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- Madelynn
- Holtberg
- 3555 Kenyon Street, Suite 201
San Diego
California
92110
United States - North Star Speech and Language Pathology Center

San Diego
California
92110
United States
I provide relationship-centered, client-led, neurodiversity-affirming CAS therapy. I view connection, regulation, and intrinsic motivation as foundations to effective CAS therapy. I use evidence-based intervention methods to support my clients with motor planning and programming for speech. I support autonomy by encouraging my clients/caregivers to help choose our target words and activities. I support individuals to communicate in whichever modality feels easiest and/or most efficient in a given moment (whether that means using verbal speech, high tech speech generating devices, ASL, whiteboards, typing, etc.). I recognize the impact that CAS can have on language, literacy, confidence, and social communication, so I support these areas as well. A session with me might look like doing an activity chosen by the client, practicing a small set of words, focusing on the movement through the word rather than specific sounds, giving specific feedback, fading feedback to promote carryover of skills, and including caregivers in the practice. All the while, I am giving access/modeling alternative forms of communication and staying in tune with my client’s energy/motivation levels.
Caregivers participate during sessions so that I can coach them on how I provide CAS therapy. I give them feedback on how they can best support their child at home and in the community. I encourage clients and caregivers to collaborate on goals/targets.
I love multi-modality communication and often use many forms of AAC! I use high tech AAC devices with clients often. I have experience with a variety of apps such as TD Snap, TouchChat, LAMP, Proloquo2Go, and Proloquo4Text. I often recommend high tech AAC as it is more robust, allows options for typing on a keyboard, and can support clients in expressing their intended message. I also use low/no tech AAC such as writing on whiteboard, ASL, pictures, etc. We trial different options to see what works best for each person.