1. Using a pacifier for too long can hinder a child’s development
  2. Children tend to have the most need for extra or non-nutritive sucking (not during feeding) between the ages 2-4 months of age.
  3. PROS & CONS to pacifier use include:
    • PROS:
      • used as a sleep aid
      • to comfort your child in stressful situations
      • to distinguish between hungry vs. fussy baby
      • to help with acid reflux
      • for infants who are tube-fed
    • CONS:
      • breast-feeding difficulties
      • dental problems
      • increased middle ear infections
      • speech problems
      • swallowing difficulties
      • dependency
      • negative social impacts
  4. How to eliminate pacifier use:
    • keep pacifier out of sight
    • be consistent
    • designate certain times of the day for pacifier use
    • slowly reduce the amount of time allowed for pacifier
    • finding other ways the child can comfort themselves
    • encouraging good dental care
    • give praise





Increasing Expressive Language

Below are a few target words and examples to model throughout the day to expand expressive language:

1. On

– turn on music, put on clothes, put shoes on, turn on light, put hat on

2. Up

– request up from chair, request up for a hug, request up when a toy is out of reach, say up when looking at sky, say up when flying a plane during play

3. Clean

– clean hands, clean up toys, clean your table, clean body during bath, clean doll or dishes during play

4. Open

– open car door, open house door, open refrigerator door, open juice or snack, open bubbles

5. Eat

– requesting eat for snack time, requesting eat for breakfast, lunch or dinner, requesting eat during pretend play

6. Want

– requesting want to get food, toy, TV, or books, request to get dressed, request to go outside, request to listen to music

Enjoy! 🙂

Voice Disorders in Children

Voice Disorders:



The most common cause of vocal problems is called “vocal abuse.” 5% of school age children are considered to have voice problems caused by misuse of the voice. Types of misuse include:• screaming and yell during recess, sporting events, and playtime  •prolonged vocal abuse can result in “vocal nodules” (which is a growths on the vocal cords) •  allergies, sinus, and adenoid problems  affect their vocal quality •  decongestants and antihistamines can dry out the vocal chords. 

Types of vocal qualities/symptoms:

hoarseness • harshness/low in pitch and very strained • breathiness/whisper-like noise • pitch breaks/pitch goes up and down • low volume • denasal/ “stuffed up” • dry cough • persistent throat clearing • a voice problem which persists for 2-3 weeks

Voice Therapy:

Voice Disorders are treated by a Speech-Language Pathologist. An ENT will examine the child to rule out any growths on the vocal cords. In some cases, the child may need to have surgery remove nodules. In other cases, speech therapy can determine if the growth will shrink with a reduction in vocal abuse. Voice therapy programs usually last about 8-12 weeks. In therapy, children will  be asked to have periods of vocal rest 3-5 times a day as well as learn strategies to reduce vocal abuse.


Hope this was helpful! Have a great weekend! 🙂

How to Know When Your Child Needs Articulation Therapy

Hello All,

Articulation errors are common in children during toddlerhood and early childhood. Different sounds and sound patterns develop at different ages. Your child may not properly pronounce certain sounds yet, however they may not be developmentally appropriate for their age. Here is a chart that shows speech sound norms:


Phonological processes refer to certain sound patterns that a child utilized to simplify speech.  There are typical processes which children utilize.  Each of these processes has a specific age when they typically should be  suppressed.



If your child has sound errors or substitutions or sound patterns that are delayed for their age, speech therapy is most likely warranted.

Traditional articulation therapy begins with a sound in isolation (I.e. producing “t,t,t”). When the child can say the sound in isolation, the sound will begin to be targeted at the syllable level “to, tay, teee, tie, toe, tooh”. At this point, the sound will be target in the initial, medial or final position of words. After this is mastered these words can be targeted in sentences. If the child is old enough the can move on to conversation, in which the child must utilize words with the target sound. The next level is called “generalization”, this is when a child correctly produces a sound through all contexts of language.

Hope this helps!!!