Graham Speech Therapy, LLC

03/24/2026

1️⃣ Elevation of the front half of the tongue
2️⃣ Posterior movement of the tongue root
3️⃣ Lowering of the tongue body
4️⃣ Lateral bracing of the sides of the tongue to the upper molars/gums
5️⃣ Slight lip rounding

Then DON’T say anything about “R”… just turn on your voice.

Need more R strategies? Check out my online course for remediating the R sound… it’s loaded with case studies (including teens!) and lots more elicitation strategies!
🔗 https://www.grahamspeechtherapy.com/r-course.html

03/24/2026

Get. More. Trials.

And if you’re wondering why I’m targeting a super hard 3-element-cluster… then consider learning more about the

Type “LINK” in the comments and I’ll send you the details about my 1-hour complexity approach course.

03/20/2026

Is childhood apraxia of speech a *medical* diagnosis? 🤔

If you struggle making that differential diagnosis, consider taking my 2-hour course:

“𝐂𝐫𝐚𝐜𝐤𝐢𝐧𝐠 𝐓𝐡𝐞 𝐂𝐨𝐝𝐞:
​𝐃𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐭𝐢𝐚𝐥 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐨𝐟 𝐒𝐩𝐞𝐞𝐜𝐡 𝐒𝐨𝐮𝐧𝐝 𝐃𝐢𝐬𝐨𝐫𝐝𝐞𝐫𝐬”

Type “LINK” in the comments and I’ll send you all the details.

✅Follow for more!

03/17/2026

My hot take on taking data when I’m treating kids with articulation or phonological impairments.

Agree? Disagree?

And if you need more strategies for generalization… take my 1-hour course! Type “LINK” in the comments and I’ll DM you the info.

03/13/2026

Let’s be real… my kids would never ask me this. But between turning 50 and finding these old photos during our move, I’m a little nostalgic.

And if we go WAY back, I hope some of these faces look familiar

03/08/2026

Join Dr. Jenya Iuzzini-Seigel and me LIVE as we discuss:

💡 The core features of Childhood Apraxia of Speech
💡 What clinicians should actually be looking for during assessment
💡 How the ProCAD (Profile of Childhood Apraxia of Speech and Dysarthria) can help support CAS diagnoses and clinical decision-making

What do you hope we answer?? Comment below.

Bring your questions and join the conversation!

03/07/2026

Which do you find harder to treat?
A️⃣ Apraxia
B️⃣ Lateral lisps
C️⃣ /ɹ/ errors
D️⃣ Phonological disorders

👇 Drop your answer below and then check out our upcoming event!

Jennie Bjorem and I are diving into CAS and speech sound disorders at the Colorado Speech Experience 2026.
📍 Monument, CO
📅 July 8–9
🎓 12 PDH

👉 Reserve your spot:
https://www.grahamspeechtherapy.com/event-registration.html

03/06/2026

Nobody’s doubting good intentions. But here’s what the evidence tends to show…

👅Most children with tongue ties develop normal speech.

👅Ankyloglossia alone is not strongly associated with speech sound disorders in most research studies.

👅Tongue mobility/function matters more than appearance.

👅A short lingual frenulum does not always restrict function or tongue movement needed for speech.

👅Speech sounds rarely require extreme tongue elevation.

👅Most speech sounds can be produced with compensatory tongue movements, even with limited lingual range.

👅 “Compensations” in speech are not inherently pathological.

👅Teaching accurate placement with restriction is not necessarily harmful if it’s not effortful.

👅 Speech therapy is still needed to change learned speech patterns.

👅Tongue ties may affect functions beyond speech (feeding, oral hygiene, dental development).

👅 Clinical decisions should be based on functional assessment, not anatomy alone.

👅 Recommending a frenectomy is outside the scope of practice for SLPs. Surgical decisions should be made by the family and their medical provider.

Did I miss anything?

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03/02/2026

Do you have kids on your caseload who are missing so many sounds in their inventories that you don’t know where to even begin?

The complexity approach may be the answer… it’s the best target selection principle for kids with phonological impairments you’ll EVER learn.

Do the hard thing and the easier ones will come along on their own 🙌

If this is a new approach to you… type “𝐋𝐈𝐍𝐊” in the comments and I’ll send you my Complexity Approach webpage with lots of helpful resources.

#

03/01/2026