Language Delay – The London Speech and Feeding Practice

Five ways to use books to encourage speech, language and communication for reluctant readers

ByLondon Speech and Feeding November 25, 2022February 10, 2023

Reading can be a tricky skill to master for young people with speech, language, and communication difficulties, which may lead to reluctance in picking up a book. But that doesn’t mean you can’t use books to inspire and encourage them. It’s important to think outside of the box and take an innovative approach.

But before you do that, you need to identify why your child is averse to reading. There are many possibilities: is it that they have difficulties remembering what they’ve read; or perhaps they may have difficulties decoding the words, which is the ability to apply your knowledge between letters and sounds; or it might be that they are unable to understand the language used. Whatever the reason, it’s helpful to know. It’s only then that we can support their needs which may lead to greater enjoyment in reading.

A boy behind a pile of books on a table with hands in fists

Explore five ways in which we can encourage reluctant readers using books:

Firstly, we could narrate what’s happening from the images and relate it to experiences that your child has had, which will make it more relevant. For example, when looking at a book with a cat in it, you could say “do you remember the time when grandma had a black cat sipping out of her glass of water?”.
You could talk about what they think will happen next and make predictions. You could even make this into a game. Write your predictions on paper and see who is right.
Draw images to identify the key parts of the story. You might want to create a story board together.
Make a sensory experience, where your child can have a hands-on approach. See what you have at home, you don’t have to go out and buy materials. E.g., If the book is talking about a gravel path, you may have rice crispies; if it mentions the weather, you could spray water or have a torch for sunlight. Let your imagination do the work! This is also a great way to learn new vocabulary. In addition, you can also use a colour coded structure to support their expressive language (e.g., who? (the man) doing what? (is eating) to what? (an apple) how? (quickly) where? (in the park) when? (on Monday). Write out the different parts of the sentence with a picture for each part. So, your young person has a visual to learn from.
Why not act out the story with family or friends? This really brings the story to life and allows your child to practise vital skills for attention and listening and social interaction such as turn-taking.

Make sure you use a book that is appropriate for the age and stage of your child’s development and adapt your activities accordingly.

Check my blogs for speech, language, and communication support.

Contact me and see if I can help you.

Find a speech and language therapist for your child in London. Are you concerned about your child’s speech, feeding or communication skills and don’t know where to turn? Please contact me and we can discuss how I can help you or visit my services page.

Speech and Language Therapy

Why teletherapy is great

ByLondon Speech and Feeding October 27, 2022January 31, 2023

Did you know that you don’t have to see a therapist with your child present to have improved communication? For younger children, evidence suggests that regular tailored interaction with parents/carers is as good as seeing a Speech and Language Therapist, with their advice followed. Often your child will respond better because they are in familiar surroundings with their favourite toys present. By learning the techniques I teach you in our weekly virtual zoom sessions, you can support your child’s language and communication every single day. This can be as good and sometimes even better than coming into clinic once a week. You’re embedding and generalising what your child is learning into everyday situations. This is important for your child’s communication development.

It takes two to talk – the Hanen approach

The Hanen approach is about improving your child’s communication by tweaking your own communication style as parents and carers. It looks at your strengths and weaknesses in your communication with your child. You film a session playing with your child, and with a trained Hanen Speech and Language Therapist you review the video identifying strengths and weaknesses in your communication on a regular basis for a set period. For example, you may give your child plenty of time to answer questions, but you might identify from the video that you ask too many questions.

The Hanen approach works well online because:

Parents and carers can concentrate on the information they are given without interruption from their child
It is a process; you’re not told what’s right and wrong. It’s a process of discussion, reflection, and understanding by analysing the video footage
This method can be applied to daily activities, so together we can think about how it can be individualised specifically for your family situation
You can carry out the techniques in your own time when your child is well, calm, and willing to engage.

Online therapy is also ideal for older children (aged 7+) who have difficulties with speech, word-finding, sequencing, or executive functioning (planning and processing information) skills. You can see and hear the therapist and gain knowledge from their valuable expertise whilst saving you time, money, and energy resources. In addition, children tend to love technology, so the online resources are motivating and capture their attention.

Remove the barriers and start your online therapy journey today.

Contact me to learn more.

Sonja is a highly knowledgeable and experienced speech and language therapist. Don’t hesitate to contact her, especially if you are concerned that remote/zoom sessions aren’t as effective as ‘real life’. We have found quite the opposite! She has worked with us on Hanen and now troubleshoots when problems come up. This is such a wonderful way of working. She acts as your indispensable guide (a speech and language fairy godmother, if you like) but make no mistake, it’s your application of what she teaches you, on a day-to-day basis that results in the most change.

P. Goeldner

Autism Therapy

Explore 12 questions to determine whether your child may be Autistic

ByLondon Speech and Feeding October 7, 2022February 10, 2023

A young boy is in the foreground and has turned his head away from the woman sitting next to him. — May your child be autistic?

As professionals, when diagnosing young children with an Autistic Spectrum Condition, it is vital we work as a multi-disciplinary team, so you will likely see many professionals. This may include Educational Psychologist, Dietician, General Practitioner, Occupational Therapist, Paediatrician, Special Educational Needs Coordinator, Speech and Language Therapist and Social worker. Once the evidence is collated, then a diagnosis may be made.

You may be wondering what are some of the early signs of social communication difficulties? Whilst no autistic child is the same and we know Autism is very much a very wide spectrum of abilities and needs there are some autistic spectrum characteristics we do typically see in the early years of childhood. You may wish to think about these areas or presentations to help you prepare for the Speech and Language Therapy appointment.

Twelve questions

Does your child respond to their name?
Are they fixated with watching their hands?
Do they have sensory processing difficulties such as bright lights, food textures, or loud noises?
Are they meeting their milestones or are they delayed?
Do they flap their arms or legs when excited?
Have you noticed any rocking back and forth?
Do they blink excessively or display any facial tics?
Do they play with a particular sort of toy e.g. spinning toys?
Have you noticed that they lack interest in toys?
Have they regressed in their language? Perhaps you’ve noticed they are not using words that they have previously learnt.
Do they use gestures to communicate their needs? How do they communicate their wants and needs?
Do they appear to be in their own world?

You are not alone

These questions are by no means exhaustive and there are many more factors to consider. But it is important to trust your instincts as you are the expert on your child and know your child the best. Regardless of whether you see all of the above points or none, do not hesitate to have an assessment if you are concerned as, even if it turns out to be nothing to worry about, there is always at least one or two great pieces of advice I can offer you on the way and you will leave feeling hopeful and empowered. It’s always best to seek early intervention with communication difficulties. This allows strategies and support to be put in place. Never feel alone, always speak out.

Find communication support here from me, Sonja, (Specialist Speech and Language Therapist)

Speech and Language Therapy

Language Development

ByLondon Speech and Feeding October 4, 2021February 10, 2023

Kids Speech Therapist London — Language Development

Books, Stories And Colourful Semantics

Many of my students have difficulties telling stories. When looking at a book together, even books they love and have seen many times, they often struggle to understand what they are reading and cannot therefore retell the story in any sequence. A great method I often use with those students is called Colourful Semantics.

What is Colourful Semantics?

Colourful Semantics is an approach aimed at helping children develop grammar and meaning of phrases and sentences. We help children identify WHO is the subject in a story, what is he/she/it DOING to WHAT and WHERE. There are lots of colour coded stages but we tend to start with the basic 4:

WHO = ORANGE

DOING = YELLOW

WHAT = GREEN

WHERE = BLUE

Once a student is accomplished at this level, we move on to different colour codes for describing words (adjectives), connecting words (with/together/and/therefore) feeling words (PINK), timing words (BROWN) eg. when, tomorrow, last week etc.

Colourful Semantics is a really useful method and helps children to organise their sentences. It also helps me knowing how to guide a student in thinking about the story.

The approach can be used with children with a range of Speech and Language Needs, such as:

Developmental Delay / Disorder
Autistic Spectrum Condition
Down Syndrome
Any other syndromes and related speech and language delays
General Literacy difficulties

There are a wide range of benefits to using this approach and I use it in my therapeutic work with children of around 3 years plus. Below is a little video which shows how I use it with this student who has general language difficulties associated with Autism. One of the main benefits with this student is that seeing the Cue Cards helps her to use a much wider range of vocabulary than she would ordinarily generate. Her sentences are getting longer and she is more able to answer questions. In general, I find it useful to help with storytelling and to guide us through the story in a sequence.

There are many on-line games these days that have incorporated the Colourful Semantics Approach. Once a child is familiar with the basic colour scheme then gradually the visual prompts can be reduced to using verbal prompts.