact Kelly (krigo@lakeshorespeech.com or (440) 471-7190) to arrange a therapy day and time that works best for your family’s schedule.

Yours in Speech,

Lakeshore Speech Therapy, LLC

A Fresh New Look!

Lakeshore’s waiting room has a new look!  We are so excited for you to see the new decor at Lakeshore.  Please make sure to check out the parent resource area. Here you will find information about activities and opportunities in our area for  your child and you and your family. This area will also house any information important to your weekly visits. Vacation reminders, quick check-out documents such as making payments, program fliers and more will be in this area for your convenience.

We now have media streaming information pertinent to Lakeshore Speech, therapy, informational resources and the like.  Please email VernaAnn at vkotansky@lakeshorespeech.com if you have an idea for information to be included.

As we continually strive to make Lakeshore a comfortable place not only for our clients, but for those who are waiting, we ask you to be aware of the following requests:

  1. Please remember to bring quiet activities for children who will be waiting.
  2. Please do not let children touch the hardware/locks on the windows.
  3. Please refrain from discussing sensitive material about yourself or your child in the waiting room.
  4. Please feel free to email or talk with Ellen (espear@lakeshorespeech.com) or Kelly (krigo@lakeshroespeech.com) if you have any suggestions or if there is something we could provide to make your time in our waiting room more comfortable.

Enjoy the day!

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Language in the Sun and Heat!

It’s getting hot out there! It’s a great time to  turn the heat up on your child’s language skills in everything you do.

No need to put down your ice cream cone or even get out of the pool; you have everything you need to enhance your child’s language skills!  Language is everywhere, so working on language skills is always at your fingertips. Whether you are camping, at the pool, at the beach, at the amusement park or coloring with chalk on the sidewalk, working on direction following skills, vocabulary skills, sentence development and articulation skills is a snap!

For your own sanity, set aside a small amount of time (5-10 min) to focus on a specific skill during an activity.  As you become more comfortable incorporating these therapy moments, you can expand on the amount of time. Choose a small part of the larger skill your child is working on in speech therapy (ask your Speech Therapist to help identify these specific skills if you need help). In the time span you have allotted,work with your child on the language skill and when the time has expired, STOP working! Over time, ‘working’ on the skills will become second nature.  Your child won’t even realize she/he has been ‘doing their speech homework’. Here’s a little example to give you a more clear idea.

Location – ice cream stand/shop

Speech Skill – closing lips for the M sound (the larger speech goal is producing words with B, P, and M).

Time allotted: 5 minutes

 

Parent: “Let’s play an ice cream game after 5 licks, you tell me how it tastes.  You say, ‘mmmm’.”

Child (in a perfect world, where ice cream doesn’t drip down arms and onto shoes): licks ice cream 5 times, says ‘mmmm’.

Parent: “Great!  Now, after 5 licks you tell me again how it tastes.  You say, ‘mmmmmmmm’.”

Child (again in the same perfect world):licks ice cream 5 times, says ‘mmmm’.

5 minutes is up!

Parent: “That was a fun game!  Let’s finish our ice cream.”

There is a high probability that your child will continue the ‘game’ without being prompted.  Chances are high that others, especially siblings, will want to ‘play the game’ too. Now the 5 minutes you had set aside will grow to 10 minutes!

Remember to be kind to yourself!  Don’t try this suggestion when all forces are against you!  Once a day, twice a week, whenever you can sneak in a few extra minutes of practice–it will pay off quickly!

Yours in Speech,

Lakeshore Speech Therapy, LLC

Let Freedom Ring!!!!!

Don’t let the ‘ring’ ruin the day!

July 4th week!  Picnics! Parades! Fireworks! Tantrums!  Wait, what? Yes, you read that correctly, tantrums! Otherwise known as ‘melt-downs’, ‘explosions’, ‘losing your marbles’, whatever the name, the result of these moments in time can create a stressful situation for everyone involved, child, parent, siblings, and casual observers. As mentioned in previous posts, one way to better manage these moments is count on them and plan for them.

Count on the fact that there will be something your child will not understand, wants but won’t be able to clearly communicate, be afraid of, not want to wait for, etc.  You probably already know what that ‘something’ is without having to even be in the situation. This year, proactively prepare your child for these situations.

Parades- in the town I live in, the 4th of July parade is one of the premier events of the Summer – one NOT to miss! The parade route is lines with friendly faces 3 and 4 deep.  There will be at least 3 bands, firetrucks, and emergency trucks to entertain young and old. AND the best part – CANDY!!!! Every float will be tossing candy to the crowd! Fun?!??!  Not for everyone! If your community has a parade or if you will be at a parade at anytime with your child, consider a few of these tips:

  • Find a location along the route that is less populated and stake your claim.
    • Typically the start of the parade or early into the route is less crowded.  
    • Ask the homeowner if you can sit on their tree lawn (this simple question could be the start of a new friendship).
    • Ask if you can put lawn chairs or a blanket in the area that you will be sitting either the evening before or early in the AM – now you don’t have to be haired looking for a place to sit/stand during the parade.
  • Consider using some sort of music or headphones to help regulate the noise.
    • If your child will wear ear plugs or has noise canceling headphones make sure to use them before the parade starts – don’t want your child to be startled by the marching band’s drumline or the fire engine’s siren.
    • If your child will listen to music, have his/her favorite playlist on a portable device.  She/he can still enjoy the parade while listening to preferred music which will help dampen the other sounds.
  • Typically, the parade line-up is available somewhere – city website, friend of a friend is the chairperson, etc.
    • Use this to preview the parade  – “First we will see the fire trucks, then we will see the marching band, then we will see the baseball teams, etc.”.
    • Use this information to help anticipate what is happening next – “After the clowns, we will see and hear the huge fire truck.”
    • Use this information to plan your entry and exit – “After the dance float, the parade is over and we will go home.”
  • Somehow, someway, make sure your child’s name and YOUR cell number are on your child.
    • Use a marker and write it on his/her arm.
    • Make a name tag and put it on your child’s BACK
    • If she/he will keep a necklace or bracelet on make one  – Pintrest is FULL of ideas.

Picnics – Many choices and  many new foods can make for a frustrating mealtime for everyone.  Not only preparing the meal (or part of it) is stressful, but worrying that your child may or may not eat all day adds another layer of stress.  Do yourself a favor and try one or all of these tips.

  • Offer to bring something that requires little to no preparation – you’ll have your hands full – paper products, beverages, chips are all great options without the fuss.
  • Bring food you know your child will eat – it’s OK if she/he is not eating what everyone else it eating – it’s a picnic.  What’s on the plate is not what’s important; those sitting around the table are!
  • Make your child’s favorite breakfast – and plenty of it – so you know he/she has eaten a complete meal, even if the rest of the day is a steady diet of chips and watermelon.
  • Bring a special blanket or lawn chair for specific for your child.  Maybe it has a character on it that is calming or ‘hugs’ your child when he/she sits in it. Don’t give it up to anyone else, make it a special ‘safe’ place for your child.
  • Create or bring a small tent for your child.  Give them a space (much like the chair or blanket) that is away from the bustle of others – you may want to crawl in it with them at some time :).
  • Make a quick choice board of the different foods.
    • Bring tape, scissors and a piece of paper to the picnic.
      • Cut labels off of foods and tape them on the paper
    • Use your cell phone
      • Take pictures of the different food items
      • Put them in a collage – instant communication board

Fireworks – amazing and scary all in one! Hopefully some of these ideas will end up in you and your family enjoying the fireworks versus fearing the fireworks.

  • Location, location, location –
    • Find a location where you can see the fireworks but maybe not hear them
    • Find a location where you can watch them from inside (ie: upstairs bedroom window)
    • Find a location where your child (and you) feel safe
  • Headphones/music – see above in the parade section
  • Watch them on TV

Remember, these are just moments in time, so enjoy every one!  Prior planning puts everyone in a better place! Happy Fourth of July!

Yours in Speech,

Lakeshore Speech Therapy.

Sit down, Stay a while!

Summer not only is a time to travel, but a time when others may be traveling and staying with you!  While these visits are important and eagerly anticipated, having Gramma and Papa or Auntie and Uncle staying in with you can really create situations where you and your child may not be at your best.

For some children, upsetting the routine at home can create a rather unsettling feeling that may last for the day, the week, or the month.  Children may ‘express’ these feelings verbally, vocally or physically. Working through daily meltdowns is not a vacation for anyone – parent or visitor.

Proactively planning for visitors, no matter the length of the visit, should not only include cleaning and food prep, but working with your child AND your visitors so everyone can enjoy the time together.

Location….. If you child will be sacrificing their bedroom to Gramma and Papa or Auntie and Uncle you may want to :

  • Weeks ahead of the visit warning your child verbally of the change
  • Having a ‘pretend’ visitor (a nice use of that entirely too large of a stuffed animal living in your attic) stay in your child’s room; giving them the opportunity to sleep in the location they will be sleeping in when the ‘real’ visitor is in town.
  • Have your child help in preparing their room for the visitor
    • let them pick out the color sheets that will be on the bed
    • Make a ‘game’ of hiding toys/games, etc.

Routine…. Without a doubt your child’s routine is going to be ‘off’ while there are visitors in your home.  You may want to consider:

  • Getting the daily routine down on paper (use pictures, words, etc)
  • Reach out to your visitors and share the ‘typical’ daily routine and explain to them the importance of them understanding the routine, not that they will need to follow it minute to minute, but to realize how or why your child might be acting differently (ie: Typically after lunch, your child has rest time, however while visitors are in town, he/she may not get rest time until later in the day – this change MAY result in a meltdown.)
  • Practice changing up the daily routine weeks prior to the visitors arriving.
  • Give ample time for your child to process the ‘change in routine’ (some children will require a warning days prior to a major changes, others manage the change given a moments notice).

Have a Plan…. Life is life, so anticipate there will be a time and place while your visitors are in town when everything is going along well and BOOM your child unexpectedly melts down. You may want to consider:

  • Having an “emergency melt-down kit” at the ready.  A small bag that contains a favorite snack, fidget toys, favorite smells (ie: cinnamon candy, cotton ball with your perfume/colgan, etc), a ‘lovey’ or stuffed animal), etc.  
  • A playlist on a device (probably your phone) with favorite or soothing music
  • Willingness to leave a location until your child is feeling better (ie: go to the restroom, go outside, take a walk away from the area)
  • Talk less, act more – less is more in these instances. When your child is experiencing difficulty managing, having everyone talking to them could actually increase the confusion and escalate the melt-down. Stay calm, talk less, and move quickly to enact the plan may result in a shorter less dramatic event.
  • Let EVERYONE know the plan.  If you do not want or need help to execute the plan – LET EVERYONE KNOW.  Your visitors, while meaning well, may try to help and in doing so create a larger issue.

Enjoy your time together and create memories that last a lifetime!

Yours in Speech,

Lakeshore Speech

“Are we there yet?”

While Cleveland is a ‘go to’ destination for many people during the Summer months, you may be leaving for a get away of your own.  Whether basking in the sun, sleeping under the stars or reading every historical marker/plaque across the country is your idea of a vacation, it’s easy to weave in a few moments of language enrichment or practice.

Enjoying time with family and friends does not necessarily mean you can’t work on your speech-language skills.  If your child is working on articulation, listen for correct production of sounds and use reminders to help correct errors.  If your child is working on language, use these games to practice vocabulary. If your child is working on following directions, these games are perfect for working on those skills (not to mention passing time in what can feel like and endless car ride!).

I Spy…“I spy with my little eye, something blue.” Directions: One person spies something and recites the line, ending in a clue. Everyone else takes turns trying to guess the mystery item.

I’m Going on a Picnic/Trip/Space Adventure….. Directions: The first player says “I’m going on a picnic/trip/space adventure (or whatever interests your child)  and I’m putting in my suitcase…” followed by something that begins with A (apple/air/ape). The second player repeats what the first person said, but adds something that begins with B (“I’m going on a trip and I’m putting in my suitcase and apple and bermuda shorts.”). And so on with C, D, and the rest of the alphabet. If someone forgets an item, he/she is out OR you can allow everyone to chime in to help OR the next person just starts over with A.

Add-on Storytelling…..One person starts a story with only one or two sentences and stops in the middle of the next sentence (“Once upon a time, there was a lovely princess.  The princess lived in a huge…..”). The next person starts their story where the previous person left off (“igloo on a mountain. The princess has long brown hair and her eyes were …..”) You cannot negate or poo-poo another’s idea, you can only build on the story (“on the top of her head.  She was a martian princess from the land of ….”)The stories are sure to start get everyone giggling. An adaptation to this game could be an adult tells the full story and the children add the descriptors/objects/verbs when the adult pauses.

20 Questions …… Directions: One person thinks of something (you may want to determine a category or area to narrow the choices for beginners), and everyone else has only 20 YES/NO questions to ask to try to guess what it is. If someone guesses correctly before the 20th question, that person get to think of an item and ANSWER the yes/no questions. If no one figures it out, the person answering gets to go again.

Category Naming Game…. Directions: The ‘announcer’ (typically a parent) sets a time limit (ie: 60 seconds), that person announces “Name all the pick a category you can think of starting NOW!” The player starts naming all the items in that category.  If the player names an incorrect item, the announcer starts counting down from 10, if the player cannot come up a correct item in the category by the time the announcer gets to 1, it’s the next players turn.

Safe Travels!

Yours in Speech,

Lakeshore Speech