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- Lakeview Speech & Language Clinic
My approach combines evidence-based practices with fun, interactive, functional activities. I always incorporate principles of motor learning in order to make our sessions as productive as possible. . For children with severe CAS, or children with persistent vowel errors, I use DTTC. For children with mild-moderate CAS, I use ReST.
My very first client in graduate school had global aphasia and apraxia. I saw her for 6 months and cried when she said her first word spontaneously. My real passion is working with kids, and my undergraduate degree was in cognitive psychology and linguistics, so it made sense to me to become more well-versed in evidenced-based treatment for CAS. I have worked with children with diagnosed CAS, suspected CAS, and acquired apraxia from a TBI. After attending Dr. Strand's advanced course on CAS, I'd like to be able to be more involved in the Apraxia community and share this knowledge with other clinicians.
I encourage parents to be as involved in therapy as they can be, because children with CAS need frequent practice and parents can provide some of that practice if they are trained! As children become successful with therapy tasks, I assign them short home practice activities to help with generalization. I also like to embed home practice into daily routines, so that practice can occur in natural environments.
I use AAC to ease the frustration that many children with CAS feel when they are not understood. I prefer easy, low-tech, low-cost systems because I'd like to think of AAC as a temporary solution. For children with very severe apraxia I consider a high-tech option with the caveat that it is only supplemental to speech, not a replacement. I work with families to use the device at home and school, but focus mostly on speech during our sessions because our ultimate goal for children with CAS is intelligible speech.