Life Outcomes

Why Social Pragmatic Progress Is Real—But Hard to See

In my years of clinical practice, I’ve witnessed firsthand the powerful transformations that can take place in students receiving high-quality, evidence-based therapy for social pragmatic deficits. I’ve also seen something else: the frustration, sometimes shared by parents, educators, and even therapists, when those gains aren’t as obvious or easy to measure as progress in other […]

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One Step at a Time: Therapy for Young Adults that Works

After my last post, a number of parents and SLPs have contacted me to find out what typical therapy sessions with young adults look like on a weekly basis. They were especially curious about how therapy can support young adults who struggle with managing emotions, staying organized, and navigating social situations. Many of these young

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From Overlooked to Empowered: Supporting Young Adults with Hidden Challenges

When we think about speech-language therapy, we often picture young children learning to pronounce their sounds correctly, build vocabulary, or put sentences together for the first time. But what about the young adults who made it through school undiagnosed, unassisted, and now in their 20s who are quietly struggling to hold jobs, navigate relationships, or

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Stop Saying “You’re Fine”: Why Struggling Students Deserve the Truth and Real Help

In the field of speech language pathology and allied services, we carry the immense responsibility of identifying and supporting children who struggle with language and literacy. Yet all too often, our good intentions are undercut by poor testing practices, superficial conclusions, and a harmful tendency to reassure students by telling them “there’s nothing wrong with

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Real Reading Requires Real Instruction: Why Accommodations Aren’t Enough

Timothy Shanahan’s recent blog post, Accommodating Reading Comprehension with Listening—Good Idea?, raises a critical concern: when schools and educators rely on listening comprehension or text-to-speech (TTS) as a substitute for direct reading instruction, they fail to address the root causes of students’ reading difficulties. While these accommodations may provide temporary access to content, they do

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Breaking Barriers: How Students with DLD Are Thriving and Achieving Their Dreams

For many parents of children with Developmental Language Disorder (DLD), the future can feel uncertain. Will their child get into college? Will they have a good job? Will they be able to pursue their dreams? Can they ever truly thrive in a world that demands strong language and literacy skills? The answer is a resounding

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Hard Truths, Stronger Futures: Why Facing Reality Helps Your Child Succeed

For many parents, hearing that their child is more impaired than they previously believed can be devastating. This is especially true when the children have been attending specialized private schools that failed to adequately identify and address their language and literacy deficits. The revelation often comes after an outside comprehensive language and literacy testing—an experience

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Beyond the Breakthrough: Why Language and Literacy Therapy Must Continue After Initial Success

Early progress in therapy can be misleading, as skills need reinforcement to prevent regression and keep up with academic demands. Research shows that discontinuing support too soon can lead to future struggles (Catts et al., 2012; Justice et al., 2009). Sustained intervention ensures long-term success, helping students retain and apply their skills as academic challenges increase (Stanovich, 1986). Therapy isn’t just a fix—it’s an investment in a child’s future.

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Understanding Language and Literacy Therapy Outcomes in Students with Developmental Language Disorder (DLD)

Students with developmental language disorder (DLD) often experience significant challenges in language and literacy that can impact their academic performance and social interactions. Despite the effectiveness of high-quality, evidence-based therapy, it is essential to recognize that these students may not achieve the same level of academic functioning as their typically developing peers. This post delves

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The Role of Pragmatic Abilities in Facilitating Self-Advocacy

Students with language and learning needs face challenges in their social interactions with others. Among the essential aspects needed for social interactions is pragmatics, which encompasses the ability to use language appropriately in various social contexts. This post explores why solid pragmatic abilities are fundamental for self-advocacy purposes in students with socialization difficulties. Pragmatic abilities

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