Max Gleissner Speech and Language Therapy

Max Gleissner Speech and Language Therapy Mobile (I will come to you) high-quality and evidence-based Speech and Language Therapy. www.maxgle

Kia Ora,

I am Max - a Speech and Language Therapist based in beautiful Nelson also servicing Blenheim once a week - usually Fridays. I provide mobile (I will come to you) evidence-based Speech and Language Therapy. I work closely with you, your child and your child's wider team such as teachers, where necessary. As I am working in a specialist school myself, working with your child's teacher to adapt the Curriculum to suit your child's educational needs is one of my strengths. Services I offer include:
1) Early intervention - identification and treatment of communication difficulties in preschool aged children.

2) High and complex communication needs
as seen in individuals with intellectual and / or physical disabilities such as:
- Autism
- Down Syndrome
- Cerebral Palsy
- learning difficulties
- ADHD
- global developmental delay
- other developmental and / or acquired diagnoses.

3) Alternative and Augmentative communication (AAC) for individuals who are non-verbal or whose speech is not a functional means of communication. This may include:
- Visual communication books
- visual strategies to support understanding such as visual schedules and timetables.
- Picture Exchange Communication System (PECS)
- the Pragmatically Organised Dynamic Display (PODD)
- core-word boards
- specialized communication APPS for iPads and other tablets.
- New Zealand Sign Language (NZSL)

Preschool and school aged children
1) Speech / Articulation
Is your child's speech difficult to understand?

2) Expressive Language
Does your child speak in shorter sentences than his / her peers? Does your child seem to have difficulty producing grammatically correct sentences?

3) Receptive Language
Does your child seem to have difficulty following directions / understanding what you are saying?

4) Fluency (Stutter)
Does your child repeat sounds / words or 'get stuck' on a word?

5) Supervision
As a full member of the New Zealand Speech and Language Therapists' Association (NZSTA) currently completing my Masters with a focus on clinical education, I am able to provide supervision for other SLTs, such as new-graduates looking at becoming full members of the NZSTA. In addition to running my own clinic, I also work at a school for children with special needs and am currently completing my Masters with a focus on clinical education and AAC. Please see my website (www.maxgleissnerslt.co.nz) for further information and do not hesitate to contact me to inquire whether Speech and Language Therapy is appropriate for your child and to make an appointment. Ngฤ mihi nui,

Max Gleissner
Speech and Language Therapist / Kaiwhakatikatika Reo Kลrero
BSLP (Hons.)

30/03/2023

More perspective shifting

30/11/2022
Language is powerful!
15/11/2022

Language is powerful!

Yes ๐Ÿ‘๐Ÿผ๐Ÿ‘๐Ÿผ

Always learning.. :)
26/08/2022

Always learning.. :)

19/05/2022

Autism isn't a scale, it's a different operating system.
We have differences in our traits and different abilities, but no one is 'more autistic' than anyone else.

From autism_happy_place.

Speech is just one way to communicate. AAC is just one way to communicate.Accept all forms of communication and embrace ...
10/05/2022

Speech is just one way to communicate.
AAC is just one way to communicate.
Accept all forms of communication and embrace the rainbow. Check out the whole post/series from Cari Ebert Seminars for more.

24/04/2022

Edited:

There have been quite a few people sharing this post. For that, thank you. There have also been some misinterpretations. Even some individuals were angry at this post.
One reason could be that this was shared without enough context to interpret. Another may be that many individuals who did share may not have had the context of previous posts I share on my page. It may also stem from individuals less familiar with my credentials. CCC-SLP which is a Certificate of Clinical Competence for Speech-language pathology received many many years ago from our national organization American Speech-language Hearing Association. So with that, posts on my page typically focus on individuals with disabilities. Not all disabilities are visible. This may include anxiety, neurodiversity, and language delay to name just a few.

Therefore I have made some revisions for clarity

Questions aren't connections for many individuals with language challenges or anxiety or even neurodiversity. Questions can increase anxiety for many individuals. It's the idea that there may be a correct answer. It could be because the person is trying to process the question you are specifically answering that requires a specific answer. Also, questions are more linguistically complex - particularly yes/no types of questions. (let's save that for another day)

Instead try statements discussing mutual interests, items in the environment that you and the individual may share an interest in.

image shows:
Instead of "How was school?" > "You look like you had a long day." Another suggestion, I see brown paint on your shirt. I think you were painting something. It was a beautiful day. I went for a walk. I hope you did too.

Instead of "Did your math test go well?">"I was thinking about you today during your math test." Another suggestion, "I saw you working hard to prepare for your test today. I am proud of your dedication."

Instead of "Did you have a friend to play with at recess?"> I remember last night you were worried about recess. Another suggestion, Today was a beautiful day. I would love to hear about how you spent recess.

Instead of "How do you feel?" > "You're smile is SO big."

The use of declarative statements is an invitation to converse, not a demand. Declarative language makes up the majority of our conversation language. It's a great way to model the more common way of engaging another rather than asking only questions. In clinical practice, I have worked with individuals who ask a barrage of questions to engage another with one not having to do with another. This may be their interest but I ponder - Was this the way others engaged this person because they didn't initiate communication? Was this taught to the individual or used heavily because it was part of a larger intervention that targeted asking for things they want? Then were questions taught specifically to the person to request information?
Therefore this person may get the sense that's how you engage another.
What's your name in almost every session? (after 6 months of therapy)
What's your brother's name?
What's your dog's name? my response: I don't have a dog.
What's your cat's name? my response: I don't have a cat.
All asked one right after each other.

Then again, we really don't know because we don't have much guiding research on the language development of individuals who are neurodiverse. While children with language delays may be bombarded with questions- "to get them to talk".

As for individuals with significant anxiety, the demand for information may be taxing for some children or adults for that matter. This may lead to them feeling overwhelmed and not experiencing an engaging conversation with another. Their perspectives could be different. If you are the educator, parent, sibling, or a peer of someone with anxiety. You may have already noticed this.

I see new and veteran speech-language pathologists asking lots of questions while they read books or play games. Sometimes there are just too many questions.

I see new and veteran speech-language pathologists asking lots of questions while they read books or play games. Sometimes there are just too many questions. I am currently teaching my graduate students to use more declarative language.

As for shared reading, it's pretty common for children, adolescents, and adults with significant support needs to be engaged in this emergent literacy activity and asked questions. Even story comprehension questions. These individuals are still learning to use language via speech, sign, or AAC. Rather than engaging in teacher/therapist directed I ask-- you answer. OR expecting an individual who is learning to process language to listen to discourse-level language and remember a specific response to something read. Use comments--or declarative language.

Declarative language is often less linguistically complex and easier to understand than questions.
Something to consider for family members, educators, and professionals. If you find yourself only asking questions, reflect that it probably sounds more like an interview than a conversation.
Are there places for questions? Yes. Certainly. Be mindful of why they are being asked. Do you know the answer when you are engaging in the question? Then why are you asking?

Hopefully, this may also help us see, that we are asking questions about something we have an interest but your communication partner doesn't.

For more information on Follow the CAR in Shared Reading see Sharedreader.org website OR Project-Core.com
We are hopefully ๐Ÿคž close to publishing a case study in a classroom using Follow the CAR.

Lastly, I will share an anecdote. I was discussing this was some family members. One commented: "I see how asking questions to my teenagers to start a conversation was hitting a wall. I was told, "I don't know." or maybe one-word answers. For the parents of teenagers, maybe this is a tactic that may encourage more open-ended questions or comments may encourage sharing.

Thank you,
Dr. D

11/01/2022

DYSLEXIA IS A SUPERPOWER! Tom Holland actor of Spider-Man is Dyslexic and was severely bullied growing up in school. As soon as Tom embraced his Dyslexia and believed in himself, he was able to achieve feats many thought was impossible. If your kids are getting bullied or are doubting themselves. Watch Spider-Man!

02/01/2022

Being PDA can be expensive.

Those times you can't do the demand so you're forced to fall back onto a more expensive alternative.
When you buy ingredients to make meals but can't use them.
When you start a new hobby and buy all the stuff but are unable to keep it going.
When you promise yourself you'll drink that expensive bottle of something only to put it off for so long it's now inedible.
When you struggle to fix something and find it easier to just buy a new one.
When you cook food but can't make yourself eat it.
When you sign up and pay for courses or activities but are unable to go.
When you struggle to pay a bill on time and have to pay more in charges.
When you can't take the washing out of the machine so end up needing to wash it again, costing water and electricity.
When you have to shell out for takeaway because you just can't eat the food you have at home,
Or because you were unable to get more food in.
When you run a bath but can't get in it.
When you buy magazines but never read them.
When you buy clothes that never get worn.
When you can't put the bin out so end up having to drive rubbish to the tip.
When it's easier to buy stamps and send a letter rather than email or phone.
When you buy new shoes but find they don't fit but are unable to return them and get the money back.

I could go on.
PDA costs money. It's expensive being unable to do things.

Address

Nelson
7011

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