Have you ever wondered why some children struggle with persistent speech sound errors despite trying every traditional approach? The missing piece might be right under their tongue.

After 30+ years as a pediatric speech-language pathologist, I discovered a game-changing approach that transformed how I treat articulation disorders. Oral facial myofunctional therapy addresses the underlying muscle patterns, breathing habits, and oral resting postures that create the foundation for clear speech. This isn't just another technique—it's a fundamental shift in understanding how our oral structures develop and function.

When the tongue maintains its correct resting position against the hard palate, it creates what experts call "the central operating zone" for speech sounds. Think about efficiency: if your tongue already rests in an elevated position, it's perfectly positioned to produce most consonant sounds automatically. Yet many children with speech disorders habitually rest their tongues in a low position, forcing them to consciously remember to elevate it for proper articulation—making speech laborious rather than automatic.

The results can be remarkable. One preteen client with persistent R errors made breakthrough progress after addressing a posterior tongue tie and implementing myofunctional exercises—without using a single traditional placement technique. These moments made me realize how this approach removes barriers to success rather than repeatedly drilling sounds without addressing underlying issues.

If you're an SLP feeling stuck with challenging articulation cases or simply wanting to work smarter rather than harder, explore the fascinating world of myofunctional therapy. Check out the resources mentioned in this episode, including books by Dr. Shereen Lim and Joy Moeller, and consider how this knowledge might transform your practice. As I've discovered, "When you master nasal breathing and tongue resting posture, complex articulation targets take care of themselves."

If narrative language intervention is one of the pillars of your therapy, then you’re going to love what I have for you. As much as I love teaching narrative language, I always struggled to find enough stories to feed the therapy machine. A couple of years ago, in a somewhat desperate state of mind, I took pencil in hand and drew my own stories, featuring Wanda Witch. My clients loved the Wanda stories, despite my rudimentary drawing.

Wanda Witch was soon followed by the Tony character, then Peter Pig, Tess, and Danny Dinosaur. In all I ended up with 50 stories—more than enough to get me through an entire year of therapy.

Eventually I found an artist who brought my stories to life and now you can have them too! Each character has 10 stories, and they are geared for the earliest story tellers.

Tune into this podcast to learn more about the Simple Tales collection of 50 illustrated stories. This is a tool I use multiple times a day, and all I have to do is hit print. Talk about simple tool for optimal outcomes!

Podcast Links
Follow the Narrative Road
Where Everybody Knows Your Name
To Infinity and Beyond
Interview with Doug Petersen part 1
Interview with Doug Petersen part 2

No doubt you've noticed how our role as SLPs overlaps with other professions. Collaboration is highly desirable of course, but sometimes roles overlap so much as to be almost indistinguishable. It can be a disconcerting feeling - as though the earth has moved beneath your feet! Today, Denise Stratton, a veteran pediatric speech-language pathologist, tackles the confusion and frustration that can arise in this multifaceted field. Join us as we explore the root causes of speech and language disorders, helping us understand why multiple diagnoses and professions often converge at the same point. We'll confront the professional uncertainty many young SLPs feel about their scope of practice and compensation, and reveal simple but powerful interventions that can help navigate these professional lanes more effectively.

In the second part of this episode, we delve into the intricate relationship between auditory processing and memory, shedding light on the importance of targeting root causes rather than just applying labels to language disorders. Denise shares a treasure trove of effective interventions and tools. By honing in on these root causes and understanding the progression of interventions, we can achieve significantly better outcomes for our clients. Don't forget to explore the wealth of materials available on The Speech Umbrella website and the value of sharing knowledge within our professional community.