Many parents ask this question - how long to study with a speech therapist?
It all depends on the type of speech disorder
Sound production in case of monomorphic dyslalia (in the absence of lesions of the central nervous system, intact innervation of the articulatory apparatus, hearing and with a normal medical history). In this case, one sound can be introduced quite quickly at least 2 months to automate and introduce it into speech There are cases when this can be done faster or slower, but this depends on the individual characteristics of the child, his character, the frequency of visits, daily homework, and the child’s health. With polymorphic dyslalia (in the absence of lesions of the central nervous system, preserved mobility of the articulatory apparatus, hearing and with a normal medical history), in which several groups of sounds are pronounced defectively. The classes will take more time, approximately 6 months, because... the pronunciation of many sounds is impaired, and it is necessary not only to place and automate them in speech, but also to teach how to differentiate them. For neurological disorders, depending on the nature of perinatal brain damage.
- For dysarthria, depending on its form, from one to 3 years;
- In cases of cerebral palsy in children, the degree of damage to gross, fine motor and articulatory motor skills is taken into account; on average, the work takes from 1 year or more.
- With alalia for about 3 years, sometimes more time is required.
- For stuttering from 6 months (with biofeedback apparatus) or more, depending on the type of stuttering, age, frequency of visits, diligence, concentration, self-regulation.
In case of organic lesions, caused by defects in the articulatory apparatus (bite, shape and size of the tongue, shape of the palate, lips, hyoid frenulum). Depending on the type of lesion, the duration of the course is selected individually, and in the process of speech correction, the content and duration of the course may change. It should be noted that in some cases, for example, with rhinolalia, surgical intervention is required and then the work on correcting speech becomes quite lengthy. In case of violations of the tempo of speech (bradylalia, tachylalia, batarism, polternium, stuttering). In these cases, for more efficient and faster work, we recommend taking speech correction courses using biofeedback and forbrain devices in addition to the main classes. The duration of classes can take from 6 months or longer. For dyslexia and dysgraphia. Depending on the type of dyslexia and dysgraphia, degree of neglect, medical history, desire of the child, daily homework for 2 years and more. VERY IMPORTANT! It should be noted that all terms for speech correction are written in an average value, each child is individual (his medical history, type of a particular disorder, character, psycho-emotional state, self-regulation, will), in some cases, parallel work with a psychologist, neuropsychologist is required , neurologist, defectologist, exercise therapy specialist, auxiliary devices DENAS, forbrain, biofeedback. Therefore, it is never possible to say exactly how many classes a particular child needs; we can only indicate approximate time frames for work. Also, parents and relatives of the child play a significant role in the work , doing homework every day, practicing correct sound pronunciation, lexical-grammatical and tempo-rhythmic aspects of speech in everyday speech, supporting and encouraging the child in his activities, creating a favorable and fruitful environment for child, “Example” is the correct speech of the parents themselves.
Author of the article: Anastasia Gauk.
Timing and duration of speech therapy sessions. How to save money.
1. In the budget (kindergartens, clinics) there are standards of 15-30 minutes per lesson with a child (depending on the age of the child and the type of lesson - individual or group). Refer to SanPin standards. 20-30 years ago, SanPin standards for speech therapy classes were one and a half to two times higher. This is due to “optimization”, i.e. saving budget funds, this affected speech therapists earlier than doctors and teachers. Speech therapists were also made redundant, the number of children in the group was increased, and, naturally, the time allotted for one child was reduced. (What is happening now with doctors’ appointments).
2. Perhaps the issue of time for speech therapy sessions needs to be considered from the point of view of terminology. There are the concepts of “speech therapy exercise”, “speech therapy lesson”, “consultation”, “homework”, “work with parents”, “speech therapy (also known as “corrective”) work”, exercises (for example, the development of HMF) with a low speech load , promoting better assimilation of speech therapy material; speech work of parents at home with children; establishing contact with the child... Therefore, a speech therapy session can last 5 minutes if it includes only one exercise, or maybe an hour if it consists of several of the above elements.
3. Supporters of short speech therapy sessions have another argument: they refer to the child’s health. That the child cannot sit through a lesson for so long, and that it is difficult for the articulatory apparatus to be under constant speech load, that the child does not have enough attention...
Arguments refuting these arguments:
a) sitting still is harmful for both children and adults. Therefore, it is completely normal when a child moves continuously during class, no one limits him. In one lesson we have time to sit on a chair, on a sofa, on a potty, and then “they carry me in their arms” (or rather a tablet) to the kitchen or under the table, or to roll cars on the floor. The main thing is that there should be a result. I am not a supporter of multiple and monotonous repetitions. Even an adult cannot repeat the same thing for more than 5 minutes. Therefore, experienced speech therapists have a lot of manuals, methods and techniques to diversify speech therapy work so that the child does not get tired.
b) Regarding fatigue of the articulatory apparatus. The organs of the peripheral articulatory apparatus are made up of muscles, and these muscles are small. Of course, they get tired quite quickly from repeated monotonous movements. But for some reason the same language does not get tired of “talking” for several hours. The fact is that the muscle gets tired of performing one movement. Change the movement (say a different sound or word) - and there will be no fatigue. We perform the same type of movements in speech therapy classes only during articulatory gymnastics. Therefore, for each exercise the number of movements is indicated - somewhere 5-7 times, somewhere 2-3. But not a single speech therapy session consists only of articulatory gymnastics.
c) I would say that the brain gets tired most of all during classes. What the psychologists cited by SanPin say: after 5 minutes, concentration, stability, and switchability decrease. But let's be honest - after 5 minutes of doing the same test, any person will lose concentration. At the same time, seven-year-old children in first grade spend 40 minutes in each lesson. It’s just that not a single teacher (or speech therapist) will do one exercise with a child for half an hour. In classes with an experienced private speech therapist, several topics are studied with 1-2 exercises in each topic, as we were taught in institutes 20-30 years ago. At the same time, the child does not lose concentration.
d) working with parents takes from 10 to 30 minutes in each lesson. In order for the child and mother to consolidate what they have learned every day, it is necessary for the mother to understand everything about what and how to do. Budgetary organizations do not provide for work with parents, so this time is not included in their speech therapy sessions.
d) you also need to take into account the time it takes to include the child in the lesson process. Sometimes it takes 15 minutes at the beginning of the lesson for the child to get ready and start studying.
f) According to my observations, if we follow the path of simplifying and reducing the time of the lesson, taking into account the current capabilities of the child, then over time we get that even a six-year-old child “gets tired” of studying after 5 minutes. On the contrary, gradually increasing the time spent working with the child (involving him in the process through games and interesting tasks), in a couple of months the lesson time was increased to 40 minutes with a 3-year-old child. I strongly recommend that all parents take away phones and tablets from their children, turn off cartoons on TV and on the Internet, as this generally reduces the child’s attention and perception.
4. Besides me, with my work experience and observations, there are other professional speech therapists. And if you look at trends on the Internet, experienced speech therapists often run classes for 45-60 minutes,
Previously, I conducted both 30-minute and 60-minute classes. Based on available statistics, it turns out that, regardless of age and type of speech disorder, the time until complete recovery with half-hour classes increases by 5-10 times. Those. even correction of sound pronunciation with hour-long lessons occurs in 2-3 months, with half-hour lessons - a year. I assume that most experienced professionals have conducted the same statistics.
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How long
If a speech therapist in absentia, without seeing the child, stipulates clear deadlines for solving the problem, you should be wary. No matter how much you would like to estimate the time costs, it is impossible to do this without meeting with the child. The duration of a session with a speech therapist for children depends on the age of the child, the complexity of the situation, the presence of neurological diagnoses and the willingness of parents to carry out the tasks of the speech therapist at home. The specialist will be able to name a specific work plan and approximate time frame after the first or even third lesson.
It happens that sibilants or [r] can be performed in just a couple of lessons, but after that they need to be brought to automaticity. If you constantly work with your child at home: correct him if he pronounces it incorrectly, perform articulation exercises, repeat simple speeches, then you can continue to do without a speech therapist. However, many parents resort to the help of a specialist. This is understandable: this requires a lot of free time and experience in teaching a child. With a speech therapist, a healthy preschooler can automate sounds in two to three months. In this case, classes with a speech therapist for children should take place at least twice a week.
Let's teach you to speak beautifully and correctly - try a free lesson with a tutor
If a child does not distinguish when they say “barrel” and when they say “kidney,” he has problems with phonemic hearing. Such difficulties affect oral speech and interfere with writing correctly. Teaching to hear correctly is not easy; such work can last the entire school year. The more sounds that cause difficulty, the more time it takes.
Consultation for parents and teachers “How many lessons does it take to turn on the sound?”
Borzdykh Natalya
Consultation for parents and teachers “How many lessons does it take to turn on the sound?”
Consultation for parents and teachers
How many lessons does it take to put on sound ?
Parents don’t always ask about this , but absolutely everyone is concerned about how many lessons it will take to make sounds .
The first thing a parent needs to know is that work on sound is always individual. The principle “but our neighbor [R] was given a grade for two classes . Deliver it to us in two days .”
Before the speech therapist begins to play a sound , you need to do a lot of preparatory work: prepare the muscles of the tongue, lips, cheeks (massage, articulatory gymnastics)
;
teach a child to blow correctly and for a long time, as well as to hear the right sound , distinguish it from others, distinguish between correct and incorrect pronunciation.
How many lessons will be required ?
It depends on the reason for the incorrect pronunciation, how old the child is , how developed his memory, thinking, attention are, , etc. d. now we are talking about a child who has speech (he speaks in long sentences)
and intelligence is preserved. And if the child has DYSARTHRIA.
Dysarthria is a disorder of an organic nature. Organic disorder (when there is a disorder at the nervous system level)
can't be fixed quickly. This is a complex violation.
What should you be prepared for if your child has dysarthria?
Long, not always successful production of sounds . Rollbacks during long weekends and holidays, after illness. Even if you just don’t repeat the material at home for two or three days, the child quickly loses skills. In many ways, the correction depends on the individual compensatory capabilities of the child’s body. That is, the correction of sounds can last six months, a year, or two, and in severe cases, a lifetime.
The triad “Treatment - classes with a speech therapist - daily reinforcement at home” speeds up the time frame. Without reinforcement at home, nothing will work; the child will continue to speak indistinctly. If you want results faster, go to classes regularly and constantly repeat at home .
If the child has only sound pronunciation , without organic disorders (no dysarthria)
.
In this case, the sounds are corrected faster. How fast? Research by scientists shows that a person develops a new habit within 60 days (and pronouncing sounds is the habit of placing lips, teeth, and tongue in a certain way). We must change the child's habit of speaking incorrectly. Think about how much easier it is for adults to change their habits?
Yeah. So it is with children. It's not 5 minutes. And now we count: if we talk about 60 speech therapist lessons without the participation of parents in the correction process (subject to classes 2 times a week without absences)
.
The process will take almost 8 months, that is, an academic year (if 2-6 sounds . If more than 6 - from a year to two or more).
If we are talking about 60 days of daily work of parents together with a speech therapist, this is 3-4 months of work (including time to prepare the speech apparatus for pronouncing a sound ).
And also, you need to take into account the occupancy of compensatory groups; these are not 12-15 children, as before, but 25-27 children. And the diagnoses are not just dysarthria, but also OHP or motor alalia.
Dear parents , you shouldn’t expect magic from your speech therapist . Teachers magic wands with a diploma (which is a pity)
.
The efforts made by a speech therapist will never replace the efforts of parents .
Galina Tatarenko: “Speech disorders need to be corrected before school”
More than half of children reach school age with various speech impairments. Such data from her own practice is provided by Galina Tatarenko, a speech therapist of the highest qualification category with more than 22 years of experience, a specialist at the Bionics rehabilitation therapy clinic. with Newslab what are the reasons for such depressing statistics, and what problems can arise in the future if speech is not addressed in early childhood . ru .
Galina Aleksandrovna, what is meant by speech disorders in a child, and is it possible to somehow prevent them?
The most common cases are violations of sound pronunciation, general underdevelopment of speech - this is when the child’s speech structure also suffers, poor vocabulary, and grammatical categories are impaired. There may also be phonetic-phonemic underdevelopment - physically the hearing is preserved, but the child does not distinguish and confuses sounds.
Unfortunately, these and other disorders can be the result of many factors, which are very difficult to foresee - the cause may be a difficult pregnancy and illnesses during it, problems during childbirth, heredity, poor ecology. There are many reasons and no one is immune from them. However, fortunately, speech disorders can be corrected - the main thing is to diagnose them in time and take action.
Are there cases when medicine is, as they say, powerless?
Each case is individual. If the problem is not aggravated by intellectual impairments, physiological changes in the articulatory apparatus, hearing and vision impairments, then if the parents and the child wish, and with the help of a specialist, it is possible to correct everything. Although in any case you should not give up - after all, even with some additional complications, you can at least improve the child’s speech condition.
You said that more than half of children come to school with speech disorders. Why is this happening? Are parents not paying enough attention to the problem?
One of the main reasons is that many parents today do not have the opportunity to send their child to a nursery or kindergarten, where a speech therapist would work with them and diagnose speech disorders in a timely manner. Children are forced to sit with their mothers, nannies, and grandmothers, who, not being specialists, may not notice any developmental abnormalities. Moreover, many parents, especially those who have an only child, tend to extol his achievements and refuse to notice any shortcomings. Accordingly, they do not perceive the child’s speech disorders as something unhealthy - something that needs to be corrected. Therefore, of course, parents, especially those whose child does not attend preschool, should themselves monitor his health more carefully and contact specialists in a timely manner.
How can you determine that a child has a speech disorder, and at what age should he or she be shown to a speech therapist?
Every parent must firmly remember that the child must be brought for an initial examination to a speech therapist at three years of age. And then, this is in the event that they themselves had not previously noticed any deviations in him. The fact is that the formation of speech is a long and complex process. Each age has its own criteria, and what is considered normal at two years old will already be a violation at three years old. For example, by one year, a child should be able to speak 3-4 babbling words, relate images to specific objects, master gestures, understand simple instructions, and grasp intonations. By the age of two, a child should already have simple sentences in his arsenal; he should understand two-step constructions, for example, “go to the kitchen, bring a cup.” The vocabulary should be at least fifty words. By the age of three, everything becomes even more complicated - grammatical forms of sentences and more developed speech structures appear. And so on. Therefore, an examination by a speech therapist at three years old is the established norm, but if you see that your child is silent at two years old, you already need to take him to a specialist.
What is the treatment for speech disorders?
It would be more correct to say correction, because drug treatment and operations are used only in cases where, in addition to speech problems themselves, there are also some physiological disorders and organic lesions of the brain.
The correction course takes place in several stages: first there is a diagnosis of the disorder, then preparatory measures - articulation and breathing exercises, then the development of auditory perception - learning the ability to hear and recognize sounds. And only after this - when it is clear that the articulatory apparatus is working well, the tongue is holding the desired position well - is the sound produced. At the end of the course, the automation of sound is consolidated - in syllables, words, sentences, texts - from simple to complex.
It should be noted that correction occurs not only in classes with a specialist. The child must be provided with an appropriate speech environment not only within the speech therapist’s office, but also at home. Parents need to work closely with the speech therapist, find time to work with the child, do exercises with him, patiently and delicately monitor and remind him to pronounce sounds correctly. Only in this case the correction will take place as quickly and effectively as possible.
By the way, how long can the correction course last?
Everything is individual. If the case is simple - from a month to six months. The fact is that a speech therapist works not only to improve the child’s sound pronunciation. It solves a complex of problems - the development of coherent speech and its understanding, the development of attention, memory, and thinking. That is, all aspects of the child’s development are affected - so that he learns to fully think, write, read. This process may last differently in each specific case.
Is it more difficult to correct speech problems in a child as they get older?
Certainly. Over the years, the articulatory apparatus develops, becomes less mobile, and it is much more difficult to change it. Therefore, the same medical principle prevails here - the sooner, the better. Ideally, a child’s speech disorders should be corrected in preschool age.
What are the consequences of speech disorders that are not corrected in early childhood?
Speech disorders entail a whole bunch of negative consequences. Firstly, they lead to reading and writing disorders - dyslexia and dysgraphia. For example, if a child replaces whistling sounds with hissing sounds and vice versa, and this is not corrected, then he will confuse the corresponding letters when writing. If a child misses sounds in his speech, rearranges syllables, does not finish words, this will also affect reading and reading comprehension, and then writing. Accordingly, the child will not be able to study normally.
In addition, a child with a speech disorder may have problems communicating, become withdrawn, and may not want to go to school at all. That is, psychological problems are also added. Simply put, if speech impairments are not corrected, over time, such a layer of other problems can build up on top of them that it will be extremely difficult to solve them. Therefore, I once again urge parents to monitor the speech development of their children, contact a specialist in a timely manner and not let problems, if any, arise, be resolved by chance.
How can I get an appointment directly with you?
Very simple. You can make an appointment with me for diagnostics by calling “Bioniki” (391) 219-01-10, as well as using the clinic’s website.
When should you contact a speech therapist?
If you suddenly notice that your child is lagging behind the norms of speech development, then this is a sure sign that you need a children's speech therapist.
But, as a rule, parents wait until the child is 5–6 years old, since at this age all problems are visible. But even earlier, difficulties and problems that need to be solved may arise. Classes with a speech therapist at an early age can bring maximum results and simplify the process of mastering competent speech.
It is absolutely normal if a child at the age of 4 cannot pronounce such complex sounds as “r”, “sh”, “sch”, “l”, but if he has not mastered them even at 5 years old, then it is better to consult a specialist. It is important that the baby can cope with all sounds by the time he goes to school.
Usually, parents pay attention only to the pronunciation of their children, but they also need to monitor the quality of the speech itself. At the age of 5, he should be able to compose coherent sentences, otherwise, it is better to also seek help from a speech therapist.
If your child does not begin to speak, although it is high time, or he has difficulty pronouncing complex sounds, do not despair. Timely contact with an experienced speech therapist, as well as the joint work of parents and specialists, will make the child’s speech intelligible and literate.
Parents often, when they start working with a speech therapist, wonder how long it should take to correct their child’s sounds. They often ask each other on forums and hear conflicting answers: someone got the sound installed in two weeks, while others worked with the child for a year. And the wrong impression is created that some speech therapists are trying to steal money. Yes, of course, not all speech therapists work the same way, but there are factors that influence this difference in the speed of sound correction.
1. “Sound production” is often confused with complete correction of sound pronunciation. You need to know that sound production is only one of the stages of correctional work. It happened to me several times that the child was able to get the sound right during the first free examination. And then this new sound must also be introduced into speech (automated), and this takes time.
2. The time frame depends on the number of sounds that need correction - it takes 35-45 days to automate one sound (and this was not invented by speech therapists, these are the physiological time frames for habit formation for any person). Accordingly, correcting several sounds requires more time than correcting one sound.
3. It depends on the age of the child: at 2-3 years of age, “torturing” a child by making the sound P is inappropriate, because he is not yet physically ready. It is in such cases that sound production can take six months, but at 5 years old it can be completed in a month and a half. And that’s why many speech therapists say “come after 5.” In general, each group of sounds has its own time of natural “appearance” in speech - some sounds are best introduced at 3 years old, some at 4-5 years old. If you start studying in accordance with age standards, correctional work goes faster.
4. Types of speech disorders. For parents, many speech disorders look the same (“the child does not pronounce sounds”) - dyslalia, dysarthria, rhinolalia, FFN. In the case of dyslalia, correction work takes less time. For other disorders, new stages of correctional work are added, not counting the fact that the production and automation of sounds itself is more complex and time-consuming. For dysarthria and rhinolalia, speech therapy, probe massage, and vocabulary development are added. With dysarthria, FFN, the stage of differentiation (discrimination) of sounds is added. With FFN, half of the total time of correctional work is occupied by the stage of formation of phonemic hearing. In this regard, if a child does not have dyslalia, but some other speech disorder, it is worth starting correctional work without waiting for 5 years.
5. Sound distortion. This can be interdental (“lisp”), lower, buccal, lateral, velar, uvular (“throat”, “burr”), single-impact, etc. incorrect pronunciation of various sounds. In this case, it is worth contacting a speech therapist as soon as you notice it, regardless of age. Because replacing one habit with another takes longer than simply creating the right habit from scratch. And the longer an old bad habit exists, the longer it will take to replace it. This is one of the reasons why it is difficult to correct sounds in adulthood. What a child will spend weeks on will take an adult months.
6. A child’s speech negativism negatively affects the success of correctional work. The older the child becomes, the greater the likelihood that he will become aware of his defect, which often leads him to reluctance (fear) to correct the sound and further psychological problems associated with this. In adults, speech negativism is the second reason for long-term correction of sound pronunciation. Therefore, there is no need to put off correcting sounds.
7. Individual characteristics of the child. Despite all the general rules of work, children, even at the same age, have different attention, memory, perseverance, obedience and many other individual characteristics. This is reflected in the speed of work. For some, we make 8 sounds in four months, while for others we tormented one sound for six months. Sometimes they put 4 sounds in 2 months, but on the 5th they stumbled and tormented him for another 4 months. And it is impossible to predict this. Therefore, it is difficult to give exact dates in advance - you can make a mistake in both directions. Therefore, I use the average speed of my work.
Norms of child speech development from birth to 7 years.
From birth to six months. When a baby is born, all that can be heard from him is a cry. A little later a hum appears, i.e. The child begins to make individual sounds little by little; by the age of 3 months he is already babbling.
6 months – 1 year. At this age, the child begins to pronounce individual syllables. It is during this period that parents usually hear the long-awaited “mom” and “dad”.
1 – 1.5 years. The first words appear, which means the stage of active speech begins. The child pronounces individual words; two-word sentences may even appear. The vocabulary reaches 100 words.
1.5 – 2 years. The child actively composes 2-4 word sentences.
2 – 3 years. The baby begins to actively communicate not only with his parents, but also with his peers. He may make mistakes in pronunciation, “eat up” the middle of words, and also make grammatical errors. A child at this age is already able to memorize simple poems. But he still can’t cope with complex sounds.
34 years. At this age, the vocabulary expands noticeably - up to 1300 words. The child begins to cope with complex sounds (“s”, “z”, “ts”). He can already formulate sentences freely. During this period, many children make mistakes in the pronunciation of words; as a rule, they rearrange the letters.
45 years. The child masters “w” and “w” and expands his vocabulary to 2000 words. The baby masters different forms of words and makes fewer and fewer mistakes in speech.
5 – 7 years. During this period, the child is able to retell a fairy tale, describe a picture, and can change the intonation of speech. Children at this age are already able to pronounce all sounds correctly; they practically do not make grammatical errors. The vocabulary is 3500 words.
