• London Speech and Feeding

Speech Sound Disorders

Updated: Oct 15, 2021



Treatment Approaches - A Typical Session


There are various great ways to treat speech sound disorders and I use all the approaches available selectively; I decide what works with each individual child and I also vary the approach depending on the child’s frame of mind at any given time during my session.


Some of the approaches are more “drill-based” and require a child to be able to pay attention and really participate actively in the therapy, and this is what I am showing you today with this video clip.


My little student here has been working with me for some time and from only saying a handful of words which were not very easy to understand he has come a long way. He does have some features of Verbal Dyspraxia which I shall briefly outline here:

  • making sounds in general is a struggle, especially when asked to copy certain sounds, example: ‘can you say: a ee ou oo?”

  • repeating sound sequences or words sequences is hard, for example: “say p-t-k in sequence” or “say fish chips fish chips fish chips

  • When saying the same word again and again, different mistakes can be heard

  • Intonation difficulties: speech sounds monotonous

  • Vocabulary is very limited



My child is very hard to understand! How can Speech Therapy help?



Some therapy approaches are more play based, for example the Core Word method: here we pick a few words at a time which are very significant to the child and therefore highly motivating to try and say. These could be characters of Pokemon or Minecraft for example, or simple words like "GO!"


When you watch the video you will see that I use a lot of visual prompting, such as showing him where the tongue is moving to or from. I do this with my index finger and this approach is called Tactile Cueing or "Cued Articulation". Part of the approach is to give a visual prompt and then reduce the prompt as the learner is more able to produce the correct sounds. Once he can produce the sound on its own, we quickly move to the sound within a word.


I do mix and match my approaches and in fact here I am drilling but I also use the Core Word which for him (YELLOW) - it’s his favourite colour and I happen to have quite a few good games where a YELLOW something or other can be asked for..... WHO KNEW!? :)





 

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