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- 3100 NC-55 #102
- Emerge Pediatric Therapy
CAS is a complex, individualized speech disorder that is best treated with a whole team approach. After thorough evaluation and parent questionnaire, I select stimulus items for each syllable shape targeted and attempt high frequency practice over each session while fading tactile and assistance cues (simultaneous production to immediate production to delayed production to spontaneous speech). Once the child is able to complete syllable shapes at the word level, we move on to sentences, and conversation. When possible, I prefer high frequency therapy sessions for a shorter duration.
I have had an interest in apraxia since my first client during graduate school in 2011. I have watched so many of my clients blossom from having no words (but 700+ signs) to speaking in sentences and graduating therapy in 20 months! I love being educated, writing blogs, and helping other clinicians understand CAS.
I like for parents to be present for the initial evaluation, and at least the first several weeks of treatment (or ongoing if it isn't distracting to the child). I am the coach and the parents are the teachers. In my experience, a team approach works best for the child. It allows for the family to carry out practice as they have a observed within the session throughout the week. It is also important to talk to the child and parents to determine if there are any words/targets that are important to them in their life.
I introduce low tech moving toward high tech AAC while continually working towards improving motor speech planning. The AAC gives the client a way to communicate their wants and needs effectively to decrease frustration while engaging in therapy toward improved motor patterns.