Small Talk Therapy

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

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.

Get involved with local organizations, support groups, and professionals specializing in those hard of hearing. They can offer guidance, resources, and opportunities for your kiddo’s development. The more you know, the better you can support your child.

Here are some suggestions to get you started:

• Hands & Voices is a parent-driven, nonprofit organization that provides unbiased support, regarding communication methodology and technology, to families with deaf or hard of hearing children.
• Gallaudet University — Laurent Clerc National Deaf Education Center is a federally funded institution offering exemplary academic programs to deaf/HoH students. They provide early intervention services, sign language classes, and uniquely designed resources for deaf/HoH communities.
• Hearing Loss Association of America is a nonprofit organization with a mission to open the world of communication to people with hearing loss by providing information, education, support, and advocacy.

Your doctor may recommend feeding therapy to help your child with their negative feelings and behaviors towards food. Feeding therapy can be a part of your existing speech and language, behavior, or occupational therapy. For example, a speech and language pathologist (SLPs) can help with chewing and swallowing related issues and an occupational therapist (OT) can help with fine motor skills related to eating. Applied behavior analysis (ABA) is a type of behavior therapy that will aim to improve behaviors with mealtimes and increase dietary variety and decrease unwanted behaviors such as food refusal.