Treatment

What conditions do you treat?

Mend Speech Therapy serves, but is not limited to, the following conditions: 

  • ADHD

  • Aphasia

  • Apraxia (acquired)

  • Cognitive-Communication Disorders

  • Dysphagia
  • Executive Dysfunction

  • Post-Concussion Syndrome

  • Stroke

  • Traumatic Brain Injury

 

Do you treat children?
My experience throughout my career has been with adults and adolescent children.  If you need services for a young child, I would be happy to refer you to many excellent options for speech therapy in the area.
What kind of treatment can a speech language pathologist offer adolescents with ADHD?

Speech and language intervention for the person with ADHD is always individualized, as each person has different needs.

 

  • The SLP, along with other team members, will work with the teacher to change the classroom environment as needed (e.g., seating the student at the front of the classroom, having the student repeat directions before following them, using checklists and other visual organizers to help with planning and follow-through).
  • Speech-language treatment will focus on individualized language goals.  These include teaching better communication in specific social situations and study skills (planning/organizing/attention to detail). Again, language goals will differ depending on the needs of the individual student.
  • A physician will work with the family and student to prescribe medication, if needed, to help with attention. If medication is prescribed, the SLP will work with other educational professionals to observe the student’s pre- and post-medication behavior. As part of the educational team, the SLP will communicate with the family and physician regarding any post-medication behavioral changes. Is the student drowsy? Is sustained attention better/worse? How long does it take for the medication to take effect? The physician will use these observations to adjust dosage, the time medications are administered and which medication is used.
Do you treat adults with an ADHD diagnosis? What about adults who suspect they have ADHD but have never been tested?

I have worked with many adult clients who struggle keeping up with their personal and professional responsibilities due to difficulties with all three aspects of communication:  speech, language and pragmatic (social) language.  These adults may already have an ADHD diagnosis or suspect they have been dealing ADHD their entire lives.  Though I cannot formally diagnose ADHD, my assessments may include:

  • Observing the interactions with peers and authority figures in the work setting and during formal testing
  • Observing conversation with spouse and other family members
  • Interviewing family members about speech and language development
  • Interviewing the adult to evaluate self-awareness of needs and difficulties
  • Formally evaluating speech and language skills, such as fluency, speech articulation (pronunciation and clarity of speech), understanding and use of grammar (syntax), understanding and use of vocabulary (semantics ), awareness of speech sounds (phonemic awareness)
  • Evaluating the ability to explain or retell a story, centering on a topic and chaining a sequence of events together
  • Assessing social communication skills (pragmatic language)
  • Discussing stories and the points of view of various characters
  • Assessing the ability to plan, organize and attend to details

If a referral for further formal assessment by a physician is warranted, I can make that referral for you.  Many times, a treatment plan can be implemented following my assessments.

 

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