The Preschool SLP: KellyVessSLP

If you think executive function challenges only affect your ADHD and autism clients, this episode will change how you see your entire caseload. In this episode, we break down the latest 2025 research, revealing that executive function difficulties are far more widespread than previously recognized, including in populations SLPs have historically underestimated. You'll learn: Adele Diamond's 3-part framework for understanding executive function (attention and inhibitory control, verbal working memory, and cognitive flexibility) Why do children with developmental language disorder almost universally show verbal working memory deficits across all ages and native languages The surprising finding that even children with mild articulation errors, like distorted R's and S's, show statistically significant executive function risk New 2025 data linking stuttering to verbal and visual working memory difficulties How Universal Design for Learning (UDL) principles can help you build one powerful, inclusive activity that targets executive function across your whole caseload The bottom line: We need to stop treating a mouth and start treating the whole child. Next week: Part 2 covers what the research says actually works to improve executive function and how to bring it into your sessions starting Monday. References: Afshar, M., Zarifian, T., Khorrami Banaraki, A., & Noroozi, M. (2022). Executive functions in Persian-speaking preschool children with speech sound disorders and comparison with their typically developing peers. Applied Neuropsychology: Child, 11(4), 702–712. https://doi.org/10.1080/21622965.2021.1937169 Kakuta, K., et al. (2025). Executive function in preschool children who stutter: A behavioral assessment study. Scientific Reports, 15(1), Article 16159. https://doi.org/10.1038/s41598-025-00981-9    Lee, D., Boulton, K. A., Sun, C., Phillips, N. L., Munro, M., Kumfor, F., Demetriou, E. A., & Guastella, A. J. (2024). Attention and executive delays in early childhood: A meta-analysis of neurodevelopmental conditions. Molecular Psychiatry. Advance online publication.  Niu, T., Wang, S., Ma, J., Zeng, X., & Xue, R. (2024). Executive functions in children with developmental language disorder: A systematic review and meta-analysis. Frontiers in Neuroscience, 18, Article 1390987. https://doi.org/10.3389/fnins.2024.1390987 Keywords: executive function, speech language pathology, developmental language disorder, speech sound disorders, apraxia of speech, stuttering, verbal working memory, UDL, SLP caseload, 2025 research

Ever wonder why some books become instant hits with your students while others fall flat? In this episode, we go behind the scenes on a real-life book hunt and walk away with a practical framework you can use every time you pick up a new children's book. Using the principles of Universal Design for Learning (UDL), we break down exactly what makes a book "sticky" for diverse learners, including kids who struggle with attention, visual processing, auditory processing, or language itself. The UDL Book Selection Framework: The ABCs Before adding any book to your therapy toolkit, run it through these three filters: A — Connection: Does this book connect to the child's world? Think about interests, home routines, prior knowledge, and personal experiences. If a child can see themselves in the pages, engagement follows. B — Multimodal Presentation: Can you bring this book to life? Look for opportunities to use vocal animation, movement, emotion, rhyme, sound effects, and gesture as you read. The best books practically beg to be performed. C — Active Child Participation: Can the child do something with this book? Movement, facial expressions, sound-making, turn-taking, and storytelling from personal experience all count. The goal is for a child to be participating with the book, not just listening to it. The 6 Books Featured in This Episode How Do Dinosaurs Say Good Night? (board book version) — Realistic, emotionally expressive dinosaur illustrations paired with a bedtime routine kids know well. Rich with rhyme, emotion, and movement opportunities. Perfect for diverse learners with its short, one-sentence-per-page format. That's Not Funny, David! by David Shannon — A step up from No, David!, this one is heavy on inferential thinking. Kids identify what David is doing wrong from indirect cues rather than direct ones — a powerful tool for building higher-level language skills. Everyday scenarios spark personal storytelling and connection. Llama Llama Feelings — Pairs a familiar, beloved character with a known routine (the bedtime sequence) to introduce nuanced emotions like joy, worry, and excitement in rich context. Far superior to decontextualized feelings cards. Rhyme throughout keeps engagement high. Mr. Brown Can Moo, Can You? (beginner book version) — A goldmine for non-speaking and emerging communicators. Onomatopoeia, animal sounds, environmental sounds, and the "cloze" technique (pause before the last word) let every child participate meaningfully. Connects print to sound in a playful, low-pressure way. Night Night Farm — Interactive lift-the-flap format with repetitive, predictable language. Farm animals + glow-in-the-dark stars on the final page = irresistible engagement, especially for younger learners. A perfect wind-down book that ends with a singalong. In My Heart — The standout of the bunch. Maps complex emotional concepts onto simple, concrete nouns (a star for happiness, an elephant for sadness). Moves emotional vocabulary well beyond basic happy/sad/mad into nuanced, embodied feeling language. Highly recommended for children working on emotional regulation and self-expression. If you're tired of starting from scratch every week, the SIS Membership gives you a library of research-informed, engagement-tested materials so you can walk into every session confident and prepared. 👉 Join the SIS Membership and get access to activities for these books and dozens more — plus new materials added regularly throughout the school year: https://www.kellyvess.com/sis Drop a comment or send a message letting us know: what's a book you swear by in your therapy room? We're always on the hunt for the next great find.

This episode is a message on humanism, mission, and showing up fully for every child. It's not a question of whether the child can do it. Of course they can. It's only a question of how. This week's episode is deeply personal. After losing a close friend and being present with him in his final moments, a powerful message surfaced: when someone is suffering, don't look away. Go toward them. For SLPs working with challenging children (kids who bite, scratch, have hours-long tantrums, or hurt themselves) this message is everything. The children on your caseload who are hardest to reach are the ones who need you most. And you have what it takes to show up for them. In this episode, let's discuss... Why a humanistic lens, not just a clinical one, is the foundation of meaningful work with children Why a narrow approach with kids with autism will leave you stuck, and what a truly holistic approach looks like How to take what's working in one area of your practice and bridge it to the gaps without reinventing the wheel Why this work is a mission and why giving all of yourself mentally, emotionally, and physically is worth it This episode is for you if.... You work with children who are challenging to reach and sometimes wonder if you're making a difference You feel the physical, emotional, and mental weight of this work You want to be reminded that you are capable and that there's always a "how" You're looking for the motivation to roll up your sleeves and keep going READY TO MAKE THE WORLD A BETTER PLACE ONE CHILD AT A TIME? You bring the mission. We bring the materials. The SIS Membership gives preschool SLPs instant access to ready-to-use, effective, and engaging resources, so you can spend less time prepping and more time doing what you do best: showing up for your kids. ✔ Therapist-designed materials built for real preschool caseloads ✔ Strategies that support a holistic, whole-child approach ✔ Tools that work even with your most challenging kids You don't have to do this alone. Join the SIS Membership today and change lives faster. https://www.kellyvess.com/sis See you there,💚Kelly

End-of-Year Reflect & Recap: The 3 Questions Every SLP Needs to Ask Right Now Whether you're a seasoned SLP or fresh out of grad school, the most powerful professional development you'll do this summer won't come from a CEU course. It's this. In this episode, Kelly walks you through her end-of-year Google Doc ritual: three simple but mighty questions that help you close out the school year with intention and walk into fall with clarity and confidence. In this episode, you'll learn: 🔥 What Was FIRE? Identify what worked in your therapy room this year, including the techniques, materials, and strategies that produced real, measurable gains. These are your non-negotiables. Where there's fire, you add gasoline. 🧀 Where Are the Holes? Channel your inner Swiss cheese and honestly audit your practice. From streamlining parent communication with copy-paste swipe emails to strengthening your high-tech AAC implementation at home and in the classroom, this is where your growth lives. 🩹 How Will You Fill Them? Use the triangle of evidence-based practice, combining your clinical expertise, the research, and family and child feedback, to build a specific, actionable plan for the 2026–2027 school year. The more specific, the better. Why do this NOW? It's all fresh. The wins, the frustrations, the "why didn't I think of that sooner" moments are all right there. Write it down today, and you're 42% more likely to actually follow through. 🎒 Ready to walk into next school year with engaging, evidence-based materials already in hand? Don't spend September scrambling. Spend your summer building and let the SIS Membership do the heavy lifting with you. SIS gives SLP students and professionals access to a growing library of evidence-based therapy materials, strategies, and resources designed to move the needle for the children and families you serve. 👉 Join SIS today at https://www.kellyvess.com/sis and head back to school this fall feeling more prepared, more confident, and ready to make this your best year yet. This episode is perfect for: school-based SLPs, SLP-Assistants, SLP graduate students, pediatric SLPs, AAC specialists, and anyone who believes the details are what move the needle.

Are you winging it when it comes to picking consonant clusters? If you're spending more time hunting for the right targets than actually running therapy, this episode is your reset button. In today's episode, we're diving deep into selecting consonant clusters. We're breaking down how to select targets strategically, sequence them with intention, and finally see the carryover you've been waiting for. Whether you're a seasoned SLP or new to building your clinical confidence, you'll walk away with a clearer framework and a fresh perspective on why some clients plateau and exactly how to get them moving again. In this episode, we cover: 1) Why random target selection is quietly sabotaging your data 2) The developmental and phonological principles that should be driving your cluster choices 3) How to align targets with your client's unique error patterns for faster progress 4) What the research actually says about cluster intervention sequences Ready to stop searching and start treating? Join the SIS Membership and get done-for-you consonant cluster targets you can put to use today. No more building from scratch, no more second-guessing, just clinically sound, ready-to-use materials designed specifically for SLPs and SLPAs. Join now at kellyvess.com/sis Don't delay and have a summer of reorganizing the brain today. 

You're welcome. Because today, we're digging into something I bet you're seeing on your back porch right now, and nobody is talking about it. Asthma and speech sound disorders. If you have a child on your caseload with significant asthma, this episode is the one you need tomorrow. Roll up your sleeves with me. We're going to get our hands really, really dirty, and we're going to talk about where the research stops and where the practitioner begins. Because this is where you have to have skin in the game. This is where it matters that you know your little professors closely, that you study what's happening under your own magnifying glass. Here's what we cover: What the research tells us. A Northwestern-led study of 337,285 children found that asthma, hay fever, and food allergy are significantly associated with speech disorders, and the more severe the disease, the greater the risk (Strom & Silverberg, 2016, Pediatric Allergy and Immunology). A 2006 population-based study of 7,389 eight-year-old children identified asthma as one of the factors associated with voice disorders (Carding et al., 2006, Journal of Voice). So we know there is a connection. And that is where the research stops. What I'm seeing on my back porch. This is where things get gnarly. The children with significant asthma are breaking the rules of speech development. They're stopping fricatives, they're fronting velars, they're voicing voiceless sounds, and they're deleting the /h/. Looks like phonological processes, right? Except phonological processes happen across positions of words. What I'm seeing with these kiddos is 0% accuracy in the initial position of words and 100% accuracy in the medial and final positions. That is not linguistic. Do you dare disturb the universe? Yes, you do. That's physiology. Why this is happening. My hypothesis, and this is practitioner experience, not research on large populations, is that these children have insufficient subglottal air pressure. Continuant sounds need continuous airflow from the respiratory system. After the vowel gets going, the vocal folds are doing the work and producing those sounds becomes easy. But in the initial position of words, when you're starting cold, you don't have that help. So fricatives stop, velars front, voiceless sounds get voiced, and the /h/ gets deleted. What the child is telling you. Mouth breathing at rest. Chin jutting. Head forward to get more air in. Tense neck and visible effort while speaking, like they're yelling at conversational volume. Fluctuating accuracy that tracks with allergy season and asthma flare-ups. The clear boogers come out and suddenly the phonological processes you thought were suppressed come right back. That is not a child regressing. That is a child without the respiratory support to do the work in initial position. What to do differently (DSD). You've been doing best practice. You're doing the complexity approach, you're doing DTTC, you're doing multimodal cueing, you're holding the 80% challenge point. And you're still at 0% in initial position. So we're going to do something different. We're going to capitalize on what the child can do. They can produce these sounds after a vowel, so we anchor with a vowel. We say "a sun, a sun." Or we use the end of one word to start the next, "yes sun, yes sun." And then over time, we stretch the pause longer and longer until that target is sitting in the initial position of the word on its own. That is how we DSD. This is one to take notes on. And if you have one of these kiddos on your back porch right now, shoot me an email. This is exactly the kind of clinical pattern I want to research next. 🌟 Join the SIS Membership Today If you learn from doing, and you want highly effective, engaging therapy materials ready to go without the prep, the Sparkle in School Membership was built for you. Educationally rich activities, 100% planned, prepped, and delivered to your inbox every Friday. So your energy goes into cueing the child in front of you, not building materials at midnight. 👉 Join today at kellyvess.com/sis 📘 For the deeper dive, grab Speech Sound Disorders: Comprehensive Evaluation and Treatment on Amazon, with 100+ video clips of best practices illustrated. 📧 Got a kiddo with asthma who's daring to disturb the universe on your back porch? Email me at [email protected]. I want to hear about it. Be better. Do better. Create better. Make the world a better place, one child at a time. You will always be first. 📚 Research Cited Strom, M. A., & Silverberg, J. I. (2016). Asthma, hay fever, and food allergy are associated with caregiver-reported speech disorders in US children. Pediatric Allergy and Immunology, 27(6), 604–611. doi:10.1111/pai.12580. Pooled analysis of 337,285 U.S. children from 19 population-based cohorts (NHIS 1997–2013 and NSCH 2003/4 and 2007/8). Carding, P. N., Roulstone, S., Northstone, K., & ALSPAC Study Team. (2006). The prevalence of childhood dysphonia: A cross-sectional study. Journal of Voice, 20(4), 623–630. Cohort of 7,389 eight-year-old British children, with asthma identified among the factors associated with increased risk of voice disorders. Tags: speech sound disorders SSD pediatric speech therapy preschool SLP asthma and speech respiratory support subglottal pressure phonological processes stopping fronting voicing errors glottal fricative initial position of words articulation therapy evidence-based practice DTTC complexity approach multimodal cueing physiological speech disorders differential diagnosis do something different DSD Kelly Vess KellyVessSLP The Preschool SLP SIS Membership Sparkle in School SLP podcast speech-language pathology early intervention school SLP

You opened your caseload. Another Spanish-speaking kiddo. You don't speak Spanish. There's no translator. No bilingual SLP down the hall. Now what? You don't freeze. You don't refer out. You don't waste a single therapy minute. You use the 5-step Good Enough Practice plan, built on the complexity approach research, to drive real, generalizable gains in both languages, even when you're only treating in one. In this follow-up to Episode 215 (assessment), we roll up our sleeves and walk through exactly what to do Monday morning. 🔥 What You'll Walk Away With ✅ Why "good enough practice" beats "no practice," and how to defend your why on every clinical decision ✅ The exact target selection sequence that gets you the most generalization per minute of therapy ✅ Why FR will get you FL "for free," and why SKR might out-perform both ✅ How to coach caregivers in 5 minutes a day (and why frequency beats duration at the preschool level) ✅ The single word probe strategy that tells you whether gains are generalizing, not just memorized ✅ The one thing more important than language matching: multimodal, dynamic cueing at the 80% challenge point 🎯 The 5-Step "Good Enough" Framework Step 1. Find an error that occurs in BOTH languages. Use IPA to compare error sounds across the child's L1 and English. Pick a sound that's broken in both phonological systems so any gain transfers across languages. The research on shared targets supports this. When shared sounds are treated, cross-linguistic generalization happens, even when treatment is delivered in only one language (Barlow et al., 2024; Gildersleeve-Neumann & Goldstein, 2015). Step 2. Pick a COMPLEX target, not a singleton. Skip /f/ alone. Skip /r/ alone. Go for the cluster. Complex targets create system-wide change because clusters imply singletons, meaning treating the harder thing makes the easier things come along for the ride (Gierut, 2007; Storkel, 2018). Higher aim, higher gains. Cirque du Soleil in the mouth. Step 3. Treat in the language YOU are fluent in (English). You cannot deliver therapy with fidelity in a language you don't speak. A ChatGPT word list doesn't fix your inability to model a Spanish trill. Stick with English, and select complex targets that share sounds with the child's L1 so the gains cross over. Pilot data on Spanish/English bilinguals show medium effect sizes for system-wide generalization in both the treated and untreated language when complex cluster targets are used (Combiths et al., 2023). Step 4. Train caregivers with daily home practice in the child's L1. Build a short core vocabulary list, sentence, or paragraph that contains the target and hand it to the family in their language. Embed it into an existing routine like toothbrushing, bedtime, or snack. Frequency over duration: 5 minutes every day beats 2 hours once a week at the preschool level. Step 5. Probe progress in BOTH languages every quarter. Skip the practice-effect probes for the same 5 words. Re-administer a single-word, phonetically balanced picture test in each language every 2 months and track the number of errors, not the standard scores. That's how you know gains are generalizing rather than rehearsed. 👉 Ready to Stop Hunting for Materials and Start Driving Real Gains? Here's the secret the 5-step plan can't give you on its own: the materials. Inside the SIS Membership, you get the done-for-you complex cluster paragraphs, phonetically loaded sentences. These are the exact materials I hand to caregivers to embed into toothbrushing, bedtime, and snack routines. No more scrambling. No more wondering if your target is complex enough. Join SIS and work smarter, not harder: https://kellyvess.com/sis

Have zero dollars in your therapy closet for bilingual Spanish assessments? You are not alone — and you are not stuck. In this episode, I walk you through the 8-step gold-standard process for assessing bilingual Spanish-English preschoolers for speech sound disorders, every single step backed by free, vetted, research-supported tools. This is the same framework recommended by Sharynne McLeod, Sarah Verdon, and the International Expert Panel on Multilingual Children's Speech (McLeod, Verdon, & IEPMCS, 2017, AJSLP) — taught to you in plain English with direct links you can click today. You'll learn how to: Capture a true language profile Sample BOTH languages without overdiagnosing dialect features Use narrow IPA transcription so you don't mislabel allophones as errors Distinguish a transfer error from a true speech sound disorder Free Resources Mentioned Step 1 — Language Profile Alberta Language Environment Questionnaire (ALEQ/ALDeQ) + Intelligibility in Context Scale: https://www.ualberta.ca/en/linguistics/cheslcentre/questionnaires.html Intelligibility in Context Scale: https://www.csu.edu.au/research/multilingual-speech/speech-assessments/ics Step 2 — Sampling Both Languages UBC Cross-Linguistic Phonological Development Project (single-word probes in many languages): https://phonodevelopment.sites.olt.ubc.ca/ Frog, Where Are You: https://www.iifilologicas.unam.mx/uploads/IL-2-Lecturas/050-Frog_Story_all_as_pdf_image_300.pdf Step 3 — Narrow IPA Transcription ASHA Spanish Phonemic Inventory: https://www.asha.org/siteassets/uploadedfiles/spanish-phonemic-inventory.pdf Step 4 — Parent Baseline Recording Speech Accent Archive (cross-dialect reference recordings): https://accent.gmu.edu/ Step 5 — Independent Then Relational Analysis Phon software (open-source phonological analysis): https://www.phon.ca/ Step 6 — Rule Out Transfer & Dialect Bilinguistics Spanish-English Articulation Norms Chart: https://bilinguistics.com/articulation-norms-for-spanish-and-english/ Step 7 — Diagnose Only If Errors Appear in BOTH Languages Goldstein & Fabiano (2007) ASHA Leader: https://leader.pubs.asha.org/doi/10.1044/leader.FTR2.12022007.6 Step 8 — Treat with Complex Targets UBC Fun-ology Activities: https://phonodevelopment.sites.olt.ubc.ca/activities-2/activities/ Reference: McLeod, S., Verdon, S., & International Expert Panel on Multilingual Children's Speech (2017). Tutorial: Speech assessment for multilingual children who do not speak the same language(s) as the speech-language pathologist. American Journal of Speech-Language Pathology, 26(3), 691–708. Ready to Optimize Change with Complex Targets? Join the SIS (Speech It Smarter) Membership to learn how to select, sequence, and track complex treatment targets — including three-element /s/ clusters, /fr/ and /fl/ clusters. Join the SIS Membership: https://www.kellyvess.com/sis

If you’re feeling like your therapy sessions are “working” but chugging along at a slow pace, this episode is going to hit a nerve in the best way. Because here’s the truth that most of us weren’t trained to see clearly: When a child has anxiety or ADHD, you are not just treating speech and language. You are working against a nervous system that is dysregulated, overloaded, and constantly scanning for what feels safe, predictable, and doable. And if your therapy doesn’t account for that, it won’t stick. Not because the child can’t learn, but because the system isn’t ready to hold onto what you’re teaching. In this episode, we break down what is actually happening underneath the surface with anxiety and ADHD, and why traditional, sit-and-work therapy models often fall apart with these learners. We walk through what to look for, what to shift immediately, and how to build sessions that regulate first so language, speech, and AAC can actually follow. We’re talking about real, Monday-morning changes that increase engagement, reduce shutdown behaviors, and create the kind of momentum that leads to true generalization. If you’ve ever thought, “They can do it with me, but nowhere else,” this episode is for you. Because that gap is not a mystery. It’s a systems problem, and you can fix it. And when you do, everything changes. If you are ready for therapy that actually works for children with anxiety and ADHD, where movement, regulation, literacy, and communication are all working together instead of competing, then it’s time to step into a model that was built for exactly that. Inside the SIS Membership, you get ready-to-use, literacy-based, movement-rich therapy activities designed to support regulation, attention, and engagement first, so that speech, language, and AAC gains can finally stick and generalize across settings. No more piecing things together. No more guessing what will work. Just open, implement, and watch the shift. Join the SIS Membership here: https://www.kellyvess.com/sis Roll up your sleeves and meet me at the intervention drawing board.💚KellyVessSLP

When it comes to making real, measurable change in therapy, we have to stop thinking small. In this episode, we are digging into what actually moves the needle for our preschoolers and early learners, and it is not isolated drill, disconnected targets, or hoping repetition alone will generalize. The research is clear. When we aim higher with more complex targets, we create system-wide change across speech, language, and literacy. We are talking about why those tough targets like three-element blends are worth your time, how continuous motor planning changes everything, and what it really looks like to cue in a way that leads to spontaneous carryover. This is where therapy either clicks or falls apart, and I want it clicking for you on Monday morning. If you have ever felt like you are working hard but not seeing the generalization you expected, this episode is going to challenge your thinking in the best way and give you a more efficient path forward. Because here is the truth. Our students do not need more activities. They need better designed ones. Inside the SIS Membership, I take everything we know from research and translate it into ready-to-use, literacy-based, movement-driven activities that target multiple domains at once. You are not planning from scratch. You are walking into your sessions with a system that is built for generalization. Each week, you get themed, engaging activities that integrate speech, language, AAC, and literacy with built-in movement so your students are not just participating, they are learning in a way that sticks. If you are ready to stop second guessing your therapy and start seeing meaningful progress across domains, it is time to join us. 👉 Join the SIS Membership here: https://www.kellyvess.com/sis Wishing you a week of efficient, effective therapy that carries over far beyond your session walls,💚Kelly

If you work with children who have autism, minimal joint attention, and limited expressive language, this episode challenges what you’ve been taught and replaces it with something far more useful. This is not a “wait and see” conversation. This is a rethink-everything conversation. Drawing from a powerful systematic review and the lens of dynamic systems theory, this episode breaks down why language development in autism does not follow a predictable path and why that actually changes how we should intervene starting today. You will walk away with a clearer understanding of how language can emerge in unexpected ways, why inconsistency is often a sign of growth, and how to respond in the moment so you do not accidentally shut down emerging communication. This is about seeing the child differently and adjusting your intervention accordingly. What You’ll Learn... Why joint attention is not a prerequisite for language The reality that some children develop language without following typical developmental sequences? How children may learn language visually, through patterns, reading, or AAC rather than through listening? Why “inconsistency” in communication is often a sign that a new skill is emerging How dynamic systems theory explains variability in language development? Because the child in front of you is not broken. They are showing you their pathway. You just have to be willing to take it? 3 Clinical Takeaways You Can Use Immediately: There is no single pathway to language Children may not follow a linear progression from babbling to words to sentences. Some may start with scripts, reading, or full phrases. Your job is to identify the pathway and build from it. Variability is not a problem When a child says a word once and then “loses it,” that is not regression. That is emergence. Do not punish inconsistency. Support it. Be dynamic in your response You cannot use a fixed script with a variable system. Adjust moment by moment. Increase support, then fade it. Follow attention, motivation, and engagement in real time. Referenced in This Episode Kissine, M., Saint-Denis, A., & Mottron, L. (2023). Language acquisition can be truly atypical in autism: Beyond joint attention. Neuroscience & Biobehavioral Reviews, 153, 105384. https://doi.org/10.1016/j.neubiorev.2023.105384 Spencer, J. P., Perone, S., & Buss, A. T. (2011). Twenty years and going strong: A dynamic systems revolution in motor and cognitive development. Child Development Perspectives, 5(4), 260–266. https://doi.org/10.1111/j.1750-8606.2011.00194.x Your Next Step If this episode is hitting something for you, if you’re realizing that your therapy needs to shift from linear to dynamic, then you need tools that actually match that approach. Because insight without application does not change outcomes. Inside the SIS Membership, you get weekly, ready-to-use, literacy-based movement activities that are built for exactly this kind of work. You are not guessing what to do next You are not piecing together random strategies You are walking into your sessions with a clear, research-informed plan that supports real language growth This is where theory meets practice in a way that actually works. 👉 Join today: https://www.kellyvess.com/sis Roll up your sleeves and meet me at the intervention drawing board.

If you work with four, five, or six-year-olds with speech sound disorders, this episode was made for you and this research will change how you document, advocate, and make eligibility decisions for your students. In this episode, we break down a brand-new 2026 open-access study that every school-based SLP, early childhood SLP, and preschool speech-language pathologist needs to save, cite, and have ready to go. Whether you're navigating a negative 2.0 standard deviation eligibility criteria, writing IEP goals for preschoolers with speech sound disorders, or advocating for a child who doesn't yet "qualify" on paper, this research is your clinical ammunition. This landmark study examined peer perceptions of children with speech sound disorders across ages four, five, and six: At age 4: Neurotypical peers already rate children with severe speech sound disorders lower across domains of intelligence, friendliness, and likability compared to typically developing talkers. At age 5: Children with moderate-to-severe speech sound disorders are rated lower across all social domains by their neurotypical peers. At age 6: Even children with mild speech sound disorders are rated lower and are seen as less desirable friendship candidates compared to neurotypical peers. The bottom line? Severity matters. Age matters. And the social stakes get higher every single year. Use this research study to support eligibility decisions when standardized scores alone don't tell the full story. Cite it alongside teacher observations, parent input, direct observation of socialization, and connected speech samples. Document the educational and social impact of the speech sound disorder, not just the score Know your state's eligibility criteria: some states require -2.0 SD, others -1.0 SD, and others rely on professional judgment of adverse educational impact Advocate proactively: a wait-and-see approach has real social consequences for your students Henry, M., & Bent, T. (2026). Let's be friends: Peer perceptions of disordered speech in preschool and early school-aged children. American Journal of Speech-Language Pathology, 35(1). 🔓 FREE Open Access Article: https://pubs.asha.org/doi/10.1044/2025_AJSLP-25-00093 Download it. Save it. Cite it. Your students are counting on you. 📖 RECOMMENDED RESOURCE: 'Speech Sound Disorders: Comprehensive Evaluation and Treatment' by Kelly Vess. This is written to support SLPs at every level, from graduate students to seasoned clinicians. 👉 Grab your copy on Amazon  Here's what we know: earlier is better. Neuro-plasticity is at its highest level in the preschool years. Are you using the most effective treatment targets to capitalize on that window? The SIS Membership gives you access to complex treatment targets — the evidence-based approach that leverages the power of neuroplasticity to drive maximum speech sound gains in minimal time. If you are working with preschoolers and early elementary students, complex targets are the clinical game-changer you need in your toolkit right now. This episode just showed you the social urgency. The SIS Membership gives you the clinical tools to act on it. 👉 Join the SIS Membership today and start using complex treatment targets with your students. Because we're not treating a mouth. We're treating a child, and every session counts: https://www.kellyvess.com/sis  

If you work with children with autism, developmental delays, or complex communication needs, this episode is a must-listen. Today, we’re talking about cerebral visual impairment, or CVI, and why it may be one of the most overlooked reasons children struggle with communication, attention, social interaction, AAC use, and motor-based learning. This episode is not about whether a child can see an item on an eye chart. It is about how the brain processes visual information and how that affects language, participation, and learning. In this episode, I share 10 practical strategies from the literature that speech-language pathologists and speech-language pathology assistants can use right now to better support children with visual processing challenges. We discuss why reducing clutter matters, how to make materials more visually accessible, why movement activates learning, and how active task-based therapy can improve visual-motor integration. You’ll learn: -Why is cortical visual impairment increasingly referred to as cerebral visual impairment -How CVI affects communication and social development -What visual complexity does to learning -Why movement is critical for visual engagement -How to adjust therapy and AAC supports for better outcomes Join the SIS Membership for ready-to-use literacy-based, movement-based activities that help you put these ideas into practice right away: https://www.kellyvess.com/sis Featured article: Wilkinson, K. M., Elko, L. R., Elko, E., McCarty, T. V., Sowers, D. J., Blackstone, S., & Roman-Lantzy, C. (2023). An evidence-based approach to augmentative and alternative communication design for individuals with cortical visual impairment. American Journal of Speech-Language Pathology, 32, 1939–1960. https://doi.org/10.1044/2023_AJSLP-22-00397 Thank you for being with me at today’s intervention drawing board for a better tomorrow,💚Kelly

Many clinicians are told there is a right way to prompt AAC users. You may have heard that you should always use least-to-most prompting. Others insist most-to-least prompting is best. But what does the research actually say? In this episode, we look at findings from a scoping review of 29 AAC intervention studies examining the prompting strategies used with children with autism who use speech-generating devices. Here’s the surprising truth: The research does not show that one prompting hierarchy is universally superior. Instead, effective AAC intervention is multimodal, flexible, and individualized. Successful clinicians use a toolbox approach, drawing from multiple evidence-based strategies depending on the child in front of them. In this episode, I walk you through a DTTC-inspired prompting hierarchy adapted for AAC that moves children from high levels of support toward full independence. I also share a real therapy example from this week using a St. Patrick’s Day literacy activity with a puppet and AAC device, so you can see exactly how this process works in practice. This is not a theory. This is something you can try tomorrow. Why This Matters for AAC Intervention? Children with autism are developing across multiple domains simultaneously: • language • motor planning • executive function • symbolic representation • social interaction Because autism is multifaceted, intervention cannot rely on a single rigid strategy. The most effective clinicians adopt an “all of the above” mindset and use prompting dynamically depending on: • the child • the task • the novelty of vocabulary • the motor planning demands • the learning context This episode will show you how to do exactly that. Want Ready-to-Use Activities That Apply This Framework? Inside the SIS Membership, I provide ready-to-use activities designed specifically for: • AAC users • speech sound disorders • language development • motor planning • executive function Every week, you receive literacy-based movement activities that allow you to apply frameworks like the DTTC-for-AAC hierarchy immediately with the children on your caseload. These activities are designed to address multiple developmental domains simultaneously while keeping therapy engaging and efficient. You also get access to the Speech-Language Treatment Target Library, giving you structured targets across speech, language, AAC, and literacy. Instead of spending hours planning therapy, you can walk into your session with activities that are already designed to produce meaningful communication gains. Start Using DTTC for AAC Today If you want structured activities that help you implement these strategies immediately: 👉 Join the SIS Membership today https://www.kellyvess.com/sis You’ll receive: • weekly ready-to-use therapy activities • weekly Google Slides Deck • treatment target library • practical strategies you can implement tomorrow Because when we reduce clinician workload and increase engagement, every child wins. Reference the research:  Wandin, H., Tegler, H., et al. (2023). A Scoping Review of Aided AAC Modeling for Individuals With Developmental Disabilities and Emergent Communication. Current Developmental Disorders Reports, 10(2), 123–131.                                                       

Feeling overwhelmed by a caseload that includes autism, childhood apraxia of speech, developmental language disorder, articulation, fluency, and AAC users… all back-to-back? You are not alone. Many speech-language pathologists walk into therapy sessions with a stack of different activities for every child. One game for articulation. Another for language. Another for fluency. Another for AAC. Before long, therapy starts to feel like running a fast-food counter. But what if you could run one powerful therapy routine that works for every child on your caseload? In this episode of The Preschool SLP Podcast, Kelly Vess shares the five-step therapy routine she uses every single day to deliver educationally rich, engaging sessions that treat the whole child while producing powerful gains across: • Speech sound production • Language development • Literacy skills • AAC use • Executive function • Motor planning and coordination Instead of pulling ten different activities from behind the therapy table, this routine uses one structured activity and simply changes the treatment target to match each child’s goals. Built on principles from Universal Design for Learning, motor learning, and executive function research, this approach allows clinicians to work smarter, not harder. You will learn: • The five predictable therapy steps Kelly uses with every child • How to use one activity to treat speech, language, AAC, literacy, and fluency • Why predictable routines help children feel safe, regulated, and ready to learn • How task-oriented movement improves executive function and engagement • Why treating the whole child instead of just the mouth produces stronger outcomes When therapy is predictable, engaging, and multimodal, both the clinician and the child can be fully present. And that is when the magic happens. Join the SIS Membership If you love practical therapy frameworks like this, the SIS Membership was built for you. Each week inside SIS you receive: • Ready-to-use movement-based therapy activities • Powerful complex speech and language treatment targets • A growing treatment target library you can use with any caseload • A full literacy, language, and movement Google Slides deck for therapy, classrooms, or teletherapy Everything is designed to help busy SLPs deliver high-impact therapy without spending hours planning. Many members prep their entire week of therapy in less than one hour. Join today and receive the entire Treatment Target Library immediately: https://www.kellyvess.com/sis with you in this,💚 Kelly

What do Gustav Eiffel and dynamic, tactile, temporal cueing have in common? Scaffolding, vision, and the courage to aim higher than anyone else. In this episode, I break down why Dynamic, Tactile, Temporal Cueing (DTTC) is not just for childhood apraxia of speech. It is a practical, high-impact framework that can upgrade how you treat: • Speech sound disorders • Language delays • Literacy skills • Fluency • AAC users • Autism and complex communication needs If you want maximal gains in minimal time, this episode is your blueprint. After standing beneath the Eiffel Tower and speaking at a packed state conference, one message hit me hard: the higher you aim, the bigger the cascade. When you treat at a complex level with the right scaffolds, earlier developing skills often come along for the ride. Inside this episode, we unpack: • Why fewer targets with higher reps build automaticity faster • How simultaneous production jump starts planning and reduces breakdowns • Why slowing time increases accuracy across speech, language, fluency, and AAC navigation • How to use most to least prompting without letting the tower fall • Why errorless learning and the 80 percent sweet spot matter • How multimodal cueing accelerates learning for every child • Why you build automaticity first and generalize later This is not business-as-usual therapy. This is challenge point therapy. This is how you stop grinding and start seeing real progress. Join SIS and get the complex targets done for you If you want powerful complex speech and language targets ready to pull into sessions immediately, join SIS Membership today. You will get access to high impact therapy materials designed to help you scaffold fast progress across speech, language, literacy, and AAC, without reinventing the wheel every week. Join here and get started today: https://www.kellyvess.com/sis Roll up your sleeves. Make the world better, one child at a time. With you in this,💚Kelly

If you work with children who drool, this episode is for you. I’m pulling back the curtain on an approach I’ve used for over 15 years that has consistently reduced—and often eliminated—drooling in preschoolers. Not in theory. Not in a lab. In real therapy rooms, with real kids, on real caseloads. Here’s the uncomfortable truth: There is very little direct research on speech intervention and drooling. And instead of grappling with that complexity, our field often defaults to dogmatic thinking—blindly applying principles from other populations and calling it “evidence-based.” In this episode, I challenge that thinking. You’ll hear why: Motor learning principles do not transfer cleanly to preschoolers Bottom-up oral motor logic fails when the task is speech Single sounds don’t recruit the same neuromuscular systems as 3-element consonant clusters Then I walk you through four precise reasons why targeting three-element clusters (like /spr/, /skr/, /skw/) uniquely impacts drooling: Jaw stability driven by sustained /s/ with a closed mandibular posture Differentiation of tongue and lips from the jaw, mirroring swallowing mechanics Enhanced proprioceptive feedback through Dynamic Temporal Tactile Cueing Endurance and motor control built through slow, continuous, high-load speech tasks I also share a practical “back-porch” way to test this yourself—no fancy equipment, no new evals, just systematic observation and honest comparison. This isn’t about abandoning evidence-based practice. It’s about doing it better—with nuance, skepticism, and attention to detail. Because real progress doesn’t come from swinging between extremes. It comes from asking better questions and working at the right level of complexity. What You’ll Learn Why drooling is a neuromuscular control issue—not a hygiene issue How 3-element clusters recruit swallowing-relevant motor systems Why preschoolers need more, not less, feedback How to get speech gains and drool reduction at the same time Where the limits of this approach actually are (and why that matters) Call to Action If you want to apply this Monday morning, don’t guess. When you join the SIS Membership, you’ll immediately receive: Ready-to-use 3-element cluster treatment targets Weekly task-oriented movement activities that support posture, endurance, and executive function Research-to-practice tools designed for real caseloads—not perfect conditions You don’t need more time. You need higher-yield targets. 👉 Join here: https://www.kellyvess.com/sis Because when you work at the right level of complexity, the easier skills take care of themselves.

If you work with preschoolers with autism and you care about spoken language outcomes, this episode matters. A lot. In today’s episode of The Preschool SLP Podcast, we unpack the largest study to date examining why some autistic children do not develop spoken language, even after receiving high-quality, evidence-based early intervention. The takeaway is blunt: Motor imitation doesn’t matter a little. It matters a lot. Inside this episode, we cover: Why one-third of autistic preschoolers in a large, multi-site study did not advance in spoken language despite receiving ~10 hours/week of evidence-based intervention How motor imitation emerged as a key distinguishing factor between children who advanced in speech and those who did not What neuroscience tells us about mirror neurons, empathy, perspective-taking, and speech development Why speech develops from the inside out: core → proximal → distal → speech. And, what happens when we skip the body and go straight to the mouth How motor imitation supports: Entry into peer play Social communication Speech motor planning and execution Prefrontal–cerebellar connectivity Why this research gives us a “crystal ball”—not to maintain the status quo, but to do something different earlier  You can’t build speech on a system that can’t yet support posture, movement, imitation, and motor planning. If motor imitation is weak, speech outcomes are at risk, pretending otherwise doesn’t help children. Clinical bottom line: If a child presents with: Severe autism presentation Limited or absent spoken language Poor motor imitation Then motor imitation must be intentionally built into intervention, alongside AAC, multimodal cueing, movement-based learning, and robust communication supports. This episode challenges us to stop treating mouths—and start treating children. 🎧 Want practical ways to integrate motor imitation, movement, AAC, and literacy? Join the SIS Membership for ready-to-use, movement-based, evidence-informed activities designed for real preschoolers in real settings: 👉 https://www.kellyvess.com/sis Vivanti, G.L, et al. (2025). Proportion and profile of autistic children not acquiring spoken language despite receiving evidence-based early interventions. Journal of Clinical Child & Adolescent Psychology. https://doi.org/10.1080/15374416.2025.2579286      

What if the problem with treating the R sound isn’t the child—but the way we train it? In today’s episode, we step outside the field of speech-language pathology and borrow powerful, evidence-based principles from exercise science and kinesiology to rethink how we treat speech sound disorders. Why? Because exercise science has done what our field largely hasn’t: isolated what actually works using controlled trials, precision, and specificity. Speech is a complex neuromuscular skill. Treating it like flashcards and passive listening don’t make sense—and they don’t produce durable change. In this episode, you’ll learn how five core principles from exercise science directly apply to improving the R sound efficiently: • Why “practice makes permanent” and how the 80% challenge point prevents habituating errors • How progressive overload explains why complex clusters outperform isolated sounds • Why auditory bombardment is passive and inefficient when therapy time is limited • How compound training (paragraphs, clusters, movement, literacy) creates system-wide linguistic change • Why specificity matters—and why speech therapy must look like real speech to generalize This episode challenges the status quo in therapy and makes the case for treating speech as the neuromuscular endurance task it actually is. If you’re tired of plateaus, endless cueing, and R programs that don’t generalize, this conversation will change how you think about treatment starting Monday morning. 👉 Ready to treat the R sound more efficiently—without guessing? Inside the SIS Membership, you’ll find high-impact treatment targets, complex R clusters, and ready-to-use paragraphs designed to apply these principles immediately—so you can stop planning and start seeing change. Get access to efficient, evidence-informed R targets at https://www.kellyvess.com/sis Train smarter. Challenge appropriately. Create real change.

Are consonant clusters really “too complex” for kids with severe speech sound disorders—or have we been aiming too low? This episode tackles one of the most persistent myths in speech therapy: that children with childhood apraxia of speech, autism, or severe speech delay aren’t ready for clusters. I’m unpacking the real science behind complexity, coarticulation, and system-wide change—and why waiting for “readiness” often slows progress rather than supporting it. Let's break down three common myths that are not evidence-based: • Myth 1: Children must master single sounds before clusters • Myth 2: Clusters should always come later in treatment • Myth 3: Consonant deletion must be fixed first You’ll hear why speech doesn’t develop like a geyser, how the waterfall effect actually works, and why starting with complex targets can accelerate gains across the entire sound system—even in preschoolers. This episode also walks through how to do this in therapy: using dynamic tactile-temporal cueing, maintaining an 80% challenge point, and choosing treatment targets that improve motor planning, programming, and verbal working memory simultaneously. If clusters feel uncomfortable, slow, or messy—that’s the point. Challenge creates change. Want treatment targets that already do this work for you—without reinventing the wheel every week? Join the SIS Membership for ready-to-use, research-informed activities designed to create real speech change while protecting your time and energy. https://www.kellyvess.com/sis

If you work with children who are minimally speaking with autism or you love a child who is minimally speaking, today’s episode matters. Over the past year, I’ve been doing something deeply intentional. I’ve been having long, honest conversations with speech pathologists and special education teachers who are truly effective with high-tech AAC. These weren’t quick chats. Each interview ran over an hour. I asked open-ended questions. I pushed for specifics. I wanted to know what is actually working for robust AAC systems with thousands of words. What I found surprised me. There was no magic training. No perfect certification. No secret setting hidden inside the device. What these highly effective professionals shared was something much more human. They believed in themselves enough to try. To fail. To troubleshoot. To look clumsy. To learn alongside the child. In this episode, I talk about why vulnerability is the real needle mover in AAC implementation. I share why modeling uncertainty, curiosity, and joy matters more than appearing fluent. Showing a child how you search for a word, celebrate finding it, or flexibly choose an alternative builds far more communication power than perfection ever could. We discuss treating AAC as play, not performance. About using devices the way we use books with young children as interactive tools meant to spark connection, not test correctness. I also connect what I’m seeing in my dissertation research to real-life practice. Across hours of transcripts and coding, the same theme kept surfacing. Fluency doesn’t come from training. It comes from hands-on experience. Repetition. Messy, imperfect action. This episode will challenge you to rethink comfort zones, to stop waiting until you feel ready, and to remember that communication growth begins when adults are willing to learn out loud. If AAC has ever felt overwhelming, intimidating, or like something you were supposed to already have mastered, this conversation is for you. And if you want ready-to-use, engaging, and effective activities that make AAC implementation doable in real sessions, join the SIS Membership. Weekly resources arrive in your inbox so you can spend less time prepping and more time modeling, exploring, and connecting with your kids. You can learn more and join at https://www.kellyvess.com/sis Thank you for being part of this work. Roll up your sleeves. Be vulnerable. And keep changing lives one child at a time.

If you work with children who have complex communication needs, you already know this truth: You cannot pour from an empty cup. In this episode, I share six realistic self-care swaps I use from morning to night to support energy, focus, and emotional regulation in the work we do. These are not trends. They are practical, research-informed adjustments that help me show up fully present in therapy sessions, even during long, demanding days. As winter approaches and energy dips, comfort-food cravings rise. Instead of relying on willpower, I build better systems. In this episode, I walk you through: • A caffeine swap that supports focus without crashes • A protein-rich breakfast that stabilizes blood sugar • A comfort-food lunch that doesn’t derail energy • A 4 p.m. strategy for end-of-day slumps • A clean popcorn hack that actually works • A dessert and sleep routine that supports recovery, not burnout Self-care isn’t indulgence. It’s infrastructure. When your body and brain are supported, you can stay responsive, regulated, and fully present with the children and families you serve. A note for SIS Members and those considering joining Inside the SIS Membership, I design therapy the same way I design my self-care: with systems that remove friction. Members receive weekly, done-for-you, research-informed activities so they can spend their energy where it matters most: interaction, responsiveness, and connection. No scrambling. No reinventing the wheel. Just showing up ready. If you are ready to reduce decision fatigue, protect your energy, and innovate your practice alongside a community of practitioners doing the work in real classrooms and therapy rooms, you can join us here: 👉 https://www.kellyvess.com/sis You deserve support that actually supports you. Thank you for joining me at today’s drawing board for a better tomorrow, 💚 Kelly

If you work with parents of children with special needs, this episode is non-negotiable. Instead of diving into research, we’re heading straight into a film that delivers the kind of uncomfortable clarity our field rarely gets. Today, we break down If I Had Legs, I’d Kick You—Mary Bronstein’s raw, emotionally accurate look into the lived experience of parenting a neurodivergent child—and why every SLP, special educator, and early-intervention professional needs to watch it. This movie exposes a blind spot in our practice: how we show up for families. And more importantly, how often we get it wrong. In this episode, you’ll learn: • Why judging parents instantly destroys trust • How our “professional persona” blocks genuine connection • The simple shift that makes parents feel heard instead of dismissed • When your “support” becomes a burden—and how to stop doing it • Why burnout in families is invisible until it explodes • How to rebuild capacity for parents and for yourself This is not a feel-good conversation. It’s a necessary recalibration for anyone who works with families navigating neurodivergence, chronic medical needs, and overwhelming daily demands. If you want to do better for the families you serve, start here. Feeling your own burnout creeping in? Stop white-knuckling it. The SIS Membership provides weekly, ready-to-use, universally designed literacy-movement activities that dramatically reduce your planning time while increasing engagement for every child on your caseload. Protect your capacity. Strengthen your practice. Join today at https://www.kellyvess.com/sis

If you love weaving books into speech and language therapy, this episode is absolutely your lane. In this conversation, Kelly breaks down a 2025 scoping review on early language development and reading aloud, then translates it into five practical literacy “hacks” you can use with preschool and early elementary students starting tomorrow. She pulls zero punches about the study design: you’ll hear exactly what a scoping review is (and isn’t), why it doesn’t carry the same weight as a systematic review or meta-analysis, and how to use it wisely as an “idea generator” rather than gospel. From there, she layers in two decades of clinical experience and walks through the habits that actually move the needle in real therapy rooms. You’ll hear about: Why this 2025 scoping review on reading aloud and early language is best viewed as an “idea article” How the authors used PCC (Population, Context, Concept) to narrow 1,000+ studies down to 106 Why repetitive, predictable books (like The Gingerbread Man or Brown Bear, Brown Bear) allow diverse learners to participate at a higher level How to rethink “social stories” using a Brown Bear-style repetitive frame and a child’s favorite characters for more powerful behavior change What Universal Design for Learning actually looks like in speech therapy when you go all-in on multimodal cueing How multisensory, multimodal activities (print, props, movement, AAC, writing) especially support autistic students and kids with attention and motor planning challenges Why connecting books to real-world roles and prior knowledge (“You’re the zookeeper…”) drives deeper language and thinking than fact-based WH questions Simple language shifts that move you away from quizzing (“What color is…?”) toward higher-level thinking (“I wonder why…”, “Tell me about a time…”) How predictable literacy routines reduce cognitive load and move kids out of fight/flight and into learning Why the interaction itself matters more than any single treatment target or book choice How prepping rich, ready-to-go materials frees you to be fully present in the interaction (where the real “magic” happens) By the end, you’ll walk away with five concrete literacy routines you can plug into your week and a much clearer lens for judging research quality while still using it creatively. Want these literacy hacks done for you every week? If you’re ready to stop reinventing the wheel and want literacy-based, movement-rich activities that already embed these principles, join the SIS Membership. Inside SIS, you get: Weekly Google Slides decks built around repetitive, predictable books Multimodal, multisensory activities (movement, props, print, AAC, writing) you can use with your entire caseload Treatment targets that are already leveled and ready to go, so you can focus on the interaction instead of scrambling for materials Join SIS here and grab everything instantly: 👉 https://www.kellyvess.com/sis   Annika, A., & Johanna, L. (2025). Early language development and reading aloud with children: A scoping review and content analysis. International Journal of Educational Research Open, 9, 100508.

Children who speak freely at home but shut down in public aren’t being stubborn. Their capacity is getting crushed by the demands of new people, new settings, and unpredictable routines. In this episode, we break down how to build capacity using the PRIDE approach—adapted specifically for reluctant speakers and children with selective mutism. You’ll hear how to shift out of “thermostat mode” and into “mime mode,” using 10 minutes a day of pure responsiveness to lower pressure, increase connection, and support communication in high-stress seasons like the holidays. We walk through exactly how to use each part of PRIDE—objective encouragement, reflection, imitation, description, and enjoyment—without adding demands, without pushing speech, and without triggering shutdown. This is the blueprint for helping sensitive, cautious, or selectively mute children communicate more confidently when the world gets loud. In this episode, you’ll learn: • How the Demands–Capacity Model explains shutdowns in public or group settings • Why holiday routines, unfamiliar people, and novel activities increase mutism • How to adapt each PRIDE element for reluctant speakers (no expansions, no recasts) • What 10 minutes of daily “mime time” does to build capacity fast • The specific social and communication behaviors that improve when capacity increases • How SLPs can coach families through this process during high-stress seasons If you work with children who freeze, whisper, avoid, or stop speaking outside the home, this episode gives you a concrete plan you can use immediately. Want ready-to-use activities that make your therapy educationally rich without adding demands? Join the SIS Membership and get weekly materials designed to support speech, language, and social-emotional foundations—especially for sensitive and reluctant communicators. 👉 https://www.kellyvess.com/sis

If you serve young children with behavior challenges, this episode delivers a framework you can put to work immediately. Today, we break down the PRIDE skills: five evidence-based behavior strategies drawn from Parent-Child Interaction Therapy (PCIT) and Teacher-Child Interaction Training (TCIT). These methods have more than 50 years of empirical support and consistently improve behavior, engagement, emotional regulation, and communication across diverse populations. You’ll learn how to use objective praise, reflection, imitation, description, and genuine enjoyment to build connection—not compliance. This child-directed interaction approach has been shown to make meaningful gains for children with autism, ADHD, selective mutism, developmental language disorders, trauma histories, hearing differences, anxiety, and disruptive or externalizing behaviors. The research is broad. The effect sizes are large. And the application is simple. We dig into how PRIDE skills strengthen executive function, expressive language, joint attention, and emotional resilience—and why these strategies are essential for SLPs, early childhood educators, and anyone working in preschool or early elementary settings. When you have educationally rich activities prepared, you can stay fully present and implement PRIDE with intention, clarity, and consistency. If you want treatment plans that allow you to focus on relationships, responsiveness, and evidence-based connection strategies that actually change behavior, the SIS Membership is designed for you. Each week, you receive educationally rich activities that treat the whole child—speech, language, literacy, executive function, and motor foundations—so you can implement PRIDE seamlessly without scrambling for materials. Join the SIS Membership and make your therapy easier, richer, and more effective: https://www.kellyvess.com/sis Let’s build capacity, connection, and better outcomes—one child at a time.💚Kelly

If you treat speech sound disorders (SSD) and you’re not seeing the gains you expect, this episode is your playbook. We cut through the noise and name the 10 research-informed predictors of slower progress—attention/self-monitoring limits, sensitive temperament, co-occurring language/working-memory load, hearing impairment (fricatives/affricates), motor speech factors, structural constraints (e.g., open bite), low stimulability, later start to intervention, low therapy intensity/irregular attendance, and environmental barriers. Then we pivot hard into the three levers that consistently move outcomes: choosing complex, maximally distinct targets (e.g., SW-blends), delivering dynamic temporal tactile cueing (DTTC-style), and holding the ~80% challenge point to avoid reinforcing error patterns. Concrete therapy examples, parent carryover, and generalization strategies included. What you’ll learn: 📈How attention and self-monitoring mask progress until generalization “pops” 📈Why a sensitive temperament demands predictability and a responsive start 📈How co-occurring language and limited verbal working memory can look like CAS—but aren’t 📈What hearing loss really means for fricatives/affricates and consonant deletion patterns 📈Practical expectations for motor speech and structural constraints (e.g., open bite) 📈How stimulability with maximal cueing informs prognosis 📈Why start age and habit strength matter for entrenched /r/ and /s/ errors 📈Why frequency > duration for home practice, and how to embed one daily rep 📈The “no-data-during-DTTC” mindset: probe quickly, cue deeply, fade fast The 3 levers (non-negotiables): 📈Target selection: Complex, maximally distinct clusters (SW > ST/SP/SK) to drive system-wide change. 📈Delivery: DTTC-style, moment-to-moment cueing (choral → fade), with brief probes to verify learning. 📈Challenge point: Keep accuracy near ~80%—high enough to learn, low enough to adapt. If you’re reinforcing errors, pivot. 00:00 Why progress “flatlines” then explodes 03:10 Predictor #1: Attention/self-monitoring 06:20 #2: Sensitive temperament & predictable routines 10:00 #3: Language/working memory vs. “looks like CAS” 14:15 #4: Hearing impairment (HF cues, fricatives/affricates) 17:10 #5: Motor speech considerations 20:05 #6: Structural constraints (open bite, dental) 22:40 #7: Stimulability with maximal cueing 25:00 #8: Older start age, entrenched habits 27:10 #9: Intensity/attendance 28:45 #10: Environmental barriers 30:45 The 3 levers: complex targets, DTTC, 80% challenge point 38:00 One-rep-a-day home carryover that actually sticks Call to action: Stop reinventing materials. Make your work easy with effective, educationally-rich SSD tools at your fingertips—complex target sentence strips, paragraphs, and movement-literacy activities ready so you can focus on cueing, not prep. 👉 Join the SIS Membership: https://www.kellyvess.com/sis

If you work with children with autism who are minimally speaking, this episode is a must-listen. We’re breaking down why the “Look at” sentence strip has been a total game-changer in my therapy room—and why it consistently helps children begin to speak, connect, and comment on the world around them. After 25 years of practice, I can tell you this tool does more than encourage speech—it builds neurological pathways for speech to flow. You’ll learn: ✅ The neuroscience behind why repetition and motor consistency matter ✅ How DTTC and “look at” work hand-in-hand to build automaticity ✅ Why “look at” is far more powerful than “I want” for developing joint attention ✅ How to pair high-tech AAC with low-tech sentence strips for best outcomes ✅ The 10 reasons this strip transforms therapy for children with autism. This episode is full of practical insight, real-world examples from my SIS members’ “back porches,” and evidence-based strategies that rewire how we think about early speech intervention. 🎧 Tune in, and then grab your own Look at sentence strip and watch your minimally speaking students light up the room. 💫 Join the SIS Membership today for access to the weekly movement- and literacy-based therapy materials that pair perfectly with this episode—complete with parent emails and ready-to-go Google Slides for your whole group sessions. 👉 https://www.kellyvess.com/sis Thanks for joining me at today’s drawing board for a better tomorrow, 💚Kelly

Discover how a 2025 Nature autism study transforms early intervention in speech language pathology. Learn how family history, genetics, and executive function shape assessment, therapy planning, and lifelong communication outcomes. If you work with children with autism, this episode will change how you think about early intervention forever. A major 2025 study published in Nature titled Polygenic and developmental profiles of autism differ by age of diagnosis has revealed that early onset autism and later developing autism are not the same. This is one of the largest autism studies ever conducted, examining more than 47,000 individuals around the world. The results reshape how we understand autism heritability, family psychiatric history, and executive function development. In this episode, you will learn: ✅ Why early autism diagnosed before age three is genetically distinct from later developing autism that emerges in middle childhood or adolescence ✅ How family psychiatric history, including ADHD, anxiety, depression, bipolar disorder, and substance use predicts later developing autism ✅ Why the DSM 5 removal of the age three cutoff was not only progressive but empirically supported ✅ How this research should change your parent input forms and follow up recommendations ✅ Why executive function including attention, cognitive flexibility, and self regulation is the bridge between prevention and intervention This study confirms that autism can emerge at any point in development when social and academic demands exceed a child’s executive function capacity. That finding changes everything about how we evaluate, how we plan early intervention, and how we empower families. If you are ready to move beyond reactive labels toward proactive, capacity-building intervention, this episode will show you how to do exactly that. 💡 Join the SIS Membership at https://www.kellyvess.com/sis to access weekly movement-based literacy and language activities that build executive function, the foundation for lifelong communication, learning, and independence. Source: Zhang, Y., et al. (2025). Polygenic and developmental profiles of autism differ by age of diagnosis. Nature, 631(8046), 455–468. https://pubmed.ncbi.nlm.nih.gov/41034588/ Note: The diagnosis of Autism is an interdisciplinary process. In the U.S. public school system, a psychologist, social worker, and SLP are minimally required. In private settings, most insurers require a psychologist, MD, or psychiatrist with an allied health professional, such as an SLP.   

If you work with minimally speaking children or children with autism, this episode is a must-listen. Speech-language pathologist Kelly Vess takes on the five biggest myths about high-tech AAC (augmentative and alternative communication)—and backs every point with current peer-reviewed research. Learn why high-tech AAC devices: ✅ Do not require self-regulation or joint attention first ✅ Are not too complex for preschoolers ✅ Increase social interaction rather than limit it ✅ Should not be constantly customized ✅ Must be provided—and supported—by public schools under IDEA and ADA Kelly breaks down each misconception, explains how to blend high-tech and low-tech AAC for multimodal communication, and challenges you to D.S.D.—Do Something Different—instead of waiting 17 years for “research-to-practice.” It’s time to empower our minimally speaking students with robust, research-driven voices. Whether you’re an SLP, special educator, or early-childhood professional, you’ll walk away ready to advocate for access, staff training, and parent coaching in AAC implementation. 👉 Join today at www.kellyvess.com/sis

If you work with children with speech sound disorders, this episode is a must-listen. We’re diving into cutting-edge research on final consonant clusters—a treatment target that has been largely overlooked but may unlock powerful generalization gains. For decades, evidence has shown that choosing complex targets leads to greater overall progress. Now, new research suggests that working on final 3-element clusters may be just as effective—and possibly more efficient—than the traditional initial cluster approach. In this episode, I’ll break down: ✅ Why marked forms (like /skr/) accelerate progress more than unmarked forms ✅ What makes final clusters uniquely complex (morphological load, rarity, later acquisition) ✅ Key takeaways from a 2025 study on final clusters in intervention (8 children, 6 weeks, medium effect sizes) ✅ Practical strategies you can implement tomorrow on your back porch ✅ Why efficiency matters: getting gains in speech and language when time is limited. I’ll also share how to structure practice (limited exemplars, high repetitions, removing models for self-driven motor planning) so you can maximize impact. Don’t wait 17 years for research to trickle into practice—try this approach now. 🎁FREE Resource: Download your Final Cluster Homework Flip Book here: 👉 http://www.kellyvess.com/finalcluster ✨ Want weekly ready-to-go resources? Join the SIS Membership today and get instant access to: Theme-based movement + literacy activities Weekly treatment targets (including complex clusters + paragraphs) Parent + teletherapy Google Slides decks A full treatment target library 👉 https://www.kellyvess.com/sis Source: Potapova, I., John, A., Pruitt-Lord, S., & Barlow, J. (2025). Extending complexity to word-final position via telepractice: Intervention effects for English-speaking children with speech sound disorder. Language, Speech, and Hearing Services in Schools, 56(1), 42–57. https://doi.org/10.1044/2024_lshss-24-00020

If you work with preschool or early elementary students, this episode is a must-listen. We’re diving into decontextualized language—a skill that’s rarely discussed but critical for literacy and academic success. Decontextualized language is when children talk about things outside the here and now—past events, future plans, ideas, feelings, and abstract thinking. Why does it matter? Research spanning over 20 years shows that children with strong decontextualized language skills in preschool perform better in reading and academics throughout elementary school. Yet, most SLPs and educators aren’t taught how to target it. In this episode, you’ll discover: -What decontextualized language is and why it’s the foundation of complex thinking. -Four powerful, evidence-based strategies to build this skill in fun, natural ways. -How to use Halloween excitement to scaffold conversations about past and future events. -Practical tips for using visuals, gestures, role-play, and parent collaboration. 💡 These strategies don’t just work for Halloween—they can be used for birthdays, field trips, and any special event to make language learning stick. 💚 Join the SIS Membership: Want ready-to-go therapy materials that build decontextualized language every week? Join the SIS Membership and get: -A Google Slides deck each week packed with educationally rich, movement-based literacy activities, Home resources to bridge school and family communication, -Evidence-based materials to target speech, language, and AAC in fun, engaging ways. 👉 Join here: https://www.kellyvess.com/sis 🎃Happy Halloween: Click here to download a 100% FREE Halloween-themed Google Slides deck to kickstart decontextualized conversations in therapy and at home!: https://www.kellyvess.com/halloween

Are you ready to go digital the right way in your therapy sessions? Today, we’re diving into the latest systematic review research on using digital tools to improve preschoolers’ language and literacy outcomes. The evidence is clear: digital media can be a powerful tool — when it’s used intentionally. In this episode, you’ll discover five key strategies that work, including: Why children should never be left alone with a device How to make digital activities multimodal and engaging The language modeling strategies that matter most Ways to make alphabet knowledge meaningful and connected to stories How to coach families and teachers for lasting impact Want to skip the overwhelm and have ready-to-go resources at your fingertips? Join my SIS Membership, where every week you’ll receive: A Google Slides deck filled with educationally rich activities Movement-based literacy ideas to target speech, language, and AAC goals Parent-friendly materials to bridge home and school learning Make therapy easier, more engaging, and research-based — all while saving hours of prep time. ✨ Join the SIS Membership today: https://www.kellyvess.com/sis Source: Liu, S., Reynolds, B., Thomas, N., & Soyoof, A. (2024). The use of digital technologies to develop young children’s language and literacy skills: A systematic review. Sage Open, 14(1).   

If you work with minimally speaking children using low-tech or high-tech AAC, this episode is for you. A brand-new systematic review has just been published, but the underlying research is sparse, messy, and often mislabeled. Today, we’ll dig through the “recycle bin” of studies to uncover what actually works, why commenting is more powerful than requesting, and how to take action on Monday morning. You’ll learn: -Why are many so-called “commenting interventions” really prompted responses to labeling questions, not true initiations -The pivotal role of combining words in AAC for speech development and generative language -Why modeling and scaffolding work and what research says about prompting hierarchies -How to apply the triangle of evidence-based practice when published protocols don’t exist -Download my free 30 Minute M.O.D.E.L. workshop to share with colleagues and caregivers: https://www.kellyvess.com/aac 💡 Ready-to-Go Tools: Don’t waste hours planning therapy. Get empirically-based, literacy-rich, movement-based activities delivered to you every week inside the SIS Membership. You’ll get: -Weekly theme-based Google Slides decks for individual, group, and teletherapy sessions -Engaging multisensory activities that target speech, language, and literacy, all ready to use Join now at https://www.kellyvess.com/sis and transform your therapy sessions with tools backed by research and designed for real-world success. Spencer, T. D., Tönsing, K., & Dada, S. (2025). Augmentative and alternative communication (AAC) interventions that promote commenting: A systematic review. Augmentative and Alternative Communication, 1–14.

Is telepractice just as effective as in-person therapy for treating speech sound disorders? In this episode, we take a realistic, research-driven look at what the evidence really says about speech telepractice—and what factors determine whether it works. You’ll discover: The exact client profiles that are NOT a good fit for telepractice. The active ingredients that make telepractice sessions as effective as in-person therapy. Why dose isn’t just about reps—and how complex targets create massive gains. Brand-new research on final clusters and how to apply it in therapy. The key role of caregivers as co-therapists in virtual sessions. If you’re a school-based SLP, private practitioner, or just considering telepractice, this episode will help you deliver high-impact, evidence-based therapy online—while avoiding the pitfalls. 💛 Get ready-to-go therapy plans every week inside the SIS Membership:https://www.kellyvess.com/sisYou’ll get theme-based movement activities, literacy-rich speech therapy materials, and a home-to-school 'Google Slides Deck' bridge that’s ready for immediate use. Potapova, I., John, A., Pruitt-Lord, S., & Barlow, J. (2025). Extending complexity to word-final position via telepractice: Intervention effects for English-speaking children with speech sound disorder. Language, Speech, and Hearing Services in Schools, 56(1), 42–57. https://doi.org/10.1044/2024_lshss-24-00020 P.S. A gift for SLPs & Educators: I’m giving away a FREE Digital Articulation Screener to make speech assessments easy and engaging—for both in-person and teletherapy sessions. Here’s what you’ll get for free when you join The Preschool SLP Facebook group: 🗂 A ready-to-go digital speech screener + protocol 📝 5 pages of goal-writing cheat sheets to write strong, measurable IEP goals 🎥 A live workshop to walk you step-by-step through the process ✨ Download by pressing the pinned link here → facebook.com/groups/thepreschoolslp     

Are your speech therapy goals actually creating change or just filling space on an IEP? In this episode, I share the three biggest mistakes I made in writing goals (and what to do instead). You’ll learn how to: Write measurable annual goals that track real growth. Use complex clusters and the complexity approach to accelerate progress. Show parents exactly how to cue, fade prompts, and buy-in to accomplish the quarterly objective so they become co-interventionists right from the start. Avoid clunky goals that stall progress and force unnecessary amendments. Want done-for-you treatment targets, cueing visuals, and movement-rich literacy-based activities? Join the SIS Membership today at www.kellyvess.com/sis . You’ll get ready-to-use weekly therapy materials that help you write smarter goals, coach parents with confidence, and create massive speech gains — without reinventing the wheel. Work smarter, not harder. Don't delay and download my free goal cheat sheet by clicking on the link in 'The Preschool SLP Facebook Group': https://www.facebook.com/groups/thepreschoolslp P.S. This week's episode was excerpted from my recent 'How to Write Speech Goal that WORK' Workshop. To access the free workshop and free accompanying goals sheets, go to 'The Preschool SLP Facebook Group': https://www.facebook.com/groups/thepreschoolslp

If you work with children with speech sound disorders, this episode is for you. I’m breaking down my simple 3-step method for writing speech goals that not only improve clarity but also empower parents and the entire intervention team to stay on the same page. You’ll learn how to: Use your single word standardized speech tests to track progress with confidence Write easy to measure annual goals that are reliable to connected speech Create clear, evidence-based objectives that scaffold from maximum to minimal support This approach has been a game-changer in my 20+ years of practice, making goals measurable, parent-friendly, and easy to implement across settings. ✨ Want ready-to-use literacy, speech, language, and AAC activities delivered weekly—complete with movement-based themes, large group lessons, and teletherapy/large group/parent home practice Google Slides decks? Join the SIS Membership and transform your sessions: https://www.kellyvess.com/sis Want to see exactly how I write these goals step by step—and get a downloadable cheat sheet you can use right away? Join me in The Preschool SLP Facebook group:  . I’ll be https://www.facebook.com/groups/thepreschoolslp going live on Monday, August 25th at 12 PM ET with an hour-long training that breaks this all down in detail. Can’t make it live? No worries—the replay and resources will be waiting for you inside the group.

How can speech-language pathologists determine whether a child’s communication challenges are due to a language difference or a language disorder—and then choose the most impactful language intervention strategies? In this episode, I’m joined by Dr. Celeste Roseberry-McKibbin, one of the leading experts in culturally, linguistically, and economically diverse (CLED) populations. With over 70 scholarly publications and 16 books, she has dedicated her career to ensuring SLPs can assess children fairly and provide evidence-based interventions that truly change outcomes. You’ll get research-backed, Monday-morning-ready tools you can use right away to evaluate students from under-resourced backgrounds and target goals that will boost both communication and academic skills. 🧠What You’ll Learn in This Episode: ✔️Why standardized tests often misrepresent abilities in children from economically diverse backgrounds ✔️How working memory and nonword repetition tasks can reveal developmental language disorder (DLD) ✔️Fine and gross motor skills as powerful screening indicators ✔️Practical dynamic assessment techniques that reduce cultural and linguistic bias ✔️How parent responsiveness speed drives early language growth ✔️Goal-setting priorities from infancy through school age for maximum impact ✔️Building phonological awareness, morphological awareness, and narrative skills ✔️Why tier 2 vocabulary and paper books improve long-term literacy outcomes ✔️Free and low-cost strategies any caregiver can implement—no matter their literacy level. If you’re ready to put these strategies into practice, join the SIS Membership. You’ll get weekly, empirically based language and literacy activities that improve phonological awareness, literacy, and print skills—all ready to use for therapy every week. Perfect for working with preschoolers, early elementary students, and children from culturally and economically diverse backgrounds. 🎯 Start improving outcomes today → www.kellyvess.com/sis Connect with Guest Dr. Celeste Roseberry-McKibbin: TikTok: @celesteroseberry Instagram @dr.celesteroseberry YouTube: Celeste Roseberry Dr. Celeste's Website: www.lovetalkread.com Download Dr. Roseberry-McKibbin's Supplementary PowerPoint Handout

Are you using the Natural Language Acquisition (NLA) framework in your autism intervention? This episode of The Preschool SLP pulls back the curtain on Gestalt Language Processing (GLP) and challenges you to think critically about what’s truly supported by research—and what isn't. SLPs are increasingly encouraged to adopt GLP-informed interventions, but a recent article by Venker and Lorang (2025) in response to Hadock et al. (2024) raises five concerns you can’t afford to ignore. In this episode, we break down each criticism with clinical insight and offer evidence-aligned strategies you can use immediately in your therapy room. 🔍 In this episode, you'll learn: ✅ What aspects of the NLA framework are backed by empirical research ❌ Why there’s currently no published GLP intervention program to evaluate 🧠 How mislabeling children as “Gestalt processors” can lead to unsupported assumptions ⚠️ The risks of avoiding verbs or grammar in early language modeling 🧪 What data you should be tracking with spontaneous language samples 🦢 Why eclectic, evidence-informed practice beats one-size-fits-all intervention 📚 Want done-for-you, research-backed materials aligned with what actually works? Skip the guesswork. My SIS Membership provides weekly, ready-to-use intervention tools grounded in empirical research—designed to help preschool SLPs like you make real progress with children on the autism spectrum, including those who use gestalts to communicate. 👉 Join the SIS Membership at www.kellyvess.com/sis Inside, you’ll find: 🎯 Multimodal therapy treatment targets 🔁 Materials for consistent, high-frequency language use that boosts progress 00:00 Introduction to Natural Language Processing 00:30 Evidence-Based Practices in Language Development 01:54 Intervention Strategies and Challenges 03:05 Criticisms of Gestalt Language Processing 06:59 Understanding and Measuring Language Processing 10:44 The Role of Gestalts in Language Learning 17:43 Final Thoughts and Practical Advice Haydock, A., Harrison, L., Baldwin, K., & Leadbitter, K. (2024). Embracing gestalt language development as a fundamental neurodiversity-affirmative practice. Autism, 28(5), 1055–1059. https://doi.org/10.1177/13623613241234598 Venker, C. E., & Lorang, E. (2024). Continuing the conversation about echolalia and gestalt language development: A response to Haydock, Harrison, Baldwin, and Leadbitter. Autism, 29(3), 821–824. https://doi.org/10.1177/13623613241287577

This week, Kelly shares a powerful, research-driven strategy that she developed—almost by accident—that has become a game-changer in her therapy room and for countless SIS members. 🔍 In This Episode, You’ll Learn: Why traditional “plus one” language modeling often isn’t enough—and how to break free from the chisel-and-hammer approach. The story behind how a speech sound disorder bootcamp accidentally became the birthplace of an effective language intervention for children with autism. How using a repetitive, multisensory paragraph-based strategy can lead to spontaneous, complex language—even in non-speaking children. The dangers of over-praising or applying pressure—and how loss aversion can backfire in autism intervention. Why comments matter more than requests—and how shifting from "I want" to "Look at" can be transformative. How to embrace gestalt language processing with intention, evidence, and child-led wisdom. The cascading impact: how one paragraph can ignite spontaneous language, natural intonation, and even why questions you've never explicitly taught. 🧠 Evidence + Experience = Results You’ll hear how Kelly used both data and lived clinical experience to build this method, drawing from motor planning research, storytelling science, and decades of observing how autistic children truly learn. The result? Gains in speech clarity, sentence complexity, and utterance length—even after just five sessions. And for many children, spontaneous language emerges naturally, without the artificial scaffolding of sentence strips and forced modeling. “We need to stop being gatekeepers asking, Can they do this? and start asking, How can we help them do this?” 💡 Want to Try This Strategy? The exact language target paragraphs Kelly describes in this episode are exclusive to the SIS Membership. But today, she’s sharing the methodology so you can start seeing the cascading gains in your own practice—starting Monday morning. 🚀 Ready to Change Lives One Paragraph at a Time? The SIS Membership gives you access to: Treatment target paragraphs for speech & language Research-based strategies that actually work in real-world settings 👉 Join the SIS Membership today at www.kellyvess.com/sis Your next language breakthrough starts here.

Are you using the Gestalt Language Processing (GLP) approach in assessing autistic language development—or wondering if you should? In this episode of The Preschool SLP Podcast, we cut through the noise to break down what’s evidence-based, what’s not, and how to make informed, practical decisions starting Monday morning. Whether you're a speech-language pathologist or a parent of a child with autism, this episode will equip you to approach Gestalt language development with discernment and clarity. In This Episode, you'll Learn: What is Gestalt Language Development and where it comes from (Marge Blanc, Barry Prizant, Laura Lee)? Why does current meta-analytic research cast doubt on many GLP intervention programs? Which active ingredients of the Gestalt paradigm align with spontaneous, generative language development? What are the biggest red flags in GLP that may hinder progress? The #1 evidence-based assessment tool you should be using (Hint: It's a spontaneous language sample—only 25 utterances needed!)? How to measure growth using: Repetition reduction, Type-token ratio, Verb diversity, Subject-verb combinations, Syntactic + grammatical complexity? Why do verbs matter more than nouns in assessing vocabulary gains? How to “be discerning like a swan” and combine the best of multiple intervention models? This episode isn’t just theory—it’s practical, raw, and backed by real research. If you're looking to create impactful change in language development, this is your blueprint. 🔗 Resources Mentioned: ResearchGate: 25-Utterance Language Sample Study, Barry Prizant’s work on Echolalia, Marge Blanc’s six stages of GLP, Laura Lee’s Developmental Sentence Scoring. Want Tools That Make Monday Easier? Get ready-to-use multimodal activities for autistic learners in the SIS Membership? Join hundreds of SLPs transforming their therapy with evidence-based SIS Membership tools you can download and use today. 👉 Join the SIS Membership now at www.kellyvess.com/sis

We're combining two of the most highly requested topics—Gestalt Language Processing and AAC (Augmentative and Alternative Communication)—into one conversation with Farwa Husain of First Phrases. We're answering some key questions about AAC + Gestalt: What do we actually know about integrating gestalts with high-tech AAC systems? What’s missing in the research? How can SLPs move forward confidently on Monday morning without waiting for perfect data? What Gestalt Language Processing really means (and why you can’t “give” a child a gestalt)? What common AAC myths are holding children back—and what to do instead? Is the child “stimming” on AAC devices (spoiler: often exploration, a good thing)? Why focus on relationship-first therapy? How can we model extensively and in a meaningful manner? What are some joyful learning strategies for introducing AAC to Gestalt Language Processors in preschool? Whether you're a seasoned SLP or just getting started, this episode is packed with actionable insights and evidence-informed best practices for Monday morning therapy with autistic preschoolers. Guest Bio: Farwa Husain is a specialist in Gestalt Language Processing and AAC integration. Follow her on Instagram @firstphrasesofficial and learn more at www.firstphrases.com. Roll up your sleeves and join the SIS Membership today! Get ready to implement what you hear on the podcast with done-for-you, ready-to-use literacy, music, and movement-based activities that treat the whole child. The SIS Membership is your go-to toolbox for engaging, evidence-based, educationally rich, neurodiversity-affirming therapy activities that treat the whole child in preschool and elementary school settings. Get AAC support, weekly movement activities, visuals, behavior supports, AAC strategies, Google Slides Decks, and more—all aligned with best practices discussed in today’s episode. I look forward to seeing you at the SIS Membership drawing board. Join now at www.kellyvess.com/sis

Is the way you’re working… actually working? In this candid and empowering episode of The Preschool SLP, I sit down with the SLP Happy Hour host, Sarah Lockhart, to talk about what no one tells you in grad school: the path to sustainability as an SLP is rarely linear. Together, we unpack what it really takes to thrive in this field—from navigating burnout to rebuilding self-trust, shifting careers, and defining success on your own terms. Whether you’re in public schools, private practice, teletherapy, or contracting, this conversation will meet you exactly where you are. What You'll Learn: The hidden costs of perfectionism and overworking When private practice becomes unsustainable The real pros and cons of contracting, teletherapy, and salaried school positions How to build a fulfilling SLP career through self-trust and clinical intuition Why working smarter (not harder) is the key to staying in this field long term If this episode hit home, and you’re craving less prep and more purpose in your therapy sessions, then it’s time to join the SIS Membership. Inside SIS, you’ll get: ✅ Weekly ready-to-go, research-backed therapy materials ✅ Tools like the Behavior Flip Cards and Progress Diplomas featured in this episode ✅ Multimodal strategies that support the whole child ✅ A system that protects your energy so you can focus on what matters: being present Join now and start working smarter today: www.kellyvess.com/sis 00:00 Introduction and Inspirational Opening 02:33 Sarah's Journey as an SLP 04:16 Challenges and Realities of Private Practice 04:46 The Shift to Telepractice 07:24 Balancing Work and Personal Life 18:12 Top Recovery Tips for SLPs Get your Behavior Rule Flip Cards + Behavior Diplomas at: 🔗 www.kellyvess.com/behavior

If you work with or have a child with communication impairments, today's episode, dedicated to improving behavior, is a 'must-listen'. I’m pulling back the curtain and giving you access to two powerful tools straight from my SIS Membership that are helping SLPs across the country transform their therapy sessions—without burning out. Heat up your laminator and get ready for success.  Tool #1 will help your kiddos develop prosocial communication behaviors. Tool #2 will support celebrating and generalizing prosocial communication behaviors. These tools are designed to be effective, easy to implement, and evidence-based for kiddos with communication challenges. Download both free tools by going to www.kellyvess.com/behavior Get ready-to-go, empirically-based, engaging activities (with parent home practice) in your inbox every week by joining the SIS Membership today at www.kellyvess.com/sis Join SIS and be present.

Take your recovery as seriously as the work. In this episode, I share my five current favorite health hacks for achieving optimal health and well-being, both mentally and physically. P.S. Prevent burnout by becoming a SIS member and receiving educationally rich, ready-for-use materials in your inbox weekly. Don't delay and join the SIS Membership today at kellyvess.com/sis

Over 20 years ago, I moved from the "I want" sentence strip to the "Look at" one in working with children with Autism. Why? This episode explores the advantages of using a "Look at" sentence strip over an "I want" sentence strip to optimize gains in the development of communication skills in children with autism in both the short and long term. Ready to take action? Don't delay and join me at the intervention drawing board by joining the SIS Membership today at kellyvess.com/sis

We're diving into one of the most common and heart-wrenching challenges faced by parents, educators, and therapists—separation anxiety. Leave this episode with a simple, yet effective, four-step process to ease anxiety and build relationships with confidence and compassion. Make sure to set yourself up for success by understanding a child’s temperament, triggers, and favorite things—before they walk in the door by downloading the tried and true, free parent input form now at kellyvess.com/parentinputform  Don't delay by rolling up your sleeves and taking action today b joining the SIS Membership at kellyvess.com/sis P.S.  If you loved this episode, please follow, rate, and review the show. Your support helps spread responsive, evidence-based practices around the world. 

Are you working with anxious children who are exhibiting challenging behavior? What can you do to help? Check out this episode for six actionable steps you can take right now to make a difference. Don't delay and join the SIS Membership today at kellyvess.com/sis to receive educationally rich activities weekly that treat the whole child and empower you to focus on what matters most: meaningful interactions.

This week, we are diving into play. We will discuss the importance of transitioning from sensory to symbolic play levels. Ready to take action and engage in educationally rich play activities during your sessions? Don't delay and join the SIS membership today at kellyvess.com/sis

Researchers estimate that a majority of children with developmental delays have Sensory Processing Disorder. What to do? Let's dive in! Raevsky, M., Nabalta, C. A., & Atiles, J. T. (2025). Managing sensory processing disorders in an early childhood classroom: Evidence-based strategies for teachers. Early Childhood Education Journal. https://doi.org/10.1007/s10643-025-01904-z Ready to put research into practice every week? Join me at the drawing board by joining the SIS Membership at https://www.kellyvess.com/sis