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Archive | General

Auditory-Verbal Intervention: Infants and Toddlers

I am in the middle of my certification process for becoming an Auditory Verbal Therapist. During this time I have been reading many articles that are required readings, one by Judith Simser, who discusses the how and why parents participate in the AV approach as well as the components of the therapy sessions. These therapy sessions are outlined and the techniques are escribed for to help develop listening skills, language , and speech production ( all which is really communication) in infants adn toddlers.
Though this article is dated, 1993, the discussion of AV programs and its practice with children with hearing impairments still holds many theories and practices that are used today to help develop the skills of children with and without hearing losses. What I like about this article is that it stresses the importance of parental involvment, by teaching them how to create an audtiory learning environment for their child to develop spoken language, by non other using listening situations during nateral and meaningful communication.
The author stresses that parents need to be involved…(Involve me and I will understand) instead of the tell me and I will forget approach. Are there any therapist out there that would like to share thier personal experiences with parents being involved or not?

By on April 24, 2011 in General

Deaf and Hard of Hearing: A Definition

So what is the difference between being deaf and or being hard of hearing? Throughout my career as an educator of the Deaf/HH and a speech therapist, I have been asked that question many times by parents and other professionals. What is it? I can give you my definition of what they are and what they aren’t, however, there are many layers to discuss to help answer that question, but the ultimate definition of being deaf or hard of hearing is not as simple as it would appear. Let me take a shot at this and feel free to tell me what you think.

Medically, the definition depends on how many decibels of hearing loss you have. A loss that is less than profound is generally considered hard of hearing.

Some people who view deafness by the functional definition think that if a person is deaf but uses hearing aids, they function in society like a person who is hard of hearing.

According to the cultural definition and people in the Deaf Culture, being deaf or hard of hearing has nothing to do with how much you can hear! It has to do with how you identify yourself to society. Do you identify more closely with hearing people or with deaf people? Some medically hard of hearing people that I taught in the public school system or currently work with in my clinic consider themselves culturally Deaf. Others consider themselves Hard of Hearing.

According to a site I read and forgive me I am unable to remember where I got this from but according to the site they posed the question: “ Are people with cochlear implants whose hearing losses are reduced to as little as 20 db hard of hearing or deaf? In my opinion, the answer is, “both.” The author of that site says both because “when a person has the implant on and can hear that well, they are hard of hearing. When the implant is off and they can-not hear anything, they are deaf.” I agree with this for the most part, but the ultimate decision is the individual themselves who possesses the hearing loss and how they view themselves in our society based upon their personal experiences.

By on August 2, 2010 in General


Hi, I am speech therapist in Las Vegas, Nevada who works with children and adults with hearing losses. Most, if not all of my clients who possess a hearing loss, are implanted with a cochlear device. I incorporate the use of the Auditory Verbal Approach to help faciliate growth of auditory and speech skills. I utilize a team approach by working closely with my parents, caregivers and other professionals to help develop my client’s auditory, speech and language skills. I also treat clients with swallowing disorders, aphasia, phonological delays and apraxia.
This blog is to facilite an open dialogue with fellow speech therapist, parents and loved ones and documenting my journey in helping my clients reach their maximum potential. Please feel free to share your stories, treatment ideas or ask a question.

By on July 22, 2010 in General