PROMPT Therapy is an approach in which the therapist provides touch cues to the speech muscles (jaw, lips, tongue) which enables the client to increase awareness and control when forming words, phrases, and sentences.  PROMPT allows for real time sensory feedback so that the client can feel what it feels like to motorically produce syllable shapes. PROMPT Therapy is comprehensive and integrated as it guides the therapist to look at strengths and weaknesses in three domains: the client’s physical-sensory ability to produce words, the client’s cognitive linguistic understanding of language, and the client’s social emotional ability to connect to others.  The therapist assesses how these three domains interact to impact the client’s communication and chooses goals to work toward in treatment that assist the client to increase functional skills.

TBRI^® is an attachment-based, trauma-informed intervention that is designed to meet the complex needs of vulnerable children. TBRI^® uses Empowering Principles to address physical needs, Connecting Principles for attachment needs, and Correcting Principles to disarm fear-based behaviors. While the intervention is based on years of attachment, sensory processing, and neuroscience research, the heartbeat of TBRI^® is connection. (Description from https://child.tcu.edu/about-us/tbri/#sthash.Gs9t8AmH.dpbs )

The Somatic Experiencing® method is a body-oriented approach to the healing of trauma and other stress disorders. It is the life’s work of Dr. Peter A. Levine, resulting from his multidisciplinary study of stress physiology, psychology, ethology, biology, neuroscience, indigenous healing practices, and medical biophysics, together with over 45 years of successful clinical application. The SE™ approach releases traumatic shock, which is key to transforming PTSD and the wounds of emotional and early developmental attachment trauma.

Social cognition involves how people process, store, and apply information about other people in the world around us and within social situations. The ways in which we think about others plays a major role in how we think, feel, and interact with the world around us.  Challenges in social cognitive skills can affect shared imagination/play skills, perspective taking skills when interacting with others, reasoning skills, problem solving skills, and academic skills (e.g., reading comprehension and written expression).  Challenges in social cognitive skills also can have effects on a person’s ability to effectively communicate socially with others and to initiate and sustain relationships.  These challenges can affect very small children through adults due to the social world becoming more complex and nuanced as we age. Therefore, when challenges in this area exist increasing awareness, knowledge, and application of social cognitive skills is possible at all ages.

Myofunctional therapy is a program used to correct the improper function of the facial muscles and the tongue. It involves strengthening of the orofacial muscles and the tongue by teaching clients how to engage the muscles to the correct position.

An orofacial myofunctional disorder (OMD) occurs when there is an abnormal lip, jaw, or tongue position during rest, swallowing, or speech. Orofacial myofunctional disorders may interfere with normal growth and development of the muscles and bones of the face and mouth. Orofacial myofunctional disorders may also interfere with how the muscles of the face and mouth are used for breathing, eating, and talking.

Some signs of oral dysfunction or oral restriction might include:

• Difficulties with nursing as an infant
• Colic or gassiness as an infant
• Troubles transitioning to solid foods as an infant
• Persistent mouth breathing
• Persistent food aversions
• Messy eating
• Difficulty closing the lips to swallow
• Difficulty chewing and swallowing foods
• Decreased tongue movement
• Tongue thrust
• Speech difficulties
• Allergies or sinus issues
• Digestive issues
• Enlarged tonsils or adenoids
• Chronic ear infections
• Cavities or other dental issues
• Tongue resting on the bottom (floor) of mouth
• Dental Malocclusion or crooked teeth
• Drooling (especially beyond age 2)
• Sucking or chewing habits past age 3 (finger/thumb sucking, pacifier use, nail biting)
• Issues with toilet training or bed wetting
• Torticollis or Scoliosis
• Narrow high arched upper palate
• Migraines/headaches
• Jaw issues
• TMJ pain
• Recessed chin
• Clenching and/or grinding teeth
• Snoring, night terrors, or sleep apnea
• Trouble getting restful sleep or waking up tired
• Attention issues
• Anxiety

The Sequential Oral Sensory (SOS) feeding approach integrates motor, oral, behavioral/learning, medical, sensory and nutritional factors and approaches in order to comprehensively evaluate and manage children with feeding/growth concerns. Created and refined by Dr. Kay Toomey and her multidisciplinary teams over the past 30 years, the SOS approach to feeding is a nationally and internationally recognized clinical program for helping all children to develop a healthy and enjoyable lifelong relationship with food.