Lori Cochran

Cook Children's Medical Center

Credentials: MS CCC-SLP
Hours of Operation: 7:30 to 6:00
Treatment locations: Office/Clinic
Mansfield, Texas 76063

Overall Treatment Approach:
   I subscribe to Edythe Strand's Dynamic Tactile and Temporal cueing approach. It also is an approach that has many similarities with the cueing style I had developed naturally as an early clinician. I find that DTTC refined my cueing techniques by defining how to fade cueing a bit more specifically, yet it still allows for and encourages the use of multi-sensory cueing strategies. I understand and utilize the principles of motor learning in my practice, yet am all too aware of how current insurance trends often do not allow the frequency of treatment that would be most beneficial. Thus, it is critically important that parents and caregivers are trained how to use simultaneous cueing along with tactile and visual/verbal cueing to help their children at home between therapy sessions.

Percent of CAS cases: 25

Parent Involvement:
   Parents attend each session and I ask them to actively participate. At first this might mean observing the strategies I'm using, listening to information about the disorder, and learning to identify certain things in their child's speech. Then I work on teaching parents specific strategies, usually starting with simultaneous cueing. Parents get to practice using the strategy in the session so I can coach them on the timing of the cues and how to use them more effectively. We end each session by coming up with a plan for what to work on at home in between sessions. This usually consists of words that the child needs less cueing for, or ones that the parent was able to cue just as successfully as myself.

Parent Explanation:
   Apraxia is a type of articulation disorder that's a bit more complex than the more common types. It's not that the brain has trouble moving the speech muscles. Instead it's more like the brain can't make a plan to tell which muscles to move first and which ones to move next. It requires a type of treatment that's a little different as well, though most children can benefit from motor-based treatment. The core issue in apraxia is really that kids have a hard time making the movements to connect sounds together, so they might end up sounding very choppy if we don't address that. It requires a lot of therapy and a lot of effort at home, but kids certainly do make good progress and many can end up with very normal sounding speech eventually.

Community Involvement:
   I have attended the CASANA annual convention previously, and connected with other professionals and parents. I also attended a small-group intensive workshop with other local SLPs who were also dedicated to spreading clinical education about DTTC. I continue to mentor SLPs at my organization on working with children on their caseload who they suspect have apraxia.

Professional consultation/collaboration: Yes

Min Age Treated: 2

Insurance Accepted: Yes