Little Speech Boutique

Little Speech Boutique Certified DTTC Research Clinician and Apraxia Kids SLP Directory Member.

A concierge Pediatric Speech and Language Service specializing in evaluation and treatment of childhood apraxia of speech, phonology, articulation and emerging language skills.

Parent’s often ask about neurological testing and CAS. Here is a great response with the link by Apraxia Kids. With so m...
05/07/2026

Parent’s often ask about neurological testing and CAS. Here is a great response with the link by Apraxia Kids. With so many opinions and anecdotal stories, I wanted to share this information from the Apraxia Kids TN community about neurology and genetics and CAS. I hope this helps :

Some refer children with CAS to neurologists when they see what they call “soft signs” such as imbalance, tremoring, potential seizure activity, etc. to get a thorough medical work up for differential diagnosis or to see if there are any existing co-morbid diagnoses. Brain testing for children who do not have these soft signs often does not result in any findings, but we still know there must be something different in the brains of children with apraxia.

If you are already planning to get an EEG because of a concern about whether or not there is a problem of brain structure, wonder about possible seizures, and other brain related activities, the neurologist can help. Some other medical tests that can be done include MRIs to examine brain structure and extended EEGs to investigate the electrical system of the brain. Unfortunately, none of these show anything specific to CAS or possible treatments.

Here is an article on Apraxia Kids site about genetic testing: https://parent.apraxia-kids.org/genetic-testing-and-childhood-apraxia-of-speech/

Genetic testing can lead to a better understanding of apraxia and any other possible comorbid diagnoses that your child may have or may develop. It allows you to see the whole picture and treat every aspect. However, all of the treatments and therapies for CAS are not impacted by any genetic diagnostic information. The treatment for CAS varies per child and what their needs are and how they react to therapies. If you want to pursue further genetic testing, here's some helpful information:
https://www.apraxia-kids.org/apra.../genetic-testing-in-cas/

Not a member, or have a free introductory membership, and...

A differential diagnosis is critical in providing the right treatment for a speech delay. When in doubt seek out an SLP ...
03/16/2026

A differential diagnosis is critical in providing the right treatment for a speech delay. When in doubt seek out an SLP with the background and training to evaluate and establish goals and interventions. It’s not just one feature, one ah ha. Treating motor planning deficits as phonological patterns is ineffective. In early intervention, we want to be making the most of every intervention opportunity.

Understanding this difference is key in meeting the child where they are and growing their language with them.
03/16/2026

Understanding this difference is key in meeting the child where they are and growing their language with them.

Some conversations don’t just give us new information…they shift how we see the entire picture.

This was one of those conversations.

Recently speechdude and I were honored to interview SLP Marge Blanc on our show.

Comment LINK to read our key insights from the conversation!

12/24/2025
It was an amazing experience to be a DTTC Fidelity Trained Clinician for this study! I am so excited to find out if incr...
09/02/2025

It was an amazing experience to be a DTTC Fidelity Trained Clinician for this study! I am so excited to find out if increasing the frequency of treatment impacts progress.

Come find us at ASHA talking about what we love!

Is More Frequent Treatment Better? A Clinical, Randomized Controlled Trial in 60 Children with CAS.

What do you think?!?
We can't wait to see you 🙌

09/02/2025

Helloooo Fall 2025 Semester!
We are coming in with a few holistic tips for your pediatric motor speech sessions.

Once you complete your Dynamic Assessment and differential diagnosis--you will have a solid idea of the child's strengths and treatment should seek to build upon them.

With the use of KP & KR feedback, we shape the accuracy of the childs production attempts.

Focusing on the whole child will yield faster results with a lasting impact.

Staying tuned in to current research will not only benefit your practice but each individual child that works with you will also benefit.

Have you Made the Shift to pediatric motor speech therapy?!?!

Looking for information on Childhood Apraxia of Speech?  Once Upon a Time created amazing resources for parents and clin...
05/20/2025

Looking for information on Childhood Apraxia of Speech? Once Upon a Time created amazing resources for parents and clinicians. This is also a great link to save and share with teachers and therapists next school year!

Check them out @

The Once Upon a Time Foundation is sponsoring a research study to look into the dosage of Dynamic Temporal and Tactile Cueing (DTTC). The RCT is currently recruiting participants.

Last month I had the great privilege to attend the Once Upon A Time Foundation Advanced Course in Boston taught by Dr. E...
08/09/2024

Last month I had the great privilege to attend the Once Upon A Time Foundation Advanced Course in Boston taught by Dr. Edy Strand to learn how to better share my knowledge and experience with other Speech Language Pathologist. We need more talented and passionate SLPs to excel in diagnosing CAS and implementing DTTC and the Principles of Motor Learning. If you have a child on your caseload with a diagnosis of CAS, need resources or consult, please reach out.

Child Apraxia Treatment is a great resource for parents and clinicians to learn more about CAS, DTTC, and research studies going on around the country.

05/12/2024

Happy Mother's Day to all the fabulous Moms. Have a wonderful day! 💕

May is time to celebrate National Speech ~ Language ~ Hearing Month and Apraxia Awareness. 🎉 Time to celebrate all the w...
05/02/2024

May is time to celebrate National Speech ~ Language ~ Hearing Month and Apraxia Awareness.

🎉 Time to celebrate all the wonderful SLPs and AuDs, our patients, families and caregivers.

🎉 A huge shout to the PRACTICE Research Team and Once Upon a Time for all their work training a team of Childhood Apraxia Specialists to research fidelity and facilitating the first of its kind national study.

Address

Nashville, TN

Opening Hours

Monday 9am - 5:30pm
Tuesday 9am - 5:30pm
Wednesday 9am - 5:30pm
Thursday 9am - 5:30pm

Telephone

+16152006256

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