Breanna Waldrup

Apraxia Dallas, PLLC

Credentials: M.S., CCC-SLP; Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Monday - Thursday 9:00 AM - 6:00 PM although hours vary depending on the time of year (school year versus summer) and the needs of therapists and clients.
Treatment locations: Office/Clinic
5310 Harvest Hill Road, Suite 184
Dallas, Texas 75230
Phone: (214) 789-9431

Overall Treatment Approach:
   I use an eclectic approach based on the principles of motor learning that incorporates parental involvement. I rely heavily on Dynamic Temporal and Tactile Cueing (DTTC, especially the cueing hierarchy). I strive to highly individualize treatment to each child. Treatment typically includes the use of multisensory cueing and feedback, focused attention by the child reinforced by early success, intensive, frequent, individual practice, multiple repetitions of speech movements, slower rate, systematic progression through hierarchies, emphasis on self-monitoring, compensatory speech and language strategies, prosody remediation, and addressing all aspects of disordered communication. For most children, especially young children, I incorporate age-appropriate, motivating materials for the child including books, puzzles and games. Most sessions include a mass practice of recently introduced goals as well as distributed practice of goals that are nearing mastery and generalization. I count responses by placing beans in a cup during sessions and children obtain 50-150 targeted correct responses in a 30 minute session. For children that I am using DTTC instead of an eclectic approach, there are usually 200-300 targeted responses in a 30 minute session. Most children earn treats based on the number of responses they produce. In addition, I use a system with most children in which if they self-correct or attempt a higher level target or produce a target with less cueing, they earn green rocks which translate into more treats. There are also red rocks (red means stop) that are used if children are not following directions - if they get 3 red rocks in a single session they typically lose their treats for that session. The method of counting responses is individualized for each child - some children have a higher reinforcement schedule, etc. Some children respond better to a sticker chart, token board, etc, - if that's the case then that's what I use.

Percent of CAS cases: 90

Parent Involvement:
   Parents and/or caregivers are required to attend most, if not all, therapy sessions. Parents are asked to bring a notebook or device and to take notes during sessions on the specific targets being addressed and the cueing used. When materials are used during the session, parents are allowed and encouraged to take the materials home to conduct practice at home. Parents are asked to only use these materials for speech practice so that the toys retain their novelty and are motivational for the child. Most sessions begin by asking the parent how practice went at home and if there were any concerns or issues. If the parent is comfortable, they are sometimes asked to demonstrate practice with the child. Parents are frequently asked to model new behaviors for the child and are included and incorporated throughout therapy sessions. Parents advice is encouraged and solicited, especially regarding goals and behavior management.

Community Involvement:
   I have been conducting apraxia therapy since 2012, working for Apraxia Dallas (2012-present) and Progressive Speech Therapy (2013-2014). I attended and assisted with the Dallas area Walk for Apraxia in 2014. I attended the 2015 and 2016 Apraxia Kids workshops. My practice, Apraxia Dallas, was a sponsor of the High Fives for Apraxia campaign on Giving Tuesday 2016. I presented on early intervention for CAS at the 2016 TSHA (Texas Speech Language Hearing Association) convention and co-presented a poster on the treatment of CAS at the 2016 ASHA convention. I have dozens of consultations a year with other professionals including teachers, ABA therapists, and other speech language pathologists (especially those in the school district).

Professional consultation/collaboration: Yes

Min Age Treated: About 2 years

Max Age Treated:

Insurance Accepted: No