Six ways to prepare your child for the Christmas festivities

ByLondon Speech and Feeding

It feels like the Christmas festivities start earlier and earlier every year. This makes it harder for your child with communication difficulties to process what is happening. Whilst you can’t do anything about the events that happen around your child, you can start to put into practice strategies which may support them and allow them to regulate their emotions.

Speech Therpaist in London
Six ways to prepare your child for the Christmas festivities

Explore six ideas here:

1. Print off or buy a blank calendar to use at home

You can start to write in activities out of the usual routine and add a picture to allow your child to understand what it’s about. You can also use it as a countdown to Christmas Day to try to prevent ‘how long’ questions.

2. Make use of visual timetables

These are useful in everyday settings and activities but also when change occurs.

3. Be aware of any non-uniform days

Days like ‘Christmas Jumper Day’ can make your child feel uncomfortable and may affect their behaviour. By giving yourself time, you can have conversations with your child’s teacher to find a more suitable alternative. For example, they can wear a Christmas t-shirt that they find more comfortable.

4. Think about what will benefit your child

Do they like being surrounded by people or do they prefer a quiet space on a 1:1 basis? Christmas activities often involve lots of group work in school (e.g., rehearsing for carol concerts or plays). They might prefer to pre-record their part in the Christmas play or create pieces of art which can be used. At home, they may prefer one guest visiting at a time, rather than all at once.

5. Explore how your child is feeling

It’s important to find out how your young person is feeling and how these impact on the activities of that day. It might be that your child doesn’t like surprises and the intensity of opening gifts is too much for them. They may prefer gifts to be left unwrapped and given throughout the day, rather than all at once.

6. Consider sensory needs

Ensure your young person has everything they need to meet their sensory needs. This can be e.g. noise cancelling headphones, fidget toys, or comforting items. These will particularly be helpful with routines changing, often with little notice. If at home, you may wish to not put lights on the Christmas tree if visual stimuli become too much.

Remember clear communication between home, school and other family members is vital during this time. By having clear communication and expectations, your young person will feel more secure. And you can have a Christmas that is right for you and your family.

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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    Let’s relax about making EYE CONTACT already…

    ByLondon Speech and Feeding

    There’s been a long tradition with teaching staff and with Speech and Language Therapists working in schools that eye contact should be a goal. It is well known that Autistic individuals (whether that be children or adults) mostly avoid eye contact. Whilst it’s part of the way we communicate, it shouldn’t be used as a necessity for an individual who feels that it is uncomfortable. Whilst it does show that you’re listening and showing an interest, it’s not a fair expectation for neurodiverse children.

    Autistic children can find making and maintaining eye contact physically and emotionally uncomfortable as well as unnatural. It adds an extra layer of stress and has been reported to increase distractions rather than reduce them. Children who engage in conversations in their own way (i.e., with reduced eye contact) are not shown to suffer with schooling, work, or social interaction.

    By having fun through meaningful activities, I often experience that ‘BINGO’ moment (a phrase coined by Alex @meaningfulspeech) where the child is enjoying themselves and naturally makes eye contact. There is no demand on them, they are in a fun, engaging environment which suit their strengths and supports their needs.

    Following this, I often reflect on this question ‘Should we make eye contact as a goal?’

    It very much depends on the situation. If it places more demands on the child and becomes stressful. Then no. There are many strategies we can use which gain eye contact without placing extra demands on the child. We need to be mindful to adapt the environment and not place neurotypical expectations to meet the needs of neurodiverse children.

    How can you encourage eye contact without demand?

    • If you’re using toys, try holding them up to your eye level.
    • You can adjust your position, try sitting face to face during play.
    • Always get down to your child’s level. This might mean that you lay on the floor if your child is positioned in this way.
    • During play, waiting is extremely powerful. Before a key part of the activity, wait and see if your child looks at you. Remember silence is golden!
    • The best way I find is: do something unusual during play. It might be that you spray shaving foam with the lid still on. Or you bring out a wow toy and make it spin/light up or make a noise. A balloon can be good – see video clip. Use the excitement of the activity, and wait to see if you achieve that ‘BINGO’ moment.
    • Create opportunities when there are no toys involved such as during ‘tickles’ or ‘hide and seek’. Autistic children find it difficult to shift their attention between a toy and an adult. So by removing one option, you’re setting them up to succeed.

    Remember, it takes practice and time for you to develop these skills. Try one at a time and experiment, see which works best for your child. If you need speech, language or communication support or advice, I am always here to help.

    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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    Unlocking communication: My daily life with the Saltillo 88 Core Board

    ByLondon Speech and Feeding

    Introduction

    As an AAC speech and language therapist who uses the Saltillo 88 Core board every day, I can tell you it’s more than just a communication tool. It’s a doorway to independence, connection, and expressing my students’ unique voice.

    What is the Saltillo 88 and why do I use this one?

    In this blog post, I want to share practical, real-world examples of how I integrate the Saltillo 88 into various daily activities, empowering my students and parents to learn to communicate.

    There are literally hundreds of core boards out there and I have tried many different ones over the years. Which one should I use with this particular client? Should I make up my own? (I have made up tons!) or should I use a ready-made one like the one below which is what this blog is about.

    For me the best ones are boards with a good number of core words (at least 60) so that the board is versatile and can be used across a range of activities. The board needs to have a range of pronouns, verbs, descriptors, prepositions and question words to be useful and to stimulate not just requesting but commenting and asking questions. Another consideration is: can the board easily be transferred to a more robust AAC system. Once my student is used to the symbols and where they are could we move to an electronic talker/device. And if this answer is ’yes’ then we have a great board to get started with.

    Below is a picture of the Saltillo 88.

    Saltillo 88 Core Board
    Saltillo 88 Core Board

    It has 88 words and I find it really does suit most activities. The same board and design is also then found on the TOUCHCHAT AAC device which can be a seamless transition for our learner.

    Let me dive into how core words/board or AAC can be used daily:

    1.  Getting dressed

    Whilst choosing clothes for your little one and getting them ready for the day you can use the following words: want, like, get, finish. Always pack the words into little phrases you can speak naturally when using a board. I have tried to show you phrases that you could use below.

    The words in bold are the core words on the board and the other words are just words you say whilst pointing to the core word.

    • Goal: Express choices, needs, and preferences about clothing.
    • Ideas:
      • ‘I want this one [specific item of clothing: ‘shirt’, ‘pants’]’
      • ‘I like that one [colour/type of clothing]’
      • ‘Help me [put/get it on/take off]’
      • ‘let’s get your socks now’
      • ‘finished let’s go’ (when dressed)

    2. Having a shower/bath

    • Goal: Bath time tends to happen daily and so it lends itself to using the same useful phrases and words to chat about temperature preferences, to ask for toys or for washing routines.
    • Ideas:
      • ‘let’s go have a bath/shower’
      • ‘let’s turn on the tap/water’
      • ‘now turn it off’
      • ‘let’s get/have more toys/water/bubbles/tickles’
      • ‘all gone, what’s next?’
      • ‘how about washing your hands/feet’
      • ‘let’s do that again’
      • ‘need some help?’
      • ‘Stop it now, let’s do something different’

    3. Mealtimes

    • Goal: Mealtimes can be (or should be) enjoyable and motivating to ask for specific things we like, and commenting about our eating experiences.
    • Ideas:
      • ‘I want/give me [food item: ‘apple’, ‘bread’]/[drink item: ‘water’, ‘juice’]’
      • ‘More foods/drinks/snacks’
      • ‘All done’
      • ‘that’s messy we like that (not)’
      • ‘Like’/‘Don’t like’
      • ‘Big’/‘Little’
      • ‘this is so nice!’

    4. Playing

    • Goal: This is where it’s at for children of course and we can use our core words to chat and engage with our little learners.
    • Ideas:
      • ‘I want play’
      • ‘Go’/‘Stop’
      • ‘More/again’
      • ‘not it’s my My turn’/’it’s Your turn’
      • ‘that’s a Big one!’/‘let’s do Little bubbles’ (describing toys)
      • ‘let me Open it for you’ (for boxes, doors in play)
      • ‘I See it’ (to draw attention)
      • ‘Help me’ (with a tricky toy)

    5. Opening boxes/doors/etc

    • Goal: Most kids love opening boxes, doors and cabinets to see what there is to play with. Help your child to ask for what they want.
    • Ideas:
      • ‘let’s Open that box/bag/zip/door’
      • ‘get me a (toy) out of here’
      • ‘Let’s Take it out and see what it is?’
      • ‘finished’ (when finished with the task)
      • ‘I want [what’s inside]’
      • ‘What’s next? Let’s see’

    Tips for using AAC effectively

    • Consistency is key: Emphasise using it regularly, even for small things.
    • Modelling: this is crucial, the adults need to use the board for all situations first and foremost before we can expect our child to be interested.
    • Patience: Communication takes time and practice.
    • Celebrate successes: Acknowledge every communicative attempt.
    • Make it accessible: Keep the board within easy reach at all times.

    Conclusion

    If you’re considering the Saltillo 88, or TouchChat, or are already using it, I hope these examples inspire you. It’s a journey of discovery, and every word communicated is a step towards a more connected and independent life. What are your favourite ways to use the Saltillo 88 or which core board do you love using? I would love to hear your comments and stories.

    Sonja McGeachie

    Highly Specialist Speech and Language Therapist

    Owner of The London Speech and Feeding Practice.

    Health Professions Council registered
    Royal College of Speech & Language Therapists Member
    Member of ASLTIP

    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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  • Learn why ‘watchful waiting’ isn’t the answer

    ByLondon Speech and Feeding

    As a Speech and Language Therapist, I am a big advocate of early intervention. And I’m always encouraging you (as parents and carers) to seek intervention as early as possible. But you might be thinking, “my child just needs more time.” Have you ever wondered why early intervention is important? Read on to learn more.

    Speech Therpaist in London
    Watchful waiting is not the answer

    Early intervention

    By intervening at a later age or stage of development, you may be leading your child to develop consequences as a result. One consequence can be challenging behaviour due to their inability to express their wants and needs. They may have difficulty in understanding and following directions. This will not only affect their ability in the classroom but also socially, maintaining friendships. Early intervention can support understanding. This can also help you support your child in breaking down activities so they can fully take part in home and school life. The Early Intervention Foundation (2021) suggest that providing early intervention can develop a young person’s strengths. You can use these activities to support their needs which creates better outcome measures. This allows young people to reach their full potential across a range of settings. It can positively impact on mental health and self-esteem.n

    Positive outcomes

    Also, we are protecting our young people from harmful situations by giving them a voice. And by giving them a voice, they are:

    • more likely to achieve and
    • less likely to have in negative experiences such as crime and with the justice system.

    We know that social and emotional skills (such as developing self-awareness, social skills, and emotional regulation) are crucial to a young person’s development. Research has found that children with a higher level of social and emotional skills are more likely to:

    • achieve in education,
    • graduate from university,
    • have career prospects,
    • have positive work and family relationships,n
    • maintain good mental and physical health.

    By having these positive aspects in their lives, they are less likely to engage in antisocial behaviour and related crime. It’s easy to think this feels like a long way off for your family. But by giving them the best possible start, you are promoting a positive future in all aspects of their life.

    Contact me today to get started with speech, language and communication intervention.

    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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  • ·

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

    ByLondon Speech and Feeding

    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:

    1. 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?”.
    2. 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.
    3. Draw images to identify the key parts of the story. You might want to create a story board together.
    4. 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.
    5. 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.

  • · ·

    Support your autistic child’s communication by learning the stages of Gestalt Language Processing

    ByLondon Speech and Feeding

    If your child is using echolalia and/or has a diagnosis of autism, then your child’s way of processing language is most likely different to the classic way children typically learn language. We call this process Natural Language Acquisition or Gestalt Language Processing.

    Speech Therpaist in London
    Step by Step guide to Gestalt Learning

    Let’s explore the following stages of Gestalt Processing:

    Stage 1: communicative use of whole language gestalts

    (e.g., “let’s get out of here”)

    Children and young people in this stage use echolalia. They need to hear more gestalts or scripts. So, your job is to model, model, model and to use functional language that your child can repeat back.

    Stage 2: mitigated into chunks and re-combining these chunks

    (e.g., “let’s get” + “some more”) and (e.g., “let’s get” + “out of here”)

    This is when you take parts of gestalts or phrases and then combine it with other parts.

    Stage 3: further mitigation (single words recombining words, formulating two-word phrases)

    (e.g., “get…more”)

    They are going beyond their gestalts. Furthermore, they may begin to label different objects.

    Stage 4: formulating first sentences

    (e.g., “let’s get more toys”)

    You may see more grammatical errors during this phase as they are creating unique sentences. Please don’t worry about this, it means they are playing and experimenting with language. As communication partners, you could model the correct form of the sentence.

    Stages 5 & 6: formulating more complex sentences

    (e.g., “how long do you want to play inside for?”)

    You can see that language learning is a process, that is trialled and tested, used in different contexts for children to be able to learn and use language appropriately.

    My next blog will give you activities ideas and how you might use them specifically with a Gestalt Language Processor.

    Remember early intervention is vital. So, if you have any concerns, please seek the advice of a Speech and Language Therapist.

    Contact me, Specialist Speech and Language Therapist Sonja here.

    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.

  • ·

    Answers to very common questions I get as a Feeding Therapist

    ByLondon Speech and Feeding

    What are hunger cues in newborn babies? How do we recognise when our baby is hungry? How often should we feed our baby?

    These are very common questions I get as a Feeding Therapist. And so I thought I would write a blog on it.

    A mother holding her baby on one arm in her lap while holding a cup
    Image by Freepik

    First-time parents’ journey

    First-time parents often imagine that feeding, particularly breastfeeding, will be an easy and natural process without too many problems. It can be a rude awakening to find that feeding our newborn is not at all easy and can be fraught with complications. It is fair to say that in most cases by the time our baby is about eight weeks old most mums have got the hang of feeding, either by breast and/or bottle, and things are falling into place.

    But until that time it can be a difficult journey:

    • getting to know one’s baby,
    • getting to know their feeding rhythm,
    • falling in with it,
    • TRUSTING that baby knows what they need and knows when they have had enough,
    • TRUSTING and not going crazy with going down an on-line rabbit hole of information and guidance mostly unnecessary and often quite simply FALSE!

    Many mums I have met set out with the best intentions to breastfeed for as long as possible. However, they arrive in my clinic anxious and often have given up with the breast; now we are on bottle feeds and things are still very tricky for several reasons. There are too many reasons for this blog to cover but I thought I would start with the basics and ‘reading hunger cues’ is one of those early basics.

    Image by shurkin_son on Freepik

    Reading hunger cues

    So let’s dive in:

    Newborns communicate hunger through a variety of cues. Here are some early signs to look for:

    • Early hunger cues: These are the best times to respond to baby’s hunger for a more peaceful feeding. Look for things like:
      • Becoming more alert and active
      • Turning head from side to side in the cot
      • Rooting (turning their head towards your breast or a bottle, especially when stroked on the cheek)
      • Putting hands/fists to mouth
      • Sucking on fists or lips
      • Opening and closing mouth, smacking sounds
    TOP TIP: THIS IS WHERE YOU SHOULD GET READY TO FEED. Breast or bottle. Either way get ready. We do not want our baby to get into later hunger cues, which are below:
    • Later hunger cues: If we miss the early cues, babies will progress to more insistent hunger cues. These include:
      • Fussiness or whimpering
      • Rapid sucking motions
      • Increased squirming
      • Head bobbing

    Generally, remember that we do not want our baby to cry for their food. Because once they are riled and cry they are not relaxed enough to latch, especially when latching is hard!

    Feeding on demand vs. scheduled feeds

    We now know and have researched how babies are fed best and safest, how weight gain is ensured best, both for breastfed and bottle-fed babies.

    It’s generally recommended to feed on demand—unless your baby is tube-fed or has some other pressing health concerns or is failing to thrive.

    What are the benefits of on demand feeding?

    • We need to respond to baby’s individual needs and hunger cues because every person is unique!
    • Babies need to learn and regulate their own hunger and satiation cycles
    • Promotes better weight gain and growth
    • Leads to more peaceful feeding experiences

    Scheduling can come later

    A loose schedule might emerge naturally when your baby is around 2–3 months old, but it’s best to follow your baby’s lead.

    Tips:

    • Some newborns may feed every 2–3 hours, while others go longer stretches. Pay attention to your baby’s cues and feeding habits.
    • Crying is a late hunger cue, and frequent crying can make feeding more difficult. Responding to earlier cues is best.
    • If you have concerns about your baby’s feeding patterns or weight gain, consult with a Speech and Language Therapist/Dysphagia Therapist and/or Lactation Consultant.

    Check out these useful resources on  the topic of Demand Feeding:

    Do get in touch if you would like some in-person or on-line 1:1 support with this. It can be overwhelming to figure it all out alone.

    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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