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Archive | Voice Disorders

Deciphering between the difficulty

All this talk about dysphagia, aphasia, dysarthria- it can be hard to decipher with similar sounding names, particularly when they are co-occurring or have closely related symptoms. What makes each one different is the nature and amount of interruption to communication.

 

With aphasia and dysphagia it’s possible the brain could have experienced some kind of trauma, from a head injury or stroke, and as a result, there are problems with language use. These disruptions may affect your speaking and writing. Dysarthria, unlike dysphagia and aphasia, is a disruption to the muscles that we use to produce speech and isn’t always associated with a brain injury or stroke.

By on September 5, 2017 in Speech Therapy, Voice Disorders, What to Expect, Who We Are

Communicating with someone suffering from Aphasia

If a person with aphasia cannot understand you, PLEASE DO NOT shout at them.  Unless the person also has a hearing problem, shouting will not help. Make eye contact when speaking with the person.

When you ask questions:

Ask questions so they can answer you with “yes” or “no.”
Whenever possible, give them clear choices for the best possible answers. Do not give them too many choices.

Visual cues are also helpful when available. (for example pointing and making eye contact with something)

When you give instructions:

Break down instructions into small and simple steps. That way they are much easier to follow.
Allow time for the person to understand. Sometimes this can be a lot longer than you expect.
If the person becomes frustrated, it’s never a bad idea to take a break and consider changing to another activity.

 

 

By on September 1, 2017 in Speech Therapy, Voice Disorders, What to Expect, Who We Are

Speech Therapy for Adults

Speech therapy is relevant for indications of Parkinson’s disease, brain injury, stroke, and many other underlying medical conditions. A wide range of disorders affecting speech and swallowing include apraxia, dysarthria, dysphagia and orofacial myofunctional disorders.

These disorders may impact communication skills, coordinated muscular movements, difficulty in articulating words as well as swallowing, and paralysis of facial muscles. Our speech-language pathologists may also address patients focus on tasks, and memory, reasoning, and problem-solving. Other cognitive strategies may be explored for executive functioning (such as goal-setting, planning, self-awareness, and self-monitoring.

 

Many people believe we only provide therapy to children- for stuttering or speech impediments, we are really so much more. We’re #NotYourAverageClinic

By on August 28, 2017 in Cognitive Therapies, General, Philanthropy, Resources, Speech Therapy, Voice Disorders, What to Expect, Who We Are

What does a meltdown feel like when you’re on the spectrum?

What does the other side of a meltdown feel like when the person having the meltdown has autism? It’s never just about dropping an action-figure or not being able to press the button on an elevator wall. When they have a meltdown, it’s as if something of paramount importance has been taken, lost, or stolen.

 

Everything is too much and they feel overwhelmed and powerless. It’s not the action-figure falling on the ground, rather it’s a build-up of things that may have recently happened. It’s just, that toy was the last thing that person could control. Pressing that elevator button was one of the limited joys that person may have. They want interaction in their universe what ever that means to them and when it’s lost, it’s tragic. Often or always that internal struggle is invisible to all who witness the meltdown.

By on August 24, 2017 in Autism Treatment, Cognitive Therapies, Feeding & Swallowing Therapies, General, Health Insurance 101, Hearing Impairment, Philanthropy, Resources, Speech Therapy, Uncategorized, Videos, Voice Disorders, What to Expect, Who We Are

Power of the Whiteboard- Family Time Management Tool

Use of a whiteboard is great support for getting tasks completed.  They keep a to-do list in sight and can help with productivity and fewer family conflicts.

 

– Placement is key

– keep it in sight where everyone will walk past it often and one that you can put away when guests come over

– Assign every family member his or her own section or color marker

– List in your section what you need and want to do on that day or weekend

– Estimate spaces of time to spend on each task

– Visually represent that space of time with a small circle to resemble the face of an analog clock. For example, if an activity will take an hour, color the whole circle, if it will take 15 minutes, color in one fourth of the circle etc. So if an activity or event will take two and a half hours, you would draw two circles completely filled in, followed by a circle filled in halfway.

– After you complete a task, cross it off.

This helps everyone else in the family see what each person needs to do and what they have completed.

– Extra bonus: This whiteboard could also be used to monitor the status of homework, without constant nagging.

– Give praise when the work gets done!

– If it isn’t getting done, avoid going to the yelling mode, instead breathe deep, pause and remember task initiation- just getting started- is an executive skill many children struggle with.

– Suggestion: Say to your child “Hey, I was walking past the whiteboard and noticed you haven’t started your homework. What can I do to help you get started? Or Is there anything I can do to help you get started?” Maybe your child is confused and needs clarification before they feel they can get started. This could help clear that up.

– Avoid using the board like a parents list for the child or other family members. Everyone in the family should be writing and checking off their own list, even if you might be assisting with adding items to your child’s list. This is how independent time-management skills develop! #CognitionCorner #MissRachel #NotYourAverageClinicians

By on August 23, 2017 in Autism Treatment, Cognitive Therapies, Feeding & Swallowing Therapies, General, Health Insurance 101, Hearing Impairment, Philanthropy, Resources, Speech Therapy, Uncategorized, Videos, Voice Disorders, What to Expect, Who We Are