Horizon Pediatric

The goal of speech therapy is to help your child communicate effectively with other people across all environments. This may take the form of using gestures, simple signs, verbal speech, and Augmentative and Alternative Communication (AAC).

Some other common things speech therapists can help with:

• Nonverbal skills, such as signs or gestures
• Forming speech in a clearer way
• Communicating thoughts and feelings clearly
• Understanding and responding to questions
• Discerning facial expressions and their corresponding emotions
• Noticing and understanding body language
• Feeding and swallowing
• Stuttering

When you visit a neurologist, they’ll assess your child’s needs, run some tests (think imaging or EEG), and diagnose. From there, they’ll create a customized treatment plan. Medication, lifestyle tweaks, or maybe even a referral to another specialist could be on the table.

There unfortunately isn’t one test for all neurodevelopmental conditions. Most likely you will go into a visit to test one or two medical conditions. If you are looking for a comprehensive autism evaluation, developmental pediatricians, psychologists, or neuropsychologists are the preferred specialists who can diagnose autism.

No, neurologists focus mainly on non-surgical interventions. If your child needs surgery, neurologists might point you in the direction of a pediatric neurosurgeon.

Here are a few alternative options to consider:

• Cognitive-behavioral therapy (CBT): CBT helps by identifying and changing unhelpful thoughts and behaviors. It's useful for those dealing with social anxiety or difficulties. CBT addresses cognitive patterns and provides strategies to manage social challenges.
• Group therapy: Group therapy offers a supportive space where individuals can practice social skills. They can feedback from peers and a therapist. It allows interaction with others who understand and learn from each other.
• Play-based interventions: Play therapy or play-based interventions work well for younger children or those who learn through experiences. Play activities target specific social skills like turn-taking and problem-solving in a safe and engaging setting.

The occupational therapy process includes an OT evaluation before care starts. Here are the four steps your family can expect when starting occupational therapy:

1. Complete OT evaluation. An occupational therapist first identifies your strengths and needs through a thorough OT evaluation, also known as an OT assessment or screening. You’ll answer questions about you your skills, and you will most likely demonstrate these skills via hands-on activities with the therapist. Evaluations can last 30 minutes to a couple hours.
2. Approve OT plan. The therapist develops a care plan with individualized goals and customized interventions based on your needs. You can also share any specific goals or concerns before approving the OT plan.
3. Start therapy sessions. The therapist works directly with you, using various strategies and exercises to systematically improve areas of limitations and to build upon your strengths. If there are others part of your care team, the therapist may teach strategies for supporting your individualized needs at home and may recommend tools and techniques to use at home, in the community, or in the classroom to help you thrive.
4. Monitor your progress. You can expect ongoing progress monitoring and communication to ensure you're achieving your short and long-term goals.

You can get your child an AAC device a few ways:

• Add it to your child’s IEP. If your child has an IEP, you can request that an AAC device be made part of it, and that they always have access to it in school. (Some schools will allow you to take the device home, too.)
• Ask your child’s doctor. You can request an evaluation for an AAC device through your child’s doctor. This requires an evaluation, and your child’s insurance should cover part (or all) of the costs.
• Buy one yourself. Many AAC devices are just apps installed on regular iPads or a tablet. They can be a bit pricey, but getting insurance to pay for AAC devices can take a long time.