Pooja Aggarwal

Progressive Speech Therapy

Credentials: M.S., CCC-SLP; Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Monday-Friday 8 am to 6 pm
Treatment locations: Office/Clinic|Home|Daycare
Address:
44121 Harry Byrd Highway, Suite 255
Ashburn, Virginia 20147
Phone: (571) 246-6495
Email: pooja@progressive-speech.com

Overall Treatment Approach:
   Overall PhilosophyFun, joy-filled sessions using multi-sensory cuing based on DTTC methodologyTarget Selection* Use phonetic, phonemic, and phonotactic inventories to come up with a list of targets * Approximate number of targets: severe - 5 targets, moderate - 8 targets, mild - 10 targets* Targets selected by increasing one variable at a time (e.g. sound OR word shape), consideration given to homorganic/heteroganic nature of targets.* Targets selected are targets that are stimulable for correct production (practice makes permanent rather than practice makes perfect)* Exceptions made for “power” words e.g. child’s name* Consideration given to core vocabulary research in order to select high frequency wordsDynamic Temporal and Tactile Cueing* Dynamic Cueing: follow a non-sequential hierarchy (max cues are added/faded within/across tx session)* Temporal Cueing: reduced rate for increased proprioception/pairing with prosodic elements* Tactile Cueing: Use of tactile (e.g. PROMPT) & gestural cues (e.g.Turtle Vowels)* Add & Fade Cues as each utterance is produced

Percent of CAS cases: 60

Parent Involvement:
   * During intake processes, our philosophy of TEAM based treatment is shared, with parents being primary team members. A 5-10 minute commitment to daily home practice is agreed upon to maximize progress* Parents are encouraged to be in the therapy room during therapy sessions* Parents are given words to target at home or in other natural functional environments* “Homework” is dependent upon parent-child success level with targets e.g. some families receive retention phase homework, while others are assigned acquisition phase homework* Homework assigned is as functional as possible* Attempts are made to incorporate homework into a daily routine in order to increase feasability of homework completion (as a parent, I know 5 minutes are hard to come by!)* parents are asked to join in therapy activities e.g. return demonstrations of work that will be assigned as homework* sessions are 1 hour in length, 45 minutes of direct therapy followed by 7-8 of therapy session feedback and discussion of homework with parent and child, 7-8 used to type a SOAP note that includes goals, data towards goals, and family homework

Community Involvement:
   * Continually mentor clinicians in the Northern Virginia area* Participation in Walk for Apraxia* Given numerous local talks, presented at the Apraxia Kids National Conference, and produced webinars for Apraxia Kids * Offer parent support by phone, email, in person* Offer IEP support and advocacy

Professional consultation/collaboration: Yes

Min Age Treated: Birth (for feeding difficulties), youngest child with suspected CAS was a year old (multiple red flags including family history)

Max Age Treated:

Insurance Accepted: No