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Keeping Your Finger on the Pulse of Normal….Advice for Therapists
I am always amazed when I hear a therapist (Speech, OT, or PT) tell me that they don’t have regular contact with typically developing children. What? Then how do you gauge “normal,” and what do you call typical? Surely you’re not still relying on your grad school experience? Observation hours with typically developing kids is your only reference? Noticing kids as you whiz past them in the grocery store is the most contact you have with kids that you’re not seeing professionally? Then you’re in trouble!
For those of you who may be new to the field of pediatric therapy, let me break it to you, and not so gently. You can’t judge normal by the highest functioning kid on your caseload that you just discharged because he no longer met the eligibility requirements for your agency or program. While you can call a kid “within normal limits” when he barely meets all the skills on the criterion-referenced checklists you’re using, you can’t really reassure his mother that he’s “fine” since those are designed so that kids who barely make it to the shallow end of the bell curve still pass.
You surely can’t judge normal by comparing clients to your own children, if you even have any, unless you have a whole houseful of kids and wonderful genes so that each one of your children is without quirks! To top that off, sometimes a “mother’s love” blinds us to issues with our own children! We can diagnose difficulties in other people’s kids all day long, but some of the worst cases of old fashioned denial that I have encountered professionally have been in families whose parents have the credentials of someone who should?know better!
The only way to make sure you are keeping your finger on the pulse of normal is to see lots of kids and often.
How exactly do you do this? One way is to constantly acquaint yourself with mothers who have children the same ages as kids you treat, or involve yourself in a group with kids the same age. If you’re an elementary school SLP, this might mean that you find yourself a Brownie or Boy Scout troop to befriend. If you’re a preschool therapist, coach a sport at the Y or in your community leagues. Since I specialize in birth to 3, I volunteer in the nursery at my church once a month on Sunday mornings and teach a class of 2- year-old every Wednesday night during the school year.
Churches and community organizations rarely turn down a capable and willing adult volunteer. Just wait until they find out you’re a “professional!” You’ll likely get to?name the time or commitment you’d like to fulfill.
Another “must” that they don’t tell you about in grad school is to commit your milestones to memory. Know them so well that you can quote them verbatim when someone asks, “How many words should my child have by X months of age?” If you’re constantly saying or thinking that you need to “wait until I score the test to see if this child qualifies,” then you don’t know normal well enough. Learn your stuff! The parents of the children you see are counting on you to know!
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"Laura, I am a long time follower. You have mentored me from a distance for many years. I've watched many of your courses and purchased 5-6 of your books. I just wanted to take a moment as a sister in Christ to say- --- Thank you!! I'm in my 33rd year as an SLP and still love it! I work in the public schools and have grown my skills along the way with your help. Thank you thank you thank you and, Many blessings to you and your daughter!!!"
Camille, SLP
"Laura,
Three years ago, my then 2year old (adopted) was only saying two words - momma and boat. We had been doing speech therapy for 6 months, and he loved to play, but he was entirely uninterested in talking. A dear friend who is a SLP recommended I look you up online. Since then, I've read your emails, listened to hours of your podcasts, ordered two of your therapy manuals, and watched many of your videos.
My now 5year old tells elaborate stories now, and if you didn't know his background, you would never guess. And thanks to the hours that I have spent with your guidance, when our next son, now a 2.5yr old, didn't talk (after a craniotomy), I had tools to get started with him. His speech has just taken off in the last month or so.
Thank you so much for all that you do to help parents facilitate speech therapy with their kiddos. And thank you for your gentle, confident living of your faith.
God's blessings."
Rachel (mom to 3 boys in a now very noisy house!)
"Hi Laura!
I became an SLP in 2004 and you were my first SLP crush! I was so fortunate to have a supportive school district that allowed me to purchase your videos and the Teach Me to Talk handbook. Not only was the handbook a life saver (I literally called it my Bible lol), but the videos, oh how the videos changed my life, and the lives of the families I worked with! I remember telling my families that they'd love you, not only because you spoke directly to families, jargon free, but also because of your southern dialect. You speak directly and clearly, but never rushed and never over anyone's head, something I highly value. I told families that I could listen to you read the phone book and it would capture my attention. You see, I'm from Ohio where we don't get a whole lot of diversity and cool dialects, so listening to you talk about my favorite topics was a breath of fresh air. So many of us think talking over people's heads makes us more credible or whatever, but now that I've been around over 20 years, I can say you had it right all along. Southern speech included 😊"
Heather Welling, M.A., CCC-SLP, Early Intervention in Summit County, OH
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Elizabeth, SLP
"LOVED this program! It was jam-packed with a ton of information that will take time to incorporate into therapy sessions. (Not only is the child learning new skills, so am I as a therapist!) I've known about strength-based therapy and have done it, but not to the extent and to the organization offered in this training. I am looking forward to seeing how my therapy changes and how my little ones progress by using this program."
Leah, SLP
"This program was extremely beneficial for use in my practice. All of the information, handouts and techniques that were presented were amazing. Easy to follow along. I liked that it was broken up into different videos/sections."
Michele, SLP
"Thank you for including real-life stories and anecdotes from your own practice. Very helpful."
Ellen, SLP
"I loved the clear strengths guidance, and the reminder not to push too hard in therapy!"
Elizabeth, SLP
"The course was very helpful and practical. I will certainly apply this approach to children on my caseload. I kept thinking about children that already "graduated" from EI and wish I had this knowledge when I still had them on my caseload. (Although I did put a lot of other Teach Me to Talk information into practice!)"
Heidi, SLP
"I appreciated learning the 7 C's of Communication, which seemed to include, (restated/reorganized/ summarized) information from '11 Skills Toddlers Master Before Words Emerge', which I have successfully used for years now (Thank you so much!!!!). I appreciated the additional information included to better assist toddlers with ASD since that population, unfortunately, continues to rise. I also appreciated the focus on regulating children and the need to keep them regulated, since dysregulation and sensory impairment in toddlers is also rising. These are areas I did not study in grad school. I appreciate the worksheets we can provide for parents to identify strengths and how to use these strengths more effectively in treatment. Thank you again, for your essential contribution to our field. p.s. You and Macy are precious!! God bless you both!"
"I am one of those therapists who you pointed out works on the wrong things. ARH!! What a slap in the face, but in a good way, because it was a much needed wake up call. I've hated my job lately and now I know why. Thank you for the clarity."
Susan, SLP
"Dear Ms. Laura and sweet Macy, I just purchased the new course and wanted to say THANK YOU! I would have definitely expected such cutting-edge information to come from you! I am part of several message boards for parents of autistic children, and we parents are just so tired of being told by professionals what our children can't or will never do. And really, what is the point of doing that? How does that help at all? Except to make the parent miserable and feel like there is no point in trying to help their child?...The tone of the course is great (such positivity), and Macy is such a delight! She is such a wonderful addition to Teach me to Talk."
Ann, SLP
“I loved the handouts to share with parents to help them understand how utilizing their child's strengths and interests is the best way to facilitate their child's communication abilities.”
Colleen, SLP
“The most beneficial part of the program is the strengths survey, as well as the treatment toys and activities that correspond to each strength. There was no part of the program that I did not feel was beneficial.”
Natalie, SLP
"I LOVED the energy of this course! I also appreciated the research facts I learned I can spit out to other professionals and parents. The best part was how characteristics of ASD were divided into strengths and therapy activities... so if I have a visually inspecting kid, I know I can go into my pdf and find out what activities I should target based on that characteristic... this really did improve how I think about therapy."
Kelsey, SLP
"I feel so much more at ease now having a huuuuuge packet of therapy ideas and a framework for organizing my therapy and having an actual PLAN instead of just "following the child's lead" while trying to figure out how to work in the goals. The way the content was explained was easy to follow and the handouts are excellent."
A, SLP
“I found identifying a child's strength helped me to consolidate my previous knowledge and experience. I feel I have a clear method to identify a child's strength and to build their strengths into sessions plans to help achieve their set goals.”
Christine, SLP
"Wow, this course was by far my favorite course I have taken in a long time! I have been lately feeling "stuck" with a few of my autistic toddler clients, and this course provided clear and helpful tools and strategies to best support our clients while also being affirming. I loved all of the ideas that were provided as well as the Strengths Survey – I can't wait to implement all of these wonderful things!"
Isabel, SLP
“The most beneficial part of the course was the handouts to share with parents and ALL the therapy ideas!! I've always felt that we focus on the 10% a kiddo can't do instead of the 90% Can Do. I have always tried to do this in my therapy sessions. Now I have evidenced material for support!!!!!”
Suzanne, SLP
“Liked systematic handouts to use to help with assessment and diagnostic therapy. Enjoyed hearing examples of each strength domain. Great review and great handouts to be able to share with families. The course was well organized and the content is much needed as an EI therapist.”
Terri, SLP
“This was a fresh new philosophy and a comprehensive approach with a new concept for successfully working with children with Autism. Before this ,the very structured, compliance teaching model which has been utilized by many therapists using comply-reward, noncompliance -punish or a with-hold philosophy. Children with Autism became prompt-.dependent with this method. These Children couldn't initiate language or make a plan to move on their own. They had to wait to be prompted to act or to respond and never spoke spontaneously on their own. I and many of my SLP colleagues have always believed in play therapy and giving the child choices to play works best. It is very important that Parents should hear about this strategy! Thank you Laura and Macy for doing the evidence-based research and putting this new concept into words!!”
Teresa, SLP
“This was a wonderful, easy to understand course with lots of great materials. Exactly what the fabulous Laura Mize is known for!”
F, SLP
"I am an autism mom, and I bought your books and listened to several podcast episodes over the last few years. I believe your teach me to talk and autism workbook were one of the number one tools in giving me to guidance to help my son. Thank you!"
Brittni
"I just want to thank you for the invaluable information you’ve given me in helping my grandson to talk (which I have passed on to his parents). We’ve ve learned patience, appropriate expectations, and fun and effective strategies that we had found no where else. He is exploding with conversation! Sometimes I struggle to interpret his articulation, but all I have to do is say, “Show me”, and he’s excited to do so. He and I both want so badly to communicate with each other, and your strategies have made it so much easier and non-threatening. Once again, I thank you from the bottom of my heart."
Stacey
"My little guy is taking off like a rocket!! We’ve been working through your Autism Workbook for a few months and he has had an explosion of skills develop. YOU are AMAZING! THANK YOU!" Laura Q, Mom
"Dear Laura Mize and Team,
Thank you so much for all your hard work and publishing books! Our 17-month-old toddler suddenly exploded into speaking and imitating everybody's gestures and sounds, just a week or two after we 'completed' all activities that are listed under 11 pre-linguistic skills! Your method really works!"
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"Hi Laura!
I absolutely LOVE all of your workbooks, especially your Autism Workbook. Starting with Social Games has been a game changer for many of my littles with ASD and their families. It's been the best way for them to finally connect and sustain shared attention and engagement, leading to longer social interactions, through play!"
Jodie, Dev, Therapist
"Hi Ms. Laura,
Thank you so much for the videos you have posted on your youtube channel. They are so direct, informative, and helpful. Thank you for being a resource for me to become a better therapist."
Dianne
