DocMooreSLP

This past summer I had the opportunity to go to the Level 1 PECS course. PECS stands for Picture Exchange Communication System. It is an augmentative and alternative mode of communication for a wide variety of patients. One topic that was briefly covered was “wait time.” I am so thankful that I was able to begin implementing this into my practice. I can’t tell you how many children I have on my caseload that will grab toys without permission (which I typically like to turn into a language opportunity). Out of these children that want things immediately there are several that will begin to have a behavioral breakdown due to not receiving their desired item/object/attention immediately. How often have you seen this scenario occur? Child: (Going to the slide unsupervised while mom and therapist talks). Mom: “No no you need to wait until we are done talking” Child: (Continues to go to slide). Mom: “No no you need to wait.” (Mom begins to approach c...

Delayed Auditory Feedback Recently, I have had the opportunity to work with a patient that has neurogenic stuttering. We have attempted easy onset and using continuous voicing to improve the dysfluency. We have seen some gains with both of these therapy techniques and I plan to continue to utilize both of them but this patient has a goal to be back to work in a relatively short period of time. So, I decided to try a delayed auditory feedback (DAF) system with my patient. We have seen great results! Now there are several approaches to providing treatment for patients who stutter and this blog post is only discussing one of them, delayed auditory feedback. 1.    What is delayed auditory feedback and how does it work? DAF is a device that takes your voice and delays it by a set time. This set time can be predetermined by the speech-language pathologist or the patient.   DAF systems are thought to best help patients who stutter that have an under ...