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Marisha

Why I Don’t Write Sequencing Goals (And What I Do Instead)

January 13, 2026 by Marisha Leave a Comment

If you’re frustrated because your students can perfectly sequence four picture cards in your speech room but still struggle to retell a story in the classroom, you are not alone. The secret to bridging this gap is to stop writing isolated sequencing goals and start utilizing The Narrative Framework. By shifting your focus from rote sequencing (first, next, last) to story grammar and causal relationships, you give students the exact tools they need to understand, organize, and generate meaningful language.

The Problem with Traditional Sequencing Goals

Picture this: you’ve spent weeks working with a student on sequencing how to make a peanut butter and jelly sandwich or how to brush their teeth. They master the goal! But when their teacher asks them to recount a story they just read or explain why a character is upset, they freeze. Why does this happen?

The reality is that traditional sequencing tasks rely heavily on rote memory and isolated chronological order, completely missing the context. In the real world, events don’t just happen in a vacuum—they happen because of cause and effect. When we only teach “first, next, last,” we increase our students’ cognitive load without giving them a meaningful structure to anchor their thoughts.

What I Do Instead: The Narrative Framework

To work smarter and actually see carryover into the classroom, we need to focus on narrative macrostructure. Here is how you can pivot your therapy approach to be more functional and evidence-based.

1. Target Story Grammar Elements

Instead of arbitrary sequences, teach students the building blocks of a story. When students understand the Story Grammar Approach—identifying the characters, setting, initiating event (the problem), internal response, plan, attempt, and resolution—they naturally understand the sequence of events because they understand the why.

2. Focus on Causal Chains

Events in a story are linked by cause and effect. Instead of asking, “What happened next?”, ask, “Because the character felt sad, what did they decide to do?” This shifts the focus from simply memorizing an order to deeply understanding character motivations and problem-solving.

3. Use Literacy-Based Therapy

Ditch the disconnected picture cards and lean into high-quality picture books. Using real literature provides rich, authentic contexts for students to practice organizing information. It also seamlessly aligns your speech therapy goals with their classroom reading standards.

How to Write Narrative Goals Instead

If you’re ready to make the switch, here are a few ways to structure your IEP goals to reflect this approach:

  • Retell: “Given a narrative text, the student will retell the story including at least 5 story grammar elements (e.g., character, setting, problem, plan, resolution) with 80% accuracy.”
  • Comprehension: “After listening to a short story, the student will answer explicit and inferential questions related to the story’s causal chain (e.g., ‘Why did the character do that?’) in 4 out of 5 opportunities.”

Ready to Ditch the Sequencing Cards?

You don’t have to reinvent the wheel to start targeting narratives effectively. If you want access to done-for-you literacy-based therapy units, visual organizers, and digital data tracking, we’ve got you covered.

👉 Start your free trial at slpnow.com/pod. (No credit card required!)

If you want to dive deeper into the exact steps for teaching narratives, be sure to check out our on-demand narrative courses inside the SLP Summit.

Transcript

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On today's episode, I want to chat about something that's a little controversial, but in a good way, and it's why I don't write sequencing goals, at least not in the way that many of us are used to. I am going to share what I do instead and why I believe that this leads to better generalization and improved outcomes for our students.
First let's chat a little bit about what we usually mean by sequencing goals and why that might be a problem. I've written these goals in the past, but they look like: "Student will sequence for picture cards or Student will follow three step directions. It's a lot with picture cards and following directions, and that kind of sequencing is very decontextualized, stripped down and uses isolated tasks.
And the problem is that these isolated tasks often don't generalize. So a student might be able to order four picture cards or follow three step directions, but what does that matter if they can't apply that into the classroom? The things that really matter are being able to tell stories, retell events, understanding sequences of events in real life. Sequencing in real life rarely exists in a vacuum, like real communication, like telling a story, telling what happened at recess, that involves vocabulary, grammar, memory, attention, story structure, which is way more than isolated ordering of some pictures. And the research supports this too. Targeting sequencing in isolation often taps only short-term memory, and it doesn't build the complex cognitive language skills needed for comprehension and expressive language. So if we're writing a sequencing goal, like: "Student will sequence four picture cards with 80% accuracy", and if we're only using those sequencing cards, that builds a narrow skillset that doesn't reflect real world language use and won't generalize outside of the classroom.
Then what does it actually look like? What do I do instead? So what I have found to help, and the research supports this as well, is that I contextualize sequencing within narrative based frameworks. And so we target sequencing goals within narrative based therapy and work with real stories.
Instead of picture cards or decontextualized routines, we use books, story retells, or personal narratives, and that way sequencing becomes part of a bigger picture. We're able to incorporate vocabulary, grammar, story grammar, comprehension, all of these different skills that provide a really meaningful context and are reflective of how students would be using this in the real world.
And then facilitate facilitating that generalization, because again it doesn't matter if they can sequence 10 images with a hundred percent accuracy if this isn't generalizing to the classroom. By using a narrative based approach, we're encouraging students to build a mental schema, and that helps them recall and organize information that frees up their working memory for comprehension and expressive language, and instead of just having to memorize.
By doing this, we're able to address underlying skills like working memory and attention. Sequencing isn't just about ordering events or pictures, it heavily relies on skills like working memory and attention. by targeting these skills in context rather than an isolated ordering of pictures, we're supporting comprehension, narrative retell, expressive language, following directions, all of those different types of skills, and planning for generalization from the start. We're building towards comprehension versus a very isolated skill.
And by embedding sequencing in this narrative context, we're giving students repeated opportunities to target additional skills like using temporal vocabulary, first, next, then last. They get to use causal language. They get to incorporate story grammar, and those are all really important for real world communication.
So what does this actually look like? Instead of writing a goal of "Student will sequence four picture cards with 80% accuracy", we might write goals about when given a short story, the Student will retell the story with temporal language. Or when asked to produce a personal narrative, the student will produce a coherent narrative with a beginning, middle, end structure and at least three temporal or causal words. Those are two examples of how this might come together. In the show notes, I'll give the full example of the goal . What this looks like in therapy is that we use real stories from books, familiar routines, personal experiences, and we use those to build vocabulary model, temporal and causal language, support working memory, and then gradually fade those scaffolds.
Some common things that SLPs might say are, I need a goal that's easy to measure. And these are perfectly measurable goals. Like the examples that I gave, you can develop a probe to easily measure progress towards that.
Another common thought that I've heard is my student really struggles with sequencing.
That is also valid. We can provide scaffolding and support in these contextualized activities. Maybe we can just use a really short personal narrative, but that is a lot more meaningful than random picture cards. We can create, we can use pictography and make quick pictures, and then gradually increase the complexity, but at least we're starting with a meaningful context.
So why this matters in terms of the big picture, we're helping students gain skills that they'll actually use, whether that's producing narratives, retelling narratives, comprehension, following multi-step directions. Targeting sequencing in this way will lead to really meaningful gains of some functional skills, and by teaching in this way, we're also helping students build cognitive skills like memory and attention, and we're more likely to see carryover and generalization when we're using this type of approach.
And if you're curious what this looks like in context with some concrete examples, I'd love to see you at the SLP Summit. My course is on demand. I'll include a link in the show notes. It'll be available until January 31st. I would love to see you there, and we are including some cool freebies as well.
Definitely check that out if you're wanting to learn more about what this could look like. That's a wrap for today. Thanks for hanging out and we'll see you next time.

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Filed Under: Podcast Tagged With: IEP Goals, Literacy-Based Therapy, Narrative Intervention, Reading Comprehension, Sequencing Goals, SLP Resources, Speech Therapy Activities, Story Grammar

6 Evidence-Based Strategies to Target Summarizing in Speech Therapy

December 9, 2025 by Marisha Leave a Comment

If you’ve ever asked a student to summarize a story and ended up listening to a ten-minute, breathless recount of every minor detail, you know how challenging this skill can be. The secret to targeting summarizing effectively is moving away from vague prompts like “tell me what it was about” and utilizing a structured, visual framework like The SWBST Strategy (Somebody, Wanted, But, So, Then). By giving your students a predictable formula, you can drastically reduce their cognitive load and help them confidently identify the main idea without getting lost in the weeds.

If you want to follow along with ready-made visuals, passages, sentence frames, and photo scenes, you can access the Summarizing Skill Pack inside the membership.

👉 Not a member yet? Grab your Summarizing Skill Pack (for free!) here!

Why Summarizing Matters (And Why It’s So Hard)

Research consistently shows that summarizing improves overall reading comprehension, supports information recall, and boosts academic performance across content areas. However, summarizing requires an incredibly high level of executive functioning. To summarize successfully, a student has to hold the story in their working memory, filter out the non-essential “fluff,” and then formulate a cohesive sentence. For our students with language disorders, this often leads to immediate cognitive overload.

6 Evidence-Based Strategies to Target Summarizing

To make this abstract language skill concrete, here are six highly effective, research-backed strategies you can use in your speech therapy sessions.

1. Explicitly Teach What a Summary Is

Students often rely on ineffective rules of thumb (e.g., “the main idea is the first sentence”). We need to provide clear, student-friendly definitions of a summary, a main idea, and key details. Use a visual metaphor, like an umbrella, to show how the main idea “covers” or connects the key details. This concrete visual helps students internalize the concept.

2. Use Graphic Organizers to Build Understanding

Graphic organizers make abstract concepts concrete. Try using a format that puts the main idea at the top with key details below, or use organizers with integrated sentence frames. These tools help students identify the structure of a text before they ever attempt to generate an oral summary.

3. Model Your Thinking (Metalinguistic Talk)

Students benefit immensely from hearing an adult’s internal thought process. Read through a simple text and think aloud to show students how you identify main ideas, how you filter out non-essential information, and how you compare possible summaries. This models the exact internal monologue we want them to develop.

4. Start With Pictures Before Moving to Text

Pictures remove the decoding barrier, allowing students to focus entirely on idea-level comprehension. Show a photo scene, provide possible main ideas, and discuss which key details support each option. This supports a gradual release of responsibility before diving into complex written passages.

5. Use Sentence Frames

Sentence frames reduce the linguistic load so students can focus on the content rather than the syntax. Try using frames like: “The main idea is ___ because ___” or “The text is mostly about ___ and includes details such as ___, ___, and ___.”

6. Teach Text Structures Explicitly

Instruction in nonfiction text structure (Description, Sequence, Cause/Effect, Problem/Solution, Compare/Contrast) is one of the most evidence-supported ways to improve comprehension. Knowing the structure helps students anticipate what matters most and what is simply “extra” information.

References

  • Duke, N. K., & Pearson, P. D. (2002). Effective practices for developing reading comprehension.
  • Fisher, D., & Frey, N. (2014). Speaking and Listening in Content Area Learning.
  • Kim, A.-H., Vaughn, S., Wanzek, J., & Wei, S. (2004). Graphic organizers and their effects on the reading comprehension of students with LD. Journal of Learning Disabilities.
  • National Reading Panel. (2000). Teaching Children to Read: An Evidence-Based Assessment of the Scientific Research Literature on Reading and Its Implications for Reading Instruction.
  • Pressley, M., & Afflerbach, P. (1995). Verbal protocols of reading: The nature of constructively responsive reading.
  • Ukrainetz, T. A. (2015). Contextualized Language Intervention: Scaffolding PreK–12 Literacy Achievement.
  • Williams, J. P., Hall, K. M., & Lauer, K. D. (2005). Teaching expository text structure to young at-risk learners. Journal of Educational Psychology.

Ready to Simplify Your Literacy-Based Therapy?

If you want ready-made materials to support these strategies (including photo scenes, student-friendly definitions, leveled passages, and scaffolded organizers), we’ve got you covered.

👉 Get started with the Summary Skill Pack and 5 free material downloads!

Transcript

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Let's chat about some strategies that we can use when targeting summarizing in our therapy sessions. This first strategy will be no surprise if you've been listening to the previous episodes, but we want to make sure that we're explicitly teaching what summarizing is. Students need clear instruction on what a summary is, what a main idea is.

A lot of times when I ask students, what's the main idea? They'll say the first sentence in the paragraph. Although that sometimes works, that won't necessarily work all the time and really helps students generate effective summaries.

So we wanna make sure that we're on the same page, that they have student friendly definitions of a summary, a main idea, and key details, and then also giving them an overall visual. In my Summarizing Skill Pack, I like to use an umbrella to help them understand what the main idea is and how the key details fit into that.

A combination of student friendly definitions and visuals to help that explicit instruction.

Then the second strategy is to use a graphic organizer. So I have a couple graphic organizers that I like to use. One of them is your traditional main idea at the top, the key details underneath the main idea.

And then I also have a graphic organizer that has sentence frames built into it to help students understand how to verbalize the summary. It helps it flow into an actual verbal summary. Once we have those pieces, we have our visuals, our student friendly definitions, we have the graphic organizer. Then I like to model my thought process and do some meta linguistic talk as I am summarizing. We may use a simple text or a picture to make that easier to understand in the beginning.

What I do is I read through a simple text and I ask myself basic questions about the text to help myself identify the main idea and the key details and maybe exclude details that aren't key details. In the Summarizing Skill Pack, we have beautiful photos with potential main ideas and key details. And we also have really simple passages. And we have multiple choice options that you can use to help students build those summaries. It's a fun way to scaffold that skill and it makes it possible for me to model my thought process. We have a number of photo scenes as well as written passages. I can model the first one, then we can do one together, and then I can gradually hand it over to them and let them model that process.

That is some very structured practice. Modeling that meta linguistic talk, and gradually releasing that. Leveraging pictures before text, just so that they can wrap their heads around the process.

I already alluded to this a little bit, but the fifth strategy is to use sentence frames. We have some graphic organizers built into the skill pack that have those sentence frames to help students produce those summaries verbally. We first identify the main idea and the details, and then we're able to produce a summary, which helps us in

generalizing the skill into functional contexts.

Our sixth strategy is to also teach text structure and help students identify them. We might need a slightly different graphic organizer or slightly different sentence frames to help them generate summaries effectively. Those are our six strategies for today. Explicitly teaching the skill, modeling and gradually giving students more autonomy, leveraging graphic organizers, starting with pictures and then moving to text, using sentence frames, and including a variety of text structures and teaching those explicitly So those are our strategies for today. If you want to access any of the materials that I mentioned today, head to slpnow.com. You can sign up for a free trial and get five free downloads, no strings attached. If you're already a member, search for the summarizing materials. You'll find the skill pack as well as summarizing activities for all of our nonfiction texts.

I'll also link the show notes for more detailed research citations and more written detail on these strategies if you want to reference that. That is a wrap and we'll see you real soon.

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FAQ

What is the best strategy to teach summarizing in speech therapy?

One of the most effective methods is the SWBST Strategy (Somebody, Wanted, But, So, Then). This framework provides a concrete, step-by-step visual map that helps students filter out minor details and focus strictly on a story's core elements.

Why do students with language disorders struggle to summarize?

Summarizing requires high-level executive functioning and language processing. Students must comprehend the text, evaluate which details are most important, and then formulate a concise response. Without a clear framework, they often experience cognitive overload and simply recount the entire story.

How do you scaffold summarizing goals for students?

Start by modeling the skill using highly familiar stories or short animated videos. Introduce a graphic organizer to make the abstract concept concrete, and gradually fade the visual supports as the student becomes more independent in identifying the main idea.

Filed Under: Podcast

Morphology Made Simple: Easy Ways to Teach Affixes in Speech Therapy

December 2, 2025 by Marisha Leave a Comment

If you have ever felt overwhelmed trying to tackle vocabulary goals with your speech students, morphology is the answer. By shifting away from memorizing endless lists of vocabulary words and instead focusing on explicit morphology instruction, you teach your students the actual building blocks of language. Teaching affixes (prefixes and suffixes) is one of the most efficient, high-impact vocabulary interventions SLPs can deliver, helping students improve decoding, spelling, and reading comprehension across all content areas.

Why Morphology Matters

With high caseloads and limited time, we want strategies that offer the biggest return on our investment. Memorizing a list of words only teaches a student those specific words. However, teaching them how to break apart a word using its morphological clues gives them a flexible tool they can use forever. Research shows that explicit analysis and repeated practice improve comprehension and morphological awareness.

To help students grasp this, we need to explicitly teach them that:

  • Words are made of meaningful parts.
  • Those parts carry clues.
  • We can use those clues to figure out meaning.

4 Steps to Teach Affixes in Speech Therapy

If you’re looking for an easier way to target morphology, try implementing The Word Detective Framework. Here is our simple, step-by-step approach.

Step 1: Build Conceptual Awareness First

Before diving into complex graphic organizers or lists of words, start by building conceptual awareness. Students benefit from clear, concrete examples of how affixes actually transform base words. You can introduce this by showing how adding a single letter or syllable changes everything:

  • ✔️ cat → cats (adding -s means more than one)
  • ✔️ happy → unhappy (un- changes the meaning to its opposite)

Step 2: Explicitly Teach High-Value Prefixes and Suffixes

Rather than overwhelming students with dozens of affixes, focus on the ones they’ll encounter most often. Walk through exactly what prefixes and suffixes are, and introduce high-value, common affixes (like re-, un-, in-/im-, and dis-). We like to print off definition cards and give students their own copies. Treating them almost like vocabulary “trading cards” gives students ownership and provides a concrete visual they can reference across sessions.

Step 3: Teach Students to Become “Word Detectives”

Once students understand common affixes, teach them a framework for analyzing words step-by-step. A simple Morphology Graphic Organizer can guide them through the process:

  1. Identify: Find the prefix, root, and suffix.
  2. Define: Determine the meaning of each individual part.
  3. Combine: Put the meanings together to infer the meaning of the entire word.
  4. Check: Use the inferred meaning in a sentence to see if it makes sense in context.

For example, if the target word is disagree, they identify the prefix (dis- meaning “not” or “opposite of”), the root (agree), and combine them to mean “to not agree.”

Step 4: Reinforce Affixes Across Contexts

To ensure these skills stick, students need repeated practice. Have them act as word detectives by highlighting affixed words in literacy-based units, picture books, or science experiments. You can also have them create a Vocabulary Journal where they collect new examples of their target prefixes and suffixes, write definitions, and see their progress over time.

References

  • Carlisle, J. F. (2010). Effects of instruction in morphological awareness on literacy achievement: An integrative review. Reading Research Quarterly, 45(4), 464-487.
  • Goodwin, A. P., & Ahn, S. (2013). A meta-analysis of morphological interventions in English: Effects on literacy outcomes for school-age children. Scientific Studies of Reading, 17(4), 257-285.
  • Honig, B., Diamond, L., & Gutlohn, L. (2013). Teaching Reading Sourcebook. Novato, CA: Arena Press.

Ready to Simplify Your Morphology Instruction?

If you want ready-to-go materials so you don’t have to spend hours making your own flashcards and graphic organizers, we have you covered! Inside our Prefixes Skill Pack, we have word cards and graphic organizers that help students get structured practice.

👉 If you’re an SLP Now member, search the library for books and articles that contain specific prefixes or suffixes!

Not a member yet? Sign up for a free trial to download the skill packs and get access to definition cards, visuals, and vocabulary activities that make morphology instruction simple and consistent.

Transcript

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Today we are chatting about some strategies that we can use when targeting prefixes and suffixes with our students. This is one of my favorite strategies in terms of vocabulary, because prefixes and suffixes are so common. Honig et al 2013 say that the four most common prefixes and suffixes account for 97% of derivational words.

I am all about working smarter and not harder. If I can focus on four affixes and give students the tools to break down that many words, just with that one little tool like that gives us a lot of bang for our buck. So let's chat about how we can break this down. The first strategy is to help students understand what affixes are and how morphology works.

I would start off instruction by giving some specific examples of how a prefix or a suffix changes a word. One common suffix is -s. If we have a cat and then we add -s to it, that means there are multiple cats. So by adding that suffix, it changes the meaning of the word.

If we know what these little words mean, it can help us figure out what words mean if we know some parts of the word. It's a helpful strategy. It doesn't work for all students. Some students need explicit instruction and teaching of explicit vocabulary targets.

This is a strategy worth trying to see if it helps our students. So that the first strategy, like I said, was just explicitly teaching and helping students understand how morphology works. The second step is to explicitly teach selected prefixes and suffixes. In SLP Now, we have visuals, with the prefix, a student friendly definition, an icon to help represent what the prefix means, as well as some examples.

And so we can use this to introduce the word. They're just little cards. We can use them throughout our instruction. I like to print these off and give students their own card, so they can reference it and have some ownership.

It's like collecting Pokemon cards. Once they tell me what the word means, they get it, and then they can use that to write all the examples of the word that they're finding. For example, if we're targeting re- as a prefix, they would get that card.

If words are coming up as we're doing all of the literacy based therapy activities, they can add those to their cards and build a vocabulary journal.

They're seeing the visual and the student friendly definition. It's two strategies in one. We want to teach the specific meaning of the prefixes and suffixes. A bonus tip is using those definition cards to help students, embed that practice across multiple units as well.

In our Prefixes Skill Pack, we have word cards that can help students get more structured practice. We give you a list of words with the most common prefixes, and then you can pair that with our graphic organizer. And I would first start by modeling this strategy, but the graphic organizer has boxes for a prefix, the root, and the suffix.

So like if the word is disagree, we would first identify. the prefix, root, and suffix if there is one. And then they write dis- in the prefix box, agree in the root, and then it kind of walks them through the process of. Okay, first we have to identify the prefix, root, and suffix.

Then we find the meaning of the prefix and the meaning of the root, and we put those meanings together to infer the meaning, and then we can, put it in the sentence to kind of check that meaning. I start by modeling that process. Once students have multiple examples, I gradually decrease what I'm showing them. We do it together first then they do it with me, and then they get to kind of do it more on their own. But teaching that process of breaking the words apart and really being like taking out their magnifying glasses and looking for our target prefixes and suffixes can be really beneficial.

We just would continue to target and practice this skill. it makes sense to start with discreet skill instruction, where we walk through how morphology works, what prefixes and suffixes are, and then we explicitly walk them through the process of how to be a word detective and break words apart and identify the meaning and how those strategies work.

In addition to actually teaching the meaning of those prefixes in suffixes.

And then the last step is to bring this into context. The trick of giving students cards for their target prefixes and suffixes and having them look for examples of that throughout all of the units, throughout the entire IEP period, can be really helpful.

And then for additional support in helping you contextualize this practice. In SLP Now, we've analyzed all of our picture books, articles, and science experiments, all of our therapy plans. We've pulled all of the relevant targets. You can search for a specific prefix in suffix and find articles that have those words in them.

We also create book and article specific activities for you where it gives you a graphic organizer that you can use to practice that word. it has spots to add other examples of the word as you go through different units

So it's a way to build that vocabulary journal and implement other evidence-based vocabulary strategies, in terms of coming up with a sentence with a word in it and drawing a picture of the word. Those are bonus strategies embedded into the units. That is a quick blitz of some strategies we can use when targeting affixes.

If you want to access any of the activities that I shared today, head to slpnow.com and sign up for a free trial. You can download five activities, totally free, no strings attached. I'll also share a link to the show notes with more detail, in terms of research, citations and all of that.

Thank you for joining me today, and we'll see you in the next one.

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FAQ

Why is morphology instruction important in speech therapy?

Research shows that explicit morphology instruction helps students increase vocabulary knowledge, improve decoding, and strengthen reading comprehension. By understanding prefixes, roots, and suffixes, students can make meaning-based connections across all academic subjects.

What is the best way to teach affixes to speech students?

Start with explicit, concrete examples (e.g., "cat" vs. "cats", "happy" vs. "unhappy") rather than diving straight into complex tasks. Once students understand how affixes change a word's meaning, you can teach them step-by-step strategies to break down and analyze multisyllabic words.

How can SLPs use graphic organizers for morphology?

A graphic organizer can act as a visual map for morphological problem-solving. Students can use it to identify the prefix, root, and suffix; define each part; combine the meanings to infer the whole word's definition; and then check if the new meaning makes sense in a sentence.

Filed Under: Podcast Tagged With: Literacy-Based Therapy, Morphology, School-Based SLP, SLP Resources, Speech Therapy Activities, Speech Therapy Ideas, Vocabulary Intervention

Multiple Meaning Words: The SLP CLEAR Method Explained

November 25, 2025 by Marisha Leave a Comment

Teaching multiple meaning words doesn’t have to be a planning nightmare. By using a structured, context-driven approach like The CLEAR Method™, school-based SLPs can help students build flexible language skills while drastically reducing prep time. This method focuses on explicitly teaching students how to figure out meaning using context clues, visual organizers, and parts of speech—giving you a repeatable framework to use in any session.

What Are Multiple Meaning Words?

Multiple meaning words are words that are spelled and pronounced the same but have different meanings, such as bat, bark, or ring. Understanding them supports reading comprehension, humor, idioms, and academic vocabulary, so SLPs often teach them using context clues, visuals, and semantic mapping.

Is the CLEAR Method™ for Teaching Multiple Meaning Words Right for You?

This approach works best for SLPs who:

  • Are currently spending hours planning and prepping materials each week
  • Want to maintain high-quality, evidence-based therapy
  • Need materials that support consistent repetition and generalization
  • Value time with family/life outside of work

If you’re already using a comprehensive therapy resource or prefer creating everything yourself, this may not be for you.

But if you’re spending hours planning sessions and want that time back, without compromising quality, keep reading.

Using structured, planning-first methods like these can lead to dramatic time savings and better student outcomes.

Just like the time Courtney saved with her 40 student caseload:

slp software case study multiple meaning words

“It’s been a one -stop shop for me. I’ve been able to gather my materials, collect my data live, and then have a graph to show how the students are making progress or what goals I didn’t target in a previous session.”

– Coutney Tomberlain, SLP at Cobb County School District (20 yrs experience)

These results didn’t come from working harder.
They came from using repeatable methods and ready-made supports instead of rebuilding lessons from scratch.

And that’s exactly what the CLEAR method for multiple meaning words is designed to help you do.

Multiple Meaning Words Skill Pack

Ready-to-use materials that follow the CLEAR Method™ so you can teach multiple meaning words with confidence — without spending hours on prep.

  • CLEAR Method™ framework with step-by-step teaching guide
  • Pre-written sentences for context-first instruction
  • Parts of speech supports including student-friendly reference cards
  • Visual organizers to anchor meanings and reduce cognitive load
  • Leveled practice activities (K-4+) with built-in repetition across contexts

Everything you need to assess, teach, and generalize multiple meaning words — all in one place.

👉 Join to Download Multiple Meaning Words Skill Pack

Multiple Meaning Words Skill Pack preview

Why multiple meaning words matter for kids

Multiple meaning words are words that have more than one meaning, depending on how they’re used. Research indicates that approximately 50% of English words have multiple meanings! (Nagy & Anderson, 1984)

For example:

  • bat (an animal vs. sports equipment)
  • change (coins vs. doing something differently)

Many students — especially those with language impairments — have difficulty:

  • using context clues
  • thinking flexibly about word meanings
  • shifting from one meaning to another

This directly impacts:

  • vocabulary development
  • reading comprehension
  • overall language understanding

That’s why how we teach multiple meaning words matters just as much as what words we choose.

What Are Multiple Meaning Words?

Multiple meaning words are words that have more than one meaning, depending on how they’re used in a sentence or situation.

The key is this:
👉 The word itself doesn’t change, the context does.

Examples of Multiple Meaning Words in Sentences:

  • Bat
    • The bat flew out of the cave.
    • She hit the ball with a bat.
  • Change
    • I have change in my pocket.
    • It’s time to change your shoes.

For many students, especially those with language impairments, this flexibility doesn’t come naturally.

Instead, they may:

  • lock onto the first meaning they learned
  • ignore context clues
  • guess based on pictures or prior knowledge
  • struggle when the same word shows up in a new way

This is why multiple meaning words often become a bottleneck for:

  • vocabulary growth
  • reading comprehension
  • understanding grade-level texts

👉 Want Ready-to-Use Multiple Meaning Words Examples Like These?

The Multiple Meaning Words Skill Pack includes pre-written sentences, visuals, and organizers so students can practice identifying meanings in context — without you creating everything from scratch.

➡️ Start a Free Trial to Access the Skill Pack

Multiple Meaning Words visual organizer example

Why Multiple Meaning Words Are Tricky for Kids

On the surface, multiple meaning words seem straightforward.

But for students, they require several skills working together at once:

  • understanding sentence meaning
  • using context clues
  • knowing parts of speech
  • thinking flexibly about language

If one of those pieces breaks down, students often:

  • choose the wrong meaning
  • get confused when meanings shift
  • struggle to explain why a meaning makes sense

types of multiple meaning words

That’s why simply giving students a list of multiple meaning words or a worksheet often isn’t enough.

They don’t need more words.
They need a clear way to think through meaning.

A Better Way: Teach the Process, Not Just the Words

Instead of asking students to memorize definitions, effective instruction teaches them how to figure out meaning.

That’s where the CLEAR Method™ comes in.

It gives students a repeatable process they can use whenever they encounter a word with more than one meaning — in therapy, in the classroom, and while reading independently.

In the next section, we’ll break down the CLEAR Method™ step by step, starting with the most important piece: context.

The CLEAR Method™ for Teaching Multiple Meaning Words

Over time, we’ve found that the most effective multiple meaning word instruction follows one clear pattern.

We call it the CLEAR Method™.

It’s a simple, practical process that helps students:

  • figure out the correct meaning
  • explain why it makes sense
  • and apply that thinking across new contexts

CLEAR stands for:

  • C — Context First
  • L — Label the Part of Speech
  • E — Explain the Meaning
  • A — Anchor With Visuals
  • R — Repeat Across Contexts

Instead of memorizing definitions, students learn a process for understanding meaning,which is what actually supports comprehension.

Let’s start with the most important step.

👉 Want Instant Access to Examples Like These?

The Multiple Meaning Words Skill Pack includes:

  • Pre-written sentences for context
  • Student-friendly parts of speech guides
  • Visual supports that make meaning clearer

➡️ Start a Free Trial to Access This Skill Pack

Multiple Meaning Words visual support example

C — Context First

Context is the foundation of multiple meaning word instruction.

If students try to decide what a word means without context, they’re usually guessing.

That’s why the CLEAR Method™ always starts with a sentence or situation, not the word by itself.

What this looks like in practice

Instead of asking:

“What does the word bat mean?”

Start with:

  • The bat flew out of the cave.
  • He grabbed the bat before stepping up to the plate.

Then guide students to ask:

  • “What’s happening in this sentence?”
  • “What clues help us figure out the meaning?”

This shifts students from guessing to analyzing.

Why context-first instruction matters

When students consistently start with context, they:

  • rely less on memorized definitions
  • pay attention to surrounding words
  • become more flexible with meaning

Research shows that context clues significantly aid vocabulary learning and support students’ ability to derive word meanings independently (Baumann et al., 2003).

This directly supports:

  • reading comprehension
  • understanding unfamiliar vocabulary
  • independent problem-solving in texts

In the next section, we’ll look at how identifying the part of speech helps students narrow meaning quickly — especially when words can function in more than one way.

L — Label the Part of Speech

Once students understand the context, the next step is helping them narrow the meaning.

That’s where parts of speech come in.

Many multiple meaning words change meaning based on how they’re used in a sentence — not just the situation.

Helping students ask:

  • “Is this a thing (noun)?”
  • “Is it an action (verb)?”
  • “Is it describing something?”

can immediately eliminate the wrong meaning.

Simple sentence frames that build flexibility

Sentence frames make this step concrete and student-friendly.

👉 Want this step ready-to-go?

Resources like this student-friendly reference card come included in the skill pack, along with sentence frames and organizers that guide students through the process without you creating them yourself.

➡️ Start a free trial to access the Skill Pack

Multiple Meaning Words parts of speech reference card

For example:

  • Noun frame: I have a ___.
  • Verb frame: I am ___.

Using the word change:

  • I have change. → coins or money
  • I am changing. → doing something differently

These quick tests help students:

  • think more flexibly about word meanings
  • generate definitions more independently
  • explain why a meaning makes sense

Why this step matters

Labeling the part of speech:

  • reduces random guessing
  • builds metalinguistic awareness
  • supports students who struggle with abstract language

It also gives students a strategy they can reuse when they encounter unfamiliar words in reading.

👉 Want this step ready-to-go?

The Multiple Meaning Words Skill Pack includes student-friendly parts-of-speech supports and organizers that guide students through this process, without you creating sentence frames or visuals yourself.

➡️ Start a free trial to access the Skill Pack

Multiple Meaning Words parts of speech reference card

E — Explain the Meaning (In Student-Friendly Language)

Once students have identified the correct meaning, the next step is making sure they truly understand it — not just recognize it.

That’s where student-friendly explanations come in.

Instead of repeating dictionary definitions, encourage students to:

  • explain the meaning in their own words
  • describe what’s happening in the sentence
  • talk through how they figured it out

This is where deeper language learning happens.

Using think-alouds to build metalinguistic awareness

Think-alouds are especially powerful with multiple meaning words.

Metalinguistic instruction (teaching students to reflect on and talk about language) has been shown to improve vocabulary and comprehension outcomes (Biemiller & Boote, 2006).

For students with language impairments, this type of awareness is particularly critical for reading comprehension (Zipke, 2007).”

Simple prompts like:

  • “How did you know which meaning it was?”
  • “What clues helped you?”
  • “Could this word mean something else here?”

help students reflect on their thinking — not just their answer.

Over time, students start to internalize these questions and apply them independently while reading or listening.

Why explaining meaning matters

When students explain meanings out loud, they:

  • strengthen vocabulary knowledge
  • build metalinguistic awareness
  • improve expressive language
  • become more confident explaining their thinking

This step is also incredibly effective in group therapy, because students benefit from hearing how others reason through meaning.

Next up is the step that helps everything stick: anchoring meanings with visuals.

A — Anchor With Visuals

Multiple meaning words are abstract by nature.

That’s why visual supports are such a powerful part of the CLEAR Method™.

When students can see the difference between meanings, they’re more likely to:

  • understand the word
  • remember it later
  • retrieve the correct meaning in new situations

How visuals support multiple meaning word instruction

Visuals help students:

  • break down abstract language
  • compare meanings side by side
  • reduce cognitive load

Effective visuals might include:

  • simple pictures for each meaning
  • graphic organizers that show multiple definitions
  • space to draw or sketch what each meaning looks like

Research on robust vocabulary instruction emphasizes the importance of explicit support for definitions, part of speech, example sentences, and imagery (Beck, McKeown & Kucan, 2013).

For example, a graphic organizer might ask students to:

  • write the word
  • identify the part of speech
  • explain each meaning
  • draw a picture for each one

multiple-meaning-words-anchor-with-visuals multiple meaning words anchor with visuals

This anchors understanding and supports long-term retention.

Why anchoring with visuals matters

Students who struggle with language often need more than verbal explanation.

Visual supports:

  • give students another way to process information
  • support students with working memory challenges
  • make abstract concepts more concrete

Strong vocabulary instruction includes the use of multiple modalities to reinforce memory and comprehension (Snow, 2010)

This is especially helpful for:

  • younger students
  • students with language impairments
  • English learners

👉 Want Instant Access to the Multiple Meaning Words Anchor Chart?

The Multiple Meaning Words Skill Pack includes ready-made graphic organizers and visual supports aligned to each step of the CLEAR Method™ so you don’t have to design or adapt materials yourself.

➡️ Start a free trial to access the Skill Pack

Multiple Meaning Words anchor chart example

We’re almost there. The final step is where generalization happens and where most instruction breaks down without the right materials.

R — Repeat Across Contexts (This Is Where Generalization Happens)

Most students don’t struggle with multiple meaning words because they never learned them.

They struggle because they only saw the word once.

Generalization doesn’t happen after a single sentence or activity.
It happens when students see the same word used again and again in different ways.

That’s why Repeat Across Contexts is a core part of the CLEAR Method™.

What repetition should look like (without busywork)

Effective repetition means practicing the same word across:

  • different sentences
  • different contexts
  • short passages or texts
  • student-generated examples

A simple progression might look like:

  1. Two clear sentences with different meanings
  2. A short paragraph or story using the word
  3. A new context (book, article, or classroom example)
  4. Student-created sentences or explanations

Each repetition reinforces flexibility, not memorization.

Why this step is often skipped (and why that’s a problem)

Repeat Across Contexts is the step that:

  • takes the most planning
  • requires the most materials
  • is hardest to sustain week after week

Without it, students may:

  • understand the word during therapy
  • struggle to apply it in reading
  • revert to guessing in new contexts

This is where even strong instruction can break down.

At this point, you’ve seen how the CLEAR Method™ works from start to finish.

Next, we’ll tie it all together with:

  • practical examples
  • grade-level considerations
  • and the strongest AI-Builder–style CTA on the page.

SLP Multiple Meaning Words Examples: Putting the CLEAR Method™ Into Practice

The CLEAR Method™ works across grade levels because the process stays the same — only the complexity of the words and contexts changes.

Below are examples of how multiple meaning word instruction can look from kindergarten through 4th grade, using the same CLEAR steps each time.

Multiple Meaning Words for Kindergarten

At this level, the goal is helping students understand that one word can have more than one meaning.

Focus on:

  • very concrete words
  • clear visuals
  • short, simple sentences

Example words:

Word Meaning 1 Meaning 2
bat an animal baseball bat
park a place to play to stop a car

Use CLEAR by:

  • starting with simple sentences (Context First)
  • naming the meaning out loud
  • anchoring each meaning with pictures

Multiple Meaning Words for 1st Grade

First-grade students are ready to compare meanings more intentionally — especially with support.

Focus on:

  • concrete + slightly abstract meanings
  • sentence-level context

Example words:

Word Meaning 1 Meaning 2
ring jewelry make a sound
light something you turn on not heavy

Use CLEAR by:

  • identifying what’s happening in each sentence
  • labeling whether the word is a noun or describing word
  • anchoring meanings with pictures or drawings

Multiple Meaning Words for 2nd Grade

In second grade, students benefit from learning how parts of speech help narrow meaning.

Focus on:

  • noun vs. verb meanings
  • explaining meanings in their own words

Example words:

Word Meaning 1 Meaning 2
change coins to do something differently
watch something you wear to look at

Use CLEAR by:

  • testing meanings with sentence frames
  • encouraging students to explain why a meaning fits

repeating words across different sentences

👉 Want sentence frames and ready-made examples that support flexible thinking?

Start a free trial to access the Multiple Meaning Words Skill Pack.

Start Your Free Trial →

Multiple Meaning Words for 3rd Grade

Third grade is where multiple meaning words start to affect reading comprehension more directly.

Focus on:

  • sentence-level ambiguity
  • short passages
  • context clues

Example words:

Word Meaning 1 Meaning 2
point a sharp end an idea
scale to climb a tool for measuring

Use CLEAR by:

  • analyzing context before guessing
  • explaining how clues lead to the correct meaning
  • repeating words across passages and discussions

👉 Want passages, visuals, and activities that build repetition without extra prep?

Start a free trial to access the Multiple Meaning Words Skill Pack.

Start Your Free Trial →

Multiple Meaning Words for 4th Grade

By fourth grade, many multiple meaning words become more abstract and academic.

Focus on:

  • abstract meanings
  • academic vocabulary
  • generalization across texts

Example words:

Word Meaning 1 Meaning 2
draft a rough version air movement
table furniture data chart

Use CLEAR by:

  • breaking down context in longer texts
  • labeling part of speech to narrow meaning
  • repeating words across subjects and settings

Why This Works Across Grades

What changes from kindergarten to fourth grade isn’t the method — it’s:

  • the type of words
  • the complexity of context
  • the level of explanation expected

The CLEAR Method™ gives students a consistent way to think about meaning, while the Skill Pack gives you the materials to apply it without rebuilding lessons every week.

“This consistency aligns with research on effective vocabulary instruction, which emphasizes the importance of systematic, repeated exposure across contexts (Baumann et al., 2003).”

👉 Want examples and activities already organized by level?

The Multiple Meaning Words Skill Pack includes leveled activities, visual supports, and practice materials that make it easy to apply the CLEAR Method™ across grades — without sorting or adapting everything yourself.

➡️ Start a free trial to access the Skill Pack

Multiple Meaning Words activities organized by grade level

Using the CLEAR Method™ Without Spending Hours Planning

At this point, you might be thinking:

“This makes sense — but setting all of this up takes time.”

And you’d be right.

To use the CLEAR Method™ consistently, you need:

  • carefully chosen multiple meaning words
  • multiple sentences and contexts for each word
  • visuals and graphic organizers
  • materials that support repetition and generalization

You can create all of that yourself…

…but most school-based SLPs end up:

  • planning at night
  • recreating the same lesson week after week
  • or skipping repetition because of time constraints

“This sounds great, but…”

“I’m not sure if pre-made materials will work for my students”

The Skill Pack includes leveled materials (K-4+) and flexible activities you can adapt. You’re not locked into one approach.

“I’ve tried therapy resources before and they weren’t evidence-based”

Every activity in the CLEAR Method™ Skill Pack is grounded in research (Baumann et al., 2003; Beck, McKeown & Kucan, 2013; Snow, 2010) and aligned to best practices.

“What if I don’t like it?”

Start with a free trial. Use the materials in your actual sessions. If it doesn’t save you time or improve your therapy, you haven’t lost anything.

That’s exactly why we built the Multiple Meaning Words Skill Pack inside SLP Now.

The Skill Pack = The CLEAR Method™ (Already Built for You)

The Multiple Meaning Words Skill Pack is the ready-to-use version of the CLEAR Method™.

Instead of planning from scratch, you can:

  • open a session
  • select a target word
  • use pre-written contexts and visuals
  • and guide students through each CLEAR step with confidence

Everything is designed to work together, so you’re not piecing resources together from multiple places.

👉 Want to try it in your next session?

You can access the Multiple Meaning Words Skill Pack with a free trial to SLP Now.

That means you can:

  • explore the materials
  • use them with your students
  • and see how CLEAR works in real therapy sessions

➡️ Start your free trial to access the Multiple Meaning Words Skill Pack

Final Thought

Multiple meaning words don’t have to feel confusing for you or your students.

With a simple framework and materials that support it, you can:

  • teach vocabulary more effectively
  • support reading comprehension
  • and protect your time and energy

The CLEAR Method™ gives you the structure.
The Skill Pack gives you the speed.

References

Baumann, J. F., Edwards, E. C., Boland, E., Olejnik, S., & Kame’enui, E. J. (2003). Vocabulary tricks: Effects of instruction in morphology and context on fifth-grade students’ ability to derive and infer word meanings. American Educational Research Journal.

Beck, I. L., McKeown, M. G., & Kucan, L. (2013). Bringing Words to Life: Robust Vocabulary Instruction (2nd ed.). Guilford Press.

Biemiller, A., & Boote, C. (2006). An effective method for building meaning vocabulary in primary grades. Journal of Educational Psychology.

Nagy, W., & Anderson, R. (1984). How many words are there in printed school English? Reading Research Quarterly.

Snow, C. (2010). Academic language and the challenge of reading for learning about science. Science.

Zipke, M. (2007). The role of metalinguistic awareness in reading comprehension for students with language impairments. Topics in Language Disorders.

Transcript

Transcript
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Let's chat about strategies to target multiple meaning words, shall we? Before we dive into the practical strategies you can use in your next session, I want to lay some groundwork. When I started looking into the research almost a decade ago, I was surprised to learn that 50% of English words have multiple meanings.

Many of our students, especially those with language impairments, have difficulty inferring the meanings of those words. And that can really impact vocabulary development in general, but also comprehension, because if we are not able to analyze words and look at context to understand what they mean, then that can really impact our comprehension.

So we will dive into the strategies that we can use from introducing multiple meaning words to working towards generalization. The first thing I want to do is make sure students understand that words can have multiple meanings. We might just start off the discussion and say words can have multiple meanings, like one word can mean different things. The example I always start with is the animal that flies and the wooden stick used to hit a ball in baseball. That would be kind of my initial teaching so that we can wrap our heads around what we're working on.

Then the second step is having students practice identifying the meaning and looking at the context. In my initial teaching, we would've talked about like a bat the animal as well as the baseball bat. And I might give them some sentences. I like to have the pictures and start with really concrete examples and then we can get more complex.

But I first wanna make sure that they're really understanding the concept, so I might give them two sentences, like the bat flew into the cave, and we would look at that sentence and which bat is that talking about? And just having some specific examples and then using images to help.

Because we are building that imagery, that can be a way to get in some errorless learning and help students understand the context. For our third strategy, something we can do while completing that activity is to think out loud and help students build that meta linguistic awareness.

This is easier with concrete examples. we can ask questions like, how did you know which meaning it was, could it mean something else in that sentence, and kind of having some discussion around that.

And they could practice saying I knew it was the animal because bats live in caves, so that could be the example for the sentence we talked about. And if we're doing this as a group activity, this will be a beautiful language, rich activity. Even if not all of the students are working on multiple meaning words, they can be working on syntax, creating sentences, grammar, vocabulary, all of those things, in the context of these activities. So those are our first three strategies. The fourth strategy is to use a graphic organizer. We have lots of graphic organizers built into SLP Now, that help students kinda break down the meaning and give them robust vocabulary practice with these words.

We have blank graphic organizers in our skill pack for multiple meaning words. For our books and articles, we've identified multiple meaning words in the text. For each word, we give three sentences with the target word in it, and then the students find the word, work through the graphic organizer to identify the part of speech, the meaning, and draw a picture to help with imagery. That type of graphic organizer can be really helpful. One of the strategies that has helped my students the most is helping them understand how parts of speech work.

I have a graphic organizer that lists noun, verb, adjective, adverb, and it gives a student friendly definition of what a noun, verb, adjective, and adverb are. It also has some sentence frames that can help them understand what part of speech something is.

A noun is a person placer thing, and the sentence frames are, I have a blank and I see blank. I have a bat. I see a bat. For the example with bat, the animal and the wooden stick, those are both nouns so that strategy wouldn't help us differentiate the meaning.

We can use that to help students generate different definitions for words. They can use that as a strategy to help them understand what the word might mean. If we know it's a noun, that'll help narrow down how we are going to define that word.

And if we know it's a verb and an action. That'll help us narrow down the definition as well. We have a little cheat sheet that students can use. We can have them look at the context of the sentence and then put the word in their own sentence. For example, if we are looking at change, we can say, I have change.

And then that might spark, oh, change. That means like coins of money. And then if the verb is, I am changing, maybe they think, oh, that means putting on new clothes. And so that helps them generate definitions for this word. It helps them practice to think more flexibly because if you ask them what are two meanings for the word change?

They might only think of one and they have a hard time thinking flexibly of what else could change mean? I found that using those sentence frames can be really helpful and throughout the entire process we'll leverage the strategies of using visuals and graphic organizers and pictography or acting things out to help students build that picture in their heads.

Using the cheat sheet for parts of speech can help give them a framework to start thinking more flexibly about what words mean. So those are our strategies for today. If you want to check out the Multiple Meaning Words Skill Pack or any of the activity sheets for picture books, articles, and science experiments, we have lots of activities based on these evidence backed strategies that you can use in your sessions without having to reinvent the wheel.

You can literally just click. Into something as students are walking in the door and be ready to go. I hope these strategies were super helpful and we'll see you in the next one.

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FAQ

Why are multiple meaning words difficult for students?

Many students, especially those with language impairments, struggle to use context clues and think flexibly about word meanings. Instead of shifting definitions based on context, they often lock onto the first meaning they learned, which directly impacts vocabulary development and reading comprehension.

What is the CLEAR Method™ for teaching multiple meaning words?

The CLEAR Method™ is a planning-first, evidence-based approach designed for SLPs. It focuses on explicitly teaching students how to figure out meaning through sentence context, visual organizers, metalinguistic "think-alouds," and parts of speech, rather than just memorizing definitions.

How can SLPs teach multiple meaning words without spending hours on prep?

SLPs can save time by relying on repeatable frameworks like the CLEAR Method™ and utilizing ready-made materials. Using pre-written sentences, visual graphic organizers, and part-of-speech cheat sheets allows for consistent, high-quality therapy with minimal planning.

Filed Under: Podcast Tagged With: Language Therapy, Multiple Meaning Words, School-Based SLP, SLP Resources, Speech Therapy Activities, The CLEAR Method, Vocabulary Development

How to Teach Describing: Evidence-Based Strategies SLPs Can Use Tomorrow

November 18, 2025 by Marisha Leave a Comment

Teaching describing skills is foundational for our students’ success in writing, classroom discussions, and overall expressive language. If you’re managing a massive caseload and scrambling for effective ways to target these skills, the research points to two core, game-changing strategies: explicitly teaching attribute categories and using contrastive examples. By combining these evidence-based approaches with visual supports and vocabulary journals, we can give our students a predictable framework to access and share what they know—without working harder than we already are.

Why Teaching Describing Matters

We know the drill: progress reports are looming, mixed groups are chaotic, and we need strategies we can use tomorrow. Students who struggle with describing often lack the underlying vocabulary or the organizational structure to share their thoughts. When we explicitly teach them how to organize their ideas and select meaningful attributes, we give them a reliable structure to describe any object or concept. It’s all about working smarter, not harder.

Evidence-Backed Strategies for Describing

Strategy #1: Explicitly Teach Attribute Categories

Research shows that teaching students to use consistent attribute categories—such as category, function, parts, size, shape, color, and location—helps them build highly organized semantic networks. Once students internalize these categories, they have a mental filing system for any new vocabulary word.

How to Use This Strategy in Therapy:

  • Introduce each attribute category explicitly.
  • Model with real objects or storybook vocabulary.
  • Use visual anchors to support comprehension.
  • Provide multiple, varied practice opportunities across sessions.

SLP Now Tool to Support This Strategy: The Describing Helper provides visual supports for categories, colors, shapes, functions, locations, and more, giving students the exact scaffolding they need. Sign up for a free trial to download the Describing Helper for free today!

Strategy #2: Teach Through Contrastive Examples

Contrastive learning occurs when we pair examples with non-examples. When students compare items that differ in one or more attributes, it strengthens their understanding of what the concept actually is—and what it isn’t.

For example, if we are focusing on apples:
Is an apple a fruit? Yes.
Is a bee a fruit? No.

These simple comparisons promote deeper semantic processing and increase student accuracy in categorization.

How to Use This Strategy in Therapy:

  • Present pairs or small sets of contrasting items.
  • Ask yes/no questions about category membership.
  • Highlight the similarities and differences across attributes.
  • Embed this practice across your therapy units or storybook reading.

SLP Now Tool to Support This Strategy: Our Vocabulary Pages for Categories and Object Functions include exemplars, non-exemplars, and blank sections to add new examples over time. Sign up for a free trial to download the vocabulary pages for free today!

Tools to Implement These Evidence-Backed Strategies

Use Visuals to Scaffold Describing Skills

Many of our students need visual anchors when learning new vocabulary. Tools like the Expanding Expression Tool (EET) offer a fantastic tactile and visual way to teach attributes. Similarly, The Describing Helper inside SLP Now was designed to provide students with specific visual options for colors, shapes, and locations, making it easier for them to access the exact language they need.

Build Vocabulary With Journals for Long-Term Retention

Vocabulary journals deepen semantic knowledge over time, especially when tied to literacy-based therapy. Each Vocabulary Page includes:

  • A student-friendly definition.
  • Pictures of exemplars and non-exemplars.
  • Blank space to add new examples from books or real-life contexts.

As students revisit these same categories across different books, their semantic networks become incredibly rich and flexible.

Support Generalization With Sentence Frames

Once your students can successfully identify attributes, the next step is helping them communicate those descriptions in full, meaningful sentences. Sentence frames encourage generalization and align beautifully with classroom expectations.

Examples include:

  • “It is a type of…” (category)
  • “We find it…” (location)
  • “It is used for…” (function)

If you’re ready to implement these strategies and take the overwhelm out of your planning, Click here to access the Describing Skill Pack (for FREE)!

Explicit teaching, contrastive examples, vocabulary journals, and visual supports all work beautifully together to help students build describing skills that carry over into storytelling, academic tasks, and real-life communication. If you want to download The Describing Helper and access thousands of evidence-backed therapy materials to make your SLP life easier, sign up for the free trial!

References

Ebbels, S. (2014). Effectiveness of intervention for grammar in school-aged children with primary language impairments: A review of the evidence. Child Language Teaching and Therapy.

Nagy, W., & Townsend, D. (2012). Words as tools: Learning academic vocabulary as language acquisition. Reading Research Quarterly.

Ukrainetz, T. (2015). Contextualized Language Intervention: Scaffolding PreK–12 Students to Promote Academic Success.

Transcript

Transcript
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Hey there and welcome back to the podcast. Today we are diving into strategies related to describing. And this is an area that I think we all do pretty well with. We have a strong foundation on how to target describing, but I'm excited to share a couple strategies and then dive into some tools that we can use to make it easier to implement those strategies.

So there's two core strategies that emerge in the research. One is explicitly teaching attribute categories, like size, shape, function, location, parts, category, all of those things. Teaching those categories give students a clear framework and helps them organize their ideas.

And then we also want to make sure that we're systematically teaching those and helping students build that framework. The second strategy is teaching through contrastive examples. When we show pairs of examples that differ in one or more attributes, like an apple and a pear.

They're both fruits, sweet, and have stemsbut have different colors, shapes, and tastesContrasting can be really helpful. In practice, one tool that we all know about is the Expanding Expression Tool.

It is a visual and tactile way to teach those attribute categories. You can make a little song about the attributes and it's a tactile thing. If they're looking at the apple, they can be like, okay, green group, and do that.

Definitely look at the resources from Expanding Expression Tool. They have a bunch of amazing resources and handbooks so I'm not teaching how to use that. I wanted to give a nod to that tool because it can be very helpful. Some other tools that we can use. I personally use the Expanding Expression Tool.It's really helpful to teach them like, what group is it in?

But sometimes they don't have that vocabulary of like, oh, these are all the groups that I can think of. And these are all of the colors and shapes. Sometimes we need a little bit more visual support. So I created, it's called a Describing Helper.

and it has a page for the different attributes that we might use when describing. So it has pages for the different attribute categories, and then it has pictures of a bunch of examples. On the colors page it shows different colors. On the shape page, it shows different shapes.

And then we have a bunch of locations and categories and all of that. I find that if we are doing a describing activity, it's really helpful to have those visual choices. even as a scaffolding tool, if we ask a student what category it's in, we can pull up the Describing Helper and be like, is it a fruit or a toy?

And have that be a way to scaffold. This can give us some practice with a contrastive examples If we're looking at the apple, we can say, is the apple a person? No. An apple is not a person. And so that gives us that contrast. Is an apple a place? No. That helps give us practice opportunities, with one simple visual. Another thing that's really helpful, 'cause sometimes teaching the attribute categories is really helpful, like size, shape, color, all of that. Sometimes our students are missing the vocabulary for those. I have a bunch of activities in my library to help teach categories, object functions, and basic concepts

Sometimes we need to break it down and maybe describing is a good longer term goal, but we really need to focus on building vocabulary in the subcategories, and the Describing Helper helps with that. we can also do it more systematically. For categories and object functions, I like to build vocabulary journals for students.

So we have vocabulary journal pages attached to all of the therapy plans in SLP Now, So let's say we're using Apple Trouble, 'cause I'm fixating on apples today. But if we're reading Apple Trouble, we can go to the Targets section in the Therapy Plan for Apple Trouble.

We'll go to the targets tab and see all of the categories and object functions identified in the story. You can click on that and download the vocabulary page. It's just a one pager and it has the title, so it would be like fruit.

First we come up with a definition of what a fruit is .It would have like 10 pictures of exemplars and non exemplars and we can go through. Is a bee a fruit?

A bee is not a fruit. We cross that one out. And then is a grape of fruit. Oh yeah, grape is a fruit and we can circle that. We get lots of repetition and lots of practice. The first section is a quick definition of what a category or what the fruit is. Then we have little pictures to go through what's an exemplar and a non exemplar.

And then the third section on the page is blank. And then we get to add exemplars from the books and the activities that we're doing. So as we're going through Apple Trouble, we can add the apple and the pear. I don't remember if there's any other fruits in that story. But then let's say the next month we read the book about the Hungry Bear and the Strawberry.

We can add a strawberry to the page and then let's say during lunch, they're eating like they have different fruits, then we can add that to their page.We can continue to build on that journal.

And so they'll always have that quick definition, the reminders of the exemplars and non exemplars, and then they get to continue adding their own. And as we're doing the virtual field trip, we continue to add examples and it'll build over units and units. And that just helps them build that vocabulary organize that information and get some really meaningful practice. So we talked about, in terms of the tools that we've covered so far, the Expanding Expression Tool. I'll include a link in the show notes, but if you Google it, you'll find all the resources around that.

In SLP Now we have a Describing Helper, which includes visual choices for different attribute categories. That just came from a need of my students. They knew they needed to give me a group but they needed some foundational support, so having that is a good starting point.

We also want to provide explicit instruction on the attributes within each attribute category. Because sometimes they don't have that vocabulary of like the colors and the shapes and the categories and the functions and all of that. And so we wanna make sure that we're doing some explicit practice there.

And then another thing that has been really helpful. This is in the Describing Helper as well. The first page has sentence frames that we can use to help students. They can give us a list of attributes, but we want them

to create sentences to describe something. That's what they're gonna have to do in the classroom when they're writing and having discussions. There are sentence frames for each of the attribute categories, to help them do that describing activity.

So that's what that looks like. An example for location, the sentence frame would be we find it and it could be like inside, at the store, whatever it might be. Those are the tools that I use to help me in my describing intervention and link to a quick review of some of the research, that helped me decide how I want to do that. So yeah, there's lots of tools that we can use to help us, whether it is EET, the Describing Helper, the categories and object functions vocabulary pages. These are evidence-based activities for basic concepts as well. We have those to help fill in that vocabulary.

Andit's based on the units that we have for those also embed the contrastive examples So if students are struggling with those, like the location words, the sizes, and all of that, the basic concepts, units can really help too. The last thing we talked about was sentence frames in helping students with generalization, so that they're not just listing, we're embedding it into real sentences. That's a quick recap of my strategies and the tools that we use. If you're interested in accessing the tools in SLP Now, I'll include a link in the show notes so you can check out all of the things. Thanks for joining me.

I hope this was helpful, and we'll see you in the next one.

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FAQ

What are the best evidence-based strategies for teaching describing in speech therapy?

The most effective evidence-based strategies include explicitly teaching attribute categories (like size, shape, and function) and using contrastive examples to help students understand what a concept is and isn't.

How can visual supports help students learn to describe objects?

Visual supports, like The Describing Helper or the Expanding Expression Tool, provide students with a clear framework and vocabulary choices, reducing cognitive load and scaffolding their descriptive language skills.

Why is describing an important skill for students?

Describing is a foundational language skill crucial for academic success. It supports writing, classroom discussions, storytelling, and overall expressive language development.

Filed Under: Podcast Tagged With: Evidence-Based Practice, Literacy-Based Therapy, SLP Resources, Speech Therapy Activities, Speech-Language Pathology, Teaching Describing, Vocabulary Intervention

Basic Concepts in Speech Therapy: 5 Research Backed Tips

November 10, 2025 by Marisha Leave a Comment

Why Basic Concepts Matter

These foundational concepts help students follow directions, understand stories, and access academic content—especially in math and reading.

In this post, I’m sharing five evidence-based strategies for targeting basic concepts that actually stick. We’ll walk through research, practical examples, and how to bring it all together using one of my favorite books, Zoe Gets Ready.

1. Keep Instruction Clear and Focused

When targeting basic concepts, clarity is everything.

Work on one concept at a time and make sure a student masters it before adding more. This helps reduce confusion and cognitive overload—especially for students with language delays.

💡 In Practice
If you’re working on under, stick with that target until the student can identify and use it consistently. Once mastered, move to the next concept.

📘 What the Research Says
Seifert & Schwartz (1991) found that preschoolers learned basic concepts best when clinicians used direct instruction combined with interactive and incidental teaching. This blend supports generalization and retention while keeping instruction focused.

Seifert, K. L., & Schwartz, S. E. (1991). An instructional approach to teaching basic concepts. Early Childhood Research Quarterly, 6(2), 143–158.

2. Embed Concepts in Meaningful Contexts

Once a student can identify a concept during structured tasks, bring it to life!

Embedding learning in context helps students apply and retain new concepts more effectively than drill alone.

💡 In Practice
→ During storybook reading: “She put the hat on her head.”
→ In play: “Put the shoes on the doll.”
→ During routines: “Put your folder in your backpack.”

📘 What the Research Says
Bracken (1982) emphasized that teaching basic concepts in natural, meaningful settings, like play and routines, improves both comprehension and generalization. Contextualized learning builds stronger conceptual frameworks than decontextualized drills.

Bracken, B. A. (1982). The importance of basic concepts for preschool children: An assessment of conceptual development. Journal of Psychoeducational Assessment, 1(1), 3–20.

3. Use Multiple Exemplars—Strategically

Using varied examples helps students generalize new concepts, but timing matters.

Start small to establish understanding, then increase variety gradually.

💡 In Practice
Begin with a few consistent items (e.g., “Put the apple on the plate,” “Put the cup on the table”).
Once students grasp the concept, vary the context, setting, and materials.

📘 What the Research Says
Nicholas et al. (2019) suggest that limiting variability early in instruction can improve conceptual learning for children with language delays. Gradual expansion of exemplars ensures solid understanding before introducing new forms.

Nicholas, E., Light, J., & Romski, M. (2019). Teaching basic concepts to young children with developmental delays: Effects of variability in exemplars. Journal of Speech, Language, and Hearing Research, 62(4), 1120–1133.

4. Pair Words with Gestures or Visuals

Pairing verbal labels with visuals or gestures helps anchor abstract ideas.
Gestures act as visual cues, supporting comprehension and memory.

💡 In Practice
→ On: one hand placed on top of the other
→ Under: one hand slides beneath a fist
→ Big: hands spread apart
→ Little: fingers pinched close together

📘 What the Research Says
Vogt & Kauschke (2017) found that iconic gestures (i.e., gestures that visually represent meaning) enhance children’s learning of new words and concepts. Using consistent gestures alongside verbal cues leads to stronger recall and faster understanding.

Vogt, S., & Kauschke, C. (2017). Observing iconic gestures enhances word learning in typically developing children and children with language impairment. Journal of Child Language, 44(6), 1458–1476.

5. Collaborate Whenever You Can

When SLPs work with classroom teachers, PE teachers, or paraprofessionals, students see and hear consistent models across environments, which boosts carryover.

💡 In Practice
→ In PE: Practice over, under, and through during obstacle courses.
→ In art: Discuss on top of or next to while creating collages.
→ In class: Coordinate with teachers to reinforce concepts in daily routines.

📘 What the Research Says
Lund et al. (2019) found that preschoolers learned more concepts when SLPs collaborated with PE teachers. The combination of movement, meaningful context, and language repetition supported stronger outcomes.

Lund, E., Douglas, S. N., & McNaughton, D. (2019). Collaboration between speech-language pathologists and physical educators: Effects on preschoolers’ concept learning. Language, Speech, and Hearing Services in Schools, 50(2), 214–228.

Bringing It All Together with Zoe Gets Ready

Now, let’s put it into practice using one of my favorite books, Zoe Gets Ready by Bethanie Murguia.

This story is perfect for targeting spatial and descriptive concepts (on, under, next to, big, small).

Here’s a quick literacy-based therapy flow:
– Direct Teaching: Use a structured activity for your target concept (e.g., “on”).
– Vocabulary Pracitce: Use dress-up play—“Put the tiara on the doll.”
– Model During Reading: Emphasize the target as you narrate the story.
– Comprehension Check: Ask, “Where are her shoes?” → On her feet.
– Parallel Story: Act out Zoe’s routine and have students use gestures as they retell.

This mix of explicit teaching + contextualized play supports both understanding and generalization.

Key Takeaways

→ Teach one concept at a time for clarity.
→ Embed practice in meaningful contexts.
→ Use multiple exemplars strategically.
→ Pair gestures and visuals with verbal models.
→ Collaborate across environments for consistency.

Each of these steps is grounded in research—and when combined, they make concept learning more natural, effective, and fun.

Ready to Save Time and Teach Smarter?

If you’d like ready-to-go materials for these strategies, check out the Basic Concepts Skill Pack and Literacy-Based Therapy Plans inside the SLP Now® Membership.

You’ll get structured lessons, play-based extensions, and built-in visuals—so you can spend less time planning and more time connecting with your students.

👉 Start your free trial today

References

Bracken, B. A. (1982). The importance of basic concepts for preschool children: An assessment of conceptual development. Journal of Psychoeducational Assessment, 1(1), 3–20.

Lund, E., Douglas, S. N., & McNaughton, D. (2019). Collaboration between speech-language pathologists and physical educators: Effects on preschoolers’ concept learning. Language, Speech, and Hearing Services in Schools, 50(2), 214–228.

Nicholas, E., Light, J., & Romski, M. (2019). Teaching basic concepts to young children with developmental delays: Effects of variability in exemplars. Journal of Speech, Language, and Hearing Research, 62(4), 1120–1133.

Seifert, K. L., & Schwartz, S. E. (1991). An instructional approach to teaching basic concepts. Early Childhood Research Quarterly, 6(2), 143–158.

Vogt, S., & Kauschke, C. (2017). Observing iconic gestures enhances word learning in typically developing children and children with language impairment. Journal of Child Language, 44(6), 1458–1476.*

Transcript

Transcript
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Hey there. Today we are chatting about strategies that we can use when targeting basic concepts. So these small but meaningful words like ""on under before"" are the foundation for understanding classroom directions, understanding stories. They're embedded in the curriculum, especially when it comes to math.

We are going to be reviewing some practical evidence-backed strategies that we can useand then we're going to tie it all together with a book, Zoe Gets Ready. So we'll talk about how we can embed this into our literacy based therapy units. First up we have a few strategies that we can use when breaking down concepts for students.

I'll share all the citations in the show notes, but one strategy involves keeping it clear in focus and working on one concept at a time,making sure that a student masters a concept before we add in more concepts. And this helps reduce confusion, especially for, students with language delays.

If we have vocabulary goals, it might make sense, to keep our instruction more focused for these students. There's a study by Seifert and Schwartz, 1991,and they inspired how I set up all of our basic concepts units in SLP Now. They talk about combining direct instruction, with interactive and incidental teaching.

And they did this with preschoolers and found that this direct instruction plus embedded practice, resulted in meaningful gains in preschoolers' understanding of basic concepts. We get really good results when we do that explicit teaching and then give students the opportunity to practice and see these concepts in action in meaningful contexts, like when reading a story or during play or during their routines.

and like I said, I'll share that research study in the show notes. It's a great practical read. All of the basic concepts unitsin SLP Now help implement the evidence back strategies for that direct instruction, and then when it comes to embedding concepts in meaningful context, we don't want to just drill. As we're reading stories, we can emphasize the concepts in the reading and through all of our literacy based therapy activities like our virtual field trip, for example.

And then if we're doing play-based activities, our early language books include tons of play-based activities, and we can practice our concepts and model and recast them during our play and routines as well. There's a lot of ways that we can embed those.

Then strategy three is interesting and nuanced depending on our student, but, we want to use multiple exemplars, but we want to be strategic with how we're doing that. We want to expose students to the concept. Let's say our focus for our next therapy session is on the basic concept.

We want to expose students to that concept in different contexts. whether it's play-based or during their daily routines. and with different items. So put the apple on the table, put the toy on the floor.However, Nicholas et al 2019, suggests limiting the variety of objects early on. And so this kind of goes along with that, starting with direct instruction. So maybe this is a way to kind of reconcile that research. So when we are doing our direct instruction, we wanna just have a few exemplars. Start really simple and then expand as students start to understand the concept, keeping it consistent at first. And the activities in SLP Now help you do that, so that's great. And then the fourth strategy is to pair verbal labels with iconic gestures or visuals. We can use gestures that look like what they mean. For the example with on, we can hold up our fist and put the other hand on the fist. That could be our iconic gesture for on, or put our hand under our fist for under.

Or like spreading our hands apart for big, or just sitting with a little pinch for little. We can use those gestures or icon cards to represent the concept. There is the Vogt & Kauschke, sorry if I butcher any of these names from 2017, is the study that talks about iconic gestures supporting concept learning.

We can use those gestures or other visuals to help support students. Keeping that gesture or icon consistent can help with understanding.

And our fifth strategy is to collaborate when you can.

A study by Lund et al in 2019 found that students learn more concepts when an SLP collaborated with the PE teacher. Pairing concept teaching with those movement activities might be part of what was happening. But it's also practicing those concepts in a meaningful activity.

So again, bringing us back to strategy number two, but that's another really good one. So those are our five strategies and now we'll take a quick minute to chat about what this could look like. The book that I picked to demonstrate how we can target basic concepts using literacy based therapy is Zoe Gets Ready.

And so let's say we're focusing on on, so we'll use that iconic gesture throughout. If the on is a totally new concept, we might want to start with that structured teaching activity. If you are a member of SLP Now, you can go to the therapy plans tab and type in Zoe Gets Ready ,and then go to the Targets tab and you'll see all of the basic concepts there. If you click on on, it'll launch the structured teaching activity for on, and this will give the student different exemplars, and it'll use the evidence backed strategies that were pulled from the Seifert and Schwartz article,and help you do that direct instruction.

So before we dive into the thematic unit, we can do that structured practice. Once we've gotten exposure to that target, we might wanna revisit that activity multiple times, depending on how helpful it is for the student. Once we do that, we can dive into the actual contextualized activities.

So what those can look like throughout the unit is pre-story knowledge activation. We might do a virtual field trip, like a YouTube video of different outfits.

And so that can be something that we can do for the virtual field trip, or we can look through the pictures of the book and talk about what we know about clothing and dress up. Throughout those activities, we can model and recast, examples like she's putting on the tiara and she's putting on the boots.

And then we can use our iconic gestures or our visual icon to emphasize that. We can do activities too. If you have a doll set with different clothing items, that can be a way to introduce the vocabulary that's going to be in the story.

We could also use that for phase four of the unit. For step two, when we're actually reading the book, we can model the concepts naturally and maybe just put a slight emphasis on them and talk about the things that are happening, like using, emphasizing the on as it's happening on the story pages.

Then for story comprehension, we can ask questions that embed that concept as well. So like, where are her shoes? And they can say on her feet if we're at that level, if that's appropriate. We can use visual supports and all of that as we're giving that exposure. Then for step four, this is where we can revisit the unit. We can do some more of those play-based activities. In the early language unit, we have tons of play-based activity suggestions, like the dress up activity Check out the unit for even more ideas. And then for step five, this is typically the parallel story, so we can act out the story as a comprehension type of activity. This is a great meaningful context to target whatever basic concepts we're focusing on throughout the unit. They can create their own version of the story, and act it out and then we can emphasize those concepts and yeah, that's super fun.

Our takeaways here. Teach one concept at a time. Embed those concepts in meaningful context, after direct instruction. Use multiple exemplars. Starting with just one exemplar in the beginning might work better for some of our students. Using iconic gestures or visuals. And then collaborate when we can, embedding these concepts in the classroom, in PE, during snack time, all of that. So that is a recap of our strategies for basic concepts. I'd love to hear how you are using these and check out the show notes for the research articles and all of that good stuff.

If you are not a member of SLP Now yet, you can sign up for a free trial to check out the therapy plan and all of the activities I mentioned. The link will be in the show notes, but just head to slpnow.com/trial. You can sign up for free, no strings attached.

And you can access the therapy plans, like I said, all of those basic concepts, activities, we'll hope to see you soon and we'll see you in the next episode too.

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FAQ

What are effective strategies for teaching basic concepts in speech therapy?

Effective strategies include keeping instruction clear by teaching one concept at a time, embedding practice in meaningful contexts like play, using multiple exemplars strategically, pairing words with visual gestures, and collaborating with other educators.

Why is it important to target basic concepts?

Basic concepts—such as "on," "under," and "before"—are foundational for understanding classroom directions, following stories, and accessing academic curriculum, particularly in reading and math.

How can I use storybooks to teach basic concepts?

You can use a Literacy-Based Therapy approach by selecting a book, explicitly teaching a target concept, and then emphasizing and checking for comprehension of that concept as you naturally read and act out the story.

Filed Under: Podcast Tagged With: Basic Concepts, Evidence-Based Practice, Language Delays, Literacy-Based Therapy, SLP Resources, Speech Therapy Strategies

What Is MLU? How to Calculate It + 5 Ways to Boost It

November 4, 2025 by Marisha Leave a Comment

Why MLU Goals Matter

Mean Length of Utterance (MLU) is one of the most reliable and widely used measures for tracking expressive language development (Brown, 1973; Miller & Chapman, 1981). It helps SLPs identify where a student is, monitor progress, and plan therapy that supports steady, functional growth.

What Is MLU (Mean Length of Utterance) in Speech Therapy?

Mean length of utterance (MLU) is the average number of morphemes a child produces per utterance. To calculate it, collect a language sample of 50 utterances, count the morphemes in each, and divide the total morphemes by the number of utterances. SLPs use MLU to track expressive language growth.

In this post (and the SLP Now Podcast episode), we’ll walk through five evidence-based strategies for boosting MLU in a way that’s fun, functional, and easy to monitor—plus an example from a Little Blue Truck therapy plan.

1️⃣ Identify Targets Using a Language Sample

Before starting intervention, collect a language sample to get an authentic picture of your student’s communication.

Language sampling provides:
– An accurate baseline for MLU (Brown, 1973; Miller & Chapman, 1981)
– Insight into which structures and parts of speech are missing
– Data for ongoing progress monitoring

Many SLPs find language sampling intimidating, but it doesn’t have to be!

💡 Try This: Use the Language Sample Freebie to automatically calculate MLU and extract metrics for reports. The spreadsheet even helps you organize utterances and visualize growth over time.

2️⃣ Embed Targets in Play, Books, Songs, and Routines

Once you know your student’s targets, embed them in natural contexts, like play, shared book reading, songs, and daily routines. Research consistently supports that language learning is strongest when embedded in meaningful, interactive experiences (Fey, 1986; Justice & Ezell, 2002).

Why it works:
– Encourages spontaneous use of new language
– Supports generalization across settings
– Keeps therapy fun and functional

Try this:
– Reenact story scenes (“Truck stuck!” “Push truck!”)
– Sing songs like The Wheels on the Bus
– Incorporate targets into daily routines (“Open door”)

✨ Explore SLP Now’s Play-Based Units for ready-made activities designed to build MLU through storybooks and play.

3️⃣ Model Just Above the Child’s Level

Modeling slightly longer utterances (about one morpheme above a child’s current level) is the core of MLU intervention.

This approach, supported by decades of research, helps children expand expressive language naturally (Brown, 1973; Fey, 1986; Camarata, Nelson, & Camarata, 1994).

Here are some potential strategies:

Expansions: Add grammatical elements while maintaining the child’s meaning.
Child: “Dog jump.” → SLP: “The dog is jumping!”

Extensions: Add related, new information.
Child: “The dog is jumping.” → SLP: “The brown dog is jumping!”

Recasts: Reformulate the child’s utterance using correct syntax.
Child: “Him run.” → SLP: “He is running!”

Focused Stimulation: Model the target without requiring imitation.

📏 The Rule of Thumb: Model just one step above what the student currently produces.

4️⃣ Use Sentence Frames and Visual Supports

For students who benefit from more structure, sentence frames and visuals can make language more accessible and concrete.

The SLP Now Sentence Pack includes:
– Movable icons for core parts of speech
– Sentence strips organized by MLU level
– Visual scaffolds for building utterances

Example:

Child: “Truck.”
SLP: (adds icon) “Truck stuck!”
Next: “Truck stuck in mud.”

Visual modeling helps students connect words with meaning, supports working memory, and facilitates sentence expansion—especially for early language learners or students with ASD (Kaiser & Roberts, 2013).

5️⃣ Use Contingent Responses and Time Delay

Last but not least: pause and wait.

Time delay and contingent responding encourage children to initiate and elaborate on their own utterances (Kaiser & Roberts, 2013).

How to implement:
– Utilize expectant pauses in play.
– Give processing time before asking another question.
– Use contingent comments (“You see the truck!”) to maintain interaction.

This small shift gives students processing space and often leads to longer, more complex utterances.

🛻 Therapy Plan in Action: Little Blue Truck

Here’s how all five strategies can fit into a single literacy-based therapy plan using Little Blue Truck (Schertle, 2008):

Before diving into the unit, we want to make sure we know where the student is at. Review the student’s language sample to determine what the “+1 Approach” might look like.

We can use expansions, extensions, recasts, and/or focused stimulation throughout all of the unit activities.

If a student needs additional support, we can use the Sentence Pack visuals and sentence frames to scaffold responses.

And we don’t wait to forget about wait time!

Here are a few quick examples of what the unit might include:
– Pre-Story Knowledge Activation: Take a virtual farm field trip.
– Shared Reading: Read the story.
– Comprehension: Ask WH-questions.
– Focused Skill Practice: Reenact the story using toys. (This is a fun context to target MLU, but also support early narrative skills!)
– Parallel Story: Help students create their own version of the story.

This aligns beautifully with Dr. Ukrainetz’s (2015) Literacy-Based Therapy Framework, which emphasizes meaningful language practice across reading, listening, and play.

✨ Final Takeaways

To help students grow their MLU naturally and confidently:
1️⃣ Start with a language sample to identify a baseline.
2️⃣ Embed targets in meaningful, play-based contexts.
3️⃣ Model one level above using expansions, extensions, and recasts.
4️⃣ Support with visuals and sentence frames.
5️⃣ Pause, wait, and respond contingently.

Each strategy builds on the next, supporting both language growth and engagement.

🔗 Resources Mentioned

Language Sample Freebie

Sentence Pack

🧠 References

Brown, R. (1973). A First Language: The Early Stages. Harvard University Press.

Camarata, S. M., Nelson, K. E., & Camarata, M. N. (1994). Comparison of conversational‐recasting and imitative procedures for training grammatical structures in children with specific language impairment. Journal of Speech and Hearing Research, 37(6), 1414–1423.

Fey, M. E. (1986). Language intervention with young children. Allyn & Bacon.

Justice, L. M., & Ezell, H. K. (2002). Use of storybook reading to increase print awareness in at-risk children. American Journal of Speech-Language Pathology, 11(1), 17–29.

Kaiser, A. P., & Roberts, M. Y. (2013). Parent-implemented enhanced milieu teaching with preschool children with intellectual disabilities. Journal of Speech, Language, and Hearing Research, 56(1), 295–309.

Miller, J. F., & Chapman, R. S. (1981). The relation between age and mean length of utterance in morphemes. Journal of Speech and Hearing Research, 24(2), 154–161.

Schertle, A. (2008). Little Blue Truck. Houghton Mifflin Harcourt.

Ukrainetz, T. A. (2015). School-age language intervention: Evidence-based practices. Pro-Ed.

Transcript

Transcript
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Today we're going to chat about five evidence based strategies that we can use to boost students' mean length of utterance or MLU, in a way that's fun, functional, and easy to keep track of. I'm really excited that we'll be sharing some strategies that you can use in your very next session.

And then we will tie it all together, and show you what it would actually look like in context when you're applying these strategies. Our first strategy is to identify the baseline, using a language sample. Language samples can be a really helpful way to calculate the student's current MLU, and also see what types of utterances they're using and tracking that progress over time.

Regular language sampling helps us ensure that we're modeling at the right level. I love language samples, but a lot of times when I mention them to SLPs, I get a little bit of an eye roll, because they feel really time consuming and difficult.

I put together a, spreadsheet, maybe a decade old at this point, but it still works really well. it helps you calculate. So you just use it to type in your transcript, and then you separate it out by utterances, and then it automatically calculates the MLU and it helps you grab some other metrics so you can write a really fancy report based on the data or include it in your evaluation area or progress monitoring. It makes it really easy to grab the data that we need,for easy progress monitoring. I'll add the link to the language sample sheet that I made in the show notes. It includes a video and walks you through how to set it up.

That is a really helpful starting point, because we'll use this data as we go through. Our second strategy is to make sure that we're embedding targets in meaningful contexts, like, play, books, songs, routines.

And I'll share some specific strategies, of what we actually do in those functional contexts, but if we are embedding our strategies in those types of activities, we are thinking about generalization from the start and setting our students up for success and making sure that the targets are very meaningful.So that brings us to strategy number three. Different research articles will share different strategies, but there's a lot of overlap between the strategies and, I just wanna share the names of the strategies and what they are, and you'll see that there's some overlap.

I'll wrap up with a general takeaway of what we can do with these strategies. Expansions are where we add grammar while keeping the child's meaning. If the child says, "dog jump," you can say "the dog jumped," or "the dog is jumping."

An extension is adding new information. If the child says "the dog is jumping," we can say "the brown dog is jumping."We can do an extension where we add new information, but that's still related.

And then focused stimulation is when we're providing models and recasts without requiring imitation. It's just strategically using, those strategies. a recast is when we restate the child's utterance, but maybe do a correction, which is really similar to an expansion.

There's also research talking about modeling one level above the child's MLU, which expansions and extensions kind of naturally do. If the student says "dog run," and then if we suddenly go, "the excited dog is running quickly."

We're expanding and adding the grammar and we're adding multiple new pieces of information. It's helpful to think about just going one level above the child's MLU and not having a whole, massive expansion.

So if the child says "truck stuck," we can say, "yeah, the truck is stuck." Or we can say "stuck in the mud." We get to use our clinical judgment to decide if that is appropriate because if they just say "truck stuck," but their MLU is five, then I think "The blue truck stuck in the mud" might be okay.

That's why we collect that MLU to know what might be appropriate for the student.

Strategy four is to use sentence frames. In SLP Now, we have a Sentence Pack. It's a booklet based on the modified Fitzgerald key. It has nouns verbs prepositions and all the components we use to build a sentence.

And it also includes sentence strips based on Brown's research of all the different utterance types. So you have tons of utterances that you can go with . We also have sentence frames with just like for one MLU, and two, and three, and four, and five. And so you can build sentences with any of the components.

If I notice that the student is only using nouns, or if there's a part of speech that's completely missing, I might strategically try to include that more and expand the utterances in that way. That's, a visual that I really like to use. We grab the icons to create sentences. It's really nice because the pieces are movable, It's a tactile experience too, and the students can build it and then you can point to it as you're modeling.

If the student just says truck, truck, truck, and we're trying to expand from one MLU to two MLU. We have like an icon for truck, and then we have one for stuck, and then we would just build the sentence using those icons. Once the truck is out, we can say truck out or truck in if it's in the mud.

Having those icons is really helpful. Verbal strategies help the majority of my students, but there are those who need something extra.

And including those visuals is something that has worked for a lot of the students. So that's how the Sentence Pack came to be. I also use it for different grammar goals. If they are dropping the auxiliary verbs or if they're having trouble understanding that pronouns replace a noun.

So there's lots of ways that I use that, but it's especially helpful for those MLU goals and for those students who need those extra visuals. And then the fifth strategy, which is just too provide contingent responses and time delay. So we really just wanna give our students space to respond and give them some processing time.

And we don't have to fill every second. It's okay if we have some silence in the session. If a student starts to say something, if they say truck, we can just pause a second and see if they say anything else first.

Or if we turn the page and give them some time to look before we really jump in and start talking at them. So that is just a reminder for myself because I sometimes go a little too fast. In terms of what this would look like actually applied. Let's say we're using the therapy plan an SLP Now for a Little Blue Truck, which is a super sweet story about a truck who gets stuck in the mud.

We like to use literacy based therapy units based on Dr. Ukrainetz's research. The first step is pre-story knowledge activation. We might do a virtual field trip of a farm, and we're gonna be doing a lot of talking during that activity. And we can target the MLU goals during that conversation.

As we're reading, we can model expansions and recasts. The third step is comprehension. We can ask simple WH questions and use those sentence starters in the sentence frames to support the student. And then, the fourth step is focused skill practice.

We often have mixed groups, so we're targeting multiple goals with students. We might have some play-based activities related to little Blue Track. We might be reenacting the story or whatnot. This is a early language unit, so it has play-based activity suggestions and all of that.

So that's how that would work. That's just a peek at how we might incorporate this in a literacy based therapy unit.

And then, a quick recap. We wanna start with a language sample. So we know the students' baseline and we can easily see like, oh, they're only using nouns.

Seeing it on paper helps us come up with a good plan.We want to make sure that we're embedding our practice in meaningful context, whether it's play stories, routines. And we want to model just above the child's level and use those verbal strategies. once I set up parents and teachers with that strategy of modeling one level above and then how to do that, it skyrockets from there. If our students need more support using the Sentence Pack and those sentence frames can be really helpful.

And then also just giving them time to respond using some of that wait time. So those are our strategies that will hopefully help you see meaningful growth in your students when it comes to communicating and building beautiful sentences. Head to the show notes to check out the Sentence Pack and the Therapy Plans. If you're new to SLP now, you can do it for free. if you're a member, type in Sentence Pack to find that download or go to the Therapy Plans to check out Little Blue Truck. I hope this was helpful and we'll see you real soon.

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FAQ

What are the best evidence-based strategies to increase a student's MLU?

The best strategies to boost Mean Length of Utterance (MLU) include identifying a baseline with a language sample, embedding targets in meaningful contexts like play and books, modeling just above the child’s level, using visual sentence frames, and utilizing time delay.

How does modeling one step above a child's MLU work?

Modeling one step above involves expanding or extending a child's utterance by adding one new element or grammatical marker. For example, if a child says "Truck stuck," the SLP might model, "The truck is stuck," gently pushing their language boundaries without overwhelming them.

Why are sentence frames and visual supports helpful for MLU goals?

Sentence frames and visuals make abstract language concepts concrete. They support working memory, help students connect words with meaning, and visually scaffold sentence expansion, which is particularly effective for early language learners and students with ASD.

Filed Under: Podcast Tagged With: Early Language Development, expressive language, Language Sample, Literacy-Based Therapy, Mean Length of Utterance, MLU, Speech Therapy Strategies

Making Syntax Simple: Strategies for Passive Voice and Clauses

October 27, 2025 by Marisha Leave a Comment

Why Syntax Matters (Even for Kindergarteners)

Syntax isn’t just for older students! Research shows that even five-year-olds produce subordinate and coordinate clauses.

A 2024 study by Owens, Pavelko, and Hahs-Vaughn analyzed conversational samples from 196 children ages 5 to 10 years, 11 months.

Five-year-olds used an average of 1.25 subordinate clauses and 2.05 coordinate clauses, and that number increased steadily with age.

If your students are only producing simple sentences, they may need support with syntax. Limited syntax can affect comprehension, writing, and overall language performance.

Owens (2016) found that about half of five-year-olds understand reversible passive sentences (e.g., “The dog was chased by the cat”), and by age 8, 90% can comprehend them.

This means that targeting syntax — even with kindergarteners — helps build comprehension and expressive language skills that impact reading and writing success.
👉 Prefer to listen? Check out the full podcast episode above for a quick blitz through all five strategies.

Step 1: Start With a Thorough Syntax Assessment

Syntax varies across contexts, so assessment should too. Guo & Schneider (2016) demonstrated that tense and grammaticality measures from narrative tasks can help differentiate students with and without language impairments. Nippold et al. (2005) also found that children use more complex syntax in expository tasks than in conversation.

Here’s how to assess syntax comprehensively:

– Collect multiple language samples (e.g., conversational, narrative, persuasive, and expository).
– Observe in the classroom to capture naturalistic syntax use.
– Review writing samples to see syntax in an academic context.
– Include structured assessments targeting comprehension and production.
– Gather teacher and parent input to identify functional impacts.

💡 SLP Now Tip: Use our Language Sample Analysis Tools to streamline your syntax assessments.

Step 2: Make Syntax Explicit, Then Contextualize It

Explicit teaching sets the stage for understanding.

According to Zipoli (2017), lessons should begin with a clear explanation of the sentence structure and its purpose, followed by modeling and guided practice.

Best practices for explicit syntax instruction:
– Use clear, concise, and consistent explanations.
– Provide multiple examples with visual and auditory cues (color coding, sentence frames, etc.).
– Gradually fade supports as students gain independence.

Once students understand the structure, transition to contextualized practice. As Ukrainetz (2015) emphasizes, students learn syntax best when it’s embedded in meaningful activities like narratives, classroom discussions, or writing tasks.

💡 Try This: Incorporate syntax instruction into your literacy-based therapy sessions using storybooks or nonfiction passages that naturally include target structures. SLP Now has skill packs and therapy plans to make this super easy to implement!

Step 3: Evidence-Based Syntax Intervention Strategies

Let’s look at a few proven techniques you can implement right away.

1. Focused Stimulation

Provide frequent models and recasts in natural conversation.

Student: “The boy ran.”
SLP: “Yes! The boy ran after the dog that escaped.”

This implicit modeling approach exposes students to variability, which strengthens learning (Plante et al., 2014).

2. Directed Questioning

Use scaffolded questions to build comprehension of complex structures, like the passive voice:

Sentence: “Diego was found by Rebecca.”
Ask: “Who was found?” “Who did the finding?”

Pair this with pictorial supports to make abstract syntax more concrete.

3. Visual Supports and Picture Sequencing

Visuals clarify sentence meaning. In SLP Now, you’ll find syntax visuals, icon cards, and structured activities for passive voice, relative clauses, and adverbial clauses.

Try using picture sequencing to teach adverbial clauses:

“Before I take the test, I will study.”
Students can arrange icons representing each clause to show temporal order.

4. Sentence Combining

Help students merge simple sentences into complex ones to develop flexibility:

“The dog barked. The mailman came.” → “The dog barked when the mailman came.”

Use conjunction cards or sentence starters to scaffold learning.

5. Sentence Decomposition

Break down complex sentences to promote comprehension:

“The dog that barked at the mailman ran away.” → “The dog barked at the mailman. The dog ran away.”

This strategy pairs well with sentence combining to support both understanding and production.

Step 4: Embed Syntax in Meaningful Contexts

Syntax intervention works best when it’s functional and engaging. Move beyond isolated drills and integrate targets into authentic communication: storytelling, retelling, explaining science experiments, or writing persuasive paragraphs.

SLP Now’s skill packs and literacy-based therapy units are designed for exactly this, giving you ready-made materials that embed syntax goals into real contexts. You can model and recast complex sentences, scaffold comprehension with visuals, and collect data effortlessly.

Bringing It All Together

Syntax development is a critical skill for every school-age student. By assessing across contexts, teaching explicitly, and applying evidence-based strategies, you can help students grow from simple sentence users to confident communicators.

If you’re ready to simplify syntax intervention, explore the SLP Now Membership for therapy materials, sentence-level visuals, and built-in supports for your literacy-based lessons.

References

Guo, L.-Y. & Schneider, P. (2016). Differentiating School-Aged Children With and Without Language Impairment Using Tense and Grammaticality Measures From a Narrative Task. Journal of Speech, Language, and Hearing Research.

Nippold, M. A., Hesketh, L. J., Duthie, J. K., & Mansfield, T. C. (2005). Conversational versus expository discourse: A study of syntactic development in children, adolescents, and adults. Journal of Speech, Language, and Hearing Research, 48(5), 1048–1064.

Owens, R. E., Jr., Pavelko, S. L., & Hahs-Vaughn, D. (2024). Growth of complex syntax: Coordinate and subordinate clause use in elementary school–aged children. Language, Speech, and Hearing Services in Schools.

Plante, E., Ogilvie, T., Vance, R., Aguilar, J. M., Dailey, N. S., Meyers, C., … Burton, R. (2014). Variability in the language input to children enhances learning in a treatment context. American Journal of Speech-Language Pathology.

Ukrainetz, T. A. (2006). Contextualized language intervention: Scaffolding preK-12 literacy achievement. Austin, TX: PRO-ED, Inc.

Ukrainetz, T. A. (2015). School-age language intervention: Evidence-based practices. Austin, TX: PRO-ED, Inc.

Zipoli, R. P. (2017). Unraveling difficult sentences: Strategies to support reading comprehension. Intervention in School and Clinic, 52, 218–227.

Transcript

Transcript
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Hello there, and I hope you are in the mood for some talk about syntax. Last week, we talked about compound sentences and I wanted to continue the conversation with more types of syntax, like passive voice and relative clauses. Before you hit pause because you're like, well, I work with kindergartners or I work with second grade,this is still a relevant thing to target with our students. There was a study by Owens et al in 2024. They reviewed conversational language samples for 196 children, ages five to 10 years, 11 months, They found that five year olds are using an average of 1.25 subordinate clauses and 2.05 coordinate clauses, so even five year olds are using complex syntax and the number continues to increase with age. So if we are seeing our students only use simple sentences, that is a sign that they may need support with syntax and we might want to look into it a little bit for further. It's easy to hear if they're using simple sentences, compound sentences, complex sentences, and all types of clauses.

If we're not seeing this in their communication, they may be struggling to comprehend that complex syntax as well. And that is an absolutely age appropriate skill for our school age students. Approximately half of five year olds are able to comprehend reversible passive sentences, and that's from Owen's 2016.

And 90% of children between the ages of seven and a half and eight are able to comprehend reversible passives. So very early on in the school age years, this is something that's typical and something that we might want to support if our students are struggling with it.

So hopefully you're still intrigued. I am going to be sharing strategies that we can use in our assessment and intervention when targeting these types of goals. The first strategy, and this has been a common theme, but we want to start with a thorough assessment. Collect language samples and consider multiple contexts because we use different types of syntax when generating narratives, retelling narratives, describing a picture, summarizing a text, explaining how to do something, trying to persuade someone.

So all of those types of samples will elicit different syntax. We want to consider different language samples. We will also want to observe in the classroom because the language that we're hearing in the classroom will be a little bit different. We can look at work samples and look at their writing.

And we can also collect parent and teacher report. And then we can also do a more structured assessment of the comprehension and production of syntax.

In terms of actual treatment strategies, I'm pulling a lot of these from Zipoli 2017. I'll share the citation in the show notes. Lessons should begin with clear explanations of the target sentence structure and give the purpose of the lesson so we can model comprehension and production of sentence structures. We'll want to use clear, concise, and consistent language as we're doing that.

When we're providing demonstrations, we'll give multiple examples and use visual and auditory cues to make the syntactic features more explicit. There's a lot we can do to support the teaching of that. One strategy is focused stimulation.

This is one that applies to all grammar goals and that I have found to be incredibly impactful. This is a little bit more implicit, but this is when we provide frequent models and recasts in a variety of activities. So, when we're modeling the passive voice or a relative clause, we highlight that naturally in conversation. When we recast, we might correct what the child says or modify it. If they produce a simple sentence in our literacy based therapy activity, I can recast the student's sentence and add in that relative class.

Using those models and recasts is what they call focused stimulation in the research and we can incorporate that in all of our therapy activities. That is a great way to implicitly target some of these skills.

Other strategies we might use for passive voice are using directed questions to enhance and scaffold comprehension. So if we have a sentence like Diego was found by Rebecca. We can say who was found and who did the finding, and ask some questions about that statement.

And we can use pictorial support as well and asking students to draw pictures to represent those sentences. The example I gave was with the passive, but we can also do this with a active voice. So instead of Diego was found by Rebecca, we can do Diego found Rebecca. And in SLP Now we have syntax activities attached to the majority of our literacy based units. We embed these strategies in the activities for passive voice, for example. So we have a sentence, with pictures and visual choices to help the students.

We have pictorial support as well, and we give you statements and questions so that you have support as you're implementing these types of strategies. For verbal clauses, which is another type of syntax we might want to target, we can use sentence starters.

This is an effective technique for helping students understand and write more elaborate sentences. If we give them a starter, they can fill in the sentence and create more. We also have picture sequencing. If we have pictures of the different items, for example, before I take the test, I will study. You can have a icon representing studying and taking the test, and you can do that practice using those adverbial clauses. In SLP Now we have icon cards for the conjunctions that you would use with the sentence starters.

We also have pictures to practice and support that understanding. We give you tools for sentence starters and picture sequencing. In terms of relative clauses, two more evidence backed strategies are to use sentence combining, which we talked about last week.

This is where we're combining two or more simple sentences. You can use simple sentences from whatever book or article you're reading and then use our conjunction cards to help students combine those. The other strategy we talked about last week is sentence decomposition, where you take a complex sentence and break it down into simpler sentences.

All you need is the book or article you're reading and identifying those simple, complex, and compound sentences. That is a quick blitz of some strategies we can use for our syntax goals. Check out the show notes for references and more detail about the resources if you want help implementing this.

I hope that this was a helpful review for you and we'll see you in the next one.

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FAQ

Why is it important to teach syntax in speech therapy?

Teaching syntax, even to younger students, is critical because it directly impacts reading comprehension and expressive language. Research shows that typical five-year-olds already use subordinate and coordinate clauses.

What is an effective way to assess syntax skills?

A comprehensive syntax assessment should include collecting multiple language samples across contexts (e.g., conversational, narrative, and expository), classroom observations, and reviewing writing samples.

How can I teach passive voice and relative clauses?

You can teach complex syntax using evidence-based strategies like explicit instruction, focused stimulation, sentence combining, and directed questioning paired with visual supports.

Filed Under: Podcast Tagged With: Language Sample Analysis, Literacy-Based Therapy, Passive Voice, Relative Clauses, SLP Resources, Speech Therapy Strategies, Syntax Intervention

5 Practical Strategies to Teach Following Directions (Backed by Research)

October 13, 2025 by Marisha Leave a Comment

Teaching students to follow directions effectively is a foundational skill for both academic success and functional communication. Whether students are navigating classroom routines, participating in group activities, or playing on the playground, their ability to understand and act on directions impacts every aspect of their day.

In this post, we’ll explore five practical, evidence-based strategies SLPs can use to support students in their ability to follow directions. These strategies are backed by research and designed to help you plan intentional, effective therapy sessions.

👉 Prefer to listen? Check out the full podcast episode above for a quick blitz through all five strategies.

1. Start with a Thorough Following Directions Assessment

Before targeting “following directions” directly, it’s essential to identify the root cause of the difficulty. Not all one-, two-, or three-step directions are created equal. A student may struggle due to:

– Vocabulary (e.g., temporal, quantitative, and spatial basic concepts like “before” or “under”; instructional verbs)
– Morphology (e.g., smaller vs. smallest)
– Syntax (e.g., relative clauses, temporal clauses, complex sentences)
– Executive function (working memory, attention, shifting, inhibition)
– Sensory regulation
– Attention and processing differences

A differential assessment can help pinpoint which of these factors are at play. For example, you might present several types of directions and observe whether students have more difficulty with vocabulary, syntax, or the number of steps involved.

Dynamic assessment is another useful tool. We can teach a strategy or provide cueing, and observe whether the student’s performance improves.

Classroom observations and teacher/parent input add valuable context about how these challenges appear across the school day.

📌 Pro Tip: Use SLP Now’s Following Directions Skill Pack to guide your assessment. It includes tools to break down directions by vocabulary, morphology, syntax, and executive function–helping you plan more targeted intervention.

NOTE: While following-directions assessments provide valuable information about a student’s performance, they should be viewed as a lens for uncovering underlying language difficulties. Rather than writing goals focused narrowly on the task of “following directions,” we should focus on targeting the foundational skills that make following directions possible—such as syntax, vocabulary, and morphology. As Wallach (2014) reminds us, effective intervention requires shifting away from isolated, task-specific goals toward addressing the underlying language systems that support academic success.

2. Incorporate Movement to Support Language Learning

Movement isn’t just a fun way to boost engagement. It’s a powerful way to anchor language in action, supporting comprehension, attention, and memory. Research shows that pairing linguistic input with meaningful physical activity can strengthen language learning for a variety of students.

In a classroom-based study, Kosmas, Ioannou, and Zaphiris (2018) implemented motion-based learning activities and found that students made significant gains in expressive vocabulary and short-term memory compared to traditional instruction. By embedding movement into language-rich contexts, students were able to engage more fully and retain new concepts more effectively.

Lund, Young, and Yarbrough (2019) explored co-treatment sessions between SLPs and adapted physical education teachers focused on teaching basic concepts to children with Down syndrome. When concept instruction was integrated into movement-rich physical activities, students made significantly greater gains in concept development than those who received SLP-only treatment. This demonstrates the power of multimodal, embodied approaches for building foundational skills that support direction-following.

Mellor and Morini (2023) found that physical exercise was associated with improved word learning in preschool-age children. This finding supports incorporating movement-based tasks—like gross motor games, obstacle courses, and action-based language activities—into therapy to facilitate vocabulary and concept acquisition.

Here are some fun, functional ways to incorporate movement:

– Obstacle Courses: Great for multi-step directions involving sequencing and concepts (e.g., “First jump over the line, then touch the door”).
– Scavenger Hunts: Combine receptive vocabulary with movement (“Find the object that is under the table”).
– Simon Says: Perfect for targeting basic concepts and syntax in a playful way.

Movement-based activities increase engagement and create natural opportunities for repetition.

3. Teach and Model Strategies Explicitly

Many students benefit from explicit instruction in strategies. Techniques such as rehearsal, visualization, drawing icons, asking for clarification, and self-monitoring (Stop–Think–Do–Check) give students a toolkit for decoding and acting on multi-step directions.

One of the strongest empirical supports comes from Gill, Klecan-Aker, Roberts, & Fredenburg (2003). They taught students with specific language impairment to use rehearsal and visualization strategies in following-directions tasks. Compared to traditional therapy, students using those strategies made greater gains immediately, and importantly, retained those gains over time.

In practice, you can model your own thinking aloud (e.g., “I’m going to repeat that direction to myself. I’ll make a movie for the direction in my head. If I get stuck, I’ll ask, ‘Can you say that again?’”).

You can scaffold students in these techniques using:

– Visual strategy cards
– Prompted rehearsal (You say it with them, then fade support.)
– Drawing simple icons to represent steps
– Scripts to ask for clarification

4. Share Strategies with Teachers to Increase Carryover

For students to master following directions, we need to extend practice beyond the therapy room. Collaborating with teachers is key to support students in the classroom and promote carryover into real-world settings.

Cirrin et al. (2010) conducted a systematic review examining the effects of different service delivery models on communication outcomes for elementary-aged children. They found evidence supporting classroom-based and collaborative models, showing that SLPs working alongside teachers in the classroom can lead to positive communication outcomes.

You might:

– Share visuals, checklists, or strategy posters with classroom teachers.
– Encourage teachers to chunk directions into smaller steps.
– Collaborate on prompting routines (e.g., reminding students to rehearse directions before starting).
– Align classroom accommodations (e.g., visual supports, repeated directions) with your therapy goals.

These indirect supports empower students to use their strategies across contexts, increasing the likelihood of generalization.

📚 Additional Resources

A Guide to Collaborating with Teachers

5. Plan for Generalization from the Start

Generalization shouldn’t be an afterthought. It should shape how we plan our intervention.

Even if a student can follow complex directions in the speech room, that skill must transfer to the classroom, playground, and beyond.

We can build generalization by:

– Embedding direction-following into functional, contextualized activities, like literacy-based lessons, crafts, or science experiments.
– Practicing classroom routines that students encounter daily.
– Coordinating with teachers and caregivers to reinforce strategies consistently.

When we plan for generalization from the start, we help students become more independent and successful communicators in their natural environments.

Dr. Ukrainetz’s book, Contextualized Language Intervention, is a great read if you’re wanting to learn more!

📦 Resource Spotlight: The Following Directions Skill Pack

Ready to put these strategies into action? The Following Directions Skill Pack includes:

– Differential assessment tools
– Strategy visuals for students and teachers
– Visuals to teach and scaffold following directions
– Ready-to-use therapy activities and data collection forms

References

Cirrin, F. M., Schooling, T. L., Nelson, N. W., Diehl, S. F., Flynn, P. F., Staskowski, M., Torrey, T. Z., & Adamczyk, D. F. (2010). Evidence-based systematic review: Effects of different service delivery models on communication outcomes for elementary school–age children. Language, Speech, and Hearing Services in Schools, 41(3), 233–264.

Gill, C. B., Klecan-Aker, J., Roberts, T., & Fredenburg, K. A. (2003). Following directions: Rehearsal and visualization strategies for children with specific language impairment. Child Language Teaching and Therapy, 19(1), 85–103.

Kosmas, P., Ioannou, A., & Zaphiris, P. (2018). Implementing embodied learning in the classroom: Effects on children’s memory and language skills. Educational Media International, 55(4), 324–339.

Lund, E., Young, A., & Yarbrough, R. (2019). The effects of co-treatment on concept development in children with Down syndrome. Communication Disorders Quarterly, 40(3), 165–174.

Mellor, L., & Morini, G. (2023). Examining the relation between exercise and word learning in preschool-age children. Journal of Speech, Language, and Hearing Research, 66(10), 4004–4015.

Ukrainetz, T. A. (2015). Contextualized language intervention: Scaffolding preK–12 literacy achievement. Thinking Publications.

Wallach, G. P. (2014). Improving clinical practice: A school-age and school-based perspective. Language, Speech, and Hearing Services in Schools.

✅ Takeaway

Start with solid assessment, give meaningful feedback, incorporate movement, teach explicit strategies, collaborate with teachers, and plan for generalization from the beginning. Implement one or two of these strategies this week!

Transcript

Transcript
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Hello there. I hope you are having a great day so far. I am really looking forward to diving into five strategies, backed by research, that we can use when targeting, following directions. I hope that you'll walk away with a boost of confidence and maybe a thing or two that you can try.

We all know how critical following directions are to being able to access their curriculum. Even if they're on the playground and their peers are teaching them to play a game, there's so many important, social, academic and safety benefits, to targeting this skill.

So we are going to dive into five strategies.

Strategy number one is to start with a thorough assessment. This is critical because we need to identify the underlying skills that a student is struggling with or that need support. It might be a vocabulary issue, or a syntax issue, or a working memory issue, or some other aspect of executive function.

We want to do a differential assessment to determine which of those apply. You can do this using a direct differential assessment. I have one in SLP Now that helps you break down if it is more of a vocabulary issue, a syntax issue. Not all one step directions are created equal, and the same applies to two and three step.

We're increasing the complexity when we're moving from one to two to three, but there is a lot of different syntax that can be in those, different types of vocabulary that students might struggle with. The research shows that all of those elements are important and play a role in how students are able to follow directions.

A differential assessment is really good at piecing apart whether it is vocabulary, syntax, working memory, et cetera, et cetera. But we can also do a dynamic assessment where we teach some strategies and see if that makes a difference or provide different types of cueing and see if that improves the student's, ability to follow the directions.

We can also do classroom observations, or collect parent teacher feedback and get some more context in terms of how this is showing up across the school day.

And strategy number two is to incorporate movement. Pairing language with movement based activities has been found to help the language learning process. Movement engages multiple cognitive systems, which can help boost comprehension, retention, and all of that.

So some examples of what this could look like. We could set up a little obstacle course in this speech room, where we could use that to work on multi-step directions. Or we can do scavenger hunts or Simon Says types of games. If we have students practicing directions with movement and engaging those multiple systems to help really work on that skill.

Strategy three is to teach and model strategies, and there are a lot of different strategies that we could use. In SLP Now, the skill pack for following directions include some little strategy cards that we can share with the student. We have some little cards for students to use to remind them of different strategies to help them follow directions. Some things we can do are rehearsing their direction, repeating it. Visualizing, as they're hearing their direction making a little movie in their head. Drawing quick icons like the example I gave earlier, touch your nose and then sit down. Maybe they just do a quick little nose picture and then an arrow to remind them to sit down. Especially if you're giving more directions, using that icon drawing can be helpful. Teaching them to ask for clarification. Those are just a couple examples of strategies that we can teach to students to support them with following directions. If we identify that it's a vocabulary issue or a syntax issue, we obviously wanna target those as well. but giving our students strategies can help if it is more of the working memory and executive function.

So those are just a few strategies. Again, the blog post will include more details on things that we can teach students to help them. And then strategy number four is to share strategies with teachers.

I have a visual in the Following Direction Skill Pack, that includes those strategies as well. This will help with generalization and support, like we might write accommodations for these students to help set them up for success in the classroom.

So teachers might incorporate visuals or checklists or chunking their directions. Instead of giving 10 directions at once, they practice giving two or three steps at a time Or modeling the strategies, reminding the students to use their strategies. So there's lots of things that we can do to support students indirectly by working with teachers.

And the fifth strategy is to plan for generalization from the start. What happens in the speech room should not stay in the speech room. It doesn't matter if a student can follow a 20 step direction in the speech room if it's not moving into the classroom. And so we wanna make sure that we're embedding directions in functional, contextualized activities and being intentional with how we're targeting these goals. It's something that we need to think about from the start. How can we target this goal in a way that will set students up for success? I like to use literacy based activities that are contextualized.

We can do crafts, science experiments, real life tasks, practice their classroom routines if there are common ones they struggle with. Thinking about the context they'll be using these skills in and strategies we can use to help them in the classroom, on the playground, whatnot. And then also coordinating with teachers and parents and other members of the team to make sure that we're all on the same page and all helping the student master the skill.

Hopefully one of these strategies sparked a new idea for you. Go ahead and jot down one that you'd like to try using and then check the show notes for a link to the blog post with all of the details. I mentioned the Following Direction Skill Pack. This is available in the SLP Now Materials Library. If you're a member, just type in following directions and you'll get to download that skill pack. If you are new to SLP Now you can sign up for a free trial and download this skill pack for free. Your free trial includes five downloads, so you can get a hundred dollars of free materials, no strings attached, no credit card requiredI just wanna make sure that you have access to awesome materials and that you're able to easily implement these evidence backed strategies and have high quality materials to help make your job a little bit easier.

That is a wrap on our six strategies for following directions. Thanks for joining me, and we'll see you soon.

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FAQ

How do you teach following directions in speech therapy?

Research shows the most effective approach blends assessment, explicit strategy instruction, movement, and contextualized practice. To see exactly how to implement these 6 evidence-based strategies in your speech room—without adding hours to your prep time—listen to episode 234 of the SLP Now podcast or download the Following Directions Skill Pack.

What causes students to struggle with following directions?

It’s rarely just a "listening" problem. Students often struggle due to underlying deficits in vocabulary (like temporal or spatial concepts), syntax (like reversals), or executive functioning (like working memory). We discuss a differential assessment framework for pinpointing the exact cause in this episode, and you can grab the ready-to-use assessment tools inside the SLP Now membership.

What are some good speech therapy activities for following directions?

The best activities move away from isolated drills and toward contextualized, real-world tasks like obstacle courses, literacy-based activities, and structured crafts. For a breakdown of how to use movement-based learning and ready-to-use materials like the Weather Man Craft, listen to the full episode or check out the Following Directions Skill Pack on SLP Now.

Filed Under: Podcast Tagged With: Evidence-Based Practice, Following Directions, Language Intervention, Receptive Language, School-Based SLP, SLP Resources, Speech Therapy Activities

WH Questions Speech Therapy: Lists, Hierarchy + 6 Strategies

October 7, 2025 by Marisha Leave a Comment

If you’re feeling stuck on how to get your students to consistently answer WH questions accurately, the secret isn’t more drill cards—it’s moving through a structured, evidence-based framework: Assess, Teach, Scaffold, Focus, Embed, and Repeat. By combining explicit instruction with visual supports and meaningful practice, we can help students connect the question word to its actual purpose and confidently use WH questions in the classroom and beyond.

In What Order Should You Teach WH Questions?

Most children learn to answer WH questions in a predictable order: what and where first, then who, followed by when, why, and how. Teach concrete questions about the here and now before abstract ones, and use visuals, sentence frames, and picture books to bridge to complex questions.

WH questions—who, what, where, when, why, and how—are at the heart of communication. But as you’ve probably seen on your caseload, answering these questions isn’t always easy. We’re going to break down exactly how to teach WH questions efficiently, so you can stop reinventing the wheel and start seeing faster progress, even with your most challenging mixed groups.

Even if WH questions are already part of your therapy toolbox, this episode aims to fine-tune your approach with six strategies that streamline planning and maximize student progress. You’ll hear about:

– How to use leveled assessments to pinpoint a student’s starting point
– Explicit methods to teach WH words using visuals and clear definitions
– A scaffolded hierarchy for structuring instruction
– How to select targets
– Embedding WH practice into meaningful contexts to boost carryover
– The importance of repetition + varied practice for generalization

Why WH Questions Matter for Kids

I’m so excited to dive into one of the foundational skills we target in speech therapy — WH questions!

These little question words — who, what, where, when, why, and how — may seem simple, but they’re at the heart of communication. Whether we’re working on classroom comprehension, social interactions, or general language development, success with WH questions is essential for building strong receptive and expressive skills.It’s a skill that shows up everywhere: in reading comprehension, group discussions, and even playtime.

But as you’ve probably seen, answering WH questions isn’t always easy for our students. Children with language delays, autism, or other communication disorders often struggle to process the meaning behind each question type. Research by Parnell and colleagues (1986) found that students with language delays often produce appropriate but inaccurate responses. For example, a student might a “who” answer to a “who” question but name the wrong person. It’s a subtle but important distinction, and one that tells us we need to explicitly teach both appropriateness and accuracy.

That’s where structured intervention makes all the difference.

When we combine explicit instruction, visual supports, and meaningful practice, we can help students connect the question word to its purpose, and eventually use WH questions confidently in any context.

To make this easier for you, we created the WH Questions Skill Pack, a ready-to-go resource that includes:

  • Leveled assessments to identify each student’s starting point
  • Visual supports and cue cards for every WH question type
  • Structured practice activities to promote generalization

It’s everything you need to assess, teach, and track progress — all in one place.

WH Questions Skill Pack

  • Leveled assessments to identify each student’s starting point
  • Visual supports and cue cards for every WH question type
  • Structured practice activities to promote generalization

The WH Skill pack includes evidence-backed visuals, activities, and data sheets to teach every WH question type

👉 Join to Download WH Questions Skill Pack

WH Questions Skill Pack preview

What Are WH Questions? (and Why They’re Important for Kids)

Before we jump into specific strategies, let’s take a quick step back.

WH questions are the foundation of how kids learn to gather and express information. Each WH word serves a specific purpose:

  • Who → a person
  • What → a thing or action
  • Where → a place
  • When → a time
  • Why → a reason
  • How → a process or explanation

Complex WH Questions (and How They Differ from Early WH Questions)

As students develop stronger language and reasoning skills, WH questions naturally become more complex. Early in therapy, we might focus on straightforward questions like “What is this?” or “Who is eating?” that can be answered by labeling something visible. But as comprehension grows, students begin to tackle questions that require more inference, reasoning, or background knowledge — such as:

  • “Why did the boy wear a coat?”
  • “How do you know she’s sad?”

These types of complex WH questions ask students to go beyond what they see and instead make connections, draw conclusions, or explain cause and effect.

Research by Swanson (2001) shows that explicit instruction — clearly defining and modeling each WH word — helps students make faster progress with these more challenging question types. In practice, that means we can’t assume a student will automatically generalize skills from “what” to “why.” Each WH question type benefits from direct teaching, modeling, and plenty of repetition.

Functional WH Questions in Everyday Routines

Beyond structured practice, it’s important to use functional WH questions throughout the day. These are questions embedded naturally into a child’s environment and daily routines. For example:

  • During snack time: “Where’s your spoon?”
  • In the classroom: “Who is the line leader today?”
  • At home: “Why are we washing our hands?”

Embedding practice in real contexts helps students connect WH questions to authentic communication, not just drill work. This kind of contextualized learning supports better carryover and generalization, meaning the skill sticks outside of the therapy room.

By understanding how WH questions vary — from simple WH questions that focus on labeling and describing, to complex WH questions that require reasoning and background knowledge, and functional WH questions used in everyday routines — we can meet each student where they are and design activities that move from concrete understanding to abstract reasoning.

In the next section, we’ll look at how WH question development progresses by age and skill level, so you can confidently select the right targets for your students.

WH Questions by Age and Skill Level

As with most language skills, WH question comprehension develops gradually — from concrete labeling to abstract reasoning. Understanding these stages can help you pinpoint where each student is in their learning journey and plan intervention accordingly.

WH Questions for Preschoolers

Preschoolers are just beginning to connect language with the world around them, so WH questions at this stage should focus on concrete, visual concepts — typically what and where questions.

At this level, I like to use picture cards, storybooks, and play-based routines to teach WH questions in meaningful contexts. Research by Justice and colleagues (2002) shows that literacy-based intervention (using shared storybook reading and contextual prompts) helps preschoolers improve comprehension and vocabulary simultaneously.

Here are a few examples you can use in therapy:

  • “What is the girl doing?”
  • “Where is the dog sleeping?”
  • “What do we use to eat?”
  • “Where do we go to play?”

As you read or play, pause to model and reinforce the question word’s meaning. Visual supports, like cue cards or icons, can make a huge difference in helping students recognize the purpose of each WH question word.

📘 Related Reading:

How to Use Books in Therapy

Tips to Implement Literacy-Based Therapy for Students with SLI

WH Questions for Early Elementary Students

By the early elementary years (around kindergarten and first grade), most children begin to understand and respond to who, when, and why questions. However, these question types can still be tricky for students with language delays or comprehension challenges — especially when they appear in connected text or classroom discussions.

Research by Ukrainetz (2015) highlights the importance of contextualized intervention, embedding WH questions directly into meaningful routines and activities. Instead of isolated drills, try incorporating WH questions into story retells, science observations, or classroom routines, such as:

  • “Who helped the teacher clean up?”
  • “When do we eat lunch?”
  • “Why do we wear coats when it’s cold?”

These questions are more effective when practiced in context, giving students real-life opportunities to apply their growing comprehension skills while promoting generalization across settings.

WH Questions for Students with Autism

Students with autism often benefit from a structured, visual, and highly consistent approach when learning WH questions.

They may need explicit modeling, repeated practice, and visual supports to connect each question word to its meaning. For example, using a picture of a person for “who”, a place for “where”, or an object for “what” helps students understand what type of answer each WH question is asking for.

Here are a few ideas for building comprehension and confidence:

  • Use WH question visuals (icons or cue cards) to represent each question type.
  • Provide clear models and immediate feedback when students respond.
  • Practice across multiple contexts — stories, classroom routines, or play — to promote generalization.

The goal is to build functional understanding, helping students recognize WH questions as tools for communication and connection, not just as structured “drill” items.

💡 Try this: The WH Questions Skill Pack includes visual cue cards, leveled assessments, and structured practice sheets that make it easy to support students with autism using evidence-based methods.

WH Questions Skill Pack

  • Leveled assessments to identify each student’s starting point
  • Visual supports and cue cards for every WH question type
  • Structured practice activities to promote generalization

The WH Questions Skill Pack includes visual cue cards, leveled assessments, and data sheets designed for both structured and naturalistic practice.

👉 Join to Download WH Questions Skill Pack

WH Questions Skill Pack preview

WH Question Examples and Lists (Free Preview)

Now that we’ve covered how WH questions develop, let’s look at specific examples you can use in your therapy sessions.

Having a variety of questions ready makes it easier to differentiate by level — from simple, concrete questions to more abstract, inferential ones. These question lists can be used for data collection, sessions with mixed groups, or at-home practice with families.

Here’s a free preview from our WH Questions Skill Pack, which includes printable lists and visuals for each question type.

What Questions for Speech Therapy

(Focus: Labeling objects or actions)

Simple:

  • What is this? (Show a picture of a ball.)
  • What do we use to eat?
  • What animal says “moo”?

Complex:

  • What should you do when it rains?
  • What makes the story funny?
  • What can we do to help a friend?

Where Questions for Speech Therapy

(Focus: Identifying places or positions)

Simple:

  • Where is the cat?
  • Where do we put our shoes?
  • Where do we eat lunch?

Complex:

  • Where do you think the boy is going?
  • Where should we go if we feel sick?
  • Where do butterflies live?

Who Questions for Speech Therapy

(Focus: Identifying people or roles)

Simple:

  • Who is eating?
  • Who helps us learn at school?
  • Who is your best friend?

Complex:

  • Who do you ask for help if you’re hurt?
  • Who do you think will win the race?
  • Who is the main character in this story?

When Questions for Speech Therapy

(Focus: Identifying time, connects sequencing and routines)

Simple:

  • When do we eat breakfast?
  • When do you go to bed?
  • When do you brush your teeth?

Complex:

  • When do flowers grow?
  • When do you feel proud of yourself?
  • When is the best time to wear a coat?

Why Questions for Kids

(Focus: Understanding cause and effect, developing reasoning and inferencing)

Simple:

  • Why do we wear shoes?
  • Why do we wash our hands?
  • Why do we sleep at night?

Complex:

  • Why was the girl sad in the story?
  • Why do people help each other?
  • Why do we need to listen to directions?

How Questions Examples

(Focus: Explaining processes and feelings)

Simple:

  • How do you open a door?
  • How do you draw a circle?
  • How do you make a sandwich?

Complex:

  • How can you tell someone is surprised?
  • How do you know it’s winter?
  • How can we make someone feel better?

These examples illustrate the natural progression from simple to more complex questions, moving from labeling and describing to reasoning and inferring.

If you’d like a complete list of questions organized by difficulty and question type, plus matching visuals and leveled data sheets, you can grab the full resource below, 👇

👉 Download the Complete WH Questions List and Skill Pack Activities
Includes over 120 WH questions, visual cue cards, and printable tracking forms, all aligned with evidence-backed strategies for school-based SLPs.

Teaching WH Questions in Speech Therapy (6 Evidence-Based Strategies)

Over the years, I’ve found that effective WH question intervention follows six clear steps. Each one builds on the last to help students progress from identification to mastery, and every step is backed by research.

These strategies come straight from the framework I use in my own sessions (and inside the WH Questions Skill Pack): Assess → Teach → Scaffold → Focus → Embed → Repeat.

1. Assess — Find the Starting Point

Before teaching, we need to know exactly where each student is starting.

Students with language delays often give responses that are appropriate but inaccurate. For example, answering “who” with a person, but naming the wrong one. Research by Parnell and colleagues (1986) highlights this distinction and reminds us that accuracy comes after appropriateness.

I always begin with a leveled assessment that includes:

  • Simple picture-based questions (“Who is eating?”)
  • General knowledge questions (“Where do you sleep?”)
  • Comprehension questions about short passages

This helps pinpoint whether a student needs work at the picture, sentence, or story level. The WH Questions Skill Pack includes an assessment and probe set that makes this step quick and consistent.

🧩 Pro Tip: Once you identify the student’s level, use that same probe to monitor progress throughout intervention.

2. Teach — Use Explicit Instruction and Visuals

Once we know where to start, it’s time to teach the meaning of each WH word explicitly.

Research by Swanson (2001) supports explicit teaching as one of the most effective ways to improve comprehension. I like to introduce one question word at a time using:

  • Visual cue cards (with icons or simple images)
  • Student-friendly definitions (e.g., What = a thing or action; Who = a person)
  • Concrete examples (“What is she doing?” → running)

You can make your own visuals or grab the pre-made ones from the Skill Pack. Each card pairs an icon with examples and definitions, so students can see the difference between question types.

👉 Explore the WH Questions Skill Pack. It includes visuals for every WH word plus student definition cards.

3. Scaffold — Move From Simple to More Complex WH Questions

Once students grasp the basic meaning of each question word, we start to build complexity.

I move from:

  1. Questions about pictures or objects
  2. To general knowledge questions
  3. Then comprehension questions about stories
  4. Finally, conversation-level questions

This scaffolded hierarchy helps students bridge from concrete understanding to inferential thinking.
As Swanson (2001) emphasized, success with more complex WH questions depends on clear, sequenced instruction — not just repetition.

Example:

  • Simple: “What is this?” (show a picture)
  • Complex: “Why do we use an umbrella?” (requires reasoning)

4. Focus — Teach One WH Type at a Time

While it’s tempting to target multiple question types at once, research (including Parnell et al., 1986 and Isenberg, 2014) supports focusing on one question type until mastery.

For example:

  • Start with “what” and “who” questions, since these are more concrete.
  • Once students achieve 80% accuracy, move on to “where,” “when,” “why,” and “how.”

This approach reduces cognitive load and helps solidify comprehension.

🧩 Therapy Tip: If your student already understands “what,” use it to support a harder question type (e.g., contrast “Who is eating?” vs. “What is he eating?”).

5. Embed — Practice in Meaningful Contexts

After structured drill practice, it’s time to move into real-world application.

Research by Justice and colleagues (2002) and Ukrainetz (2015) shows that embedding WH question practice into literacy-based or contextualized intervention improves generalization.

Here are some ways to embed practice:

  • During shared storybook reading
  • In classroom routines (“Who is the line leader?” “Why are we washing our hands?”)
  • Through play-based or functional activities (“Where should the toy go?”)

Embedding WH questions in meaningful contexts turns abstract drills into functional communication.

📘 Related Resources:

  • Tips to Implement Literacy-Based Therapy for Students with SLI
  • How to Use Books in Therapy
  • How to Use a Pocket Chart for Easy Literacy-Based Therapy

6. Repeat — Provide High Repetition and Varied Practice

Finally, students need lots of practice in many contexts.

Repetition builds mastery, but varied repetition builds generalization.

This means asking questions across:

  • Different materials (pictures, books, real life)
  • Different partners (teacher, parent, peer)
  • Different environments (therapy room, classroom, home)

It’s kind of like basketball drills. Practicing “dribbling” (structured tasks) is important, but students only master the skill when they can “play the game” (use WH questions in natural conversation).

The WH Questions Skill Pack includes structured practice materials and story-based prompts that make this kind of repetition simple to plan and track.

Using the SLP Now WH Questions Skill Pack

If you’re ready to put these strategies into action, the WH Questions Skill Pack makes it easy to assess, teach, and track progress — all in one place.

WH Questions Skill Pack

  • Leveled assessments to identify each student’s starting point
  • Visual supports and cue cards for every WH question type
  • Structured practice activities to promote generalization

It’s everything you need to assess, teach, and track progress — all in one place.

👉 Join to Download WH Questions Skill Pack

WH Questions Skill Pack preview

I originally created these materials while managing a triple-digit caseload, trying to make therapy both effective and doable. The goal was simple: give SLPs everything they need to target WH questions with research-backed structure and minimal prep time.

Here’s what’s included:

🧩 1. Leveled Assessments

Quickly identify each student’s starting point with assessments that move from simple to complex WH questions, from picture-based prompts to story-level comprehension. You’ll also find progress probes that make it easy to measure growth across sessions.

Perfect for goal writing and data collection.

🎨 2. Visuals and Cue Cards

Visual supports are one of the most powerful tools for students with language delays or autism. The pack includes WH question visuals for each question type, including icons, definitions, and examples.

These visuals are especially helpful in ABA-style sessions, where students benefit from consistency and repetition. They also work beautifully in small groups or whole-class lessons.

👉 Try pairing the cue cards with real-life photos, storybooks, or interactive classroom questions for quick generalization practice.

📘 3. Structured Practice Activities

Each WH type comes with guided activities designed to align with the six-step teaching framework:

  • Start with explicit instruction
  • Move through scaffolded levels
  • Practice within meaningful contexts

Activities include picture cards, short passages, and conversation prompts, so you can easily target receptive and expressive WH questions at any level.

📊 4. Data Sheets and Goal-Tracking Tools

You’ll find editable tracking sheets that make it easy to monitor both appropriateness and accuracy, a distinction emphasized by Parnell et al. (1986). These templates help you visualize progress and report growth efficiently, without extra paperwork.

🌟 Why SLPs Love It

  • Saves hours of prep each week
  • Works for any age or setting (preschool through secondary)
  • Built on evidence-based strategies from Swanson (2001), Justice et al. (2002), and Ukrainetz (2015)
  • Includes everything you need to start (o additional materials required!)

👉 Access the WH Questions Skill Pack Now →
Get evidence-based visuals, leveled assessments, and structured activities designed to make WH question instruction simple, effective, and fun.

Setting Goals and Tracking Progress

Once you’ve assessed your students and started using evidence-based strategies, the next step is setting clear, measurable goals and tracking progress along the way.

I like to think of this process as closing the loop. We start by assessing where the student is (their baseline), then we teach, scaffold,embed the skill, and finally, we measure growth to show what’s working.

🧠 Writing SMART IEP Goals for WH Questions

Strong goals focus on both accuracy and context. It’s not just about answering the question correctly; it’s about understanding and using the skill functionally across settings.

Here are a few examples:

Simple WH Questions:

  • When given a field of 3 visual choices, Student will answer “what” questions about a story with 80% accuracy across three sessions.
  • When given a short story, Student will answer “who” and “what” questions about the story with 80% accuracy across three sessions.

Complex WH Questions:

  • After listening to a short story, Student will answer “why” and “how” questions with 70% accuracy.
  • Given a classroom narrative or book, Student will answer inferential questions about the story with 80% accuracy across three sessions.

Functional WH Questions:

  • During classroom routines, Student will answer functional WH questions (e.g., “Where is your backpack?”) with 80% accuracy across three consecutive sessions.
  • During classroom activities, Student will ask appropriate WH questions to gather information in 4 out of 5 opportunities.

These goals can easily be adapted for your students’ unique needs.

📊 Tracking Progress Effectively

Consistent data collection helps you see whether students are generalizing their skills and whether your current strategy needs adjusting.

Here’s what I like to track:

  • Appropriateness: Did they respond with the correct type of answer (e.g., a person for “who,” a place for “where”)?
  • Accuracy: Was their response correct based on the content?
  • Cueing Level: How much support did they need (independent, verbal cue, visual prompt, etc.)?
  • Context: Were they successful in structured vs. naturalistic activities?

The data sheets in the WH Questions Skill Pack make this easy by breaking progress into small, measurable steps. You can record both accuracy and cueing, see growth trends over time, and quickly share updates with teachers or parents.

🧩 Connecting Data to Instruction

Data shouldn’t just live on a sheet; it should drive your next steps.

  • If a student’s accuracy is improving but responses are still inappropriate (e.g., answering “where” with a person), revisit explicit teaching of question word meanings.
  • If accuracy is high in structured drills but low in conversation, focus on embedded, contextualized practice.
  • If progress plateaus, consider targeting one question type at a time again before mixing multiple WH forms.

By consistently looping data into your instruction, you’ll ensure each student continues to build mastery — not just in the therapy room, but across their entire school day.

FAQs About Teaching WH Questions

Even though WH questions are a familiar goal for most school-based SLPs, there are always a few tricky areas that come up in practice. Here are some of the most common questions I hear from fellow clinicians, along with strategies and resources to help you feel confident in your approach.

At what age do kids learn WH questions?

WH question understanding develops gradually between ages 2 and 6, though the exact timeline varies by child.

According to Blank, Rose, and Berlin (1978) and later summarized by Paul and Norbury (2012), WH-question understanding typically develops between ages 2 and 6, though every child progresses at their own pace.

Here’s a general progression:

  • Age 2–3: Begins to answer what and where questions (with visual support).
  • Age 3–4: Starts to understand who and when questions.
  • Age 4–5: Begins to respond to why questions (cause and effect).
  • Age 5–6+: Understands how questions (processes, emotions, and reasoning).

If a child is struggling with WH questions beyond these ages, especially in comparison to peers, that’s a good indicator for targeted speech therapy support.

How do visuals help teach WH questions?

Visuals are a game-changer for students who need support with WH questions. A simple icon or cue card helps students connect the question word to its meaning. For example, showing a person for “who” or a place for “where.”

Visuals reduce cognitive load and give students something concrete to anchor their understanding. Research by Swanson (2001) supports this approach, showing that explicit instruction paired with visual scaffolding leads to stronger comprehension outcomes.

The WH Questions Skill Pack includes visual cards and student-friendly definitions for each WH type, so you can introduce, cue, and review the skill consistently.

What’s the best order to teach WH questions?

In general, start with simple and concrete question types and move toward abstract or inferential ones.

Here’s a hierarchy that works well for most students:

  1. What (objects and actions)
  2. Where (places)
  3. Who (people)
  4. When (time or sequence)
  5. Why (reasoning)
  6. How (processes or emotions)

This sequence aligns with developmental norms and research showing that simple WH questions (e.g., “what,” “where”) develop before complex WH questions (e.g., “why,” “how”).

How can I make WH question practice more engaging?

Keep it fun and functional!

  • Incorporate WH questions into storybooks, games, and classroom routines.
  • Use visual supports and movement-based activities (e.g., scavenger hunts.
  • Rotate between structured drills and open-ended tasks to maintain engagement while still targeting accuracy.

You can find dozens of ideas in the WH Questions Skill Pack, which includes printable visuals, story-based practice pages, and leveled assessments that make planning a breeze.

Up next, we’ll wrap up with a quick summary of the research behind these strategies, plus related resources if you want to dig deeper into literacy-based therapy and contextualized intervention approaches.

Evidence & Further Reading

As with all of our therapy approaches, everything we’ve talked about in this guide is grounded in research. Below are a few of the studies and frameworks that inspired the strategies shared here — along with related blog posts that show how to put the research into practice.

🧠 Evidence & Research Highlights

Parnell et al. (1986)
Found that students with language delays often give appropriate but inaccurate responses to WH questions. This study helps us remember that children may understand the structure of a question before mastering its meaning, which is why explicit instruction and consistent data collection are so important.

Swanson (2001)
Demonstrated that explicit instruction significantly improves comprehension skills for students with language-based learning difficulties. When targeting WH questions, this means clearly defining each question word, modeling responses, and using visuals to support understanding.

Justice et al. (2002)
Supported the use of literacy-based intervention, showing that shared storybook reading with embedded WH questions improves comprehension and expressive language.

Ukrainetz (2015)
Highlighted the effectiveness of contextualized language intervention, embedding WH questions into meaningful classroom or play activities to encourage generalization and functional use.

Together, these studies form the foundation of the Assess → Teach → Scaffold → Focus → Embed → Repeat model used throughout this post and in the WH Questions Skill Pack.

📚 Related Blog Posts

If you’d like to explore more ways to use these evidence-based strategies in your sessions, here are a few related resources:

  • Tips to Implement Literacy-Based Therapy for Students with SLI — Learn how to embed WH question practice within book-based units and classroom routines.
  • How to Use Books in Therapy — Practical strategies to connect storybooks, comprehension questions, and language goals.
  • How to Use a Pocket Chart for Easy Literacy-Based Therapy — A visual scaffolding technique that makes WH question practice more interactive and structured.

💡 Putting It All Together

If you’re looking for a way to apply this research without spending hours planning, the WH Questions Skill Pack combines all of these strategies into one easy-to-use resource. You’ll find leveled assessments, visuals, and printable data sheets that bring the research to life, so you can focus more on your students and less on prep time.

✅ Evidence-based. Classroom-friendly. Ready when you are.

That’s a wrap on WH questions! I hope these strategies, examples, and tools make it easier for you to plan effective therapy sessions and help your students build lasting comprehension and communication skills.

Transcript

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I am so excited to continue our series about how to teach different skills. Today we are diving into strategies for wh questions, and I think we all know how fundamental wh questions are for success in the classroom, literacy development, social interaction, all of the things. Before we dive into the strategies, I wanted to share a couple tidbits from the research, and I will share my citations in the show notes.

Parnell et al talk about how students with language delays produce less appropriate and less accurate responses to questions. And those are two things that we want to consider as we're approaching intervention and strategies that we're using.

So an appropriate response would be that we're responding to a who question with a who answer. So like, who went to the zoo? The girl did, and not responding with like a what or a why. If we say who went to the zoo because they wanted to, that would be an inappropriate answer because they're using the wrong question word and it would also be inaccurate because it's the wrong response.

But we wanna look at are they identifying the question word and responding. So if they say who went to the zoo and they say the girl, but it was really the penguin who went to the zoo, then that would be an appropriate response because they're identifying the who and giving a who answer. But it would be an inaccurate response because that's not the correct answer. But they are identifying the correct question word. So that's one thing we want to consider. Students with language delays often show appropriateness before accuracy, so we might see students start to give more appropriate answers before they become totally accurate. So that is something helpful to consider and something that we might look at in our data collection. I make skill packs for a lot of different skills and I started this because I was working as a school-based SLP managing a caseload in the triple digits, and I was not feeling my most confident and I wanted to make sure that even if I was spread very thin, I was providing the best possible intervention for my students and that I was doing it without breaking my neck. Enter the skill packs and a bunch of other things that I've made over the years. I dug through the research, and I started this process about 11 years ago when I started working and managing that massive caseload.

I made these skill packs to help organize the practical strategies and give me access to materials right at my fingertips. I'm going to pull from that, as a practical example of what this could look like, but the focus will be on the actual evidence backed strategies that we can use.

How I structure these packs are through assess, teach, practice. So we want to have tools to assess a skill. We wanna make sure that we're appropriately teaching the skill. This is a step that I would often skip as a newer SLP.

And then we want to give students the opportunity to practice.

So we're going to start with the assess portion. We talked about appropriateness versus accuracy, which is important to think about all throughout intervention when working with wh questions. But we'll move through strategies for assessment and then teaching and practice.

Strategy number one is to assess to find our starting point. We need to make sure that we're meeting students where we're at. I like to get a baseline assessment to help me determine what goal is even appropriate for the student, but then also where we need to start and what levels of support they need.

If they're at 0% accuracy, my approach is going to look a lot different versus if they're at 50% accuracy. So like to have a strong baseline assessment. and usually that's leveled to pinpoint exactly where we want to start with the goal. I also like to have a probe for the goal I end up writing, and I use that probe to assess the student's progress throughout intervention.

We do wanna find our starting point. We wanna start with that baseline assessment. I go from simpler to more complex and look at the different question types because, research shows us that some question types are more complex. They might struggle more with a certain question type. So I look at their responses to all of the question types, like who, what, when, where, why, how, and then I increase the complexity of that.

So I might start with responding to questions about a simple picture. I might include general knowledge questions, and comprehension questions about a passage. I can pull out my assessment packet and look at all of those different levels, and then wherever the student starts to struggle I'll be able to identify their strengths so we can leverage that in intervention. Also I want to find that sweet spot of, okay, where does it make sense to start intervention? Answering questions about a picture or are we all moving all the way to responding to questions about a story?

And there's different levels of complexity there. Having a strong baseline helps us identify what makes sense for that. The skill pack in SLP Now includes that leveled assessment to help you do that really good baseline to identify where students need to start. We also have probes for all of the different goals that you might write for that ongoing intervention.

That was our strategy one using a baseline assessment to figure out where to start.

Then strategy two is explicitly teaching the question words using visuals. Swanson 2001 talks about explicit teaching. How we do that with WH questions is we select a question word to focus on and we might have a visual to help the students understand what that word means. We might also have a quick student friendly definition. So we might have a picture of an object, and an action. A simple definition for a what question is a thing or an action. Then we would practice, answering questions. So, we have a number of different visuals inside the WH question skill pack. You can also do quick drawings and make your own little cards for the visuals for students. We have, little cards for each question word with the icon and the, quick student friendly definition.

We also have sheets that have examples of answers. The what page has the icons and the student friendly definition as well as examples of things like an apple, watching, stretching, clapping, all of those types of things. We have that for all of the different question marks.

Then we have a bunch of different ways to help you. You have that visual to help you teach it. And so you would introduce like, today we are practicing what questions, this is what a what question is, and then strategy three is to scaffold using a hierarchy. So part of that, we talked about already in strategy one, in just using that assessment to determine where students are at, are they able to answer questions about photos, general knowledge questions or questions about a text, question about conversation.

This is where teacher, parent report would come in, classroom observations, all of that good stuff. We would write the goal for the appropriate level. and then we have activities to practice those. So we have photo cards where you can practice who is in the picture, and then you would pair that with the visual. if you're practicing who today, you would have the little who card or the little who page, and you can have practice discrimination too. Like maybe have the who and the what poster, if they're already good at responding to what questions. That's how we can leverage their strengths. You can have these picture cards and you can ask who is in the photo, and then you'll pause. Okay, what word are you hearing? What question word is that? So first identifying the question word. So, oh, we heard the who, so we're looking for a person. then you look at the picture. Who's the person in this picture? They can say, A boy.

And then to leverage their strength and to practice that discrimination can say, okay, what's the boy doing? What kind of question was that? Is that a who or a what? And so you can point to the appropriate card, and then they can respond giving an appropriate and accurate response to that question.

And so you could rinse and repeat for all of the different question types. And then you can move on from simple photos and you can use the photos in the skill pack, any photos that you have in decks of cards, or you can look at pictures in books or ask questions about the immediate environment.

There are so many ways to scaffold that depending on where the student is at in the hierarchy. Strategy four, which we've touched on a little bit, is to teach one wh question at a time. Parnell et all 1986 Isenberg 2014 talk about focusing on one question type as a way to support mastery and reduce cognitive load.

We can, use the assessment to identify which question, like if they're really good at who and what questions, then we don't need to target them. We can leverage those as a strength. And then, if they are struggling with one questions, for example, we would put our focus on one question and just focus on that question type.

And then as they master that we can move on to more.

Strategy five is to embed wh questions in meaningful context. The four steps I've talked about have been very decontextualized. We're doing assessment, using visuals, and doing very structured practice to help teach that concept. Then we want to move into a meaningful context.

So we wanna move away from these card decks and structured activities and move into books and classroom activities as quickly as possible. I could share a lot of references to support the use of meaningful context for this skill.

Dr. Ukrainetz's research emphasizes this. There's also a study by Justice et al. from 2002 about using short shared storybook reading. lots of evidence to support using this approach. The reason why we want to make sure that we jump into embedded practice as quickly as possible is that it facilitates generalization.

I think that's the biggest thing. It doesn't matter if they can respond to the most complex wh questions in the speech room if they're not able to use that in the classroom. We want to think about where we ultimately want them to use the skill and give them the opportunity to practice that as quickly as possible.

It would be like if I were a basketball coach and only ever had my students do drills. If it's game time, they're really going to struggle if only did dribbling practice and never practiced the coordination of all the things in a game.

And so it's the same thing with all of the skills that we target, but it also applies to wh questions. Then our last strategy is to provide high repetition with varied practice. Repetition builds mastery and the varied context support generalization. We do want to use the question cards and structured practice to build that repetition. Then we want to make sure again, that we're moving into that embedded practice as quickly as possible, because that is critical for generalization. In terms of WH questions, the varied practices that we're not asking the same question over and over, we are asking if we're doing a storybook, there's variability and varied practice built in.

We're answering questions about different activities throughout the story unit. Last week I did a podcast episode about how I used Apple Trouble to target all of the skills. That'll give you a lot of ideas for varied practice with WH questions, from doing the KWL chart to the book walk to the virtual field trip to the story.

There's lots of varied practice built into a literacy based therapy unit, and we'll leverage that. So those are our six strategies for wh questions.

So a quick recap.

One, we wanna have a high quality assessment to help us determine which level is most appropriate for students. We'll use that to inform our goals and how we structure intervention. Strategy two is to explicitly teach the word meanings and to leverage visuals. Strategy three is to scaffold using a hierarchy. Based on the assessment results, we might start with questions about pictures and then move up to general knowledge and then about a passage

We want to teach one question at a time. Strategy five is to embed this practice in a meaningful context to facilitate generalization. Strategy six is to provide high repetition with varied practice. Those are our six strategies. Check out the show notes for the references and examples of what this looks like.

If you want to access the WH questions unit with all the assessments, visuals, and structured practice in one nice download. It's totally no strings attached. You'll just enter your name and email, set up a password, you'll get logged in.

You can go to the materials page, download the WH questions pack, and have the access to this awesome resource. Or you can check out some of our other skill packs and therapy plans and resources.

I started creating these materials as a very overwhelmed SLP who still really wanted to serve her students well. These materials have been 11 years in the making. We're constantly updating and revamping them, and I hope that they make your life a little bit easier and make it easier to implement some of these strategies.

So that's a wrap for today. Thanks for joining me, and I'll see you soon.

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Filed Under: Podcast Tagged With: Autism Resources, Evidence-Based Practice, Literacy-Based Therapy, Receptive Language, School-Based SLP, Speech Therapy Activities, WH Questions

How to Teach Past Tense Verbs: 5 Evidence-Backed Strategies

September 9, 2025 by Marisha Leave a Comment

How Do You Teach Past Tense Verbs in Speech Therapy?

Start with regular past tense -ed on high-frequency verbs, then add common irregular verbs. Use focused stimulation and recasts so the student hears many models, contrast present and past with visual timelines, and practice in story retell so the form carries over beyond drill work.


Many of our students have goals for past tense verbs, but sometimes progress doesn’t come as quickly as we’d like. When that happens, it’s helpful to have research-backed strategies in our back pocket.

Before diving into the strategies, let’s take a step back: why do we even target past tense verbs?

  • Communication: Marking tense is an essential skill for telling stories, sequencing events, and being an effective communicator.

  • Diagnosis: Research shows that tense marking is a reliable indicator of language impairment (Guo & Schneider, 2016).

With that foundation, let’s explore five strategies supported by research that can help our students succeed.

1. Focused Stimulation

This strategy involves giving students rich, meaningful exposures to past tense verbs.

Example 1: Read a picture and emphasize the past tense verbs.

Example 2: If a student says, “I run at recess,” you might recast with, “Yes, you ran at recess today!”

You can coach parents and teachers to use this too.

Fey, M., Long, S., & Finestack, L. (2003). Ten principles of grammar facilitation for children with SLI. AJSLP, 12, 3–15.

2. Contrastive Imitation

Contrastive imitation highlights the difference between present and past tense forms.

Example: “Today we jump. Yesterday we jumped.”

Use picture cards, actions (jumping, clapping, tapping) or simple activities in your therapy room.

Encourage students to repeat the targets as part of the activity.

This contrast helps students connect meaning with form.

Connell, P. J. (1982). On training language rules. Language, Speech, and Hearing Services in Schools, 13(4), 231–240.

3. Visual and Kinesthetic Supports

Visuals make abstract grammar more concrete.

Try pointing to a visual cue for present tense versus past tense.

Incorporate kinesthetic activities. Students can act out verbs and then reflect on what they did.

Consider approaches like shape coding for added clarity.

These supports are especially helpful if students aren’t progressing with auditory-only strategies.

Ebbels, S. H. (2007). Teaching grammar to school-aged children with SLI using Shape Coding. Child Language Teaching and Therapy, 23(1), 67–93.

4. Interactive Prompting

Interactive prompting provides additional scaffolding.

Give students a field of two choices: “You pull the cart or you pulled the cart?”

If needed, model the correct form: “Say it like me. You jumped.”

Eisenberg, S. (2014). What works in therapy: Further thoughts on improving clinical practice for children with language disorders. LSHSS, 45, 117–126.

5. Increase Lexical Variability

Instead of drilling the same verb (e.g., jump → jumped), rotate a variety of verbs.

Research by Plante et al. (2014) suggests that variability facilitates morphology learning.

This prevents rote memorization and helps students generalize the past tense rule.

Plante, E., Tucci, A., Nicholas, K., Arizmendi, G. D., & Vance, R. (2014). Lexical variability and morphological learning in children with SLI. JSLHR, 57(2), 516–528.

Final Thoughts

If your students aren’t making the progress you’d expect, these strategies may provide the boost they need. Many are simple to implement with activities you already use, and they’re backed by strong research.

If you’d like access to ready-to-use visuals and therapy materials, sign up for a free trial!


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Transcript

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Hello there and welcome back to the SLP Now podcast. Today we are going to be chatting about five evidence backed strategies that we can use when targeting past tense verbs.

A lot of our students have these goals, and it's helpful to have some good strategies in our back pocket, especially if students aren't making the progress that we would expect.

And taking another step back. Why do we even write these goals in the first place?

It is a very important communication skill and being able to mark tense is really important when telling stories and being an effective communicator. It is also a diagnostic indicator, so if students are not marking tense, that is a very reliable indicator of language impairment.

This is according to Guo and Schneider in their 2016 article. I'll link all of the different articles in the show notes, if you are wanting to dig into anything in a little bit more detail. I also apologize if I butcher any of these names. I always read this and don't hear it talked about quite as much.

I think we're all on the same page in terms of why we might want to target these goals and why it's important, so now we can dive into five strategies.

The first strategy is to build awareness through auditory bombardment. We provide rich, meaningful exposures of these past tense verbs. We can use this for other grammatical morphemes and grammatical targets as well.

We want to give multiple exposures to these targets and emphasize them. Focused stimulation is what some of the studies call that. The main goal here is giving them lots of meaningful exposures to those targets.

So first strategy is that auditory bombardment, focused stimulation. This is a strategy that I often share for intervention, before a student might be on my caseload.

I teach this to parents and teachers. just having them give that focused stimulation, and recasting. So if a student says I run during recess, we can say, yeah, you ran during recess today. That is a helpful strategy and I find that teaching that strategy and getting parents and teachers on board often helps students start using that target. They just need a little bit of extra exposure, and for some students that does the trip, which is amazing.

Now on to strategy two, which is contrastive imitation. There's a whole protocol for this in the research article.

An example of what this could look like is if we're using the present and the past tense verb. Today we jump, yesterday we jumped. You can use picture cards potentially having a picture of a girl jumping and then having her be done jumping.

She jumped. Just having that contrast and semantic representation of the meaning. You don't have to have materials for the contrastive imitation. Have the student actually jump or push or tap or whatever.

You can be like you are tapping and then, oh, you tapped when they're done tapping. You can do this with a lot of different games and activities that you already have in your therapy room.

The protocol might include having the students actually repeat the targets as well. I'll link to that in the show notes so you can see what that looks like.

Then strategy three is using kinesthetic and visual supports.

in the SLP Now membership, we have different visuals to help students so that we can point to an indicator of this is present tense, this is past tense. We also have different cards that can help with that strategy one and strategy two using a bunch of different verbs.

There's lots of different ways that we can do this. There's also shape coding. There's some research behind that as well. in just giving students some different types of visual supports.

So considering some of those options, especially if students aren't making progress with focused stimulation and contrastive imitation from the first two strategies. That brings us to step four, which is interactive prompting. This is an example of what this would look like.

You pull the cart or you pulled the cart. You give them those two choices. If you are doing different jumping activities, like you are jumping or you jumped, like which one is true. if they're doing it while they're jumping, they can say, I am jumping. If they finish jumping, then they can say, I jumped.

If they don't answer that independently with that forced choice, you can say, say it just like me. You jumped, and scaffold that production. And then you can combine that with your visuals and your other strategies as well.

Giving those choices and eliciting those imitations can support grammar when recasts aren't enough. That's something that we have seen in the research as well. The fifth strategy is to have high lexical variability. Instead of using the same verb over and over again, we want to rotate the verbs that we're using in the session.

So instead of just doing tons of practice with jumping, we would include different types of verbs like play, climb, wash, call, sit, stand, and being mindful of whether we're doing a regular or regular past tense verbs. But then that helps students learn that pattern more versus just memorizing, oh, the past tense of jump is jumped if they're generalizing it to a bunch of different words.

Plante et al their 2014 article is really an interesting read in looking at that lexical variability. if we have more variability that can facilitate morphology learning. and so being strategic with the words that we're selecting. And that article gives some suggestions for that.

So those are our five strategies. Hopefully this is a confidence boost of things that you're already doing. And if you're listening to this because a student isn't making the progress that you would expect, hopefully you have some great strategies now that you are reminded of, that you can try to implement.

So just a quick recap. Our first strategy was that focused stimulation, auditory bombardment. The second strategy is using that contrastive imitation, and the third strategy was incorporating visuals or kinesthetic supports. Strategy four is some of those interactive prompting strategies like giving that forced choice, that elicited imitation.

Okay. And then strategy five is making sure that you're including a variety of verbs in your session and not just drilling one over and over and over. And then check out the Plante at al article from 2014, for some different strategies on lexical variability.

So those are our strategies. We are going to continue this series of different strategies we can use for grammar intervention. This will partially be based on any questions. So if you have a question, send us an email [email protected] or dm us on Instagram at slpnow. Some of the future episodes will be focused on generalization and focusing on that from the start and having those meaningful context for this intervention.

But if any, if you had any questions about anything that we chatted about today, let me know. That's all for now. Thanks for joining us, and I'll see you very soon.

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Filed Under: Podcast Tagged With: Evidence-Based Practice, Grammar Strategies, Language Intervention, Mixed Groups, Past Tense Verbs, SLP Resources, Speech Therapy Activities

Fluency Strategies for Stuttering: What They Are and Why We’re Rethinking Them

July 17, 2025 by Marisha Leave a Comment

For decades, fluency strategies have been the foundation of traditional stuttering therapy. Techniques like easy onset, slow rate, and light articulatory contact are still taught in graduate programs and practiced in school settings across the country.

But what if those strategies aren’t actually helping?

In this interview with Ezra Horak—stutterer, advocate, and founder of Stutterology—we explore why it’s time to rethink what support really looks like for people who stutter. Through Ezra’s powerful lived experience, we examine how fluency goals can do more harm than good—and how a shift toward acceptance, agency, and authentic communication is long overdue.

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Understanding Stuttering and Its Impact

Stuttering is more than just a disruption in speech—it’s a deeply personal and often misunderstood aspect of communication. For school-based SLPs, gaining a foundational understanding of what stuttering is (and what it isn’t) is key to supporting students in a meaningful way.

What Is Stuttering?

Stuttering is a neurodevelopmental communication difference characterized by disruptions in the flow of speech. These disruptions—known as disfluencies—can include repetitions of sounds, syllables, or words, prolongations of sounds, and involuntary blocks or pauses in speech. Stuttering can also be highly variable, changing day to day or even moment to moment depending on the situation, setting, or emotional state of the speaker.

The Layer of Secondary Behaviors

In response to these disruptions, individuals often develop secondary behaviors—physical or behavioral reactions that are meant to help push through a stutter or avoid it altogether. These might include blinking, facial tension, body movements, or even avoiding eye contact or certain words.

Over time, these coping mechanisms can become habitual and may be misinterpreted as the stuttering itself. But what’s most important is understanding why these behaviors emerge: they are often a reaction to societal pressures, negative feedback, or the internalized belief that stuttering must be hidden.

The Emotional and Social Toll

The visible signs of stuttering are only part of the story. As Ezra Horak describes in their interview, the real weight of stuttering often lies in its psychological and social impacts—especially when fluency is positioned as the gold standard.

Many students who stutter become acutely aware of how others react to their speech. They may experience anxiety, shame, or a desire to withdraw. Without a supportive environment, they may internalize the message that fluent speech is the only acceptable kind of speech.

By understanding stuttering from a holistic perspective—including both the observable behaviors and the emotional layers underneath—SLPs can better support students in becoming confident communicators, just as they are.

“It takes so much effort to control and even that leaves us grasping for straws. The other thing that’s really important to understand is that when you’re asking someone to do these things, it doesn’t feel quote unquote fluent for me to do fluency techniques. So if someone’s wanting me to be fluent… To me, there’s no other reason to want that except for a listener reaction.”

— Ezra Horak, Founder of Stutterology and Board Co-Chair of SPACE: Stuttering, People, Arts, Community, Education

Traditional Fluency Strategies: What They Are—and Why They Fall Short

In many school-based settings, stuttering therapy often begins with traditional fluency strategies. These techniques aim to reduce stuttering through structured methods that promote smoother speech. While well-intentioned, these approaches may unintentionally reinforce harmful expectations about what successful communication should look like.

Common Fluency Shaping Techniques

Fluency shaping techniques are designed to alter the way a person speaks. Some of the most commonly used strategies include:

  • Easy Onset – Gently easing into speech by starting with a soft sound
  • Continuous Phonation – Keeping the voice “on” to maintain fluid speech
  • Light Articulatory Contact – Reducing tension by making lighter contact between speech articulators
  • Diaphragmatic Breathing – Breathing from the diaphragm to support speech control

These strategies are typically practiced through drills, word lists, or scripted reading, with the goal of reducing disfluencies.

Stuttering Modification vs. Fluency Shaping

In contrast, stuttering modification strategies focus on changing the way a person stutters rather than trying to eliminate stuttering altogether. These include:

    • Cancellations – Pausing after a stutter and repeating the word more easily
  • Pull-outs – Gaining control during a stutter and easing out of it
  • Preparatory Sets – Anticipating a stutter and using a technique to ease into the word

Stuttering modification aims to make stuttering less tense and more manageable, often paired with desensitization and counseling.

Where These Strategies Fall Short

As Ezra Horak points out, even well-meaning techniques can send an unintended message: that fluency is preferable to authenticity. For many students, the goal of fluent speech is not only unrealistic but emotionally damaging.

Therapy that centers on reducing stuttering—even subtly through praise or repetition of “fluent” speech—can create shame, pressure, and a sense of failure. It reinforces the idea that their natural way of speaking is not good enough.

Instead of building confidence, traditional fluency strategies can contribute to the very anxiety and avoidance behaviors they aim to reduce. As Ezra shared, “Stuttering is variable. It comes and goes, it changes. And now you’ve just assured someone, great, thank goodness you’re at 90% fluency now. And then when you start stuttering again, you’re well aware that people are going to be disappointed.”​

The takeaway for SLPs? It may be time to reconsider whether fluency-focused methods are truly serving our students—or if they’re setting them up to feel like they’re always falling short.

“If you’re putting expectations like that.. They will fail you. Like they will. That’s not up for debate. And they’ll fail themselves and they’ll know it and they’re aware of it. Kids are really good at picking up on wanting to please the people around them… You’re clapping or you’re telling them good job… All of those things are examples of things a kid is going to pick up on, and they’re going to know what the expectation is.”

— Ezra Horak, Founder of Stutterology and Board Co-Chair of SPACE: Stuttering, People, Arts, Community, Education

Beyond Fluency Therapy – Rethinking Success

For many students who stutter, traditional speech goals revolve around one question: How fluent can you become? But what if that’s the wrong question?

Prioritizing Communication Over Fluency

Ezra Horak invites SLPs to rethink what success looks like in stuttering therapy. Instead of chasing “perfect” speech, Ezra encourages professionals to focus on making communication feel easier and more authentic for the student. This means moving away from goals that measure fluency and toward goals that empower students to speak freely—however that may sound.

As Ezra shared on the SLP Now podcast, the difference between fluency and communication is huge:

“One is asking you to be fluent and the other one just is asking you to talk and doesn’t care how it comes out.”​

When we measure success based on fluency alone, we risk rewarding performance rather than progress. Praise like “That was smooth!” or “You didn’t stutter that time!” may seem encouraging, but it subtly tells students that stuttering is failure.

The Psychological Toll of Fluency Demands

These messages have weight—especially for young people who are still developing their identities. Ezra reflected on the long-term impact of fluency expectations in their own life:

“It really broke the way that I saw communication. And I think it still impacts me to this day, unfortunately.”​

In therapy sessions where stuttering is implicitly discouraged—even through something as simple as repeating a word “correctly”—students can internalize shame. They learn that what matters most is how they say something, not what they’re saying.

“Success” Shouldn’t Be Performative

If the student feels they must perform fluency to be praised, they may begin to hide their stuttering or speak less. And when disfluencies inevitably return (because stuttering is variable), they may feel they’ve failed.

Ezra emphasized that therapy should support the whole communicator, not just their speech:

“We don’t need to target fluency to help someone who stutters.”​

By shifting our mindset from “fixing speech” to “supporting communication,” we create a more inclusive, sustainable, and affirming path forward for our students.

“It just really broke the way that I saw communication. And I think it still impacts me to this day, unfortunately… it causes some pretty intense and deep running impacts to have this expectation to talk in a way that’s not how you usually talk—especially if it doesn’t really benefit you all that much and you’re aware that it’s for other people.”

— Ezra Horak, Founder of Stutterology and Board Co-Chair of SPACE: Stuttering, People, Arts, Community, Education

Empowering Approaches to Stuttering Therapy

If the goal of therapy is to help students become confident communicators, we must meet them where they are—through practices rooted in trust, collaboration, and empowerment.

Let Communication Lead the Way

Instead of fluency-centered benchmarks, therapy sessions can focus on what makes communication easier and more enjoyable for the student. That might mean exploring communication in comfortable settings, building confidence to self-advocate, or creating goals around participation and connection—not speech perfection.

Ezra underscores this idea clearly:

“We don’t need to offer fluency to help someone who stutters.”​

Build Relationships, Not Just Plans

Therapy works best when it’s a partnership. Ezra emphasized how transformative it was when SLPs genuinely listened and took their experience seriously:

“Listen to your client… and really listen. Not just a surface level… It takes time. It’s about building a relationship.”​

This relationship-first approach opens the door for students to express what they actually want. When asked, many may say, “I want to be fluent,” but as Ezra points out, it’s essential to dig deeper:

“What does fluency mean to you?” can unlock a conversation about identity, self-worth, and personal goals—far beyond surface-level speech metrics.

Empower Through Self-Advocacy

One of the most effective ways to support students who stutter is by teaching self-advocacy skills. These include:

  • Explaining stuttering to peers or teachers
  • Requesting more time to speak
  • Practicing scripts for disclosing their stutter
  • Reframing internalized beliefs about communication

When students have the language to talk about their stutter confidently, they’re more likely to own their voice—no matter how it sounds.

Let Go of Harmful Habits

Just as important as what to do in therapy is what to stop doing:

  • Avoid asking students to repeat themselves “more fluently”
  • Refrain from praising “smooth” speech over brave communication
  • Don’t count stutters as a metric of progress

As Ezra shared, the best SLPs made them feel safe, heard, and respected—never pressured. That kind of environment lays the groundwork for real growth.

“I think one of the main things is listening to your client and really listening, not just like a surface level… It’s about building a relationship… that really helped give me that agency. So I think agency is another thing—allowing the child to kind of be leading some of the direction and you help guide that.”

— Ezra Horak, Founder of Stutterology and Board Co-Chair of SPACE: Stuttering, People, Arts, Community, Education

Accommodations and Societal Change

Stuttering is not a problem to be fixed—but a difference that deserves understanding, respect, and space. While individual therapy can be transformative, lasting change also requires rethinking how schools and society at large accommodate communication diversity.

Rethinking the Environment

Students who stutter often face barriers that go far beyond speech. Classroom participation rubrics, time-limited presentations, or voice-activated tech can all create unnecessary stress. In many cases, it’s not the stutter that causes the challenge—it’s the system’s inflexibility.

Simple, student-centered accommodations might include:

  • Providing alternate ways to participate (e.g., written responses, partner presentations)
  • Allowing extra time without time penalties
  • Teaching classmates about communication differences to build empathy
  • Ensuring students never feel rushed to speak

As Ezra explains, these accommodations shouldn’t be about minimizing stuttering—they’re about maximizing communication access.

“I was going to block and I knew I was going to, so I would use a fluency technique for that because I had to. Not because it was easier—but because it’s a necessity of a broken society that doesn’t currently have an accommodation… I do hope it will one day.”​

We Need Societal Change—Not Just Therapy

Stuttering doesn’t exist in a vacuum. It intersects with systemic issues like ableism, performance culture, and narrow definitions of intelligence or competence. Ezra’s work through Stutterology and SPACE speaks to this broader advocacy effort—to change not just how individuals speak, but how society listens.

Speech therapists are uniquely positioned to be part of that change. By shifting therapy goals, educating school communities, and advocating for more inclusive systems, SLPs can create a ripple effect far beyond the therapy room.

Changing the Narrative

Imagine a classroom where it’s normal to stutter. A school where students are empowered to express themselves however they speak. That future is possible—and it starts with each of us letting go of outdated fluency ideals and embracing communication in all its forms.

“There are ways to accommodate disabilities in the world. We have learned that with certain things. So let’s get creative… The stutter is not the enemy. That was something I didn’t know. I always assumed… we talk about our stutter that way: ‘My stutter holds me back.’ But if we were to sit there and very like rationally approach it from a different mindset… we don’t need to offer them fluency.”

— Ezra Horak, Founder of Stutterology and Board Co-Chair of SPACE: Stuttering, People, Arts, Community, Education

Conclusion

For decades, fluency has been the assumed goal in stuttering therapy. But as Ezra Horak’s story and insights so powerfully illustrate, it’s time for a shift.

Chasing fluency often comes at a cost—creating shame, reinforcing harmful expectations, and sidelining the very voices we aim to support. By rethinking our definitions of success, SLPs can move beyond performance-based goals and instead foster environments where students feel heard, respected, and empowered to communicate as themselves.

That means building relationships, focusing on ease of communication, and embracing stuttering as a valid way of speaking. It means equipping students with tools for self-advocacy and pushing for systems that honor all forms of expression.

In Ezra’s words, “The stutter is not the enemy.” Let’s make room for that truth in every therapy room, classroom, and conversation.

Frequently Asked Questions About Fluency Strategies

What are fluency enhancing strategies for stuttering?

Fluency enhancing strategies include techniques like easy onset, light articulatory contact, and continuous phonation. While these are designed to reduce stuttering, they can unintentionally place pressure on students to speak a certain way, often at the expense of confidence or comfort.

What is the difference between fluency shaping and stuttering modification?

Fluency shaping aims to prevent stuttering through structured speech patterns. Stuttering modification, on the other hand, helps individuals manage moments of stuttering by reducing tension and developing comfort with disfluency. Ezra Horak advocates for rethinking whether either strategy should be the default, especially if the focus shifts away from genuine communication.

What is the pull-out technique in stuttering?

The pull-out technique is a stuttering modification strategy where the speaker gains control during a stutter and gradually eases out of it. While helpful for some, it’s essential to ensure that students understand they aren’t required to “fix” their speech to be heard or valued.

Should fluency be the goal of stuttering therapy?

According to Ezra—and a growing number of advocates and professionals—the answer is no. Therapy should prioritize ease of communication, self-expression, and self-advocacy over fluency. Success looks different for every student and shouldn’t be measured by how fluent they sound.

Is it okay to let children stutter?

Absolutely. Creating an environment where stuttering is accepted and not corrected helps reduce shame and supports healthy communication development. As Ezra emphasizes, “Make it okay to stutter. And actually make it okay—not just say it.”

Stuttering Resources

🔗 From SLP Now

  • SLPs Guide to Stuttering: How to Evaluate and Write Goals for Stuttering Fluency
  • Stuttering Assessment: Practical Tips and Tools for SLPs
  • How to teach stuttering modification and fluency strategies to school-age students

🔗 From Ezra Horak & Stutterology

  • Stutterology Website – Educational content and advocacy tools for people who stutter, parents, and SLPs

Stutterology on Instagram – Follow for community stories, affirming messages, and advocacy content


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Transcript

Transcript
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Marisha (00:01.294)

Hello there and welcome to the SLP Now podcast. We are kicking off a new series on all things stuttering and I cannot tell you how excited I am to have our speaker today, our interviewee. Ezra Horak is a stutterer and the founder of stutterology. And if you don't follow them on Instagram yet, go and...

Switch to Instagram, search Stutterology right now, or check out their website stutterology.com. There are just so many amazing resources there. They are also the board co-chair to space. So Stuttering People Arts Community Education, which is a nonprofit that creates more space for stuttering and changes how society listens. So yeah, I am so excited to have Ezra here today and

just a little bit of context. So I've been on my own personal or professional development journey when it comes to stuttering and it's been a process over the past several years. But I'm really excited to get Ezra's perspective today just to kick off this whole series. We'll be talking about best practices for assessment and treatment and counseling and all of those things. But today we get to hear from Ezra on just

kind of getting our context and our mindset and our framing correct. So without further ado, that was a long intro, but hello, Ezra.

Ezra Horak (01:37.572)

I'm really excited to be here.

Marisha (01:42.2)

Yeah, likewise. I'm just so, grateful for you being so generous with your time and willing to share a little bit about your story, which leads us to the first question. Would you mind sharing just a little bit more of your story? I shared super quick bio that does you absolutely no justice, but tell us a little about you and kind of what led you to start stutterology and yeah.

Ezra Horak (02:08.932)

Sure, yeah. So I've been stutterin' since I was about six years old or so. I was actually already in speech therapy at that time for reverse swallow and not being able to pronounce my Rs. And I began stutterin'. This is in, I'm gonna just let people know how old I am. This is in 1997. And I immediately...

my self-esteem kind of started to drop and my mom had asked me like, you like this speech therapy? And I said no. I she asked me like, do you think it's help, help, helping? I said no. And she pulled me out. And she, I don't even know how she researched this in 1997, to be honest. But she looked her, like she found stutterings, bimashalas, and we got

really, really, really lucky that in the Sandy A. Ago area there happened to be some people. so she took me there instead, which I'll always think is like just a mind boggling thing. I don't know anyone else who has a story like that, especially from the 90s. I grew up, it was just my mom, my brother and me. And then my grandparents were pretty involved.

And my mom didn't know anything about stuttering. Prior to my onset, she had never heard of stuttering before. I asked her recently, I was like, well, what did you think like Porky the Pig was doing? And she's like, I don't know, I just thought he was like being funny or something. I know it was a thing. So had zero context. Which in hindsight, I'm almost like maybe that was a good thing because she got to be a blank slate. And when we went to this

second speech, the therapist, this lady sat her down and was like, okay, you know, it's been going on for six plus months. It might continue for the rest of their life. And we need to make sure you're prepared for that, that you're prepared for the teachers, how they're going to react. You're prepared with future SLPs that you're going to have, like really sat down and said, you know, things will be chat.

Ezra Horak (04:29.284)

challenging, but the most important thing is that your kid continues to talk. That's number one. And I really think that if I hadn't had that, my whole life would have gone a totally different way. I still, as you'll see with my story, it still doesn't go in an ideal situation because there's still like society and there's the future speech therapy I would get and there's other influences, but it still made a foundation that I think I just feel so lucky to at least have had that start.

So then fast forward, eventually I have to go to a different speech therapist. I went through a private school and so it was like not through the school district. It was through, we had to like go through this whole rigmarole, get insurance improved. So I have like letters that teachers wrote about how desperately I needed speech therapy if I wanted to be successful in life going on, which my mom kept everything. And so I still have all of that, which feels odd.

But as far as my mom went, she made number one thing of like, I just want to make sure you keep talking. So I was a very, very social outgoing kid. And you could see that start to take hits as things happen. I was always volunteering and teachers wouldn't call on me in class. I wanted to be in a play in third grade. And the parents of my classmates took my lines from three lines to half a line.

Every time I stuttered they were asking me, are you sure you want to do this? And I was, I, that was my first memory of stuttering. I'd been stuttering for several years, but my first memory was being on stage and those parents asking, are you sure you want to do this? And that's the moment it became very clear to me that people didn't want me to stutter. That like, well, I didn't care. My mom didn't care. At that point, I don't know if I was seeing the same space therapist, probably not.

But other people cared. And it was a battle after that. You know, I had different speech therapists, my family had different reactions. My mom was amazing about my stutter my whole life. I asked her she ever practiced fluency techniques at home because I know that's a pretty common request. And she said one time she was asked to and she started to.

Ezra Horak (06:50.454)

then was like, what am I doing? Like, asked me, do you like doing this? And I was like, no. And so she's like, okay, well, we'll stop. Just listens to me, which I feel so unbelievably grateful. My grandma who helped raise me was a very different story. She was always telling me to slow down, to do my techniques constantly every time I talked.

And she would tell me if I couldn't talk correctly, I should wait until I could, which I think everyone can agree is a pretty harsh and rude thing, especially to a kid who's excited. But my grandma was pretty harsh, and there's a twist to that, but I wouldn't know it for another 25 years. And so anyway, so then I went to public high school and...

did speech therapy through the high school and that was, I'm sorry, that was my worst speech therapy experience. Hands down, this person was quite a bit older and I think she was about to retire. She had a lot of outdated thoughts and wasn't interested in learning more. So as a kid, I had no problem telling my speech therapist they needed to learn more about stuttering. I was, I don't know what that first speech therapist did to make, or if it was just like me and who I was, probably a combination.

But I

clearly had no interest. And then high school was probably, things were pretty hard for me emotionally. I just had like a lot of different things that I wasn't aware. I was undiagnosed ADHD. So I struggled a lot. I did well in school, but it was a struggle. And then I went to college and that's really when things hit the wall. That's really when...

Ezra Horak (09:10.466)

You know, people have asked, what was your hardest year of stuttering? And I, after thinking about it, I realized it was when I was 18, 19. And I was kind of on my own. You know, I was away from my mom and my mom had done so much advocacy on my behalf, had helped me with advocacy things. And I was away from home. I was away from my normal friend group. None of my friends cared that I stuttered, but I never really talked to them about it, unless it was an offhand comment. No one knew.

how much I was thinking about it, how consumed by it I was. They knew I did it and they didn't care, but they didn't realize how much it encompassed like everything I saw and did. I ended up picking to do my degree in accounting, even though I didn't like accounting and it gave me a headache to do because I thought, well, I stutter, I'm capable of this, I'm first generation college, so I'm like picking the safe option.

part of it and another part of it is, well, I couldn't do communication. I couldn't be a journalist because I stutter, right? A lot of it was that. I told myself it was the safe option, but I think a lot of it came down to being afraid that I wouldn't succeed if I had a stutter and I would rather have picked something that was as opposite of what I wanted to do than something that was close that I couldn't do.

because I was so worried other people weren't gonna let me do it, because those were the experiences that I had had. At the end of college, my friend was at my rival college, learned about a senior project this guy, Morgan Lott, was creating called This is Stuttering. And it was like a self documentary he made for his project and his last attempt at speech therapy to get fixed basically before he was gonna graduate college.

And when I sat there and I went to the school, I had emailed him, I went to it, and I sat there and I saw myself on screen for the first time. Like it was him, but he was so, he had so many similar like secondaries. So he would like touch his face in all the same ways I did and like bit his, and like you could tell he wanted to talk and he stopped himself. It was a very transparent documentary that was very painful, but also very, I saw myself and.

Ezra Horak (11:33.8)

I was thinking, no Morgan, like you can do it. And then I had to realize, you know, like, and I, didn't want to realize that the same could apply for me. That was, that took a long time. But, when I walked out of there, I went home and I wrote and I, I, a big, I've always liked to write. and I had a Tumblr at the time and I wrote, I think I'm going to have to.

Accept that this is the rest of my life that I'm not gonna wake up one day It's gonna be gone. So that's what I kept hoping for one day It'll be gone in my life and start that this is gonna be my life and I don't have to like it I can hate it. I But I at the time I was religious and so I saw this but I can thank God that it's here because it's it's a kind of the mindset but the idea was I can hate this but acknowledge that it's here and move

forward with that. And so that was a changing point. That was 11 years ago. It took me a year and a half before I joined one of the local chapter groups with the National Stuttering Association and I started to meet. I was so scared to go to those. I on an email list and every month I was like, I'm coming. And then every month I was like, I was sick or whatever. And the chapter leader was such a sweetheart and was like, well,

I was, hope you feel better. We'll see you next month. And he knew what I was doing, but what just was very sweet. And eventually I went and there was a regional conference in Anaheim that I went to and it was terrifying. It was so scary to meet other people stutter. but when I talked at like an open mic or I made connections, people were so excited and they saw me. They were like, you're an outgoing person. I had never had anyone say that to me. they could see.

like, past the stutter to who I was. They could see those like nervous things, but they knew what they were. They knew it wasn't my personality. And it started to change how I saw myself as I met other people. And I realized how cool some people were. And you meet lawyers, you meet all these career paths, you meet journalists, you meet public speakers, who've mastered those masters or like a grand master.

Ezra Horak (13:59.714)

All these excuses you've told yourself, you meet people who have done it, and it started really shifting and I realized, why aren't we, why are things the way that they are still? Like, why is this something everyone who said or seems to go through this whole, l-l-l-l-l

And so as I went on my own journey for the next like 10 years, I eventually realized I really wanted to create my own thing. wanted kind of a freedom to really say some of the things that I wanted to say, because some of the things I knew I wanted to say could come off to some people as controversial, even if I put a lot of thought, even if I'm really careful, I knew that it was going to rub some people the wrong way. And so

I kind of stepped away from all of the different places I was volunteering and a part of at the time so that I could just like not have any ties and just do it from me from Ezra on stutterology and that's it. And so that's what I started to do. it originally I originally I was just going to be talking for two parents. That was the point of my podcast at first was parents need resources. They need to know like my mom.

The reason she was able to set me up for success is because she was prepared. Someone gave her those resources. So I thought, okay, how can I help to do that? But most of the people I know are people who stutter and they started to listen and they were like, you got some really good stuff in here. We want more of this. And that encouragement, when I first started actually, I would have, if you had asked me,

How do you feel about fluency goals in speech therapy? So not just techniques, I separate those out when I talk about them. I'm sure we'll get into that. But like the goal is fluency. When I first started stutterology, I would have said, well, it depends the person, you know, it's probably okay sometimes if that's what they want. And I had some speech therapists actually who don't stutter who reached out and were like, I'm gonna ask you to think about this a little more. Like, you you're allowed your thoughts, you whatever you want. But like,

Ezra Horak (16:17.622)

you seem like you have these beliefs, but that contrasts with this. And if it's because you're afraid to be bold on this, like here's some thoughts. And it was extraordinarily helpful. And it did help me really rethink things. And so we'll get into that, but yeah, eventually that did change. And I've grown a lot since I even started that. And I'll give you the twist with my grandma since I hinted at it. A couple of years back, we were at, I think it was like a

Mother's Day brunch. And she goes, so you went to your thing this year at the conference. And I was like, yeah, grandma. I went to my stuttering conference and I, cause the NSA has an annual one and she goes, so you guys just accept it. And I was like, yeah, grandma. And she's like, well, I guess it doesn't hurt anyone. Yeah, grandma. And she says, you know,

When I was a kid, I had a stutter.

Ezra Horak (17:23.722)

And that moment, I felt like a reverse, like that's so Raven, where I sat there and everything she had ever said, every comment that was mean, and not that it excused it, but I saw it in a whole new light and I realized she was scared.

And my mom was very upset. My mom was there and almost stood up and left because she had been asking my grandma my whole childhood, do we have any family history? Has anyone in our family ever said or did? My grandma always very confidently said, no. No one has ever. So my mom was upset and I was in shock and my grandma was oblivious to having caused this reaction and no one said anything really. We're just like, okay. And moved on. But it was, it was a very,

eye-opening moment for me to realize that a lot of these times, some of the hardest stories I've heard from people who stutter with parents, often the parent has had a stutter or has one and they're repressing it, there's a trauma reaction, and unfortunately it's taken out on the child. And it just was such a mind-blowing though.

It didn't make any of the things that she had said feel great, but it definitely made it feel different. So that's the twist. That was quite a twist at the time.

Marisha (18:50.92)

Wow. And I think that is so in the series where one of the things we talk about is like navigating this with parents and all of that too. that is like, that is such a beautiful example of, cause the, not all parents are like your mom who like, there's some very, very different reactions, more like your grandma. And as speech therapists, when we're navigating that,

it's important to think about like, like these, like this was, you just provided one example of what might be behind that reaction. But I think a lot of it is fear, whether it's like personal experience, kind of trauma related, or just like fear for your kiddo too. So I think that's such a beautiful example. And my gosh, so many, I feel like I'm gonna have to re-listen to this like 10 times because there's so many.

Ezra Horak (19:44.804)

you

Marisha (19:48.834)

like nuggets and takeaways. my goodness. so thank you so much for sharing so authentically and just so much of your story. I think this will be really helpful for speech therapists to be able to do that perspective taking and, yeah, you did such a beautiful job with that. So, wow. Okay. so I think now I guess we can transition now to chatting about

fluency expectations because that was kind of a common thread in your story in like the difference between the speech therapists that you felt was and I'm interpreting this so you can correct me, but you had a good experience with the speech therapist and not so good experiences with a lot of speech therapists and it seemed like one of the factors was fluency expectations and I guess that could be and that was illustrated in

Ezra Horak (20:23.821)

Okay.

Ezra Horak (20:32.514)

Yeah.

Marisha (20:49.004)

the contrast between your mom and your grandma to potentially. And so I feel like you gave us a lot of different examples, but I think it'd be nice to just like take a bird's eye view and chat about why those expectations can be detrimental and how fluency treatment might be harmful for kiddos.

Ezra Horak (21:10.18)

to definitely yeah, yeah, I will say that is gotta be the biggest game changer for the differences and experiences is one is asking you to be fluent and the other one just is asking you to talk and doesn't care how it comes out. I've also told people one of the best things my mom did. I don't have a single memory of her ever praising fluency. Not single ever. It was always

I'm glad that you talked. I'm glad you shared. It was never good job at how you said it, ever, ever. I don't remember a single thing. And I think that really speaks to that idea, right? It's not even just punishing someone for stutterin'. It's just hoping and wanting. You can't stop the hope and the want, but you can monitor how it comes out and how it happens. And you can work on that for yourself. I know you guys talked to Nino already.

And I know she does a lot of work on processing, parents especially, but species therapists too, like processing some of this on their own time, not in front of the kid. And the reason it makes such a difference is we know that there's no cure for stuttering, right? Like people can argue till they're in the face about if there's things you can do to hide it, but there's not a cure.

The, of kids who stutter, you know, the commonly thrown around percent is that 20 % continue to stutter. And I always frame it that way because I think when we say 80 % grow out of it, we're focused more on that 80 % and why? I want us to focus on the 20%. That's not a small number. That's a lot of, of these kids. And when you're asking them to do something that is physically impossible.

You can't be cured. It's not going to happen. And you're hoping for that for a kid. You're putting those hopes on the kid. You're putting expectations like that. They will fail you. Like they will. Like that's not up for debate. Like it won't. And they'll fail themselves and they'll know it and they're aware of it. Kids are really good at picking up on wanting to please the people around them. So even if like with the praising for fluency, even if you're not saying the negative things about

Ezra Horak (23:33.124)

but you're clapping or you're telling them good job, or when you're doing some of the fluency techniques, you're making them repeat if they stutter during it. All of those things are examples of things a kid is going to pick up on, and they're going to know what the expectation is. And that's only going to be amplified more if they're having some negative experiences outside of the speech therapy room. So like the story, one of the stories I told was about a play that I was in in third grade.

And that was apparent to a classmate. So they were outside of like my mom's level of influence, right? And it impacted me so negatively that it would have eventually impacted the speech therapy room because now I didn't need them to tell me it wasn't okay to stutter. I went in assuming it wasn't okay and then was like, would have needed to be reassured in different ways and by proof.

not just telling me it's okay to stutter, but actually making it okay to stutter. I don't have a lot of memories of that first speech therapist, because I was young. And also, I didn't leave with any trauma, I guess. so, you know, I don't, but I, my mom said, you mostly just went in there and like, you guys talked and you had a good time and you played and, you know, she'd ask you about how you felt. She'd ask you how things were going and she'd ask questions, but it wasn't, you weren't,

sitting there with a list of words, doing these different techniques every time, which is what most of my speech therapy after that was about. And there's different reasons it's frustrating because even if you quote unquote see improvements, which I don't talk about it that way, but like if you know, that's the traditional way to talk about it. If you're seeing these improvements, stuttering is variable. It comes and goes, it changes.

and now you've just assured someone, great, thank goodness you're at 90 % fluency now. And then when you start starting again, you're well aware that people are gonna be disappointed that you didn't keep that up. It's just such an unsustainable and irrational expectation to have on something that isn't.

Ezra Horak (25:52.298)

isn't as easily understood for one, and two, it takes so much effort to control and even that leaves us grasping for straws. The other thing that's really important to understand is that when you're asking someone to do these things, it doesn't feel quote unquote fluent for me to do fluency techniques. So if someone's wanting me to be fluent,

To me, there's no other reason to want that except for a listener reaction. I know that that's not true for everyone who stutters. I know for some people, you But for me, that goal was for other people. It wasn't really for me because I was gonna struggle whether someone else heard stutterate or not. It was gonna be a struggle.

So the only reason to make that goal is if you want it to sound clean. If you don't like how I sound and you want me to sound clean, then we'll do it your way. And it just really broke the way that I saw communication. And I think it still impacts me to this day, unfortunately. It really does come down to exactly like what you said, this like expectation for something that I couldn't give. And even if now I'm okay with my stutter and I feel good,

it seeped into all these other areas. You probably know growing up as a girl or different things, you have other things telling you it's not okay to be who you are and that you're supposed to be smaller and quieter. And there's like an intersection that happens with stuttering that like really amplifies all of those things too. And so even when now I've done so much work and I feel good about my stutter, I don't always know if my voice is, I doubt that my voice is welcome.

conversations very often. And it's probably not just the stutter, but it would be lying to say that that has had no impact, even if I've worked through it. So it causes some pretty intense and deep running impacts to have this expectation to talk in a way that's not how you usually talk, especially if it doesn't really benefit you all that much and you're aware that it's for other people. Hopefully that answered your question.

Marisha (28:11.382)

Yeah, no, that was beautifully said and gosh, so many things. but yeah, and I think that having the focus on having communication feel easy and we don't need fluency techniques. Like from your experience, fluency techniques make communication feel very not easy. So

Ezra Horak (28:36.611)

Yes.

Marisha (28:38.732)

I think that's a really helpful reframe of, cause I think when I first started learning more about the, like the shift away from fluency, that was something that I struggled with a little bit of like, but how do I help them? What do I do? But I think that like focusing on, okay, what can we do to make communication feel

Ezra Horak (28:57.518)

Yeah.

Marisha (29:06.89)

easy and what can we do to empower these students? And unfortunately, there's, it's like, we need major societal change to really address it. But like, what if we lived in an alternate universe where everyone just talked how they talked, there wasn't like a right or a wrong way. And we could just talk like we wouldn't. I don't know. That would be so

Like you wouldn't have felt like you couldn't pursue journalism if that was the universe that we lived in.

Ezra Horak (29:35.79)

Yeah.

Ezra Horak (29:39.33)

Right. Right, you know, and there's probably a couple things that, you know, Duterte would like, like what I would do when I would talk about the journalism suggestion is I'd be like, well, what if I'm at a press conference? I always look the most extreme example. What about a press conference? And I can't yell the word out faster than everyone else. Like that's a reality. And so for that reason alone, I'm not pursuing this entire career. just, but one of the things I think is that like we,

got to get more creative with some of this, you know? Like there are alternatives to things. There are ways to accommodate disabilities in the world. We have learned that with certain things. And so let's get creative. You know, I think of someone like, and maybe I should be careful using a different disability as an example, but I think of someone like Stephen Hawking, who spoke often through, know, who spoke through this, I forget the word for it.

but alternative way of speaking, right? And people who stutter will say, well, we don't wanna, a lot of people sort of resist certain things and resist accommodations. And they'll say, well, at the end of the day, people aren't gonna take us seriously because we stutter. And it's like, well, people didn't take him any less seriously, right? Like maybe some people, but like, no, what he said was important and that's what counted. Like that's what we count. And so I don't think there's any reason to think it's impossible.

to find accommodations. There might be pushback, you know, we're not all, like that's an extreme example of someone who is very prominent. But to me, it sets this idea that it's possible. Like it is possible to find accommodations, even in situations where it seems like, well, that's an option where maybe you would have to do this or that. Like I think maybe not. I think it's at least worth considering.

Instead of the problem, I think that kind of touches on what you were saying, the problem, we often see the thing we, like speech therapists want to help, the parents want to help people who stutter from is the stutter itself. And the, yeah, and the stutter is not the enemy. And that was something I didn't know. I always assumed, you know, and a lot of people who stutter, we talk about our stutter that way. go, my stutter holds me back, my stutter this, my stutter this. But if we were to sit there and very like rationally,

Marisha (31:48.622)

That's not what you need,

Ezra Horak (32:05.924)

approach it from a different mindset of more of like, I'm working on a post right now of the disability models and like the medical model and the social model and all the different ones because there's a whole bunch. But when we work on shifting that and we see it as, wait, there's other things going on, we realize that by helping someone who stutters, we don't need to offer them.

fluency, you know, and you mentioned easy speech and I think I've seen an unfortunate number of people who just swap fluency with easy speech. And they're saying the same thing because they watch someone stut-ut-ut-ut-utter and it looks like a struggle. Whereas if you watched me not talk, you might not think I'm struggling because it's not apparent to you. But for me, not talking or using these fluency techniques would be a lot more of an inner struggle for me than

talking with a setter, even if maybe it doesn't look that way from an outsider's perspective.

Marisha (33:08.418)

Yeah, yeah, I love that.

Okay, and then, so, gosh, there's, I'm gonna just try and process out loud a little bit in terms of maybe some takeaways for SLPs. And there's so many things. I wish I could process it a little bit better. But, so you had said, like, we know there's no.

career first stuttering and like some people will like a percentage of people will grow out of it. And that may or may not be because of the strategies. And like I think taking your experience into consideration is really helpful because

Our ultimate goal is for you to communicate. You have so much to share and your like, yeah, everyone gets to communicate in their own way and just having some acceptance around that would make the ultimate goal of you communicating easily so much easier.

Because even if we're using fluency techniques, that makes communication harder for you.

Ezra Horak (34:43.396)

For me, yeah. And I always acknowledge that when it comes to techniques, there's a difference in different people and there's a difference in where somebody is at life. So maybe at one point in time, they wanna use them and then later they don't. And it is important to at least have them be taught at some point, but depending on the situation and from an informed stance. not one of the things like what was really common.

my friends and I was that we thought we were supposed to use fluency techniques every single time that we started, right? Because the goal was to be fluent. And that's the issue is that when the goal is fluency, that's not going to happen. But when, if I'm on, if I'm stuck on a phone call that's voice activation, I would use a fluency technique for that because I have to. If I'm going to block and I know I'm going to, I'm going to pull something out that I never use. It's not easier.

in conversation, but it's a necessity of a broken society that doesn't currently have an accommodation that I do hope will one day. And I think we can fight for that. And I think there's a responsibility to fight for those types of accommodations. But I, and I've also seen people use that as an excuse to continue with everything that they're doing. And I think there's a difference between showing up on day one or two and overwhelming someone with fluency techniques versus

bringing it up at some point and offering it, seeing how they respond and explaining this isn't for every day. This is for if a situation like this happens, this is for when it is, when it does feel easier for you. And if it doesn't feel easier for you, then absolutely don't do it. Like the goal is, right, like you said, the goal is actually making it easier for the person. that, with me, it almost never means doing any of those techniques.

But everyone is different with that. So I wouldn't want to throw everything out, but I would want to throw all the fluency goals out. And I just want to re-approach the way we see all of this. I don't think they're necessary. I don't think fluency techniques are necessary for everyone.

Marisha (36:55.894)

Yeah, I love that. And so if the ultimate goal is easier communication, then we can tailor the therapy approach to what the individual needs and what actually feels easier to them. So I think that's a really nice takeaway. You explained it so much better than I tried to. It's like trying to consolidate, but yeah. So if we can make the ultimate goal easier communication, and then we can work with the student.

to figure out what that looks like. But it sounds like, especially taking, like the takeaways from your story are that just making it okay to stutter and really just focusing on that overall message. Yeah, okay, awesome.

Ezra Horak (37:43.256)

Yeah, yeah, I think it's huge and I think I wouldn't have been able to get to where I'm at, even though it took a while, faster still than a lot of people I know because I think I had a foundation that was very strong, that even when it got covered with everything else, it was still there. So, yeah.

Marisha (38:05.004)

Yeah, and the speech therapist listening can be that for, like they can provide that same foundation for other students. Okay. And then, so you kind of shared some of this already, but if we're embracing stuttering as like a natural part of communication and we're focusing on just like, okay, what can we do to make communication feel easier? What?

What are some of the things that like your foundational SLP did that were really helpful? And maybe what are some other things that others speech therapists or whether it doesn't matter who did what, but what are some things that weren't helpful in like working towards that goal? you have, can we maybe recap like a handful of things?

Ezra Horak (38:56.612)

Yeah. I think one of the main things is listening to your client and really listening, not just like a surface level, like, you know, asking questions and understanding, because we'll sometimes parrot back what we've heard. If you would have asked me my goal in high school, I would have said fluency. And then you would have written fluency in my goal. And it would have taken, well, what does fluency mean to you? Right. What what's different about your life? If you're like what's

what's really going on. And that takes time. It's about building a relationship. I think my first speech therapist did that. I think some of the other ones I had, not in high school, but a little bit later on, did work on that. And you could see that it did benefit us to have built a relationship and for them to really be listening. And sometimes they were wrong. And the...

I remember the times I called it out, they were embarrassed, sure, as a child saying something to an adult, it's gonna feel a little weird, but they listened to me and in the future changed things. And so I think that really helped give me that agency. So I think agency is another thing is allowing the child to kind of be leading some of the direction and you help guide that, right? You don't just give them, but like you...

the child led kind of thing I think is really important. And knowing that everyone's different, I was super social. I liked to raise my hand every moment I could if I even thought maybe I knew the answer. Not everyone's that way. Some kids may not want to ever raise their hand and it might have nothing to do with stuttering at all, right? Just like there's a variation with non-stuttering kids, there's a variation with stuttering kids. So just kind of trying to suss that out though, needs a relationship. So it really all comes down to like,

listening and building a relationship and having a difference in the expectations, obviously. And she helped prepare the people around and we did self agency things or self advocacy things, I mean. And so would teach me, okay, you you're talking to your teacher, you want to let them know that you set her, how are you going to let them know? And helping me build those kinds of things. Role play, is it something that like

Ezra Horak (41:16.504)

I did much, but I've heard other people really speak highly of it as far as kind of helping build that same confidence. So focusing on like the confidence of the child and if they're spontaneously speaking, because even if they're not an outgoing kid, you would hope that at home or in the therapy room, they're spontaneously speaking of their own accord at times, because that is something that you do expect to see in, maybe not all children, but like a good amount of them. And so just trying to...

navigate more. think Chris Constantino, he's a researcher. He talks about spontaneous speech as a shift in goals. And then some of the things that weren't helpful were lists. And I hate that because I know it's easier and it's like, and I know how overwhelming speech therapists are. But when it's just like, you're going down a list, you're doing the technique, and then you have to repeat things that you do, quote unquote, wrong. Because why else would you repeat it unless you

did it wrong and it was considered wrong if I stuttered when I did it, right? So even if maybe the sweet therapist didn't realize that, being very mindful when you're doing, because sometimes you do, you do your practices, you do your lists or maybe instead of a list you have them like read from a book, which sometimes I did, and practice it on words from the book instead. And just being mindful of what you're doing every time you interrupt someone who stutters.

because it's not gonna be, it's being received as, I did something wrong. Letting go of absolutely any goal that involves or any practice that involves counting how many times someone stutters. And I know that that can be an intro. I'm sure you'll cover it in future ones of how that goes. But the more you can let go of that, especially having the kid or even adult count is...

Ezra Horak (43:11.428)

How do I say, I'm not, I don't want to say like abusive, but it's going to cause trauma. Like that will definitely. And yeah, I think there's like a lot of the things that feel like, okay, well, this would be easier to do. This is measurable. You want to question that. You want to question, well, what am I actually measuring?

is this a full picture of someone? And so it's hard. I'm giving more instead of like a list of things of it's more of a like thought process with the different things, but like questioning when something feels straightforward in stuttering therapy because it's usually not, and I'm sorry, but it's you're working with human beings and we are nothing. We are not straightforward. That's not a word and not consistent across the board. Right. And so

The more nuanced something is, probably the better territory you're in.

Marisha (44:13.718)

Yeah, that's really helpful. And the subsequent episodes will dive into a lot more of the like specific things that we can do and what it looks like to implement that. because there are ways to, cause we need to have our numbers for billing or whatever. And there are some beautiful, like neurodiversity affirming child friendly, child led ways to.

meet our requirements and do what's best for students too. So stay tuned for all the future episodes because we are going to dive into all of that. yeah, Ezra, this was so helpful in just getting to kind of set the stage and thinking about some of the different perspectives and

Like thank you for doing such a nice job of sharing your story. And I feel like I got to kind of.

I don't know. feel like it just has really helped with my perspective and you just shared some really beautiful examples. is there anything else that you, I know that we could probably talk for hours and hours and hours, but are there any, is there anything else that you really wanted to share before we wrap up?

Ezra Horak (45:38.212)

Yeah, and I think the main thing is keeping in mind, you know, that people have a lot going in, that they have a history going into speech therapy. And so what might sound like something really clear, I want fluency, maybe, but maybe it's worth going further into those things. I think to me, that's the biggest thing is most people think someone who stutters wants fluency. It's a pretty common thought. It's not true all the time. But I think that that's

mostly a problem in a lot of people who stutter think that everyone who stutters wants fluency because they've never been told anything else. They've never considered anything else. So sometimes you're going to be exposing someone to something they've never even considered in their life and it goes against everything their worldview is based off of. so being aware of that and

mindful of that and knowing it might not go, you're not gonna tell someone, it's actually okay to stutter. You're be like, okay, great, it's great now. It's gonna be a process and it's gonna be probably hard depending how much that person has built it up. Maybe they have nothing, maybe they're like me at six years old and they go in and they're like, okay, it's okay to stutter, sure, great. That's awesome, I want that. I hope that's more and more common as time goes on.

But it's also possible you're gonna get the opposite of that. And also my last thing is, yeah, that kindness with parents and guardians, whoever's helping raise that kid, it's, I imagine, unbelievably hard sometimes. I remember fights between my grandma and the speech therapist. And finding ways to appease them while also protecting the kid is really hard and it's not an easy task. And I admire...

Some of those speech therapists, maybe I didn't have 100 % perfect experience, but I do remember that they found it important to, no matter what they said to her, made sure I felt safe in the speech therapy room. And that was the most important thing I think that they could have offered me at that time.

Marisha (47:50.604)

Yeah. And I love that you, what you pointed out about ask, one of the questions that you said was like, what does fluency mean to you? Because society is telling us that and telling our students you need to be fluent. Like that's kind of the societal expectation at this point. And I feel like it's starting to shift.

Ezra Horak (48:16.568)

Yeah, and I feel like people don't, yeah, sorry.

Marisha (48:19.128)

There's more acceptance in certain places than others. But asking, what does fluency mean to you? And using that to dig down a little bit more and figure out what the student, because the student is probably going to tell us they want to be fluent. I don't know if that would.

Ezra Horak (48:35.748)

Mm hmm. It, checks the box. Yeah.

Marisha (48:39.084)

Yeah, but what do they actually want and what would actually be helpful? And I feel like you gave some really nice examples on how to like dig into that and we might not be taking what students say right at face value.

Ezra Horak (48:54.094)

Yeah, yeah, yeah, because I think people don't even realize how different it can feel for like for me. When I said I wanted to be fluent, what I meant, I didn't want to think about the way that I talked. That's what I meant. And so offering me fluency techniques was to me, that's not fluency. That's still stuttering. I'm still dealing with the stutter. So that's not fluency. But what I didn't know then was that I could not think about the way that I talked and

Marisha (49:04.716)

Mm-hmm. Yeah.

Ezra Horak (49:23.054)

stuttered. I didn't know that that was an option until I was in my 20s. So you'd be surprised by what different people... so that's not the only view of what fluency means. You'll be surprised by the differences that different people have.

Marisha (49:37.25)

Yeah, yeah, I love that. Well, thank you for being an example of kind of what we can just like one of those perspectives and as speech therapists, we get to have those discussions with all of our students or clients and really get to know them and what they need and just empowering them to be the communicators that they are. So.

Yeah, thank you again. This was incredible. I'm so, grateful. I hope that, and then I hope that the listeners have some great takeaways too. The show notes are linked in the description and I'll link to Ezra's Instagram and website and other resources. But yeah, I think that's a wrap.

Ezra Horak (50:26.884)

Great, good. ahead and me on st-t-t-t-t

better. So thank you for doing this.

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