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The Latest Scholarship News for Florida Special Needs Kids

Good news for Florida residents! Your child may be eligible for the Gardiner Scholarship. Also known as the PLSA, Personal Learning Scholarship Account, this NEW financial program is designed to better meet the individual educational and therapeutic needs of Florida children with disabilities, ages 3-22 (or 12th grade.)

If your child qualifies for the PLSA, you can purchase approved services or products such as speech therapy from certified providers such as Great Speech.


To be eligible for this scholarship, you must meet the following criteria:

  1. Residency: For Florida residents only
  2. Age: Applicants must be 3 or 4 years old on or before September 1 of the year in which the student applies for program participation, or eligible to enroll in kindergarten through 12th grade in a Florida public school or 22, whichever comes first.
  3. IEP: Applicant must have an IEP
  1. Diagnosis of Disability: Applicant must have a diagnosis of disability from a physician licensed under chapter 458 or chapter 459 or a Florida state-licensed psychologist
  2. Disabilities: A number of diagnoses are covered including: autism spectrum disorder, Down syndrome, muscular dystrophy, Williams syndrome, cerebral palsy and specific intellectual disabilities.
  3. School: Applicant must be enrolled in a private school or participating in a home school program

The PLSA is not a set amount but rather is determined by a number of factors including where you live in Florida, level of need and grade, though the average for the 2015-16 school year is approximately $10,000.

Your child may be eligible for FREE speech therapy services, and as a licensed provider, we hope to provide those services to you.  For more information or to apply, click here.


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How Online Speech Therapy Can Help With the Effects of ADHD in Adults

Did you know that more than 25% of Americans struggle with ongoing loneliness? This percentage may be even higher among adults with ADHD. Loneliness and social isolation often result from difficulty conforming to social norms.

Continue reading to learn how online speech therapy can decrease the effects of ADHD.

What Is Telepractice?

The American Speech-Language-Hearing Association (ASHA) recognized telepractice as an effective modality. It connects Speech-Language Pathologists (SLPs) with speech therapy clients. The treatment involves interactive audio and video sessions.

These services can occur via Face Time, Zoom, Skype, and other tools. The therapist may also use video clips. Therapy sessions include live interactions, stored and then forwarded information, or a combination.

What Is the Meaning of ADHD?

Attention deficit hyperactivity disorder is commonly called ADHD. This can manifest in children and adults. Treatment often involves a combination of:

  • Environmental modifications
  • Behavior modification
  • Speech therapy
  • Medications

The development of treatment plans must focus on the individual’s unique needs.

Effects of ADHD in Adulthood

Most ADHD symptoms begin in early childhood and continue into the adult years. Yet it may not be diagnosed until the person reaches adulthood. Adult symptoms are often less specific than those in childhood.

Common adult ADHD symptoms include:

  • Impulsiveness
  • Problems prioritizing and organization
  • Difficulty with time management
  • Problem with multitasking
  • Disruptive restlessness and excess activity
  • Poor ability to make productive plans
  • Easily becomes frustrated
  • Frequent mood swings
  • Difficulty attending to and completing tasks
  • Short temper
  • Difficulty dealing with stress

Having ADHD as an adult can cause difficulty in home, work, and social situations.

Strategies Used When Treating Adult ADHD Online

SLPs use many different strategies to address adult ADHD issues. The following are examples of treatment approaches.

ADHD Social Skills

Often, adults with ADHD have an inability to read social cues. Effective social interaction relies on attentiveness, responsibility, and impulse control. Adults with ADHD often demonstrate inattentiveness, forgetfulness, and a lack of impulse control.

SLPs can provide social skill training. Strategies for promoting social success include the following.


The individual may need specific instructions. This allows them to learn about acceptable behavior.


The person with ADHD must feel positive and open to improving their skills. This helps them hear and appreciate feedback from others.


The Echo

Choose one goal to work on. Focusing on one skill at a time helps decrease distraction. The SLP may steer the individual back to the skill when they start to wonder.

Many people with ADHD miss chunks of information due to poor attentiveness. The SLP may have an interaction with the person and then ask them what they heard. The client should practice echoing with others to ensure they avoid social errors.


SLPs often role-play with their clients. This allows for the modeling of appropriate interactions and for feedback. Practicing this skill, like with other skills, can improve competency.

Role-playing can also increase the person’s self-confidence in social situations. They now have a “playbook” to follow.


SLPs may teach the client to use prompts to maintain focus on their social skill goals. Prompts may include an index card. A watch or other device that vibrates every 4 minutes can act as a reminder to stop talking. A trusted partner can gesture or tell them to be quiet to help with mastering social skills.

Difficulty Finding Words

ADHD can contribute to trouble remembering the word you want to say. SLPs use some of the following strategies to help with this problem.

Keep Talking

When you forget the word you want to say, it’s normal to pause or stop talking. You may even forget the point you were trying to make. Instead of pausing, think of other words to describe what you mean and keep talking.

This strategy gives yourself time to add the word later if you remember it. You also keep a social connection in your conversation.

Use a Synonym

Choose another word or group of words that describe the same thing. For example, if you were trying to say, “sublime”, you could say “superb” or “spectacular” instead.

Using words with the same first letter sound activates the part of the brain where the word is “hiding”. This can help you remember it quicker.

You can also use other words like “excellent”, or “amazing”. The listener most often won’t even notice.

Repackage the Word

Once you remember the word, repeat it several times a day to make it easier to find. You may also use strategies such as imagining a picture version of the word. For example, think of a submarine and a lime to recall “sublime”.

Practice Brain Health

Exercise, eating a healthy diet, and managing stress build a healthier brain. The natural stress response causes the brain to focus on the perceived threat. Keeping your brain healthy and relaxed will increase its ability to work for you.

Expressive Language Disorder in Adults

Expressive language disorders (ELDs) cause:

  • difficulty speaking
  • using grammatically correct sentences
  • converting thoughts into speech

The SLP may use one or more of the following treatment approaches.

Augmentative and Alternative Communication (AAC)

In severe cases, speaking or writing can be enhanced or replaced. The person may use pictures, line drawings, and tangible objects. Manual signs, gestures, or fingerspelling can also help.

Computer-Based Instruction

There are many computer technologies and programs used for speech development. They can focus on language skills, social skills, and social problem-solving. These services may occur with your therapist using internet communication apps

Video Modeling

Video modeling can take the form of a pre-recorded format or a live, interactive format. The therapist models the desired behavior. The client watches the behavior and then performs a return-demonstration.

Executive Functioning Training

Executive function exercises focus on improving working memory, impulse control, and cognitive flexibility. Working memory allows a person to remember the steps needed to complete a task.

Impulse control gives people the ability to stop doing something that’s inappropriate. Cognitive flexibility allows people to switch to different mindsets quickly.

Do You Need Help With Speech, Language, or Hearing Problems?

Some adults experience negative effects of ADHD. Yet, all is not lost. Effective therapy can help improve skills and functional ability.

Great Speech provides virtual speech therapy sessions. This is beneficial to those who can’t meet personally with a therapist for a variety of reasons. We use web-based video conferencing technology for real-time sessions.

Pre-scheduled sessions provide opportunities for clients to practice therapeutic activities and exercises. You’ll receive follow-up resources to help you practice your skills between sessions. Request a free consultation today.


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Social Communication Disorder: Everything You Needed to Know

Social Communication Disorder: Everything You Needed to Know

The prevalence of social language impairment is about 7.7% in children of ages 3-17 years. Children with social communication disorder struggle with effective communication. They may not understand when to respond during a conversation.

Others may not know when it’s better for them to keep quiet. Children with social communication disorder (SCD) also lack a good sense of private space. They may not be aware of how close or far to be from a person they’re communicating with.

For a more in-depth understanding of the condition, let’s first define what it is.

What Is Social Communication Disorder?

Social communication disorder is also known as semantic pragmatic or pragmatic language impairment. It’s still a relatively new condition, and some specialists classify it under autism. The symptoms of SCD closely resemble those of autism.

Social communication is more than the spoken word. It encompasses social recognition, non-verbal communication, language processing, and pragmatics. Individuals with SCD struggle with the use of different components of language like syntax and vocabulary.

SCD affects children in three major areas. These are social understanding, social interactions, and pragmatics. The latter refers to the use of language in its proper context.

A child with SCD doesn’t understand the difference in the tone when addressing a baby than an older adult.

Symptoms of Social Communication Disorder

Every child wants to make friends, but some find it hard to fit in. They can take a long time to learn how to make social conversation. Sometimes, getting along with others can be an ongoing challenge.

These are just some of the early warning signs of social communication disorder in a child. Other symptoms include

  • Challenges communicating verbally and non-verbally
  • Issues in adapting to a specific communication style
  • Difficulties in understanding the context of communication
  • Problems in relating stories
  • Inability to follow social rules
  • Avoidance of social situations due to severe anxiety

child who has SCD will also exhibit signs of delayed milestones right from an early age. Although the delays might emerge early, they might not be diagnosed until later.

How Does SCD Differ from Autism?

In the past, specialists haven’t been able to draw a line between Social Communication Disorder and autism. The symptoms of the two conditions are closely similar. However, for children with autism, there’s repetitive r disruptive behavior like

  • Obsessive fixation on routines
  • Repeated body movements
  • The excessive repeating of sounds
  • Sensory sensitivity particularly to sound
  • Preoccupation with specific objects

Any disruption to the routine the patient is used to results in outbursts coupled with aggression. Children who were previously diagnosed with autism but didn’t display the above symptoms should be reassessed. The real issue with the children could be social pragmatic communication disorder.

Diagnosis of Social Communication Disorder

As mentioned before, most of the symptoms of SCD overlap with those of other conditions. This in itself complicates diagnosis. It explains why some children were wrongfully diagnosed with autism.

The diagnosis was per the previous Diagnostic and Statistical Manual.

During the diagnosis of SCD, it’s crucial first to rule out other problems. For example, a hearing assessment can be done to rule out hearing problems. An expert speech and language pathologist should complete hearing assessment.

The tests should take into consideration age, expected stage of development, and cultural norms. The speech specialist should be able to determine if the child can:

  • Take turns during conversation
  • Answer questions
  • Express and describe emotions
  • Use gestures appropriately
  • Stay on topic
  • Adapt to the language and tone of the conversation
  • Make and keep friends

The other thing should entail ruling out autism. This is important because of the overlapping symptoms and behavior challenges. However, what’s important to note is that SCD lacks restrictive and repetitive behaviors common in autism.

For example, in autism, a child may feel the need to do things the same way every day. They want to eat the same foods every day or arrange their crayons in a specific way. With social communication disorder, these behaviors are not present.

Treatment of Social Communication Disorder

There isn’t any known cure for SCD, but there are treatment options available. Speech and language pathologists have developed treatment approaches for communication conditions like SCD. They are trained to help children develop communication skills.

The treatment approach used should be specific to an individual. It should focus on functional improvements concerning communication skills. More specifically, the goals of SCD treatment include

  • Building independence in communication settings
  • Addressing barriers that make social communication difficult
  • Facilitating social interaction activities to build new strategies

For more effectiveness in treatment, it’s recommendable to include family members. Therapists may also work together with teachers, special educators, vocational counselors, and psychologists. An all-rounded approach to treatment provides consistent practice for various social situations.

Tools Used in Treatment

Some of the tools used in treatment include augmentative and alternative communication (AAC). This entails supplementing speech with objects, drawing, or pictures. Therapists may also employ computer-based instruction.

It’s useful in teaching vocabulary, social problem solving, and social understanding. Video-based instruction uses video recording to provide a target for expected behavior. Comic book conversations that depict communication between two people are also useful.

Lastly, treatment may also involve social skills groups. These incorporate instruction, feedback with peers, and role-playing. Through the groups, a child is aided to script responses for the initial moments of a conversation.

Take Away

Social communication disorder is a condition that inhibits a child’s ability to communicate. For a long time, it was misdiagnosed as autism. Recent studies show that there are significant differences between the two conditions.

A child with SCD displays challenges in taking turns in conversions. They are also unable to relate conversation to the context. However, they differ from children with autism in that they don’t show aggression.

In administering treatment for SCD, it’s recommendable to involve the family. Experts like counselors, teachers, and psychologist should also be in the picture. This provides an all-rounded treatment approach that helps a child improve rapidly.

Acceptance of children with SCD and their inclusion in social activities is the first step towards their recovery. If you have any questions about speech therapy and problems, be sure to contact us.

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Social Pragmatic Disorder: What you Need to Know About It

If you suspect that your child might have a social pragmatic disorder (or social communication disorder), you probably have a lot of questions.

Social pragmatic communication disorder is a diagnosis, and it’s gone by many different names in the past.

This disorder is characterized by the difficulty with the use of spoken language in socially appropriate ways. Children with SCD may be able to pronounce words and construct sentences, but they will struggle to hold conversations. This can make it difficult to make friends and perform well in school.

Let’s break down SCD as a disorder–and how you can find help.

What Is Social Pragmatic Disorder?

So why is it called social pragmatic disorder? Children with SCD have trouble with pragmatics, which are the underlying and unspoken rules of spoken language. The pragmatics of language include changing the way you speak in different situations, altering the tone or loudness of your voice, and understanding social cues in speech.

Clients with SCD might not understand how to hold a conversation. Some of them might talk too much and interrupt frequently, while others might not talk at all.

People with social pragmatic disorder will often have difficulty mastering these verbal and non-verbal communication skills:

  • Responding to others
  • Reaching language milestones
  • Using gestures (waving, pointing, shaking head)
  • Staying on the same topic
  • Discussing emotions
  • Adjusting speech to fit different people or situations
  • Taking turns when speaking with others
  • Understanding sarcasm
  • Comprehending implicit references
  • Asking relevant questions
  • Making Friends

This has nothing to do with the way the children were raised or how they were taught manners by their parents. For reasons that still aren’t clear, people with social pragmatic disorder struggle to learn how to use language in a socially appropriate way.

How Is It Different from Autism?

In many ways, this difficulty to communicate can overlap with signs of autism. Many medical professionals might diagnose children with SCD with autism. However, new research has shown that some children with SCD don’t show any signs of autism–and therefore, they’re not getting the right treatment.

Social pragmatic disorder was only recognized as an official diagnosis in 2013. The American Psychiatric Association (APA) added it to the Diagnostic and Statistic Manual of Mental Disorders (DSM) in an effort to bring light to the condition. For years it was considered a symptom of language impairment, a sign of autism spectrum disorder, or a different developmental disorder.

Autism also involves difficulty with social communication, but it also involves restricted and/or repetitive behaviors. Before a diagnosis of SCD is reached, an evaluation must rule out autism.

Making this distinction can be difficult because many behaviors overlap between autism and SCD. In fact, SCD can occur alongside other disorders including learning disabilities, speech sound disorder, and ADHD. You should always consult a professional for an official diagnosis.

What Causes Social Pragmatic Disorder?

It’s not clear exactly what causes social pragmatic communication disorder. These kinds of disorders occur in about 5 to 15 children per 10,000 births–but it’s unclear how many of these include SCD as a diagnosis. Because it overlaps with so many other disorders, the cause and prevalence of SCD are unknown.

It’s thought to be a neurodevelopmental disorder that affects the brain’s right hemisphere. This may make it more difficult for individuals to process both verbal and visual information at the same time. It may also be related to challenges with executive functioning.

What Are the Next Steps If Your Child Is Diagnosed?

Symptoms are most often present in early childhood, but they may not be recognized until years later. If you think your child exhibits signs of SCD, take them to a physician or a psychologist for an official diagnosis.

You can also seek out a speech-language psychologist, or a speech therapist. They will do the following:

  • Observe your child at home or in the classroom
  • Interview the parents and teacher of the child
  • Perform one-on-one testing to assess communication and language skills

The goal of this testing is to analyze your child’s verbal and non-verbal communication in different settings. This will help identify whether these skills are underdeveloped or affecting your child’s ability to learn and form relationships with others.

Once you’ve gotten an official diagnosis, you can start thinking about treatment for social communication disorders.

Treatment plans can include a speech therapist to work one-on-one with your child to teach them strategies and reinforce their skills. You can also work with your child’s school to develop an Individualized Education Program (IEP), which can include speech therapy, skills training, and in-class support or accommodations.

Activities You Can Do at Home

While getting professional help is the best step to move forward, there’s more that you can do at home to encourage social communication skills. Just make sure that you’re discussing goals with your child’s therapist and guiding your activities to meet those goals. Here are a few examples:

Taking Turns

Play some games that help your child practice taking turns. This could be as simple as tossing a ball back and forth or repeating words or sounds. Start with just you and your child before you move on to other people.


Read books and stories aloud to your child. Encourage them to engage with the material by asking open-ended questions like: “What do you think about what this character did?” Focus on emotions or feelings, such as what a character in a story might be feeling and why they feel this way.

Play Dates

Plan some structured play dates for your child. You can begin with just one friend at a time and set a time limit. Later on, you can introduce more friends or increase the length.

Use Visual Support

Children with SCD may have trouble understanding your verbal or non-verbal cues. Try using visual aids to help set expectations or rules.

What You Need to Know About Social Pragmatic Disorder

If your child has social pragmatic disorder, there’s a lot you can do to help them develop their communication disorders. It’s important that you know what to expect–and get your child to a professional for a proper diagnosis and treatment plan.

Looking for more resources to get your child on track? Contact us to learn more about speech therapy.

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