Tongue training: Why tongue placement matters for clear speech
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Tongue training: Why tongue placement matters for clear speech

As speech and Language therapists (SLTs), we know that where your tongue goes, so goes your sound. This blog post will explore why tongue placement is so vital for speech correction and how we use tools and techniques to help our clients find their ‘sweet spot’ for sound production.

Let me show you here a little video clip where I am using my dentist’s mouth/teeth model to help my clients navigate their tongue movements.

The tongue: A tiny muscle with a big job

The tongue is a small but mighty muscle. It’s incredibly versatile, playing a key role in eating, swallowing, and, of course, speaking. For each speech sound, the tongue, along with the lips and jaw, needs to move to a very specific spot. Think of it like a dance: every part of your mouth has a choreographed movement to produce the correct sound. If the tongue is out of sync, the sound comes out muffled, distorted, or just plain wrong.

The trouble with our tongue movements is that most of us never think about how the tongue has to move and what it does to: swallow, chew, drink, suck and speak. Most parents when asked to think about their own tongue placement for say the /S/ sound are completely lost as to what their tongue is doing. Yet, of course, they produce a perfect /S/ and perfect speech in general. The same goes for swallowing. When did you last think about what happens in your mouth when you swallow? I bet you have not thought about it. We ‘just do it’, right?

Why is tongue placement so important?

Accurate tongue placement is the foundation of clear articulation. When a child struggles with a particular sound, it’s often because his or her tongue isn’t quite reaching the right spot or moving in the correct way. For example, the /S/ sound requires the tongue to be slightly raised and positioned behind the top teeth, creating a narrow channel for air to flow through. If the tongue is too far forward, you might get a /TH/ sound instead. If it’s too far back, the /S/ can sound muffled.

Visual aids: Our secret weapon

We SLTs love our visual aids! They’re incredibly helpful for showing clients exactly where their tongue needs to be. Here are some of our favourite tools:

  • Mirrors: Mirrors provide instant feedback. Clients can see their tongue’s position and make adjustments in real-time. We often use hand mirrors or even the mirror on a compact for quick checks.
  • Tongue depressors: These simple tools can gently guide the tongue to the correct position. We might use them to show where the tongue tip should rest for the /L/ sound or how the sides of the tongue should touch the molars for the /K/ and /G/ sounds.
  • Diagrams and models: Pictures and models of the mouth can help clients visualise the tongue’s movements. We might use a cross-section diagram of the mouth to show how the tongue forms different sounds.

Beyond the tongue: The jaw’s role

While the tongue takes centre stage, the jaw plays a supporting role. It provides a stable base for the tongue and helps control the opening and closing of the mouth. Sometimes, jaw stability is an issue, and we might use techniques to help clients find a comfortable and stable jaw position.

Making it fun and engaging

Learning correct tongue placement can be challenging, but we make it fun! We use games, stories, and playful activities to keep clients motivated. For younger children, we might use silly voices or pretend to be animals. For older children, we might incorporate their interests, like using a car analogy for tongue movements.

The takeaway

Correct tongue placement is essential for clear speech. By using visual aids, interactive techniques, and a bit of creativity, we can help our clients master their speech sounds and communicate with confidence.

If you have any concerns about your child’s speech, don’t hesitate to reach out to a qualified speech and language therapist, we are here to help! Contact me via my contact form.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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Navigating the exciting 9–18 months journey: Your baby's communication milestones
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Navigating the exciting 9–18 months journey: Your baby’s communication milestones

Between 9 and 18 months, your little one undergoes a remarkable transformation, blossoming from a curious explorer into a budding communicator. This period is filled with exciting milestones in speech, language, and social development. Let’s delve into what you can expect.

9–12 months: The world opens up

Communication takes flight

  • Babbling becomes more complex with a wider range of sounds. By babbling we mean syllables like: pa ga ka ma da and then ‘baba’ gohgoh’. First we hear one and two syllables together and then longer and longer strings! This is so exciting!
  • First words! One day around the 12 months–14 months mark we hear a first word! My older son’s first word was ‘Licht’ which is the German word for ‘light’ as literally every time I carried him along the corridors in our home, I pointed out the light switches to him and turned them off and on a few times. And each time I said ‘Licht!’ and it stuck! PS: sadly I cannot remember what my younger son’s first word was… poor second and third babies they just have to muddle along and call loudly to get noticed!
  • Understanding grows! Baby now understands simple instructions like ‘where is your ball’ and responds by looking to the ball across the room!

Social butterflies

  • Your baby now starts to show interest in other children, and may try to copy their actions. Now we are getting proper traction with simple social games like peek-a-boo and patty-cake. Whilst your baby is generally interested in other people and children he or she may show separation anxiety when mum or dad or other familiar person suddenly leaves the room and they feel alone with strangers.

Fine motor skills

  • Pincer grasp develops. This is where your child puts an index finger to the thumb in order to pick up of small objects, hold them and transfer them to either a box, back on the floor or into the other hand.
  • Your baby may start to explore objects by banging, shaking, and mouthing.

12–15 months: Words are taking shape

  • Language explosion: From our early words we now suddenly see baby’s vocabulary expanding, with new words added each week. I would highly recommend parents keep a little journal of all the words they hear. If nothing else this is a wonderful aide-memoire for years down the road when you might like to reminisce about the first ten words. I promise you otherwise you won’t recall! (especially for second and third babies; I would do this now, had I the time again).
  • Understanding grows:
    • By about 15 months our baby can follow simple two-step instructions like ‘Go get your shoes and bring them here.’
    • Begins to understand the concept of ‘no.’ and that’s a very useful thing. Though before you breathe a sigh of relief… your toddler may well show you that he is understanding a ‘no’ though he may not stop doing what he is doing or come down off the table!
  • Playtime gets interactive:
    • Now we engage in more complex play, such as stacking blocks, pretending to eat with a spoon, and imitating actions.
    • Many toddlers now start showing an interest in picture books.

15–18 months: Communication blossoms

  • Words combine: Towards 18 months or around about then your toddler may start to put two words together, such as ‘more milk’ or ‘bye-bye dada.’
  • Gestures and sounds: Now we also use gestures to communicate, such as pointing, shaking head ‘no,’ and waving ‘bye-bye.’
  • Exploration and curiosity:
    • Your toddler is now EVERYWHERE! Turn your back and he or she is gone! Your toddler now shows a strong sense of curiosity and explores their environment with enthusiasm.
  • Copying
  • Look out for actions and gestures your toddler will copy such as clapping hands or patting a cushion or banging a spoon on the table .

Remember

  • Every child develops at his or her own pace.
  • These are just general guidelines, and some children may reach certain milestones earlier or later than others.
  • If you have any concerns about your child’s development, please consult with your speech and language therapist. We are always keen to hear from parents and happy to help promote all those lovely early skills.

General tips to encourage communication if you feel your child needs a little more help

  • Talk, talk, talk! Engage in frequent chatting with your child.
  • Listen to your child: Allow for periods of silence when playing with your child to allow them to say something or make sounds which you can then copy and respond to.
  • Read aloud regularly. Use books with simple words and pictures.
  • Play interactive games: Hickory Dickory Dock, Row Row the boat, Old McDonalds, 5 little monkeys jumping on the bed, chasing and catching, tickling games.
  • Respond to your child’s babbling and gestures. You can copy them or if your toddler says long strings of babbling you cannot understand you could just say: ‘Oh ok!? ‘yes that’s great!’ ‘who knew!’ ‘wow you’ve got much to say!’ as if you understood.
  • Limit screen time or if your child is very passionate about watching clips then sit and watch with your child so that you can see what is the best bit, which songs they like the best and what sort of phrases they love hearing.

This exciting period of rapid growth and development is a precious time for both you and your child.

By providing a loving, stimulating, and responsive environment, you will naturally nurture their communication skills! Any more questions, please get in touch!

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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Milestones matter: What to expect in your baby's first year of communication
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Milestones matter: What to expect in your baby’s first year of communication

The first year of your baby’s life is a whirlwind of growth and development. While watching them learn to crawl, walk, and grasp objects is exciting, it’s equally important to pay attention to their developing communication skills. Here are some key speech, language, attention, play, and communication milestones you can expect to see between 6 and 9 months.

Sounds:

  • Babbling becomes more complex, with strings of sounds like ‘bababa’ or ‘dadada.’
  • Your baby may start imitating some sounds.
  • When you call your baby he or she will respond to his or her own name.

What you can do to help your baby

First, please don’t panic. Every baby is different and it does not mean your baby is delayed if he or she is not quite ready.

Make sure you spend time babbling, singing and talking to your baby in a tuneful, happy, sometimes silly! way, pulling faces, smiling, laughing and tickling your baby, all the while sing sing sing and chat!

Try to imitate your baby’s sounds and actions. You will see that your baby likes this a lot and will reward you with smiles, giggles and after a while your baby will want you to continue copying him or her. At that time you will see that he or she will start to copy you more and more.

Try and call your baby’s name lots of times. When you re-enter a room having been out for even a short time, say ‘Hello (baby’s name) I’m back’. Your baby will soon learn to look when you say their name.

Attention:

  • Can follow simple directions (e.g., ‘Come here!’).
  • Shows interest in books and pictures.
  • Begins to understand the word ‘no.’

What you can do to help attention skills develop

Get down to your baby’s eye level or make it easy for your baby to look at you, even briefly.

Try and gain your baby’s attention when he or she is not busy with something else.

Try and become irresistibly funny and interesting to look at! Think of ‘Mr Tumble’! Wear a silly hat, silly glasses, blow some bubbles, blow a funny horn, stand on your head (joking)… make it impossible for your baby to ignore you!

Play:

  • Explores objects by banging, shaking, and mouthing them.
  • Shows interest in cause-and-effect toys (e.g., dropping objects and watching them fall).
  • Engages in simple social games like peek-a-boo.

What you can do to help play skills to develop

Offer suitable objects that are attractive to look at and easy to hold and shake. Show your baby repeatedly what to do with these objects, bang them together and sing a little song, bang bang bang shake shake shake…

Offer containers and drop items into them. Shape sorters, metal bowls make a terrific clangy noise when you drop items into them. Blow feathers or tissues and watch them fall. Blow bubbles and watch them pop.

Sing a range of nursery songs repeatedly and make suitable actions along them. Try and involve your baby by sitting him or her on your lap so he or she can hear and feel you bopping him or her up and down, swinging him or her gently from side to side or row row rowing his or her boat gently down the stream

Communication:

  • Uses gestures like waving ‘bye-bye’ and reaching for desired objects.
  • May begin to use babbling to express needs and wants (e.g., babbling while reaching for a toy).

What you can do to help communication progress

Practise waving ‘bye-bye’ to people coming and going all day long.

When your baby babbles whilst reaching for a toy, you can copy him or her and then name that toy, for example.

Baby: ‘gagabbagaga’ – whilst reaching for a shaker – Adult: ‘gagagag I want my shakey! Aargh I am reaching for it but I can’t get it, help me help me… ah there is my lovely shakey shakey!’

If your baby is not responding to any of your efforts above then please do get in touch with a Speech and Language Therapist near you, or contact me via my contact form. Sometimes one consultation is all you need to get going with helping your baby and before you know it a lots of progress has been made and your baby is on the way to speaking!

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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The joy of container play: Exploring play development and understanding of how things work
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The joy of container play: Exploring play development and understanding of how things work

Have you heard the term ‘Container play’? I use this very often with children in my sessions as it is so versatile and an enjoyable activity that can be done in parallel with a child or together. Container play is a powerful tool for fostering development in young children, especially those with developmental delays. This seemingly mundane activity provides a rich environment for sensory exploration, motor skill development, and cognitive growth.

What is container play?

Container play involves children interacting with various containers—boxes, buckets, bowls, cups, various bags, etc.—and filling, emptying, and transferring objects within and between them. Objects can include literally anything: small beads, bead chains, table tennis balls, wooden pegs, dinosaurs or any other little person toy, blocks of varying sizes, sand, water, or any other safe material. Larger containers obviously take larger items: socks, stuffed animals, bigger balls, bigger blocks etc really the choices are endless.

Benefits for children with developmental delays:

Sensory exploration:

  • Touch: Children explore different textures and temperatures of containers and objects.
  • Sight: They observe how objects look inside and outside the containers, how light reflects off them, and how colours change.
  • Sound: They listen to the sounds of objects clinking, rattling, and splashing.
  • Proprioception: Filling and emptying containers helps develop body awareness and spatial awareness.

For neurodivergent children who might have sensory regulation difficulties, consider the following adaptions to accommodate your child’s sensory needs:

  • Over-stimulation: For children who are easily overstimulated, start with simple setups using a limited number of containers and objects. Gradually increase the complexity as they tolerate it.
  • Under-stimulation: For children who seek sensory input, provide a variety of textures and materials, such as sand, water, slime, or beans.
  • Temperature: Offer a variety of temperature options. Some children may enjoy warm water or cool sand.
  • Lighting: Adjust the lighting to create a calming or stimulating environment.
  • Focus on one sense at a time: Initially, focus on one sensory aspect, such as the feel of sand or the sound of water.
  • Weighted containers: Use heavy containers filled with rice or beans to provide deep pressure input.
  • Fidget toys: Incorporate fidget toys into the activity to provide sensory input and help with self-regulation.
  • Tactile exploration: Encourage exploration of different textures using objects with varying surfaces.

Fine motor skill development:

  • Hand-eye coordination: Scooping, pouring, and transferring objects require precise hand-eye coordination.
  • Pincer grasp: Picking up small objects helps develop fine motor skills like the pincer grasp.
  • Strength and dexterity: Manipulating containers and objects strengthens hand muscles and improves dexterity. Opening and closing containers can be a huge area of interest; how does the top screw back on, or off?

Cognitive development:

  • Cause and effect: Children learn that their actions (e.g., pouring water or sand) have consequences (e.g., the water spills).
  • Spatial awareness: They develop an understanding of concepts like inside, outside, full, empty, and over/under; also how big is the vessel and how much goes in before it’s full or spills over. How small is the vessel opening and what do I need to do to get the beads into the container.
  • Problem-solving: Children learn to solve problems, such as how to get an object out of a narrow container or how to transfer water without spilling.

Social and emotional development:

  • Communication: Container play can encourage communication as children interact with others, sharing toys and commenting on their actions. Asking for help to open and close a container is often a great opportunity to practise ‘help me’ or ‘open it’
  • Turn-taking: Sharing containers and materials helps children learn to take turns and cooperate.
  • Sensory regulation: For children with sensory sensitivities, container play can be a calming and self-regulating activity.

Tips for engaging children in container play:

  • Create a safe and inviting environment. A shower curtain on the floor makes things easier for tidy up afterwards. And it allows for spillages.
  • Provide a variety of containers: Use different sizes, shapes, and materials. Use containers that are visually interesting and pleasing, perhaps a festive biscuit tin, or a tin that looks like train engine. Use see-through containers at first which make the filling and emptying more obvious. This is important for children who have no previous experience with this type of play and need to ‘warm up’ to it. Once a child loves and is used to container play you can go wild with all types of containers.
  • Offer a variety of objects: Include balls, blocks, sand, water, and other age-appropriate materials.
  • Join in the fun! Start off the process, show your child what the joy of the activity is for yourself, how fun it is to fill and empty containers, provide enough containers for your child to start playing alongside you, and comment on their actions.
  • Follow your child’s lead: Allow them to explore and experiment at their own pace.
  • Adapt activities: Adjust the level of challenge based on your child’s abilities and interests.

Container play is a simple yet powerful tool that can support the overall development of young children, especially those with developmental delays. By providing a rich and engaging sensory experience, container play can help children build essential skills in motor, cognitive, social, and emotional domains.

If you have any questions or would like to have more in-depths demonstration of this or other play styles for your child please contact me.

I look forward to hearing from you.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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Your baby's communication journey: 3—6 months
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Your baby’s communication journey: 3–6 months

This is an exciting time for both you and your baby! Between 3 and 6 months, communication literally explodes. While your little one may not be saying words yet, he or she is actively learning to understand and express themselves. Here’s a glimpse into what you can expect:

Understanding:

Recognises familiar voices:

Your baby will likely turn his or her head towards the sound of your or other familiar adults’ voices.

Tips for supporting and expanding: Talk, sing and chant! Your baby will love and smile at hearing your talking voice, and he or she will not be judging your singing talent! You can sing to your hearts content, perhaps some lovely nursery rhymes you remember from your childhood, or festive songs like Jingle bells !. Or you can simply make up your own little songs and chants alongside all the daily activities you do with or for your baby. You could have a ‘nappy’ song, a ‘let’s get you ready for the park’ song, a ‘I’m hungry’ song or a ‘mummy’s cooking soup’ chant. It does not have to be beautiful but what does help is having little rhymes and rhythms to your singing. Your baby will love it and soak it all up.

Begins to understand ‘no’:

Your baby may pause or stop an action when you say ‘no’ and shake your head at the same time.

Tips for supporting and expanding: I don’t think that at this stage you will have much cause to say ‘no’ to be fair but you could do it playfully and bring it into a ‘no more’ situation so that your baby can make the connection between ‘no’ and ‘finished’ or ‘stop’ or ‘done’. Feeding might be a good opportunity for this one. You could also ask ‘who is it’ when someone is ringing the bell or coming down the stairs, e.g. ‘oh I hear footsteps! Is this daddy??…. no it’s not daddy no it’s grandma! daddy’s gone out!’

Responds to his or her name:

Your baby will start to show a reaction when you call his or her name.

Tips for supporting and expanding: Try calling your baby’s name a lot, and get different family members or visitors calling your baby by his or her name and calling his or her name before saying ‘look’ or ‘peek-a boo’ etc.

Use Baby Signing: You can introduce simple gestures and signs such as ‘milk’ ‘nappy’ ‘sleep’ ‘dog’ ‘cat’ etc to help your baby make the connection between what you are saying and what he or she is seeing.

Expressing:

Cooing, gurgling and babbling:

These sounds are more than just adorable! They are your baby’s way of experimenting with his or her voice and learning to control his or her vocal cords.

You might hear sounds like ‘ba-ba-ba’ or ‘ga-ga-ga’. This is a huge milestone!

Tips for Supporting and expanding: This is a wonderful time to copy your baby’s sounds, celebrate them and show your baby that you are listening to his or her sounds and you are understanding everything he or she is saying! This is also a brilliant time to start reading to your baby. You can read any children’s books you fancy. Again your baby will adore the sound of your voice but increasingly he or she will also look at the pages of a book and try and understand and make connections between the words you say and the pictures he or she sees.

When you hear your child babbling you can try and give it meaning where possible, for example your baby says: ‘ba ba ba’ you could fall into ‘Baa Baa black sheep have you any wool’ song or you could say ‘mmmh banana!’ And show a banana that’s lying on the table. Or you could just say: ‘baba baaaaah you are saying ba! That’s so great!’ Anything goes really at this stage!

Facial expressions:

Your baby uses smiles, frowns, and other facial expressions to communicate his or her emotions (happy, sad, angry).

Tips for supporting and expanding: Try and make interesting and exaggerated facial expressions yourself when you are talking to your baby! Try and be a little bit clowney and really practise showing ‘surprise’ ‘boo’ or a big grin, smile, purse your lips, blow raspberries, open and close your mouth and make funny faces. Copy your baby when you see his or her facial expression change. When your baby looks confused, say ’oh we don’t know what’s happening we are confused!’. When your baby looks happy, say ‘you look soo happy! What a lovely smile!’

Eye contact:

Your baby will start making more and more eye contact with you during interactions.

Tips for supporting and expanding: Try and get ‘face to face’ a lot with your baby. When cuddling your baby look at his or her face and often make sure that it is easy for your baby to see and look at you. If you can lower your position so that your face is in line with your baby that will make things easier for you both.

Good games to play:People-Games’ these are games where you do not need any toys to have a good time. All you need is the other person: Peek-a-boo, bumping your baby up and down on your lap with a song, Row Row Row your boat, tickling games, catch you games etc.

Now we are at 6 months another very exciting stage has arrived: feeding SOLIDS to our baby! More of this in my next post!

When to Seek Guidance:

If you have any concerns about your baby’s communication development, please don’t hesitate to consult with me. Early intervention can make a significant difference and really help your baby making progress.

Remember: Every baby develops at his or her own pace. These are general guidelines, and some babies may reach certain milestones earlier or later than others.

I look forward to seeing you! Get in touch with me via my contact form.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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Ages and Stages: 0–3 months
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Ages and Stages: 0–3 months

What do we offer our babies from 0–3 months old? What toys? What are the best early activities for our baby to develop? I get asked this a lot so here are my suggestions.

You are the best toy

You the parent or the caregiver are the BEST toy a baby could have in the first three months. The most important thing is to talk and sing to your baby, to look and hold your baby and offer your face and voice! Use sing song intonation as much as you can, and as often as possible. We know that babies respond really well to interesting voices, singing or funny sounds. Use your facial expressions!

It is important to encourage early turn taking: leave pauses in between what you say or sing to allow your baby to respond to you. Once you see any signs of your baby responding you continue as if you are having a conversation.

Visual Stimulation

We know that baby’s eyesight still needs to develop in those first months and that a newborn can only distinguish light, shapes and faces. And their distance vision is blurry in the first month. A baby can see up to 15 cm away and this is roughly the distance between the feeders’ face when bottle or breastfeeding the baby.

Black and white

Your baby can see black and white and some shades of grey. So, in the first month you really will need no toys at all other than your face and your voice, your smile, giggle and your hands! Of course, there are a range of black and white visual toys available these days like the ones below. But if you are on a budget, I would say you don’t need those.

From the second to third month a baby can begin to follow objects with their eyes. They recognise a familiar face and now they start reaching for things. Their colour vision is also gradually improving.

Baby gym

One of the best early toys is a ‘baby gym’ where bright and colourful toys dangle off foam padded arches. You can sometimes get ones with a mirror hanging off one of the arches or a mirror sewn into the mat. This is useful as baby likes to look at his/her face at around three months old and this can also be great for tummy time. If you are on a budget this would be the one toy, I would recommend you to get.

If there is no mirror on your baby gym you could get a mirror toy. There are lots out there, this one is a good example. I would probably get a mirror toy that has other sensory components attached so you get more value for money, i.e., three toys in one.

O-ball

Another great toy to get around 2–3 month is an O-ball for easy grasping, bright colours, very lightweight.

Sounds

Lovely early toys are sound makers, bells or rain makers. Some very light weight bells can be attached to your baby’s ankles and they ring every time your baby moves his/her legs. This is a nice and easy introduction to early cause and effect understanding.

Peek-a-boo

A great early game is Peek-a Boo and you could complement your hands hiding your eyes with some nice lightweight pieces of material like a piece of organza veil fabric for example. An added benefit is that later on baby can try and grasp the materials and pull them out of the container.

Music

Music is very important. Turn on the radio to classical or any easy listening station you like. If nothing else you could sing of course! And do not worry about not hitting the right notes your baby won’t judge you (until they are about three years old!)

After three months

At the end of three months your baby is likely to show you the following:

  • makes cooing and early babbling sounds
  • seems to know your face
  • smiles at you socially
  • cries for different needs: hungry, bored, needing attention, looking for you
  • opens and closes hands to try and grasp items
  • takes swipes at dangling
  • kicks his/her legs
  • looks at faces and toys, lights
  • turns his/her head towards sounds
  • starts to understand the world around him/her.

Don’t panic!

But don’t panic at all if you feel your baby has not quite mastered any of those stages. Chances are they are doing so very soon. If you are worried, please do come and bring your baby to our clinic for a screen and we will give you plenty of assurance and ideas on how to help your baby move forward.

On a final note, Early Intervention is key and bringing your baby for a one-off consultation to a speech and language specialist is always a great idea, just to get ideas, to see that baby is on track and to help baby develop.

The earlier you bring your baby the better. Chances are one consultation is all you need and perhaps a six-monthly review to just stay nicely on track.

Look out for my next Ages and Stages from three to six months old!

I look forward to seeing you! Get in touch with me via my contact form.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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Speech Sound Challenges: A focus on /L/ and /Y/
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Speech Sound Challenges: A focus on /L/ and /Y/

Have you ever thought about how difficult it can be to produce certain speech sounds? Some sounds are definitely trickier than others. This is especially true for children with speech sound disorders like Childhood Apraxia of Speech (CAS).

My student with CAS has been working hard on producing the /L/ sound especially when it was followed by an /O/ or /OO/ like, ‘log’ or ‘look’. We’ve practised lots and now that he’s got a good handle on /L/, he’s started replacing another difficult sound, /Y/, with it. So, ‘yes’ becomes ‘less’ and ‘yuck’ becomes ‘luck.’

This is a common pattern in speech development. Once a child masters a new sound, they may start using it in place of other sounds they find even more challenging.

Minimal Pair therapy

I use different evidence-based methods to help my students. And I often like to start out with phonemic awareness and then I move to contrasting the error sound with another sound to make completely different words. This approach is called ‘minimal pair’ therapy: both words are the same except for the initial/final sound which has the error sound, and this is contrasted with the correct sound.

Below is an example of this:

After we have worked on sound awareness, listening and becoming aware of small units of sound matter, then we can move to working on tongue placement and movement.

Tongue placement and movement to produce correct /L/ and /Y/ sounds

To produce these sounds correctly, the tongue needs to be in specific positions and make specific movements.

  • /L/ sound:
    • Tip of the tongue touches the alveolar ridge (the bony ridge behind your upper teeth)
    • Sides of the tongue are raised to the sides of the upper teeth
    • Airflow escapes through the sides of the tongue
  • /Y/ sound:
    • Tip of the tongue touches the roof of the mouth behind the alveolar ridge
    • Sides of the tongue are raised to the sides of the upper teeth
    • Airflow escapes through the centre of the mouth

I also use:

  • Auditory bombardment: Auditory bombardment is a technique that involves repeatedly listening to a target sound. This can help children to develop a better understanding of the sound and how to produce it.
  • Visual cues: Visual cues can be helpful for children who are having difficulty producing a particular sound. Here I use the image of a ‘standing tongue’ versus a ‘sitting tongue’.
  • Physical cues: I use my hands to show a ‘standing tongue’ for the /L/ versus a ‘sitting tongue’ for the /Y/. But what worked even better and sadly I don’t have the video clip for it:
  • Semantic cues: For example a picture of an ‘EAR’ to make the sound /Y/ so we shape the sound /EA/ to /Y/.
  • Parent involvement: Parents play an important role in their child’s speech sound development by providing opportunities for them to practise their speech sounds at home. This can be done through activities such as reading books, singing songs, and playing games.
  • Reinforcement: It is important to praise children for their efforts, even if they are not perfect. This will help them to feel motivated to keep practising. Important here for speech correction is concrete reinforcement: I feed back to my student what exactly they were doing correctly with their tongue or lips. Rather than saying ‘well done’, I mention what my student has just done with the tongue to change the sound: ‘I saw you lowered your tongue! That made a good /Y/’.

Another great way of reinforcing positively is to ask the student how they feel they have done? For the older ones I often ask them to self-rate their sound production out of 10. Then we can work towards the next incremental number upwards. This is very effective and gives the student control over their own work.

Please contact me if your child has speech sound difficulties.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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Feeding Therapy – What can a Speech Therapist help with and how does it work?
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Feeding Therapy – What can a Speech Therapist help with and how does it work?

Feeding our child can be the most satisfying time of the day or it can be the worst, stressful and hardest thing to do. Parents usually contact a Feeding Therapist once things have become totally stressful and unmanageable as often parents feel that ‘it will get better’ and ‘let’s wait and see’. Whilst this is generally a good, relaxed way of thinking, when it comes to feeding, eating and drinking, it does not take much to completely put a child off a particular food or texture. Once refusal has set in and not been responded to in quite the right way then feeding rarely gets better without intervention and support.

What can have started as a physical, concrete problem can quickly develop or acquire a psychological and sensory aversion aspect as well. A child may have started out with an allergy to cow milk protein or gastro-oesophageal reflux for example or perhaps our child has an oral motor difficulty such as the tongue not rotating well, or lips not closing tightly enough around a bottle teat. Because those difficulties were not understood we now have a combination of both physical discomfort, oral weakness and sensory aversion making it a heady cocktail of feeding difficulty and refusal, which needs careful unpicking before each issue can be addressed sensitively and effectively.

A dyad

We call the relationship between the feeder and the child a dyad: both individuals play their part and both need ‘to work together’ to ensure meal times are happy events. The parent/feeder is responsible for offering and providing the meal and the child is ‘responsible’ for taking the food, spoon or drink and swallowing it.

Formation

For the past few years Speech and Language Therapist Students in the UK have received basic feeding/swallowing training as part of their undergraduate degree courses. However, relatively few SLTs in the UK end up specialising in this area and take further professional courses to develop this area of specialist knowledge and input. To be sure that an SLT is able to work in the complex field of eating, drinking and swallowing they must undertake further training and complete increasing levels of competency in this field. This is something to bear in mind for parents when looking for a suitable feeding therapist for their child.

Important to know

Parents are not alone. Many families are experiencing the same difficulty and there is help available both in the NHS and in the private sector.

Children’s feeding can be improved greatly and the best approach is a joint team centred around the child between the parents, the dietician, medical and therapy professionals.

By working closely together we can build confidence and skill and find ways of making mealtimes enjoyable and free of stress.

What happens in my feeding clinic

Parents feed their child and I coach them, model strategies, and support the feeding process.

I provide information on their child’s developmental skill level, oral motor skill. I advise on appropriate food consistencies, optimal positioning. We talk about self-feeding and parent feeding. And we look at strategies during feeding that will improve feeding skills.

I can help with mealtime planning and scheduling. And we decide together on when to practise what type of strategy.

We create our meal goals together based on what is important to the families.

Parents are invited to videotape strategies and advice I give to serve as reminders for home practice.

I offer episodes of follow-up which sometimes can be online. Or parents can bring their child back to the clinic for another mealtime and practice of certain strategies, to follow on from our current status, and take things forward gently and steadily.

If I can be of help with your child’s feeding journey, please get in touch on via my contact form.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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A helpful addition in my toolbox for lisp correction: Meet the MUPPY – a vestibular orthodontic plate
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A helpful addition in my toolbox for lisp correction

Meet the MUPPY – a vestibular orthodontic plate

I have become very well versed in Lisp Correction because so many children come to me with this problem! And I absolutely love lisp correction and Articulation Therapy! Please take a look at my blog on tips and tricks for correcting a lisp.

The MUPPY

Over the years I have created my unique style of remediating an Interdental Lisp and as part of my treatment I sometimes use an Orthodontic Tool, called the ‘MUPPY’, which I purchase directly from Germany. I first discovered it some years ago when working with a child with Down Syndrome. Back then I was searching for additional support with my student’s jaw grading and mouth closure difficulties and that’s when I first came across this little tool as recommended by one of my colleagues, a specialist orthodontist in Germany.

I was a bit sceptical at first but I have used it now many times for three years on a variety of clients with varying degrees of lisps. I find it really helps together and in addition to all my other techniques which are language and motor based.

How do I use it?

The MUPPY is a custom-made mouth plate that gently repositions the tongue, encouraging correct tongue placement for clearer speech. It sits comfortably between the lips and teeth; a thin wire sits right behind the teeth, inside the oral cavity.

The plate I like to use for lisp correction has a pearl in the middle. As soon as it is in situ the tongue starts fishing for the pearl and thereby keeps on moving up towards the correct place on the hard palate, just behind the front teeth. This is the place where the tongue tip needs to be for all the alveolar sounds our students find so hard to make.

How does this help reduce a lisp?

A lisp results mainly from incorrect tongue placement during sound production – though at times atypical dentition also contributes to the problem. Specifically, an interdental lisp occurs when the tongue protrudes between the teeth during the production of sounds like /S/ and /Z/. The tongue is often described by parents as ‘thrusting forward’ but I find that is rarely the case. Most often the tongue simply protrudes forward, which is different to tongue thrusting, a more forceful and involuntary movement. Most often I see a habitual tongue protrusion not only for /S/ and /Z/ but also for /T/, /D/, /L/ and /N/. Often /SH/ and ZH/ are also affected.

To visualise this:

  1. A correct /S/ sound looks like this: The tongue tip is raised and touches the alveolar ridge (the bony, slightly uneven ridge behind the upper teeth). The sides of the tongue touch the upper molars.
  2. Interdental lisp: The tongue tip protrudes between the front teeth, creating a /TH/ sound.
  3. Lateral lisp: Here the mechanics of the tongue are different. But using the MUPPY can help here too. To visualise a lateral lisp, the sides of the tongue are not raised high enough, allowing air to escape over the sides. This results in a ‘slushy’ or ‘wet’ sound.

Understanding the specific type of lisp is crucial for targeted therapy and successful correction.

The Vestibular Plate (Muppy) HELPS to guide the tongue towards the right place from where we shape the NEW SOUND.

Methods

Most important to my articulation work re lisping are the motor- and language-based techniques I use, as broadly described below:

  • A thorough oral examination, tongue movements, lip closure, dentition, jaw grading, breath coordination, cheek tonicity, palatal form
  • Discussion on awareness and motivation of child to work on their speech
  • Contrasting sounds at the beginning and end of words: sing vs thing / sink vs think / mess vs mesh etc to raise awareness that it matters what sounds we use in speech and that just one sound can change the meaning of a word completely
  • Mirror work, pulling faces, moving our tongue voluntarily
  • Exploring the oral cavity and thinking about all the parts of the tongue and the palate
  • Finding the alveolar ridge and placing the tongue there at rest
  • Then working towards a good baseline of the other alveolar sounds: /T/ /D/ /L/ /N/ and from there we work towards our NEW /S/ SOUND.

I use a variety of picture clues depending on what is most meaningful for my student:

The child likes a train set, I use the TIRED TRAIN SOUND.

The child knows about bike or car tyres, I use the FLAT TYRE SOUND.

With a student who loves a balloon I might use the FLAT BALLOON SOUND.

And we work our way from correct tongue placement to these long /SSSSSSSSS/ sounds with the help of these visual cues, but also gestural and hand cues such as Jane Passy’s Cued Articulation sound for /S/.

I really love helping children correct their speech sound, be it an articulatory difficulty like the lisp or a phonological difficulty such as ‘fronting’ or ‘gliding’ and I also love working with motor-based speech difficulties we see in Childhood Apraxia of Speech. Feel invited to get in touch if your child needs help in these areas.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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Chaining
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Chaining: A powerful tool for phonological development

Understanding chaining

Chaining is a therapeutic technique I like to use in my speech therapy work with children who have Childhood Apraxia of Speech (CAS) or phonological speech sound difficulties. It helps to break down a complex target behaviour into smaller, more manageable steps. By systematically teaching and reinforcing each step, I can help my students achieve their communication goals.

There are two types of chaining: Forward and backward chaining

Today I am going to show and talk about backward chaining. This technique involves starting with the last step and working backward to the first. This approach can be particularly effective for children with persistent speech sound difficulties where combining consonants into clusters, such as /BL/ or /FR/ or /SHR/ is very difficult.

Backward chaining allows my student to experience immediate success and build his confidence.

In my video I show you how I applied backward chaining to the words ‘Shriek’, ‘Shrub’, ‘Shrimp’ etc

My student struggles with both the /SH/ and the /R/ sounds and we have been working on both sounds for some weeks now. He has mild Childhood Apraxia of Speech and he has difficulties with coordinating his tongue movements, breathing and using his jaw effectively to make words. His sound repertoire has grown a lot since we started working together last year. Today in this session I show you how we pulled both the sound /SH/ together with /REEK/ to make ‘SHRIEK’. I love using the pictures and therapy materials from Adventures in Speech Pathology.

This is also part of the Complexity approach which I will explain in a separate blog post.

  • Step 1 (not shown in the video): I explain what the word means; I find that when my student understands what a word means he is much better at saying it. It increases his confidence and motivation to say a word that he knows the meaning of. Often this student does not tell me that he does not know what a word means, so I always remind myself to check that out first.
  • Step 2 (not shown in the video): We do a little rhyming game and think about what any one word rhymes with: ‘Shriek’ – ‘meek’, ‘weak’, ‘seek’.
  • Step 3: I show my student that there are two parts to this word /reek/ and the sound /SH/.
  • Step 3: We practise the easier part: /reek/ /reek/ /reek/.
  • Step 4: We add the /SH/ sound and pull it together to make our target word ‘Shriek’.

/REEK/ /REEK/ /REEK/ + /SH/ = ‘SHRIEK’
/RUB/ /RUB/ /RUB/ + /SH/ = ‘SHRUB’
/RUG/ /RUG/ /RUG/ + /SH/ = ‘SHRUG’

By breaking down the word into smaller, manageable steps, my student can focus on each syllable individually, get that right and then gradually build up to the full word. This approach can help to reduce frustration and increase motivation.

Forward chaining

Forward chaining is the same process but in reverse: we start with the front sound or syllable and work forward towards the next/last part of the word:

/SH/ + /REEK/ = ‘SHRIEK’
/SH/ + /RUB/ = ‘SHRUB’
/SH/ + /RUG/ = ‘SHRUG’

Benefits of chaining

  • Increased motivation: By starting with the last step, my student experiences success, which boosts his motivation to continue trying to say the word and trying other words.
  • Reduced frustration: Breaking down the target behaviour into smaller steps can make the task less overwhelming, reducing frustration and anxiety.
  • Improved confidence: As the little learner masters each of the step, his confidence and self-esteem increases. Again, this leads to increased motivation.
  • Faster learning: By focusing on the final step first, and practising lots of chaining (forward and backward), a student can quickly learn to generalise to other words.

Backward chaining (and forward chaining) is a really great tool for teaching complex speech sounds and words to children with phonological disorders.

Watch out for my next blog which is all about the complexity approach in Phonology.

Do get in touch if your child has a speech sound disorder, I would love to help.

Any questions or need help with supporting your little one’s language please contact me via my contact form, or you could also check out www.hanen.org for advice and lots of inspiration.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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The Hanen Program® – The beauty of the ‘4 S’
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The Hanen Program® – The beauty of the ‘4 S’

One of my favourite pieces of advice I give to parents is the ‘4 S’, a strategy coined by the Hanen Program® which I teach, particularly the ‘More than Words’ programme which is designed for and aimed at parents of children with Social Communication Difficulties or Autism. It is honestly one of those golden nuggets that I use myself in my practice and I highly recommend it to all my parents. There is something about terms like the ‘4 S’ that is easy to recall and therefore use.

Introduction

The ‘4 S’ is a strategy that helps to clarify the words we use with our children so that they can notice us, hear us and understand what we are saying.

Research shows that we use on average 120-200 words per minute during everyday conversation. That’s a lot! And our children who are still learning to communicate are often bombarded with endless speech coming at them all day long. If we take into account that many of our students are Gestalt Language Processors, we can see that picking out relevant chunks of what we are saying is not at all easy, and this contributes to our children’s delays.

So let’s look at the ‘4 S’

1. The first one is SAY LESS

This means we should use shorter, simpler sentences with good grammar, for example, something like: ‘let’s get ready, time to put our shoes on’ instead of what we might be saying: ‘come on then darling, let’s put your shoes on we need to get going it’s dark outside’ or similar.

Good grammar helps to give clues about what words mean and how they are used in sentences. So, instead of ‘shoes on’ say ‘let’s put our shoes on’.

2. The second one is STRESS

I hear you think ‘I am stressed!‘. – NO! here it means ‘highlight’. We use our voice to highlight the important words in our sentence or phrase. For example, when you say ‘this banana is so yummy’ you can stress the word ‘yummy’ by saying it a bit louder and you can make a gesture, like rubbing your tummy as you say it.

3. The third one is GO SLOW

This means to speak a bit slower than you normally would and add pauses. By slowing down the pace of our speaking we give our child time to think and understand what we are saying. When we allow for pauses after we have spoken, we are inviting our child to say something in response.

4. The last one is SHOW

Always remember to show actions, gestures, objects, and point to pictures while speaking to help support your child’s understanding. We can show our child what words mean by pointing to things or holding up objects whilst describing or talking about them.

At this point I would also like to recommend the use of Core Boards, and particularly Electronic AAC devices, such as LAMP Words for Life or PODD. I have written about this in other blogs but can always be persuaded to say a bit more on the matter… 😊 It is such a big help to have an AAC talker available for both the child and the adult so we can find words and pictures to help support the words we are saying.

For example, today when reading a book like The Hungry Caterpillar (so good!) I used my LAMP AAC talker to make comments as we were looking at the pages together with my student. Example: ‘Look! He is eating more cake he is very hungry’ using my AAC talker I was able to supplement my speech and at the same time I was inviting my minimally speaking child to press a button or two and reply with ‘cake!’ which they would not have said with their mouth otherwise.

5. It does say ‘4 S’ but really it should be ‘5’ except the fifth is not an ‘S’

The fifth is REPEAT.

Repeat words and phrases often throughout the day. When learning a language we all need to hear words and phrases several times and in different situations before we can understand, remember, and then eventually use them. Our children are ‘new language learners’ and so we can apply the same principles that we would when learning a new foreign language ourselves.

Any questions or need help with supporting your little one’s language please contact me via my contact form, or you could also check out www.hanen.org for advice and lots of inspiration.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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LAMP Words for Life: A revolutionary AAC system
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LAMP Words for Life: A revolutionary AAC system

Introduction

When working with non-speaking or minimally speaking children the LAMP Words for Life AAC (Augmentative and Alternative Communication) system is my absolute go-to every time. For me it stands out as a revolutionary system that has transformed the lives of many of my non-speaking students. LAMP Words for Life is a ROBUST, comprehensive language-based AAC system and it is designed to help any user to express their thoughts, feelings, and needs effectively, thereby achieving maximal independence in their daily life. A winner!

There is a whole host of AAC apps and systems out there and each has their own advantages and benefits for sure. I have tried a good number of other systems. I do also like certain features of other AAC systems for sure. For example GRID: I love the versatility of GRID and the ease of editing the system is fantastic.

Why I think it works so well

However, strangely I always return to LAMP when push comes to shove. I have thought very carefully about it and so here are my thoughts on why this is and why it works so well:

  1. Intuitive interface: LAMP Words for Life features are for me really user-friendly and it is easy to navigate and understand (this is very important for non-techy people). I think it makes sense and it is accessible to users of all ages and abilities. Yes the pictures are a little bit different to other symbol systems we use, especially here in the UK to be sure, and this is one of the reasons why it is good to have a variety of systems available, so that we can cater for students who are used to other symbols or do very well with specific symbol core boards. I have learned though that the pictures are not that important when using LAMP because the entire system is based on MOTOR PLANNING. And once one knows the motor plan to find a picture it is in our brain and we do not look at the picture any more. So, the motor plan to find a word is much more important when using LAMP than worrying about what the picture looks like.
  2. Comprehensive vocabulary: The system offers a vast vocabulary of words and phrases, covering a wide range of topics and contexts. This enables users to express themselves effectively on a variety of subjects. That said, almost every time I use LAMP there is a little word I need and it’s not on there. But that’s not a problem: for example, I was looking for ‘sunglasses’ the other day. Sure, there is ‘sun’ and ‘glasses’ but that would be two separate motor plans and for my student that would be too many for now, so it was very easy to quickly add the new word ‘sunglasses’ under ‘accessories’ or ‘beach wear’ — I added it within less than one minute. Likewise, there are a ton of words which cater for the US market, and I tend to change them to fit the UK vocabulary like ‘nappy’ for ‘diaper’. Or I delete them entirely if I feel my child will never need to use a certain word like ‘conference’ or ‘nun’. PS: should they get to a point of using the system as an adult independently then these words can surely be added again, or if my student ever moves to the US then the words can be changed back to US terms again without any problem.
  3. Grammar support: LAMP provides built-in grammar support, helping users construct grammatically correct sentences. This can be particularly beneficial for individuals with language processing difficulties. But what I love about the way LAMP is organised here is that, in contrast with other systems I have used, it does not PREDICT what you want to say, it lets the user decide and find the right grammatical structure. I appreciate this because, just like I hate my phone or email offering predictive text or offer corrections to my words, I really do not get the systems that offer automatically a grammar change which mostly I don’t want. Where that is the case, I am often confused and hindered in finding the correct wording. I love the simplicity of LAMP and at the same the complexity that can be achieved gradually with practice. LAMP is fully designed to enable a user to build up not only vocabulary but a full language system. On a course recently I was able to hear adult LAMP users speaking to the audience in full and quick grammatically well-rounded sentences on a host of topics.
  4. Customisation: LAMP can be customised to meet the individual needs of each user. This includes options for adjusting the vocabulary, layout, and accessibility features. It is not as easy to edit as GRID I will say and that can cause me a little bit of frustration at times, but on balance I still vastly prefer the system as a whole. It can also be customised quite well for Gestalt Language Processors. It takes a little bit of practice and thinking about how best to do this but I have found a way that works well which I demonstrate in the short video clip.
  5. Community support: LAMP Words for Life has a thriving community of users on Facebook and this is so valuable and inspiring. Therapists and families of LAMP users alike share experiences, provide resources, and offer encouragement. This can be a valuable source of support for both users and their families.
  6. Comprehensive support: LAMP Words for Life offers quick and thorough support services, including training, resources, and ongoing assistance. This is invaluable and reassuring for both users and caregivers.
  7. Research-based: The development of LAMP Words for Life is based on extensive research and evidence-based practices. This ensures that the system is grounded in sound scientific principles.

Conclusion

To conclude LAMP Words for Life is a powerful AAC which provides us with a means of effective communication, language development, and social interaction. Whether you are a parent of a non-speaking child or a speech therapist looking for innovative AAC solutions, LAMP Words for Life is worth exploring.

Example on how to use AAC at story time

Feel free to contact me if you need help with your child.

Sonja McGeachie

Early Intervention Speech and Language Therapist

Feeding and Dysphagia (Swallowing) Specialist The London Speech and Feeding Practice

The London Speech and Feeding Practice


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.

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