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Ask the Experts

What Constitutes a Speech and Language Assessment?

Angela Sherman Slp.D

January 23, 2006

I am a pediatrician in training. When a child is referred to a speech and language pathologist, what constitutes an assessment?   Read More

Teen Male with High Pitched Voice

Janet Skotko M.Ed., CCC-SLP

January 16, 2006

A 17 year old male student has been referred to me for a very high pitched voice. He has been home schooled until this year and has not received therapy in the past. He is able to achieve a lower pitc...   Read More

Managing Hypernasality Following Cleft Palate Repair

Mary Andrianopoulos ., Ph.D,M.S.

January 9, 2006

I have a 4 year old hearing-impaired student with bilateral aural atresia and a repaired cleft palate. His cleft was repaired at 9 months of age and he has been receiving private and school-based spee...   Read More


Malaprops - Unmonitored Pragmatics Deficit

David Stein, Ph.D

January 2, 2006

I have a 25 year-old master's in speech & language, although I never practiced. Today at lunch someone brought me a problem that challenges his colleague, and I didn't know where to send them for info...   Read More

Therapy Suggestions for Epiglottic Dysfunction

Dennis Fuller, Ph.D

December 19, 2005

Are there any specific techniques for epiglottic dysfunction? I do not have access to electrical stimulation at this time and would appreciate some functional exercises that a high functioning patient...   Read More

Team Approach to Communication: A Child with Angelman Syndrome

Bonnie Lisbona, M.A.,CCC-SLP

December 12, 2005

I am a speech-language pathologist in the public school setting in Los Angeles, CA. I am working with a nine and a half year old student with Angelman Syndrome. He has no speech, has not been seen by...   Read More

How Early Should Therapy Begin for Down Syndrome?

Karen Crockett, Ph.D,CCC-SLP

December 5, 2005

How soon can it be beneficial to start Speech therapy for a baby with Down Syndrome?   Read More

Therapy Techniques for Drooling

Kathleen Fahey, Ph.D,CCC-SLP

November 21, 2005

What are some techniques to assist toddlers (around 20 months) who have an open mouth posture and drool? Are blowing bubbles and blowing horns effective?   Read More

Stuttering and Reading Fluency in a 3rd Grader

Charlie Osborne, M.A.,CCC-SLP

November 14, 2005

I'm seeing a 3rd grader who displays mild dysfluencies. Until recently, stuttering didn't seem phase him. His teachers report that when he reads, he reads like he talks. He'll go back and repeat parts...   Read More

Unintelligible Speech With a Pharyngeal Flap

Cheryl Gerard, Ph.D

November 7, 2005

I have a new student on my caseload. She is 5 years old and was born with a submucous cleft. The cleft has been repaired and she had a pharyngeal flap in November 2004. She did receive speech therapy...   Read More


Therapy for Early Vocal Nodules in Children

Bridget Russell, Ph.D

October 31, 2005

I'm a school speech pathologist working with a 4 year old boy who has been diagnosed with a thickening of the anterior one-third of his vocal chords which, according to his MD, is a prenodule state pr...   Read More

Therapy References for Children with Cerebral Palsy

Richard Adler, Ph.D,CCC-SLP

October 24, 2005

I am a speech and language therapist. I was wondering whether you could recommend any books about speech and language intervention in children with cerebral palsy.   Read More

My Child Has a Unilateral Hearing Loss

Carol Flexer ., Ph.D

October 17, 2005

My son is now one year old and was diagnosed with unilateral hearing loss when he was born. Now that he is starting to talk, I wonder is there anything I can do to help him with his speech. He does no...   Read More

Palatal Lift Exercises for VPI

Lynn Marty Grames, M.A.,CCC-SLP

October 10, 2005

I am working with a six-year-old male with inconsistent velopharyngeal incompetency and motor speech disorder best characterized as dysarthria.Surgical intervention or a prosthetic appliance were not...   Read More

Evaluation and Treatment Recommendations for a Child with Dyspraxia - a Complicated Case

Margaret Fish, MS, CCC-SLP

October 3, 2005

I am presently working with a 6.4yr. old (semi) verbal male who attends a private Kindergarten three days a week. He has received private Sp. therapy for 2 yrs. and was labeled as dyspraxic. I have wo...   Read More


Improving Cadence with Dyspraxia

Michelle Godfrey Harmon, Ph.D

September 26, 2005

What can be done to improve the cadence of a student with resolving dyspraxia... this student is a second grader with few remaining speech sound errors (distortion of /r/ and f/th substitution)...but...   Read More

Reimbursement for Dysphagia Treatment

Sue Curfman, M.A.,CCC

September 19, 2005

Is esophageal dysphagia therapy reimbursable for Medicare in a Skilled Nursing Facility? If a resident is having chewing difficulty only, does this warrant a dysphagia evaluation, and is it paid for b...   Read More

Assessing Pragmatic Use of Language

Mary Anne Nericcio, Ph.D

September 12, 2005

I am searching for a useful checklist or assessment tool in determining a student's pragmatic use of language. I realize that this may not be a "qualifying" tool for services but we need to describe s...   Read More


Reducing Laryngeal Tension During Stuttering

Craig Coleman, M.A.,CCC-SLP

September 5, 2005

I have three middle school students who are severe stutterers, whose greatest challenges appear at the laryngeal level. Two of them cannot get enough airflow during blocks to permit phonation and have...   Read More

Voice Change Post Tonsillectomy

Lori Lombard, Ph.D

August 29, 2005

I am a SLP in a public school and a 6th grade girl just came to me about her voice change since her tonsillectomy recently. Not sure how long it's been since the surgery, but I'm guessing not long. Is...   Read More

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