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- 3424 West Carson Street, Suite 230
- Deborah Lim, SLP
I use play-based methods in therapy for younger children and add in table top/more structured tasks as the child progresses in ability and maturity. I primarily use the PROMPT approach to analyze CAS. I am mindful of the purpose of speech—to communicate one’s thoughts and to build relationships with others. Therefore, I consider a child’s other needs (play, social, emotional, sensory, etc.) when coming up with a treatment plan. I utilize augmentative and alternative communication (AAC) strategies to support the development of language while we work on improving speech function, if indicated.
I am a member of various Facebook groups related to apraxia and welcome discussions with other professionals who specialize in apraxia. I look out for ongoing educational opportunities to keep myself up to date with information related to apraxia.
Parent education and training is a part of the therapeutic process. Parents are welcome to stay in sessions and I share strategies that have helped in session to practice outside of therapy. I encourage questions and am available via email and phone.
I have used no tech strategies such as adapted PECS books, pencil/paper, and sign language as well as high tech strategies such as Dynavox and PRC devices to support language development alongside speech. I find that an AAC system that provides access to a full language system, and one that supports mobility, motor planning, and the speed of communication works well with children diagnosed with CAS. I conduct an AAC assessment/device trials to determine the best fit for a child, then train the parent/team to use the device with the child as well.