Tagged "Whitney Pimentel"


Ask A Therapist: Straw Drinking

Posted by Deborah Grauzam on

Hello TalkTools,

 

I feel so defeated. My son is 2 years old and I can't get him to master straw drinking. He is an otherwise high-functioning, very successful child. He is starting to walk, can build with blocks ... What am I doing wrong?

 

David has Down Syndrome. (He has repaired cardiac defect, which thankfully has not been causing him any issues.) I find that he is very sensitive in the mouth. he is nervous to put anything in his mouth that he is not familiar with. I find him to be more motivated by familiarity (i.e. familiar foods) than special tastes. I tried putting all different juices in his mouth to get him to want to suck up but he is annoyed with the task.

 

Right now, my therapist suggested that I try using a large chocolate syringe ( it's an over sized syringe kids love to pour chocolate in their mouth!) which hopefully, will motivate him to suck the tip.

 

I am scheduled to see Lori Overland in November but I would love to get some tips now already.

 

Miriam

 

Hi Miriam,

I'm Whitney, a TalkTools® Instructor. Thanks for your email regarding your son. Please know you are not doing anything wrong. Often times straw drinking is very difficult to teach so be patient. I am very encouraged that you are scheduled to see Lori Overland in a few weeks. Hands on approach is so much better than any suggestions I can give you without getting my hands on your child.  

For now I would use the honey bear to teach this technique and add a highly flavored favorite liquid. I would also recommend to make the consistency a little thicker than water to help with tolerating this new motor skill. I often use a favorite yogurt or pudding and add water.   For now I would just continue to get acceptance of the honey bear and the straw to his mouth. Do not continue to push it if he becomes easily frustrated as we want to be able to address this skill when you see Lori Overland.  

Please let me know if you have any other questions.  

Thanks,

Whitney B. Pimentel MA, CCC-SLP

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Ask a Therapist: Frontal Lisp

Posted by Deborah Grauzam on

Hi,

I am an SLP in an elementary school in Virginia. I have been recently viewing your course A Three-Part Treatment Plan for Oral Placement Therapy. I have found your information to be extremely fascinating and, although I have 2 more hours, I have learned so much through your training. I do have a question. I have a 3rd grade student that is considered having a frontal lisp. He fronts many sounds. He is able to accurately produce the /s/ in conversation, when structured and prompted. However, in the course a child was mentioned that was able to accurately produce the /s/ in the structured setting, but once the setting was relaxed, she reverted back to her resting/comfortable position  of frontal sounds. Being that he is a typically developing child (9 years), would the bubble blowing and/or horn hierarchy be appropriate?

My thoughts would be that I need to work on establishing tongue retraction. I am just wondering what your professional judgement would be, considering he sounds a lot like  the girl that played "golf-ball air hockey" against Sara's daughter. I appreciate any thoughts you may be able to share! Thank you so much for your time and expertise!

 

Hi,

Thank you so much for your interest in TalkTools.

I am so glad you are enjoying the course and learning so much.  You are definitely on track with the client you are referring to.  It takes a while to establish the correct resting position for the tongue.  Keep in mind that this child has had his tongue in the wrong position for many years now so you are correcting a bad habit as well.  It is difficult to give detailed suggestions without seeing the child but have you assessed his jaw?  I would look at his jaw placement when he is producing the sound in a variety of contexts.  An excellent tongue retraction exercise is also the straw hierarchy so you may want to consider adding this to his treatment plan as well.

I hope this helps.  Please let me know if you have any other questions.  Thanks so much and good luck.

Whitney Pimentel

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