1. We embrace neurodiversity
At TCOB we embrace the diversity of the families we serve. We respect that all individuals are that, individuals. At our premise we want our families to feel accepted, loved, supported, celebrated, and free to communicate their thoughts and needs in the manner that works best for them. We honor communication in all forms.
2. Family Involvement
Family involvement is strongly encouraged and carry-over activities are provided on a regular basis to support generalization of therapeutic progress which accelerates mastery of skills.
3. Differential Diagnosis
Evaluations are not time based. They are conducted face-to-face and our clinicians employ a variety of standardized, non-standardized, and criterion referenced protocols to provide differential diagnosis. Caregivers remain with their children during evaluations to ensure a team approach.
4. ADOS-2 Testing
Our Certified Autism Specialist and lead SLP is formally trained to administer The Autism Diagnostic Observation Schedule- 2 (ADOS-2) testing for identification (or the ruling out) of Autism Spectrum Disorder. Data, diagnosis recommendation/s, and comprehensive recommendations are discussed with the family by the evaluating clinician and provided in a narrative report.
5. Certified Autism Specialist
Therapy Center of Buda is proud to have an in-house Certified Autism Specialist, who consults with any family requesting assistance and offers parent education and access to community resources with support.
We welcome collaboration with all caretakers, educators, physicians, and specialists in order to maximize therapeutic progress and increase our families overall quality of life.
7. In and outdoor sensory gyms
We are the first facility of our kind, utilizing the traditional indoor sensory gym AND a 3,000 sq ft outdoor sensory gym. Our outdoor gym is a full sensory immersion experience that cannot be replicated in a traditional indoor sensory gym.
8. Superior Mandate Exemption
COFK (in coordination with Superior Healthplan) has agreed TCOB is a specialty facility. Receiving this designation will exempt our facility from the Superior/COFK mandate that was implemented March 1, 2018. Individuals can still obtain their evaluations and care through TCOB directly (without going through COFK).
From time to time I meet people and they ask me HOW we are different than other clinics, well here are 8 of the things I explain to them. In all honesty, it was difficult for me to narrow it down to 8. I feel deep in my heart that we ARE different because we really do see TCOB as a family and we love each and every family that chooses TCOB.
Written by: Emily Swogger, OTR, MS
At Therapy Center of Buda we feel strongly about outdoor free play and providing our kiddos with a safe outdoor play space. Why are we so passionate about play? Because a child’s main occupation is to play. Play is how they learn new information in the most efficient manner. Yet in a world where children can spend up to 1200 per year on average in front of a screen, play time is rapidly being replaced with screen time. Time spent outside for children, research has shown, can be as little as 7 minutes per day! Time spent in play in general can be as low as 30 minutes per day. Play-based activities are being decreased for a variety of reasons. On the early education front, a societal emphasis on increasing test scores or meeting Common Core requirements has shifted the focus of early learning and preschool from social emotional skills to building math and reading skills. After-school the amount of play time is decreased due to lack of time to engage in play between longer work hours and the nightly routines of dinner, homework, and bath time. For some, lack of a safe place to play in neighborhood playgrounds and parks is also contributing factor to a decrease in outside play time.
So, why is the loss of unstructured play so important?
Teaching our kiddos to use a zipper can be a difficult task. The truth is, it’s a very complex skill that encompasses many developmental areas! To zip a zipper up/down you must be able to motor plan, have bilateral coordination, display finger isolation, separate the two sides of the hand, have eye-hand coordination, have a strong pinch, and master the pincer and tripod grasps.
Looking for zipper tools? Try a zipper board, a clothing fastener vest, or a fun cargo vest with zippers for creative play and zipper practice.
Questions? Ask one of our awesome occupational therapists or contact us to schedule an evaluation!
April is Occupational Therapy month! We want to take this opportunity to express our gratitude for our amazing occupational therapists and commend them for all they do! We also think this is a wonderful time to explain… What is Occupational Therapy?
Autism Spectrum Disorder (ASD) is combined array (a.k.a. spectrum) of disorders which were formally diagnosed separately as Autism, Asperger's Syndrome, and Pervasive Developmental Disorder, not otherwise specified (PDD-NOS).
Autistic individuals may have weaknesses in the areas of social skills, communication, self-care, sensory integration, fine/gross motor skills, masking, and self advocacy. Autistics can range from non-verbal to speak eloquently and possess an extensive vocabulary and early literacy. Knowing the signs of Autism Spectrum Disorder (ASD) is the first step to early identification and self empowerment.
Some of the most noticeable symptoms of ASD, according to the CDC are:
For many children with Dysgraphia, just holding a pencil and organizing letters on a line is extremely challenging. Many struggle with spelling and putting thoughts on paper. It is important that we remember Dysgraphia is not “laziness” or “sloppiness,” using these terms in from of your child with Dysgraphia can negatively impact their self-esteem and increase their anxiety resulting in refusal to write. Many children diagnosed or suspected of having Dyslexia also exhibit symptoms of Dysgraphia. Symptoms of Dysgraphia include:
Meet the newest addition to my therapy room… WATER BEADS! They are squishy, bouncy, and great for playful learning. There are so many ways to use water beads in order to develop speech and language. I created a sensory bin with my water beads and I wanted to share my ideas with you!
1. Place your child’s favorite toys in the sensory bin to target requesting, spatial concepts, following directions, identifying, answering questions, and labeling. “Can you find the cow? Where does a cow live? What does a cow say? Can you put the cow at the bottom?”
2. It is so easy to target articulation goals with a sensory bin. Place laminated flashcards inside and have children say the word using their “good sounds” when they find it. This is much more fun than sitting at a table and doing boring homework. :-)
3. Let your child explore! Teach verbs (digging, pouring, mixing), adjectives (slimy, bouncy, squishy, wet), colors, and sizes. Use kitchen utensils for pretend play. Get creative and have fun!
I purchased a package of water beads on Amazon, a container from Dollar Tree, and used flashcards and toys we have around the clinic. This is an inexpensive project that can make targeting speech and language goals more fun and engaging. I hope you enjoy the water beads as much as I do!
Meagan Milligan, B.S., SLP-A
While playing with playdoh can give optimal time to address receptive language, expressive language, pragmatic language, sensory, fine motor, gross motor, and handwriting development not all kiddos are able to safely play with it. Sometimes kiddos eat the playdoh or they are gluten sensitivity. Well, we have the solution! Follow the recipe below for some EDIBLE GLUTEN FREE PLAYDOH!
Edible Gluten Free Playdoh Recipe
-Baby rice cereal
-Cornstarch(or gluten-free cornflour if you are in the UK or Australia)
-Unsweetened Applesauce (you can substitute water if you don't have applesauce)
-Food coloring (optional)
It's never too early to start tracking your baby's development. Although all children develop at different rates, there are development milestones widely accepted as a good benchmark for determining if your child is developing within generally accepted time frames.
Our Clinic Director, Amy Grant, has taken the most credible and accepted lists and compiled our own checklists for parents to download for ages 6 months to 5 years old.
If you are concerned about your child's development, early intervention is the key to getting them on track to developing their essential life skills for life. We offer free consultations - contact us today if you are concerned or uncertain if your child might benefit from Speech-Language or Occupational Therapy. We are here to help.
Download Therapy Center of Buda's Developmental Checklists to track your child's progress at home.
An occupational therapist is a medical professional who evaluates and treats children and adults who have difficulty participating in “occupations” or meaningful activities relevant to their daily lives. A common misconception is that occupational therapy is specifically for adults as children do not have “occupations,” but a child’s main job is playing and learning. An occupational therapist evaluates a child’s skills for playing, school performance, and daily activities and compares them with what is developmentally appropriate for that age group.
When doctors recommend occupational or speech therapy for school-aged patients, some parents may respond that their children already receive therapy through the public school system. However, a doctor’s medical goals or the family’s functional goals and the goals of the school’s therapist often differ. Understanding the difference between school-based therapy and clinic-based therapy will help families avoid the false impression that services are being duplicated. More importantly, understanding the difference will help families avoid the pitfall of refusing helpful, clinic-based therapy because of the false impression.
I have parents coming to see me frequently asking me about two buzz words they were told by a friend, another parent, a therapist, a doctor, or a teacher. These words are Perseveration and Echolalia. Let’s simplify these terms.
Perseveration (pronounced: per•sev•er•a•tion) is the repetition of a particular response such as a word, phrase, ritual, or gesture (The American Heritage® Dictionary of the English Language, Fourth Edition). An example of this would be if a child fears the vacuum and continually asks if it is put away. Another example, which I see regularly is an apparent “obsession” with cars and/or trains, specifically with television/movies and/or the actual toy. Perhaps a child will ONLY play with his train set and when he plays with it he is uninterested in anything else, playing with it for hours on end.
Echolalia (pronounced: ech•o•lay•li•a) is the automatic repetition of vocalizations made by another person (The American Heritage® Dictionary of the English Language, Fourth Edition). There are two categories of echolalia: immediate and delayed.
Immediate echolalia is just that, immediate. For example, if I say “do you want to play with cars?” An immediate echolalic response would be, “do you want to play with cars?” Rather than answering the question, the child simply “echos” the question. Is is possible this response is due to lack of understanding, delayed processing, and/or an inability to formulate an appropriate response.
Delayed echolalia… yep you guessed it… is delayed repetition of a word or phrase. Many times this is evident in the repetition of television commercials, movie lines, and/or parental reprimands. A couple of common examples are reciting entire scenes from Cars (the movie) or blurting out “you better not” randomly and/or inappropriately.
Perseveration and echolalia are common among children and adults with an Autism Spectrum Diagnosis; however, many children and adults have these symptoms and are not on the spectrum.
If you have concerns about perseveratory behaviors or echolalic speech, talk to your speech-language pathologist and/or occupational therapist today.
- Amy Grant, M.S., CCC-SLP
Amy Grant is a licensed Speech-Language Pathologist, Certified Autism Specialist and Clinic Director of Therapy Center of Buda.
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