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	<title>teachmetotalk.com &#187; echolalia</title>
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	<link>http://teachmetotalk.com</link>
	<description>Helping Parents Teach Toddlers To Understand and Use Language</description>
	<pubDate>Tue, 15 May 2012 22:46:49 +0000</pubDate>
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		<title>Questions and Answers About Autism in Toddlers and Young Preschoolers</title>
		<link>http://teachmetotalk.com/2009/01/12/questions-and-answers-about-autism-in-toddlers-and-young-preschoolers/</link>
		<comments>http://teachmetotalk.com/2009/01/12/questions-and-answers-about-autism-in-toddlers-and-young-preschoolers/#comments</comments>
		<pubDate>Mon, 12 Jan 2009 16:02:08 +0000</pubDate>
		<dc:creator>Laura</dc:creator>
		
		<category><![CDATA[Autism]]></category>

		<category><![CDATA[Autism in toddlers]]></category>

		<category><![CDATA[autism symptoms]]></category>

		<category><![CDATA[autism treatment]]></category>

		<category><![CDATA[behavior autism]]></category>

		<category><![CDATA[DVD for autism]]></category>

		<category><![CDATA[echolalia]]></category>

		<category><![CDATA[echolalia in toddlers]]></category>

		<category><![CDATA[echolalia in toddlers and preschoolers]]></category>

		<category><![CDATA[hand flapping in autism]]></category>

		<category><![CDATA[help for autism]]></category>

		<category><![CDATA[how to treat autism]]></category>

		<category><![CDATA[learn to talk with autism]]></category>

		<category><![CDATA[non-verbal autism]]></category>

		<category><![CDATA[preschool autism]]></category>

		<category><![CDATA[red flags for autism in babies]]></category>

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		<category><![CDATA[red flags for autism in toddlers]]></category>

		<category><![CDATA[red flags for autism in young children]]></category>

		<category><![CDATA[sign language autism]]></category>

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		<category><![CDATA[signs of autism in toddlers]]></category>

		<category><![CDATA[speech therapy for autism]]></category>

		<category><![CDATA[symptoms of autism]]></category>

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		<description><![CDATA[By far the most searched topic that leads parents to this website is AUTISM.  
No wonder, since 1 in 150 children in the United States will be diagnosed with autism spectrum disorders. If you&#8217;re a boy, the numbers are even higher at 1 in 99.
If you&#8217;re wondering what the signs for autism in toddlers are, here&#8217;s a list [...]]]></description>
			<content:encoded><![CDATA[<p>By far the most searched topic that leads parents to this website is AUTISM.  </p>
<p>No wonder, since 1 in 150 children in the United States will be diagnosed with autism spectrum disorders. If you&#8217;re a boy, the numbers are even higher at 1 in 99.</p>
<p>If you&#8217;re wondering what the signs for autism in toddlers are, here&#8217;s a list of the 3 main differences toddlers and young children display who go on to be diagnosed with autism. <strong>EVERY</strong> child who is diagnosed with autism does not have <strong>every</strong> sign listed below, but there are definite differences noted in at least 3 areas which lead professionals to suspect autism. </p>
<p>Autism is a spectrum diagnosis- meaning that there&#8217;s a range in severity from mild to severe. It also means that some children who will eventually be diagnosed with autism at older ages may have only some of these symptoms as a toddler, and then because no action was taken to help them improve, the issues actually get worse as the child ages.  Even if your child has only half of these characteristics at age 2 or 3, it <strong>IS</strong> a cause for concern, and you should pursue every avenue possible, not only to verify a diagnosis for him, but more importantly, to do what you can as a parent to make things better. </p>
<p>The 3 main areas that lead professionals to diagnose autism in a toddler or young preschooler are differences in :  </p>
<p><strong>Communication</strong> <strong>Skills</strong></p>
<p><strong>Interaction</strong> <strong>Skills</strong></p>
<p><strong>Behaviors</strong></p>
<p>I&#8217;ll explain each of the 3 areas of concern, then give you a comprehensive list of signs and symptoms. If you&#8217;ll look closely, each individual issue can be placed in one of the 3 main categories. </p>
<p><span style="text-decoration: underline;"><em><strong>Communication</strong> <strong>Skills</strong></em></span> -  This means how a child expresses himself AND how he understands others. If your child is not yet talking by 2, and ESPECIALLY is he&#8217;s not yet using gestures like pointing to show you what he wants, his communication skills are delayed.</p>
<p>Using non-verbal gestures to communicate with others is a skill that develops in babies before the 12- month mark. If your older toddler is not pointing and using other gestures, like very purposeful facial expressions to communicate his wants and needs to you, chances are, he&#8217;s not developing communication skills as he should.</p>
<p>If your child can say lots of words, but doesn&#8217;t USE these words to ask you for things, then there&#8217;s also a problem. A verbal child <em>can still have autism. </em>If he can label pictures or objects, but he doesn&#8217;t USE these words to request, he&#8217;s not really communicating <em>with</em> you. If she can sing a whole song, but she doesn&#8217;t tell you what she wants using words, there is a difference in how her communication skills are developing.      </p>
<p>If he&#8217;s also not UNDERSTANDING language as well other toddlers his same age, it&#8217;s a double whammy. Babies as young as 12 months of age <em>can follow simple directions</em>  such as waving bye-bye on command, giving kisses, pointing to body parts, and even responding to questions to identify familiar people and objects in their environments by looking at the correct item or person when you ask, &#8220;Where&#8217;s ___________.&#8221; </p>
<p>If your child is 2 or 3 and NOT doing these things, this is almost always <strong>not</strong> just a matter of being a &#8220;late bloomer&#8221; or a simple lag in development. <em> </em></p>
<p>There are many reasons a toddler is slow to talk, and autism is just one of them. However, if you remain concerned, and especially if late talking isn&#8217;t your child&#8217;s only issue, read on.  </p>
<p><strong><em><span style="text-decoration: underline;">Interaction</span></em></strong> <strong><em><span style="text-decoration: underline;">Skills</span></em></strong> - Interacting with others is <em><strong>THE</strong></em>  foundational skill for ALL other skills your baby and toddler will learn in his whole lifetime.  If your child is approaching 2 or 3 and is NOT consistently making eye contact, NOT consistently acting like he wants to be with others, but he seems to prefer to be on his own doing his own thing, and especially if he is NOT consistently responding when you talk to him, there is a MAJOR problem. </p>
<p><em><strong>&#8220;My child is social. He can&#8217;t have autism.&#8221;</strong></em></p>
<p>This is the #1 reason a parent, and even some professionals, incorrectly assume that a child does not have autism. Sometimes children with autism may seem pretty connected to their parents (especially their mothers), but upon closer analysis, there are <em>quality </em>and <em>quantity </em>differences in <span style="text-decoration: underline;">how</span> they interact with even their parents. </p>
<p>What do I mean by a &#8220;<strong>quality</strong>&#8221; difference? This means that a young child may seek his mother out for comfort, but in a non-interactive way. He may want to sit in her lap and smell or twirl her hair, but he doesn&#8217;t look her in the eye for very long. He doesn&#8217;t really return her hugs and kisses, and he certainly doesn&#8217;t initiate these.  Yes, he may hold his face or mouth still for a kiss, but his eyes are diverted to the side, and he&#8217;s not taking his hands and turning her head toward his to initiate the kiss at ages 1, 2, or even 3. </p>
<p>He may allow himself to be hugged by &#8220;backing into&#8221; his mother&#8217;s arms, but he&#8217;s not running to her with open arms and a huge grin, and he certainly doesn&#8217;t return her pats on the back with affection of his own. The child may hook her arm around her mother&#8217;s leg to hide from a stranger in a new situation, but she&#8217;s not using other gestures or shared facial expressions to let her mother know what&#8217;s wrong.</p>
<p>The only real &#8220;communication&#8221; going on here is that the child has realized that her mother is there, and then Mom is doing all of the &#8220;interpreting&#8221; what&#8217;s going on. There are no real <em>shared</em> experiences or real joint attention to events or even objects, other than Mom or Dad is super tuned-in to what a child is needing when he is reacting to his environment.   </p>
<p>In children with typical language and interaction skills, even a non-verbal child is also looking, showing, and at least <em>trying to convey information</em>. In children who are at-risk for autism, parents are doing most, if not all, of the communicative &#8220;heavy lifting.&#8221; Parents of children with autism are often &#8220;mind readers&#8221; and have become so highly adept at reading their child&#8217;s emotional wants and needs that the parents don&#8217;t even realize how much their child DOESN&#8217;T communicate and interact. It&#8217;s often a huge reality check for them when someone points out how one-sided the interaction really is.</p>
<p>What is a &#8220;<strong>quantity</strong>&#8221; difference?</p>
<p>This means that although a young toddler or preschooler may seem to prefer only his mother when something is going wrong, he doesn&#8217;t also seek her out to share enjoyment or another emotion.  She may refuse all other adults, even her own father&#8217;s attempts to connect with her. </p>
<p>Again, a mother may be so in-tune with her two-year old that she knows he LOVES trains, and <em>she</em> comments and responds excitedly when they see Thomas or another real train as they driving in the car, but again, the child&#8217;s reaction is not interactive. He&#8217;s excited about the train, but he&#8217;s not saying, &#8220;Mama! Look! Choo-choo!&#8221; He&#8217;s not trying to point and get her attention so they can interact and SHARE the experience.</p>
<p>He&#8217;s excited alright, but not in an interactive way. He may flap his hands and jump around, but it&#8217;s MOM who is doing the sharing and attending. It&#8217;s not reciprocal. He may even glance at her for a second or two when she too reacts to the event, but he&#8217;s not reacting reciprocally, or BECAUSE she&#8217;s responded to him. He&#8217;s very one-sided in his responses. He&#8217;s smiling. He&#8217;s happy. But when you truly analyze his responses, he&#8217;s not <em>with </em> the adult or taking turns during interactions. <em> </em></p>
<p>Some parents of a child who goes on to be diagnosed with autism note that their child does use a couple of communicative gestures such as taking mom&#8217;s or dad&#8217;s hands to do something he can&#8217;t do, or she may lead them to what she wants. This is a very common occurence for a child who is higher functioning on the  autism spectrum. On one hand, he realizes, &#8220;These big hands can get what I want.&#8221; </p>
<p>So what does he do? He begins to grab your hands to open doors, activate toys, or even pull you to the kitchen, but again, there&#8217;s a <em>quality </em>and <em>quantity </em>difference. He doesn&#8217;t grab your hands to show affection (a quality difference); in fact, he may often resist your attempts to help him unless he&#8217;s initiated it because he wants something (a quantity difference). </p>
<p>He may have waved bye-bye once or twice (a quantity difference) by watching his own hand open and close (a quality difference), but again, he can&#8217;t wave consistently when someone is leaving his home (a quantity difference). She may adamantly shake her head &#8220;no&#8221; when she&#8217;s mad that you&#8217;re doing something to her, but she can&#8217;t use a head shake for &#8220;no&#8221; when you ask her if she wants something (a quality and quantity difference).       </p>
<p>Typically developing children <em>want</em> to share experiences <em>very</em> early on. If you have a 2 year old who seeks you out <em>only</em> when he&#8217;s scared or extremely tired, there&#8217;s likely something missing in his social-emotional skill development.</p>
<p><em><span style="text-decoration: underline;"><strong>Behaviors</strong> </span></em>- Almost every young child who goes to be diagnosed with autism is described as having some form of &#8220;odd&#8221; behavior. This might include what professionals call stereotypical behaviors such as flapping his hands, walking or jumping on his toes, wringing his hands, leaning forward when he&#8217;s excited and staring for an unusually long time at an object, running and darting his eyes to the side, unusual fascinations and interests, displaying horrible tantrums that come on suddenly and don&#8217;t go away within a few minutes, or saying words or phrases that don&#8217;t match the situation. </p>
<p>Children who go on to be diagnosed with autism usually display some kind of behavior that routinely makes anyone other than his doting, adoring parents pause and  think, &#8220;Gee. That&#8217;s different,&#8221;    </p>
<p>Negative attention to a child&#8217;s &#8220;unique habit&#8221; so hurts the feelings of parents with a child with these kinds of issues. If you&#8217;re reading this and are feeling defensive, wounded, or want to throw up because of the horrible feelings you&#8217;re having right now, chances are, your child is demonstrating this type of behavior. </p>
<p>Whether it be a child&#8217;s &#8221;odd&#8221; behavior, an extremely aggressive behavior, a even a child&#8217;s habit of saying things that don&#8217;t quite fit the situation, or even if it&#8217;s what you&#8217;ve come to believe is an extremely &#8220;original&#8221; or &#8220;creative&#8221; behavior, if a behavior is calling so much attention to itself that others, well-meaning or not, are commenting to you about it, it&#8217;s probably not within the realm of &#8220;normal&#8221; or &#8220;typical.&#8221;</p>
<p>Here&#8217;s a list of more specific kinds of communication, interaction, or behavioral issues that parents report in their children who go on to be diagnosed with autism. This is not an official diagnostic list, but rather a list of concerns parents report. This list was gathered from several sources.</p>
<ul>
<li>Does not consistently respond to his/her name.</li>
<li>Cannot tell you what he/she wants with words or gestures.</li>
<li>Doesn’t follow directions.</li>
<li>Seems to be deaf at times.</li>
<li>Seems to hear sometimes, but not others.</li>
<li>Doesn’t point or wave bye-bye (past 15 months) or use other gestures such as shaking his head “yes” or “no” appropriately and back and forth in conversation.</li>
<li>Used to say a few words or babble, but now he/she doesn’t.</li>
<li>Throws intense or violent tantrums.</li>
<li>Has odd movement patterns such as flapping arms or shaking body, especially when excited.</li>
<li>Shows other odd visual behaviors such as staring repeatedly at spinning wheels on a toy or shifting his eyes to the side as he runs.</li>
<li>Seems hyperactive much of the time; is always “on the go.”</li>
<li>Is often uncooperative or oppositional during daily routines.</li>
<li>Doesn’t know how to play with toys. Might spin or line them up excessively.</li>
<li>Doesn’t smile when smiled at.</li>
<li>Doesn’t make eye contact. He/she seems to look right through/past you.</li>
<li>Gets “stuck” on things over and over and can’t move on to other things.</li>
<li>Seems to prefer to play alone.</li>
<li>Gets things for him/herself only without asking for help.</li>
<li>Is very independent for his/her age.</li>
<li>Seems to be in his/her “own world.”</li>
<li>Seems to tune people out.</li>
<li>Shows very little interest in other children.</li>
<li>Or may interact inappropriately with other children.</li>
<li>Walks on his/her toes.</li>
<li>Shows unusual attachments to toys, objects, or schedules (i.e., always holding a string or having to put socks on before pants).</li>
<li>Spends a lot of time lining things up or putting things in a certain order and gets upset if this is disrupted.</li>
<li>Has delayed speech-language skills when compared to other children of the same age.</li>
<li>Memorizes and quotes long scripts of favorite TV shows, sing entire songs, or label lots of objects, but he/she uses very few “real” or meaningful words to ask for things or participate in conversation.</li>
<li>Repeats what he/she hears rather than using words on his own.</li>
<li>Learns to read at age 2 or 3 (or has a very strong interest in visual symbols such as letters and numbers), but has difficulty communicating with others in a meaningful way.</li>
<li>Is a <span style="text-decoration: underline;">very</span> picky eater. May eat only 3 or 4 different foods.</li>
</ul>
<p>Let me reiterate that the presence of a few, or even several, of these concerns does not always mean that your child is autistic.  Please discuss these signs/symptoms with a your pediatrician, and then decide whether a comprehensive developmental assessment is needed for your child.</p>
<p><strong>WHAT IF YOU SUSPECT THAT YOUR CHILD IS AUTISTIC? </strong></p>
<p><strong>WHAT CAN YOU DO?</strong></p>
<p>Research tells us that early identification and treatment for children with these difficulties is <em>essential</em> before these symptoms become severe, and chronic patterns are established.  Waiting until a child is in preschool or kindergarten before seeking professional and educational assistance <strong>NEVER</strong> leads to the best outcome for a child with any developmental delay.  The earlier a child is diagnosed, the <em>better</em> chance he has of correcting his problems.</p>
<p>Children do not &#8220;outgrow&#8221; these issues. Actually, waiting can make these developmental issues even worse. The skills we want to see may not come in on their own, and the habits we don&#8217;t want to see, may even get worse.   </p>
<p>Research also tells us that children with autism, regardless of the severity, <span style="text-decoration: underline;"><em>can</em></span> make progress with specialized intervention that focuses on facilitating developmentally appropriate skills.  The current recommended “best practices guideline” for a child with autism is that he or she be involved in AT LEAST 25 HOURS PER WEEK of engaged time with caring, nurturing adults.  This can be a combination of time in therapy, structured and developmentally appropriate preschool (Not mother’s day out), and quality, focused 1:1 play at home with mom and dad or other trained assistants. </p>
<p>Parents with children with autism play a <em><strong>crucial</strong></em> role in determining the ultimate outcome of their child.  Success comes when parents make a huge commitment to learning their child’s unique strengths and weakness, become their child’s biggest advocates, and wholeheartedly embrace a comprehensive approach to improving their child’s developmental skills.  This means getting a child professionally evaluated as soon as your gut tells you there’s a problem, selecting and following through with appropriate treatments, and pursuing additional education about your child’s needs until you become the best “expert” you can be.  It’s not easy, but it will be worth it.                 </p>
<p><strong>EARLY</strong> <strong>INTERVENTION</strong> leads to the best outcome for a child with any developmental delay.  The <strong>earlier</strong> a child is diagnosed, the better chance he has of correcting his problems.</p>
<p>Early intervention doesn&#8217;t only mean a specific program carried out by professionals, but also, what YOU as parent do to help your child develop skills he&#8217;s missing.</p>
<p>Many parents searching for information become so sad that there may be a problem that they become paralyzed with fear.  Although this is completely understandable, please don&#8217;t get stuck here. </p>
<p>There are many things that <strong>YOU</strong> as a parent <strong>can do at home</strong> to help your child learn to interact, communicate, and eventually behave. Although professional intervention IS extremely important and necessary for young children suspected to be at-risk for autism spectrum disorder, the actions of a child&#8217;s parents are just as, if not more, important.</p>
<p>If you are struggling to interact with and communicate with your child whom you suspect might have autism, there is a way to learn very simple, but specific technqiues to help YOU learn to interact with, communicate with, and teach your child.    </p>
<p>If what you&#8217;ve tried at home isn&#8217;t working, look for ways to learn to do things differently. You need to change the way you do things to get new results, and here&#8217;s how.  </p>
<p> <br />
<strong>THERE ARE EASY, FUN, NO-TEARS METHODS THAT HELP PARENTS TEACH YOUR TODDLER TO INTERACT, UNDERSTAND, AND TALK.</strong></p>
<p>It’s a series of DVDs called Teach Me To Talk, Teach Me to Listen and Obey 1, and Teach Me To Listen and Obey 2. This series was designed to teach <strong>YOU</strong>, your child&#8217;s parent, effective strategies that will help your child learn to attend, interact, understand and finally unlock that beautiful voice your child has locked away inside. And best of all, these strategies are PROVEN to be simple to learn, easy to apply, and best of all, successful in teaching young children to learn to understand words so that they can begin to communicate.</p>
<p>What makes these DVDs different?</p>
<p>It was developed by Laura Mize, a pediatric speech-language pathologist and author of the parent-friendly website <a href="http://www.teachmetotalk.com">www.teachmetotalk.com</a>.  Laura has  literally spent thousands of hours and 15 years on the floor, helping toddlers with speech-language delays, even those who are at-risk for autism, learn to communicate.</p>
<p>Laura has read stacks and stacks of research on the subject of delayed speech in children. She’s attended more professional courses than you can count. She’s taken the best of the best from all the “experts” in language development.</p>
<p>And she’s condensed all those years of learning and experience and trial and error into 3 DVDs, with the  most simple, most practical, MOST EFFECTIVE strategies to get your child understanding language and then talking. And best of all, you can start using them the minute you start watching the DVD.</p>
<p><em>&#8220;I recently watched a DVD called Teach Me to Talk, by Laura Mize, Pediatric Speech-Language Pathologist. The DVD was 90 minutes long and taught six strategies to teach your child to talk,&#8221;  says </em>Sarah, mother  of a little girl diagnosed with autism and and author of the website www.wakingsophie.com</p>
<p><em>&#8220;The DVD is aimed at toddlers who are delayed in speech&#8230;..which is how I will use it. It has tons of video of the speech therapist actually working with children! This was so informative. Laura explains what she is doing while showing actual video of her working with children with delays! These are things you can incorporate in every day interaction with your child. I finished watching the video feeling like I could really teach my child to talk!</em></p>
<p><em>From the time I first learned Sophie had autism, I have wanted to see what a speech therapist actually did while working with a child. I desperately want to homeschool Sophie, but until now I have been in the dark about what the experts do to get children to talk. Now I have video examples to work with.</em></p>
<p><em>I watched this video with my 3 children in the room, and my daughter Sophie, was actually playing along with the video! I highly recommend this video for anyone who has a child with delayed speech. It is worth every penny.”</em>  Sarah, Indiana</p>
<p>Read another mother&#8217;s review -<br />
<em>&#8220;Wow! I will always have a special spot in my heart for Laura and all the teachmetotalk gang. The resources compiled here are amazing! I’ve had the DVD for about 2 weeks now, and I LOVE it! There is just only so much an SLP can do with/for you child- lets face it- it’s really up to us, the parents. And most toddlers respond better to a familiar mommy/daddy than an ‘once a week’ SLP. Well, unless we’re lucky enough to have someone like Laura as our SLP. The six techniques discussed in the DVD were very eye opening. Especially using “with-holding/frustration”. My son responds very well with this technique. He said his second three word sentence! He was grunting for more animal crackers, his Sunday School teacher knows that he can sign, and was requiring him to do so. Out of frustration, he finally said “I WANT MORE”. We were all thrilled! I really suggest everyone to buy this DVD, there are ideas that you’ve probably not thought of. And Laura demonstrates her techniques in sessions with a wide age range of children. Thank you so much Laura and the whole gang, for all your hard work!!&#8221;</em>Stephanie, Oklahoma </p>
<p>Interested in seeing the techniques in action? Here’s a quick preview of the Six Essential Strategies you’ll learn &#8212; and a glimpse of the first technique you’ll see in Teach Me To Talk:</p>
<p><embed id="VideoPlayback" style="width:400px;height:326px" allowFullScreen="true" src="http://video.google.com/googleplayer.swf?docid=6496341337920747363&#038;hl=en&#038;fs=true" type="application/x-shockwave-flash"></embed><div><strong><strong>For a limited time, these DVDs are specially priced for a single DVD. Save even more when you buy both 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the 3 DVD set, Teach Me To Listen and Obey 1 and 2 as well as Teach Me To Talk. </strong></strong></div>
<p><strong><strong>Enter the coupon code &#8220;A1&#8243; to save $10.00 on a single DVD. You&#8217;ll receive Teach MeTo Talk, Teach Me To Listen and Obey 1, or Teach Me To Listen and Obey 2 for only $29.99.    </strong></p>
<p><strong>Enter the code &#8221;A2&#8243; to save $20.00 on the 2 DVD set Teach Me To Listen and Obey 1 and 2.  You&#8217;ll receive both DVDs for $59.99. </strong></p>
<p><strong>Save even more on the entire 3 DVD set. Enter the code &#8220;A3&#8243; and you&#8217;ll receive a whopping $35.00 off the entire set. That&#8217;s all 3 DVDs for only $84.99!  </strong></p>
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<p> <br />
<em>“Thank you so much for this DVD! Our 3 and a half year old son has apraxia and only has 10-12 clear words. When I first started watching this DVD, I wondered if I could ever be that animated. About 5 minutes into the DVD, my son walked into the room and was instantly fascinated. He sat with me and watched the rest with me! His reaction was truly amazing, and our speech therapy will never be the same again! The most amazing thing to me, though, was how my son interacted with you! During the 90 minute video he “got” two new words: choo choo and boom. He also tried to say “pull” and “barn,” and learned the sign for fish. Twice he signed “give me” and then touched a toy you were playing with, and every time you tried to get a child to say a word he knows, he would say it with you.” </em>Robyn, mother from Wyoming</p>
<p>How wonderful would it feel to hear your child say “Mama?”</p>
<p>You’ve been waiting for that moment since he was born and you first held him in your arms. But as the months have dragged by, you may have started to lose hope that you will ever communicate with your baby – to hear what he wants, what he needs, what he feels.</p>
<p>And even if your toddler can say a few words, is it taking longer for her to communicate than other children her age? Are you constantly trying to interpret what you think she might be saying, or asking for?</p>
<p>Maybe both of you are ending up in tears.</p>
<p><em>“[When I watched the DVD] I felt like I was reliving my son’s life for the past 1 1/2 years now. It was a little sad in some ways, but on the other hand if I concentrate on where he is now and how far he’s come, it’s positive<strong>…..”</em>Holly, mother from New Hampshire<br />
<strong><span id="more-336"></span>></p>
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<p><strong>For a limited time, these DVDs are specially priced. Save when you buy both 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the 3 DVD set, Teach Me To Listen and Obey 1 and 2 as well as Teach Me To Talk. </strong></p>
<p><strong>Enter the coupon code &#8220;A1&#8243; to save $10.00 on a single DVD. You&#8217;ll receive Teach MeTo Talk, Teach Me To Listen and Obey 1, or Teach Me To Listen and Obey 2 for only $29.99.    </strong></p>
<p><strong>Enter the code &#8221;A2&#8243; to save $20.00 on the 2 DVD set Teach Me To Listen and Obey 1 and 2.  You&#8217;ll receive both DVDs for $59.99. </strong></p>
<p><strong>Save even more on the entire 3 DVD set. Enter the code &#8220;A3&#8243; and you&#8217;ll receive a whopping $35.00 off the entire set. That&#8217;s all 3 DVDs for only $84.99!  </strong></p>
<p>Here&#8217;s what another mother said about Teach Me To Talk &#8230;.</p>
<p><em>&#8220;AMAZING!  It is the perfect recipe for parents who are trying to figure out how to help their children.  I was so impressed I showed it to my Early Intervention teacher, and she loved it so much that she is going to work with their program to get some copies for parents.  My speech therapist is looking at it now to recommend to her parents!  I also have recommended it to other parents!  WONDERFUL!&#8221;  Pia and Jonathan (2yrs)</em></p>
<p>If you suspect that your child has a delay, no doubt you’ve heard it all. There’s always the well-meaning friend who tells you “Boys talk later than girls.” Or the mother-in-law who tells you to “Wait and see” (while you worry what she’s saying about your parenting skills behind your back).  Or your spouse says he&#8217;s just being stubborn or lazy, when you lie awake at night worrying that something could be terribly wrong.</p>
<p>The fact is, the most critical time for language development in a child is from birth through age three. So if you feel in your heart that something’s not right, you’re probably on to something. You know your child.</p>
<p>Most parents of children with language delays regret that they waited to do something. The good news is, YOU DON’T HAVE TO WAIT ANY LONGER.</p>
<p>These DVDs will show you a better, easier way to do things. Things you can do RIGHT NOW, at home, that will help your child learn to communicate. It’s all about learning a new and better way of working with your child.</p>
<p>After all, as a parent, you are the most important teacher your child will ever have.</p>
<p><em>&#8220;Just wanted to let you know how thrilled I am with your video. I just received it five days ago and I’ve watched it every morning to gear up for working with my daughter each day and I have to tell you what a difference it has made! My daughter has been in therapy for a year and a half (she’s 31 months) and she would often run from me during our “play” sessions…finally, after only five days, she is starting to think that her mommy is fun during playtime! Thank you for giving me a way to really connect with my daughter on a new level. This video is priceless.&#8221;  </em>Helen</p>
<p><em>“Even when weekly therapy reports indicated a great deal of progress, we weren’t always seeing that progress at home. The Teach Me To Talk DVD has dramatically changed the number of words we hear. Seeing the techniques you use, and seeing how easy they are to incorporate in to our daily routines has been a blessing. I can get so many words and even phrases out of both my toddlers by incorporating playfulness in to our daily activities. As a working mom, I’ve always felt as if I’m not as active in my children’s therapy as I should be. You DVD is finally helping me make that connection. Thank you so much for such a fantastic tool!”  </em>Stephanie, Mother from Kentucky</p>
<p>Speech therapy is a specialized skill – that’s why speech therapists charge hundreds – even thousands &#8212; of dollars for their services. But the very same techniques they use can be SIMPLIFIED, so that you can use them at home.</p>
<p>Teach Me To Talk and Teach Me To Listen and Obey 1 and 2 will teach YOU how to use the very best, most effective techniques speech therapists charge hundreds of dollars for. Watch and learn as these techniques are explained in plain language so that you can use them at home. Then, see each technique in action.</p>
<p>And you won’t just see how it works with one child, but with 20 different toddlers in each DVD, all with different personalities and challenges. You’ll be amazed and inspired by their progress as each and every one of them learns to communicate – just like your child can with this series. </p>
<p><em><br />
“The DVD brought tears to my eyes (not your goal I’m sure, but there you go!). Each strategy you used - reminded me of my child. It is amazing how simple techniques (most of which we take for granted) can help a non-verbal child become verbal. Another thing I learned from my experience with being a mom, a pediatrician, having your guidance and the DVD - is that language, talking, speech, and articulation involve SO many other aspects of development.” </em>Ranjana, pediatrician and mom from Ohio</p>
<p> </p>
<p>If your child is a slow talker, you’ve probably read dozens of parenting books and looked for advice on the internet. But when you apply it to YOUR child, it doesn’t always make sense.</p>
<p>Do you try to do what the “experts” say, but find it just doesn’t work with your child?</p>
<p>The secret isn’t just knowing WHAT to do, but WHY you need to do it, and better yet, seeing exactly HOW to do it. Teach Me To Talk unlocks those secrets.</p>
<p><em>“The DVD was quite different from what I expected - in a good way. I hardly expected to see so much one-on-one with the kids, and it was great!”</em> Kristyn, mother from New Hampshire </p>
<p>”<em>The DVD is great! I wish I had had this when we first started down the path with my son who was diagnosed with autism right before he turned 3. The teachniques are easy to understand and do yourself at home once you&#8217;ve seen Laura demonstrate them with lots of children.”</em>  Allison, mother from Pennsylvania </p>
<p>These DVDs takes the camera INSIDE therapy sessions with children just like yours. Whatever stage your child is at – if you’re just wondering if there’s a problem, if you’ve already seen a professional, or if your child is currently in speech therapy – you’ll see all kinds of children in all kinds of situations.</p>
<p>So you’ll discover the very best techniques to use with YOUR child.</p>
<p><em>”Seeing these tips ‘in action’ was very beneficial. When you have a child that is language delayed, you want to do as much at home as you can - after all, our children are at home most of all! And this DVD helped me do that.”</em> Kristyn, mother</p>
<p>These DVDs are packed full of ideas and tips you can use all day, every day as your child learns to communicate. Plus, it’s yours to keep and watch over and over again until you master the techniques.</p>
<p>Watch how you can learn sign language to help teach your child to communicate.  Sign language is often recommended to help a child with autism learn to express his wants and needs.</p>
<p><em>“I also like the emphasis put on signing with your child. I was very hesitant to do this with my son at first, I was afraid it would hurt his speech development, but it helped him learn that he has to do something to get something, now anytime I hear someone say they are hesitant about signing, I pipe up and tell them to please consider it. What a great DVD! It will be a huge help to other parents like me!” </em>Julie, mother from Illinois</p>
<p><embed id="VideoPlayback" style="width:400px;height:326px" allowFullScreen="true" src="http://video.google.com/googleplayer.swf?docid=-7284173142796061574&#038;hl=en&#038;fs=true" type="application/x-shockwave-flash"></embed><div><strong><strong>For a limited time, these DVDs are specially priced for a single DVD. Save even more when you buy both 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the 3 DVD set, Teach Me To Listen and Obey 1 and 2 as well as Teach Me To Talk. </strong></strong></div>
<p><strong><strong>Enter the coupon code &#8220;A1&#8243; to save $10.00 on a single DVD. You&#8217;ll receive Teach MeTo Talk, Teach Me To Listen and Obey 1, or Teach Me To Listen and Obey 2 for only $29.99.    </strong></p>
<p><strong>Enter the code &#8221;A2&#8243; to save $20.00 on the 2 DVD set Teach Me To Listen and Obey 1 and 2.  You&#8217;ll receive both DVDs for $59.99. </strong></p>
<p><strong>Save even more on the entire 3 DVD set. Enter the code &#8220;A3&#8243; and you&#8217;ll receive a whopping $35.00 off the entire set. That&#8217;s all 3 DVDs for only $84.99!  </strong></p>
<p> <br />
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<p><strong>MY CHILD SEEMS TO TUNE ME OUT. WHAT DOES THIS MEAN? </strong></p>
<p>If your child is also having difficulty paying attention or even noticing when someone else is talking to him, he is likely having difficulty <em>understanding</em> words. Teach Me To Listen and Obey series is another set of HIGHLY effective training DVDs designed to teach YOU how to help him learn to attend to you, interact with you, and begin to comprehend language.   </p>
<p>You will learn simple, but effective strategies for improving the way a child understands language so that he <span style="text-decoration: underline;">can</span> begin to listen and then begin to obey.</p>
<p>There&#8217;s so much information in Teach Me To Lisen and Obey that it&#8217;s been split it into a 2 part DVD series to address specific developmental phases and as well as disciplinary approaches for both toddlers and preschoolers who are having difficulty with communication skills.</p>
<p>Both DVDs focus on helping parents teach receptive language skills, or improving the way a child <em>understands</em> and <em>comprehends</em> language.</p>
<p>Teach Me To Listen and Obey again takes the camera inside real therapy sessions with children just like yours. Whatever stage you child is at - whether you&#8217;re just wondering if there&#8217;s a problem and want to try to address it at home, or if you&#8217;ve already seen a professional and your child has been diagnosed with autism or another developmental issue - you&#8217;ll see all kinds of children with various abilities and at different stages.</p>
<p><strong>For a limited time, these DVDs are specially priced for a single DVD. Save even more when you buy both 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the 3 DVD set, Teach Me To Listen and Obey 1 and 2 as well as Teach Me To Talk. </strong></p>
<p><strong>Enter the coupon code &#8220;A1&#8243; to save $10.00 on a single DVD. You&#8217;ll receive Teach MeTo Talk, Teach Me To Listen and Obey 1, or Teach Me To Listen and Obey 2 for only $29.99.    </strong></p>
<p><strong>Enter the code &#8221;A2&#8243; to save $20.00 on the 2 DVD set Teach Me To Listen and Obey 1 and 2.  You&#8217;ll receive both DVDs for $59.99. </strong></p>
<p><strong>Save even more on the entire 3 DVD set. Enter the code &#8220;A3&#8243; and you&#8217;ll receive a whopping $35.00 off the entire set. That&#8217;s all 3 DVDs for only $84.99!  </strong></p>
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<p>Want to see more of these strategies? Watch clips from Teach Me To Listen and Obey 2&#8230;.</p>
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<p>Teach Me To Listen and Obey 1 is a packed hour-long DVD that teaches parents how to help younger toddlers, and even older preschool children with developmental delays, learn to understand words and follow basic directions.</p>
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<p>Teach Me To Listen and Obey 2 is a full <em>two</em> <em>hours</em> long and is for parents of older toddlers and young preschoolers ages 2 to 4 who need help learning to understand many different kinds of words so that they can follow more complex commands and begin to consistently obey. Watch more&#8230;&#8230;</p>
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<p>Buy the entire set and you&#8217;ll get a full <em>3 hours</em> of instruction to help you teach your child to understand new words, consistently follow your directions, AND you&#8217;ll learn what to do about it when this doesn&#8217;t happen.</p>
<p><strong>For a limited time, these DVDs are specially priced. Save even more when you buy both parts 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the entire 3 DVD set, Teach Me To Listen and Obey 1 and 2, as well as Teach Me To Talk. </strong></p>
<p><strong>Enter the coupon code &#8220;A1&#8243; to save $10.00 on a single DVD. You&#8217;ll receive Teach MeTo Talk, Teach Me To Listen and Obey 1, or Teach Me To Listen and Obey 2 for only $29.99.    </strong></p>
<p><strong>Enter the code &#8221;A2&#8243; to save $20.00 on the 2 DVD set Teach Me To Listen and Obey 1 and 2.  You&#8217;ll receive both DVDs for $59.99. </strong></p>
<p><strong>Save even more when you buy the entire 3 DVD set. Enter the code &#8220;A3&#8243; and you&#8217;ll receive a whopping $35.00 off the entire set. That&#8217;s all 3 DVDs for only $84.99!  </strong></p>
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<p>See more from the discipline section of Teach Me To Listen and Obey 2&#8230;..<br />
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<p>It&#8217;s hard to discipline ANY toddler, but when you&#8217;re considering your options for a toddler with developmental delays, it&#8217;s especially challenging.</p>
<p>In Teach Me To Listen and Obey 2, you&#8217;ll review the techniques recommended by behavior experts, and then you&#8217;ll see actual demonstrations of how to handle common behavior problems such as:</p>
<ul>
<li>Difficulty with transitions</li>
<li>Throwing things</li>
<li>Melt-downs and tantrums</li>
<li>Difficulty paying attention and staying on task</li>
<li>Refusing to do what you&#8217;ve asked</li>
</ul>
<p>There&#8217;s even an entire section on how to use time out for toddlers with developmental challenges.</p>
<p><strong>For a limited time, these DVDs are specially priced for a single DVD. Save even more when you buy both 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the 3 DVD set, Teach Me To Listen and Obey 1 and 2 as well as Teach Me To Talk. </strong></p>
<p><strong>Enter the coupon code &#8220;A1&#8243; to save $10.00 on a single DVD. You&#8217;ll receive Teach MeTo Talk, Teach Me To Listen and Obey 1, or Teach Me To Listen and Obey 2 for only $29.99.    </strong></p>
<p><strong>Enter the code &#8221;A2&#8243; to save $20.00 on the 2 DVD set Teach Me To Listen and Obey 1 and 2.  You&#8217;ll receive both DVDs for $59.99. </strong></p>
<p><strong>Save even more on the entire 3 DVD set. Enter the code &#8220;A3&#8243; and you&#8217;ll receive a whopping $35.00 off the entire set. That&#8217;s all 3 DVDs for only $84.99!  </strong></p>
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<p><strong>For a limited time, these DVDs are specially priced for a single DVD. Save even more when you buy both 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the 3 DVD set, Teach Me To Listen and Obey 1 and 2 as well as Teach Me To Talk. </strong></p>
<p><strong>Enter the coupon code &#8220;A1&#8243; to save $10.00 on a single DVD. You&#8217;ll receive Teach MeTo Talk, Teach Me To Listen and Obey 1, or Teach Me To Listen and Obey 2 for only $29.99.    </strong></p>
<p><strong>Enter the code &#8221;A2&#8243; to save $20.00 on the 2 DVD set Teach Me To Listen and Obey 1 and 2.  You&#8217;ll receive both DVDs for $59.99. </strong></p>
<p><strong>Save even more on the entire 3 DVD set. Enter the code &#8220;A3&#8243; and you&#8217;ll receive a whopping $35.00 off the entire set. That&#8217;s all 3 DVDs for only $84.99!  </strong></p>
<p> </p>
<p>If your child is <em>not</em> learning to understand new words and does <em>not</em> follow your directions, you need to change <span style="text-decoration: underline;">your</span> approach.</p>
<p>Learn what <em>works</em> to be able to teach your toddler or preschooler to listen and obey.</p>
<p>A lot of the time, it&#8217;s not what you do, but HOW you do it. Teach Me To Listen and Obey 1 and 2 will show you how to teach your child in an easy, step-by-step format, that you can easily implement at home.</p>
<p>Read what a few parents and professionals who previewed the project during the editing process said:</p>
<p><em>&#8221; I loved your first DVD Teach Me To Talk, but I think I enjoyed Teach Me To Listen and Obey even more! The way you presented the information made it very easy to understand. My child does have some difficulty understanding what&#8217;s said to him, but I never thought it could be the reason he doesn&#8217;t seem to listen to me. Thank you for letting me watch this because now I know how to help him better. &#8221; </em></p>
<p><em>&#8220;The discipline information alone would be worth the money to buy the whole set.&#8221;</em></p>
<p><em>&#8220;As a father, I want my son to mind me. Until I watched your video I didn&#8217;t understand that he didn&#8217;t understand. Thank you for showing me that.&#8221; </em></p>
<p><em>&#8220;This is a great DVD set for teaching parents how to view receptive language delays. I&#8217;m a developmental therapist, and I learned several new things that I will be thinking about as I work with my clients.&#8221; </em></p>
<p><em>&#8220;This is the BEST DVD I&#8217;ve ever seen for teaching a parent how to work on receptive language at home.&#8221;</em></p>
<p><em></em></p>
<p><strong>For a limited time, these DVDs are specially priced for a single DVD. Save even more when you buy both 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the 3 DVD set, Teach Me To Listen and Obey 1 and 2 as well as Teach Me To Talk. </strong></p>
<p><strong>Enter the coupon code &#8220;A1&#8243; to save $10.00 on a single DVD. You&#8217;ll receive Teach MeTo Talk, Teach Me To Listen and Obey 1, or Teach Me To Listen and Obey 2 for only $29.99.    </strong></p>
<p><strong>Enter the code &#8221;A2&#8243; to save $20.00 on the 2 DVD set Teach Me To Listen and Obey 1 and 2.  You&#8217;ll receive both DVDs for $59.99. </strong></p>
<p><strong>Save even more on the entire 3 DVD set. Enter the code &#8220;A3&#8243; and you&#8217;ll receive a whopping $35.00 off the entire set. That&#8217;s all 3 DVDs for only $84.99!  </strong></p>
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<p>Use the following guidelines to determine which DVD is most appropriate for your child:</p>
<p><span style="text-decoration: underline;">Teach Me To Listen and Obey 1 is for parents of a child who</span>:</p>
<ul>
<li>Can&#8217;t follow simple directions</li>
<li>Doesn&#8217;t consistently respond to his or her name</li>
<li>Won&#8217;t participate in simple games or play with an adult</li>
<li>Needs help understanding very basic concepts like learning the names of familiar objects and people, pointing to body parts, or completing early requests such as, &#8220;Wave bye-bye,&#8221; or &#8220;Give me a kiss.&#8221;</li>
<li>Demonstrates developmental and receptive language skills below the 24 month level</li>
</ul>
<p>Even if you feel your child is older and past the &#8220;baby&#8221; stage, if he is not <em>consistently</em> following simple directions or paying attention when you talk to him, you need to begin here.</p>
<p>In Teach Me To Listen and Obey 1, you&#8217;ll learn what things your child must do first so that he can begin to understand words. You&#8217;ll also learn the background information you need to decide if there&#8217;s a real problem. This includes the definition of receptive language, the early signs and symptoms of a receptive language disorder, and you&#8217;ll see a review the basic receptive language milestones for toddlers and preschool children between 1 and 4.</p>
<p>You&#8217;ll learn 3 simple ways to cue your child, and you&#8217;ll be able to use these techniques during play and during your daily routines at home to provide a strong foundation for comprehension and communication skills.</p>
<p><span style="text-decoration: underline;">Teach Me To Listen and Obey 2 is for parents of a child who</span>:</p>
<ul>
<li>Gets &#8220;lost&#8221; when trying to follow more complicated commands</li>
<li>Needs help expanding his vocabulary to understand many different kinds of words</li>
<li>May understand basic directions, but won&#8217;t follow through with what you&#8217;ve asked her to do</li>
<li>Has reached a developmental and receptive language age-equivalency of at least 24 months, but is still behind his peers who are 2, 3, or 4</li>
<li>Is ready to move on to higher-level language skills, but you&#8217;re not sure how to teach these or you don&#8217;t know what should come next</li>
</ul>
<p>During Teach Me To Listen and Obey 2 you&#8217;ll see demonstrations of teaching children how to understand the major language comprehension milestones for children ages 2 to 4. This includes learning to understand verbs, prepositions, adjectives, pronouns, and other concepts such as size, categories, parts of an object, object functions, quantity, and making inferences.</p>
<p>You&#8217;ll also find out what&#8217;s NOT important to teach your child at this phase of language development so that you can use your time efficiently and wisely.</p>
<p>You&#8217;ll learn how to design &#8220;games&#8221; for teaching young children to listen and follow directions, and you&#8217;ll get ideas for involving siblings at home. Here&#8217;s an example..<strong>&#8230;&#8230;..</strong></p>
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<p><strong>For a limited time, these DVDs are specially priced for a single DVD. Save even more when you buy both 1 and 2 of the Teach Me To Listen and Obey series, and even more when you buy the 3 DVD set, Teach Me To Listen and Obey 1 and 2 as well as Teach Me To Talk. </strong></p>
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<p>Don&#8217;t delay. Time is critical during these early developmental years. Order yours today and begin helping your child NOW!</p>
]]></content:encoded>
			<wfw:commentRss>http://teachmetotalk.com/2009/01/12/questions-and-answers-about-autism-in-toddlers-and-young-preschoolers/feed/</wfw:commentRss>
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		<item>
		<title>Echolalia&#8230;&#8230;..What To Do About It</title>
		<link>http://teachmetotalk.com/2008/06/02/echolaliawhat-to-do-about-it/</link>
		<comments>http://teachmetotalk.com/2008/06/02/echolaliawhat-to-do-about-it/#comments</comments>
		<pubDate>Tue, 03 Jun 2008 00:31:04 +0000</pubDate>
		<dc:creator>Laura</dc:creator>
		
		<category><![CDATA[Apraxia]]></category>

		<category><![CDATA[Autism]]></category>

		<category><![CDATA[Autism in toddlers]]></category>

		<category><![CDATA[echolalia]]></category>

		<category><![CDATA[repeating words in toddlers]]></category>

		<category><![CDATA[speech therapy with autistic toddlers]]></category>

		<guid isPermaLink="false">http://teachmetotalk.com/2008/06/02/echolaliawhat-to-do-about-it/</guid>
		<description><![CDATA[This is a follow-up article to my recent post &#8221;Echolalia&#8230;&#8230;..What It Is and What It Means.&#8221;  link
I am always so frustrated when I go to a continuing education conference or read an article by an expert when the bulk of the time is spent addressing the identification/assessment aspects of an issue, and then about 5 minutes or [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://teachmetotalk.com/wp-content/uploads/2008/06/running-toddler.jpg" title="running-toddler.jpg"></a><a href="http://teachmetotalk.com/wp-content/uploads/2008/06/running-toddler.jpg" title="running-toddler.jpg"></a>This is a follow-up article to my recent post &#8221;Echolalia&#8230;&#8230;..What It Is and What It Means.&#8221;  <a href="http://teachmetotalk.com/2008/06/01/echolaliawhat-it-is-and-what-it-means/">link</a></p>
<p>I am always so frustrated when I go to a continuing education conference or read an article by an expert when the bulk of the time is spent addressing the identification/assessment aspects of an issue, and then about 5 minutes or 2 lines is spent giving recommendations for intervention.  In an effort to overcome this irritating trend, I constantly remind myself to spend most of time on this site writing about the part most of us want and need when we seek information, that is the &#8221;What To Do About It&#8221; part! </p>
<p>I hope that you&#8217;ll find these strategies helpful for your child at home or the children on your caseload.  This list has been compiled from my personal knowledge from the tried and true recommendations I use with my own clients as well as BETTER strategies I found as I researched this article. </p>
<p>Let me also add that treating echolalia can be very frustrating, not only for a parent, but for a professional.  With a child who is echolalic, your teaching mistakes are often amplified because he is repeating EXACTLY WHAT and HOW you taught him.  I have one darling little boy on my caseload right now who is making me rethink every word that comes out of my mouth during his sessions, and I do this language thing all day, everyday!  I understand your frustration if you too are searching for a better way to teach language to a child who learns in this way. </p>
<p>However, I hope you&#8217;ll too find solace in what I have for my particular little friend&#8230;&#8230;&#8230; at least he&#8217;s talking!!!  He may be mixing up pronouns, re-asking my poorly worded questions, and imitating things I didn&#8217;t fully intend for him to repeat, BUT HE&#8217;S TALKING!  Compared to nonverbal children whose parents are eagerly anticipating their first little peeps, this is a huge, dramatic, BIG DEAL, and it should not be viewed as something we need to eliminate. </p>
<p>On the other hand&#8230;&#8230;&#8230;&#8230; it is NOT normal for a child to repeat so many of the phrases and sentences he hears with an obvious difference in how he understands and processes language.  It is heartbreaking for me when I evaluate a child and hear from a grandparent, a teacher,  or even a parent who is oblivious to the fact that their child&#8217;s language is not &#8220;advanced&#8221; when they are able to quote large chunks of a Disney movie or know the words to every commercial they hear on TV.  Even when parents have initiated the evaluation on their own, I think sometimes they still wish I&#8217;d come in and say that everything really is fine, even when they know in their heart of hearts that it&#8217;s not.  So with that in mind, let&#8217;s get on with learning what to do about echolalia. </p>
<p>The <strong>KEY </strong>to treating echolalia is to model every word, phrase, or sentence in just the way your echolalic little friend should say it.  Easier said than done, right?  This can be hard!  Even when I am teaching a parent how to do this and modeling it for them, I can still screw it up.  (As the mother of the little boy I mentioned can attest!)          </p>
<p>Initially this means that you need to stop asking this child so many questions and giving so many directions, and start modeling more requests, labels, and comments.  You need to say things EXACTLY the way you want your child to say it since he learns by repeating EXACTLY what you&#8217;ve said.  </p>
<p>Some parents and professionals balk at this advice saying, &#8220;He&#8217;s got to learn it the <u>right</u> way.&#8221;  Well that is <u>wrong</u>, at least for now.  One thing I try to tell parents is not to look at echolalia as <em>right</em> or <em>wrong</em>;  it just <em>is</em>.  This is how he learns.  This is what we&#8217;ve got to work with.  Learn to use this heightened skill of imitation to your advantage.        </p>
<p>MORE SPECIFIC EXAMPLES -   </p>
<p>1.  Model language from your child&#8217;s point of view.  Model the kinds of words and phrases he can actually imitate AND understand.  </p>
<p>Narrating play with a child who is echolalic is EXCELLENT because he will likely rehearse this even when he plays independently.  </p>
<p>Be sure to provide words (even ones you&#8217;d prefer he not say) for activities rather than what you&#8217;d probably normally say.  For example, if he&#8217;s trying to refuse an activity, model, &#8220;No&#8221; or &#8220;Don&#8217;t like it.&#8221;  If a sibling or peer is taking a toy, help your child learn to say, &#8220;Stop,&#8221; or &#8220;Mine.&#8221;  Many parents don&#8217;t like the idea of &#8220;teaching&#8221; their children these unpleasant, impolite words, but then again, I&#8217;d rather hear a word rather than a scream, or deal with a child who&#8217;s been bitten or hit (or <em>is</em> the biter or hitter), all because we failed to teach an appropriate response.         </p>
<p>When you&#8217;re reading books (often a <em>favorite</em> activity for this kind of kid because they like visual, repetitive, and predictable information), point to and label the pictures using single words at first and then short descriptive comments as his comprehension skills improve.  If he doesn&#8217;t name the pictures as you&#8217;re naming, take his finger and pause to give him a chance to &#8220;echo&#8221; what you&#8217;ve taught him previously.  While many experts recommend this is a great way to increase vocabulary initially, don&#8217;t over-use books and pictures.  Be sure to play with toys MOST OF THE TIME since children like this generally need more help learning to use language during everyday activities.  Reading books, looking at flashcards, and naming pictures from videos are NOT functional or useful skills when your toddler is in the kitchen and can&#8217;t figure out how to tell you he&#8217;s thirsty and wants milk!                    </p>
<p>2.   Don&#8217;t ask your child &#8220;Do you want&#8230;&#8230;&#8221; questions since he will initiate his requests by saying, &#8220;Do you want &#8230;..?&#8221;  In this kind of situation model what he should say if you know what he wants.  For example, if he&#8217;s reaching for an object, say the item&#8217;s name or model, &#8220;I want the ________.&#8221;  If you&#8217;ve already messed this up and your child is doing this, model his name as you give it to him and say, &#8220;_____ wants the _________.&#8221; </p>
<p>One thing I do is respond to a question like this literally by saying, &#8220;No, Laura doesn&#8217;t want the _________, but <u>_child&#8217;s name</u> does.&#8221;  Then model, &#8220;I want ________.&#8221;  Wait until she repeats this phrase as the request before giving him the item.    </p>
<p>Once a child&#8217;s language has become more advanced, ask the question, but offer responses at the end.  &#8221;Do you want ice cream, yes or no?&#8221;  Again watch your tone so that you&#8217;re not modeling the question inflection for the yes/no response part of the question.  </p>
<p>3.  When offering choices, also drop the &#8220;Do you want   _____ or _______?&#8221;  Model the names without the question tone at the end and holding each one forward when offering the choices.  If your child is reaching for one, again model the objects&#8217; name and withhold until he repeats you. </p>
<p>One expert suggested using a fill-in-the-blank format.  Offer the choices by modeling the words in a statement tone of voice (not a questioning intonation) and then adding, &#8221;<u>Child&#8217;s name </u>wants&#8230;..&#8221;  Wait for him to complete the phrase, then give the object.  </p>
<p>4.  Stop asking other questions like, &#8220;Do you need some help?&#8221; or &#8220;Should I hold you?&#8221;  Model what your child should say before and while you&#8217;re doing what he needs.  Try, &#8220;Help,&#8221; or &#8220;Hold me.&#8221;  Also drop the question tone since your child may also imitate this voice pattern.  Later you can start to wait a while and expectantly look at him for his &#8220;echoed&#8221; request. </p>
<p>5.  Be careful how you respond to requests.  If you&#8217;re saying, &#8220;Okay&#8221; habitually after a request, your child may also incorporate this into his script saying something like, &#8220;Help you?  Okay.&#8221;  To avoid this, either perform the request without a verbal response, or vary what you say so that he&#8217;s not &#8220;locked in&#8221; to a particular pattern.          </p>
<p>6.  Avoid using praise such as, &#8220;Good job ______&#8221; or the more stupid phrase, &#8221;Good talking __________&#8221; with the child&#8217;s name since she will often imitate this.  If you can&#8217;t stop yourself, at least don&#8217;t use her name.  I try to use lots of hugs, smiles, and cheer, &#8220;Yay&#8221; to replace this habit.  It sounds less abnormal when a child cheers to congratulate himself when he&#8217;s not using his own name.     </p>
<p>7.  Avoid greeting or closing using the child&#8217;s name since he will always repeat the way you&#8217;ve said it instead of using your name.  (By the way - I screw this up regularly!)  Use just, &#8220;Hi&#8221; and &#8220;Bye.&#8221;  Hard to remember!  You may also try other good-byes such as, &#8220;See you later!&#8221; or &#8220;Be right back,&#8221; since it&#8217;s okay if a child echoes these.</p>
<p>Several sources recommended using a verbal cue such as calling the child&#8217;s name first or touching him and then using your greeting or closing. </p>
<p>8.  When you notice your child echoing, look at this as an opportunity to teach him what he needs to know.  Model the way he should say something and wait.  </p>
<p>9.  Sometimes echolalia is a child&#8217;s response when his system is overstimulated.  Children who are tired, hungry, scared, sick, extremely bored, or overwhelmed often lapse into echolalia as a way to self-calm.  Analyze the situation and see what kind of support you can provide to them environmentally before you begin to look for ways to eliminate the echolalia.    </p>
<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;</p>
<p>In closing, let me remind you again of the bright side of echolalia.  He&#8217;s talking!  He&#8217;s trying!  He <em><strong>is</strong></em> working on learning to communicate.  You can see it right before your very eyes!  It may be frustrating for you, even for a looooooooooong time, but remember that it&#8217;s better than the alternative of being silent and not showing any evidence of learning language.   The positive qualities of echolalia, having strong memory skills and learning from predictable patterns, CAN and SHOULD be used to help your child learn to communicate.  Use these suggestions and ask your SLP to help you figure out how to do this for your child.</p>
<p>I welcome your comments to this and all articles on this site! </p>
<p>Laura                                     </p>
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		<title>Teaching Your Toddler to Answer Questions - Receptive and Expressive Language Delay Issues</title>
		<link>http://teachmetotalk.com/2008/02/26/techniques-to-work-on-answering-questions-with-language-delayed-toddlers/</link>
		<comments>http://teachmetotalk.com/2008/02/26/techniques-to-work-on-answering-questions-with-language-delayed-toddlers/#comments</comments>
		<pubDate>Wed, 27 Feb 2008 02:44:47 +0000</pubDate>
		<dc:creator>Laura</dc:creator>
		
		<category><![CDATA[Milestones]]></category>

		<category><![CDATA[Receptive]]></category>

		<category><![CDATA[echolalia]]></category>

		<category><![CDATA[higher level language skills]]></category>

		<category><![CDATA[learning to answer questions]]></category>

		<category><![CDATA[normal language development]]></category>

		<guid isPermaLink="false">http://teachmetotalk.com/2008/02/26/techniques-to-work-on-answering-questions-with-language-delayed-toddlers/</guid>
		<description><![CDATA[Many toddlers with language delays have difficulty learning to answer questions.  Common problems include:

Repeating or the last few words of the question rather than answering
Answering incorrectly such as shaking their heads “yes” when you ask them a question with 2 choices 
Giving an off-target response such as answering, &#8220;Two,&#8221; when you ask, “What’s your name?”
Not responding or ignoring questions

By 30 months of age, [...]]]></description>
			<content:encoded><![CDATA[<p>Many toddlers with language delays have difficulty learning to answer questions.  Common problems include:</p>
<ul>
<li>Repeating or the last few words of the question rather than answering</li>
<li>Answering incorrectly such as shaking their heads “yes” when you ask them a question with 2 choices </li>
<li>Giving an off-target response such as answering, &#8220;Two,&#8221; when you ask, “What’s your name?”</li>
<li>Not responding or ignoring questions</li>
</ul>
<p>By 30 months of age, most toddlers with typically developing language skills are consistently answering yes/no questions, choosing between 2 options (&#8221;Do you want your Dora shirt or flower shirt?&#8221;) and answering simple &#8220;What&#8221; and &#8220;Where&#8221; questions (&#8221;What do you want to eat?&#8221; or &#8220;Where did Daddy go?&#8221;). </p>
<p>By age 3 most children with typically developing language skills correctly answer common questions related to themselves such as, &#8220;What&#8217;s your name,&#8221; &#8220;How old are you,&#8221; and &#8221;Are you a boy or a girl?&#8221;      </p>
<p>Listed below are the tried and true ways I recommend that parents work on answering questions with their children at home. </p>
<p><strong>Basic Questions</strong> </p>
<p>Children learn to answer, &#8220;What&#8217;s that?&#8221; questions to label items before they begin to answer other kinds of questions.  If your child is not consistently answering this question, practice often with words you know he can say across different contexts.  For example, if says, &#8220;Shoe,&#8221; ask him, &#8220;What&#8217;s that,&#8221; while pointing to his shoes, while looking at pictures of shoes in catalogues, while reading books, and while playing with a doll or toy characters.    </p>
<p>Toddlers also begin to answer questions by making verbal choices.  Offer choices for everything throughout the day. &#8221;Do you want milk or juice? Which one should we play - blocks or cars? Should we read Good Night Moon or the Elmo book? Do you want a hug or a kiss? Does the cow want to eat or sleep?&#8221;  If he is not yet using words, he can respond with a gesture such as pointing, looking, or even grabbing the one he wants.  When he is talking or signing, you should wait him out for a verbal response, especially for words you know he can say or sign.   </p>
<p>One way to make sure that your toddler understands choosing is to offer a non-preferred item as a choice.  This is an especially effective technique for children who only &#8220;echo&#8221; the last words they hear.  For example, ask if he wants to play with bubbles or a sock.  If he repeats &#8220;sock,&#8221; make him take the sock.  You can also use this with favorite snacks and a not-so-desirable option.  If he echoes and says the wrong item, make an effort to have him take the item he doesn&#8217;t want, even if he&#8217;s initially upset or confused.  Give him a second chance by saying, &#8221;You said, ____.  What do you want,  ______ or _____?&#8221;  Sometimes I hold the &#8220;correct&#8221; choice forward or shake it to call attention to it.  I also the exaggerate the &#8221;preferred&#8221; item as I say the word and whisper the non-preferred choice.           </p>
<p>Ask early &#8220;where&#8221; questions that she can &#8221;answer&#8221; with a point, look, or by retrieving an item.  For example, hide a ball in your hand and ask her where it is.  Ask her where common objects are in your home so that she can go get them.  Ask her to locate family members by pointing or looking as you are seated around the table during meals.  Have Dad or an older child model the correct answers as you ask your child.  Practice these kinds of tasks often knowing that you are building a foundation for verbal responses. </p>
<p>When your child correctly &#8221;answers&#8221; with a non-verbal response, use words to describe what he did.  As he&#8217;s pointing to family members when you&#8217;re asking, &#8220;Where&#8217;s _______,&#8221; say the family member&#8217;s name or a response such as, &#8220;Right there.&#8221;  When he&#8217;s answering a location questions, use the correct words.  &#8220;Yes!  It&#8217;s <u>in</u> the box.&#8221;           <u></u></p>
<p><u></u></p>
<p><strong>Moving</strong> <strong>On</strong> </p>
<p>Work on yes/no questions by giving them as &#8220;choices.&#8221;  For example, &#8220;Do you want cookies - yes or no?&#8221;  Shake or nod your head to cue your child as you say the words &#8220;yes&#8221; and &#8220;no&#8221; so that he can associate those gestures with words and use them if he can&#8217;t or won&#8217;t say the words just yet.        </p>
<p>When he&#8217;s answering &#8220;where&#8221; questions accurately without words, begin to model verbal responses by giving two choices for more complex questions.  Say, &#8220;Is your hat on your head or on your feet?&#8221;   &#8221;Is the ball on the couch or the floor?&#8221;  &#8220;Is the dog eating or sleeping?&#8221;  Again, use visual cues to help him.  I use an exaggerated point to help cue the correct answer.  </p>
<p><u></u></p>
<p><strong>Higher</strong> <strong>Level Questions</strong></p>
<p>For answering questions about recent experiences, use the choice method or the review method.  Ask her, &#8220;What did you do at school today?&#8221;</p>
<p>Use the <u>choice</u> <u>method</u> to help generate an answer if she doesn&#8217;t respond to your first attempts.  Try, &#8221;Did you paint or play in sand?&#8221; Again try to vary the order of your choices so she is listening for the &#8220;correct&#8221; answer.  (A little foreknowledge of what she actually did is required for this to be effective!) </p>
<p>Practice the <u>review</u> <u>method </u>in daily routines and especially at the ends of specific play times.  Narrate what you did and then ask questions. For example, &#8220;Today we played with the farm, ate Oreos, and blew whistles.&#8221; Then ask her what you did giving visual cues (pointing or holding up the objects) as she answers.  </p>
<p>When you come in from playing outside, have her tell Dad what she did.  Start with a review of activities by saying, &#8220;We played on the slide and then on the swings.&#8221;  Then have Dad ask, &#8220;What did you play?&#8221;  Model what she should answer if she can&#8217;t do it.  </p>
<p>Another great time to practice is at meals.  Review what she ate for dinner by saying, &#8220;You ate chicken, macaroni, and peas.&#8221;  Then ask, &#8220;What did you eat for dinner?&#8221;  Point to her foods as a cue of what to respond.  Fade the review and pointing when she begins to answer on her own. </p>
<p>A very effective way to cue answers to questions is to have one adult &#8220;ask&#8221; the child questions and have another adult &#8220;whisper&#8221; the answers if he needs help.  Fade the coaching as he becomes better.   </p>
<p>For children with better language comprehension skills who understand humor, try using a ridiculous choice to entice her to respond without echoing. You might say, &#8220;Do want to eat ice cream or poop?&#8221; Exaggerate the silliness of your offer so she knows you&#8217;re kidding and gets the &#8220;humor&#8221; in this question.  (Beware the &#8220;poop&#8221; jokes.  This may catch on and be a loooong phase at your house!)</p>
<p>For learning to answer the familiar name/age/gender questions, practice, practice, practice.  A good way to begin working on this is to ask older children first so that your child can hear a model and it becomes a game.  I also ask these questions with &#8221;yes/no&#8221; choices too.  &#8220;Is your name Daddy/sibling&#8217;s name/pet name/character name?&#8221;  Model an exaggerated, &#8220;Noooooo&#8221; with a big head shake and grin.  Ask a couple of &#8220;no&#8221; responses, then ask the correct version. </p>
<p>To help children learn gender, label &#8220;boy/girl&#8221; everywhere you go.  I also use children&#8217;s clothing magazines with stereotypical pictures such as girls in dresses and with long hair and boys in pants since there are lots of pictures for practice.  Be sure to &#8221;teach&#8221; this concept for a long time before you begin &#8220;testing&#8221; by asking, &#8221;Is he a boy or a girl?&#8221;  You don&#8217;t want to let a child repeatedly make a mistake in answering since he then &#8220;over-learns&#8221; the incorrect response.  Gender is often a difficult concept for children with language delays.  </p>
<p>If you have any other &#8220;tricks&#8221; for teaching your child to answer questions, please feel free to share them with us by leaving a comment!   Laura               <u></u></p>
<p><u></u></p>
<p><u></u></p>
<p><u></u></p>
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