Question: I am concerned that while my son (aged 5) is attending a Speech and Language Therapist (SALT) for voice retraining for over a year, I feel it is causing more harm than good.
He had a nodule removed about a year ago. He continues to talk deep and hoarse and becomes high pitched when self-conscious, especially when with SALT.
Very concerned as he knows she not only thinks he talks wrong but watches how he walks, etc as attending physio for tippy toe walking.
My child is bright but has little developmental problems due to prematurity. Born at 26weeks. He is extremely social and totally tuned in. But as soon as he goes into the clinic his voice changes and the poor child tries to walk correctly as feels she is checking that out as well.
I am a Nurse and am increasingly concerned. I do not want my son to stop going if he will benefit but feel the negative effect will outweigh any possible benefit at this stage. Do you think his therapy is causing him more harm than good? Any suggestions?
Answer:
I would suggest a fresh ENT and SALT evaluation. New opinions can always help.
If you are in the New York area I would start with Dr. Robert Pincus at our practice.
Hope this clears things up!
Dr. Scott Gold
Frequently Asked Questions
Yes, it is common for children to alter their voice during therapy sessions, especially if they feel self-conscious or aware of being observed. This can sometimes result in a deeper or hoarser voice, or even higher pitches when anxious. Recognizing this behavior can help therapists adjust their approach to better support the child.
If you believe that your child's speech therapy is having a negative impact, it is advisable to seek a fresh evaluation from another Speech and Language Therapist or an ENT specialist. A second opinion can provide new insights and help tailor therapy to your child's specific needs, ensuring that the treatment is beneficial and not harmful.
Physical issues such as toe walking, especially if being simultaneously addressed in physiotherapy, may affect a child's comfort and behavior during speech therapy. It's important that all therapies are coordinated and that therapists understand the child's overall condition to create a supportive environment that minimizes stress or self-consciousness.
You can support your child by reassuring him that the therapy is a safe space and emphasizing his progress and strengths. Discuss any concerns with the therapist so they can modify their approach, creating a more comfortable and encouraging environment that reduces anxiety and promotes confidence during sessions.
A fresh evaluation by an ENT specialist and Speech and Language Therapist provides updated assessments of your child's condition, allowing for adjustments in therapy approaches if needed. New opinions may identify changes or issues missed previously, ensuring that your child receives the most appropriate and effective treatment.
If you are in the New York area, consulting Dr. Robert Pincus at the recommended practice is suggested. He is experienced in ENT and speech evaluations, and can provide a thorough assessment to guide your child's therapy needs.
