The Preschool SLP: KellyVessSLP
The Preschool SLP: KellyVessSLP

The Preschool SLP: KellyVessSLP

Kelly Vess, MA, CCC-SLP

Overview
Episodes

Details

Get ready for all things speech pathology: AAC, ADHD, Apraxia, Articulation Therapy, Autism, Behavior, Early Intervention, Executive Function, Evidence-Based Practice, Gestalt Language, Literacy Intervention, Movement, Multi-Modal Cueing, Narratives, Partnerships, Phonological Awareness, Sensory, Speech Strategies, Target Selection, Technology, Telehealth, and Self-care. Be better. Do better. Create better. Make the world a better place, one person at a time. You're first. Join Kelly every Thursday and at the drawing board. Do better with easy step-by-step 'how-to's' with ready-for-use printables and over 100 video clips of best practices, check out Kelly's book "Speech Sound Disorders: Comprehensive Evaluation and Treatment." It is available at Amazon and major booksellers internationally. If you learn from doing and work with children with special needs, join Kelly's Sparkle in School Membership. Make intervention EASY with weekly ready-for-use materials and Google Slides Decks sent to your inbox. Check it out today at kellyvess.com. Thoughts to share? Email: [email protected]

Recent Episodes

199. Selective Mutism + Hectic Holidays — Make Sure to Do THIS
NOV 20, 2025
199. Selective Mutism + Hectic Holidays — Make Sure to Do THIS

Children who speak freely at home but shut down in public aren’t being stubborn. Their capacity is getting crushed by the demands of new people, new settings, and unpredictable routines. In this episode, we break down how to build capacity using the PRIDE approach—adapted specifically for reluctant speakers and children with selective mutism. You’ll hear how to shift out of “thermostat mode” and into “mime mode,” using 10 minutes a day of pure responsiveness to lower pressure, increase connection, and support communication in high-stress seasons like the holidays. We walk through exactly how to use each part of PRIDE—objective encouragement, reflection, imitation, description, and enjoyment—without adding demands, without pushing speech, and without triggering shutdown. This is the blueprint for helping sensitive, cautious, or selectively mute children communicate more confidently when the world gets loud. In this episode, you’ll learn: • How the Demands–Capacity Model explains shutdowns in public or group settings • Why holiday routines, unfamiliar people, and novel activities increase mutism • How to adapt each PRIDE element for reluctant speakers (no expansions, no recasts) • What 10 minutes of daily “mime time” does to build capacity fast • The specific social and communication behaviors that improve when capacity increases • How SLPs can coach families through this process during high-stress seasons If you work with children who freeze, whisper, avoid, or stop speaking outside the home, this episode gives you a concrete plan you can use immediately. Want ready-to-use activities that make your therapy educationally rich without adding demands? Join the SIS Membership and get weekly materials designed to support speech, language, and social-emotional foundations—especially for sensitive and reluctant communicators. 👉 https://www.kellyvess.com/sis

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17 MIN
198. Put PRIDE to Work to Improve Behavior: Evidence-Based PRIDE Skills from PCIT That Really Work
NOV 13, 2025
198. Put PRIDE to Work to Improve Behavior: Evidence-Based PRIDE Skills from PCIT That Really Work

If you serve young children with behavior challenges, this episode delivers a framework you can put to work immediately. Today, we break down the PRIDE skills: five evidence-based behavior strategies drawn from Parent-Child Interaction Therapy (PCIT) and Teacher-Child Interaction Training (TCIT). These methods have more than 50 years of empirical support and consistently improve behavior, engagement, emotional regulation, and communication across diverse populations. You’ll learn how to use objective praise, reflection, imitation, description, and genuine enjoyment to build connection—not compliance. This child-directed interaction approach has been shown to make meaningful gains for children with autism, ADHD, selective mutism, developmental language disorders, trauma histories, hearing differences, anxiety, and disruptive or externalizing behaviors. The research is broad. The effect sizes are large. And the application is simple. We dig into how PRIDE skills strengthen executive function, expressive language, joint attention, and emotional resilience—and why these strategies are essential for SLPs, early childhood educators, and anyone working in preschool or early elementary settings. When you have educationally rich activities prepared, you can stay fully present and implement PRIDE with intention, clarity, and consistency. If you want treatment plans that allow you to focus on relationships, responsiveness, and evidence-based connection strategies that actually change behavior, the SIS Membership is designed for you. Each week, you receive educationally rich activities that treat the whole child—speech, language, literacy, executive function, and motor foundations—so you can implement PRIDE seamlessly without scrambling for materials. Join the SIS Membership and make your therapy easier, richer, and more effective: https://www.kellyvess.com/sis Let’s build capacity, connection, and better outcomes—one child at a time.💚Kelly

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20 MIN
197. Ten Predictors of Poor Progress in Speech Therapy—and How to Turn It Around
NOV 6, 2025
197. Ten Predictors of Poor Progress in Speech Therapy—and How to Turn It Around

If you treat speech sound disorders (SSD) and you’re not seeing the gains you expect, this episode is your playbook. We cut through the noise and name the 10 research-informed predictors of slower progress—attention/self-monitoring limits, sensitive temperament, co-occurring language/working-memory load, hearing impairment (fricatives/affricates), motor speech factors, structural constraints (e.g., open bite), low stimulability, later start to intervention, low therapy intensity/irregular attendance, and environmental barriers. Then we pivot hard into the three levers that consistently move outcomes: choosing complex, maximally distinct targets (e.g., SW-blends), delivering dynamic temporal tactile cueing (DTTC-style), and holding the ~80% challenge point to avoid reinforcing error patterns. Concrete therapy examples, parent carryover, and generalization strategies included.

What you’ll learn:

📈How attention and self-monitoring mask progress until generalization “pops”

📈Why a sensitive temperament demands predictability and a responsive start

📈How co-occurring language and limited verbal working memory can look like CAS—but aren’t

📈What hearing loss really means for fricatives/affricates and consonant deletion patterns

📈Practical expectations for motor speech and structural constraints (e.g., open bite)

📈How stimulability with maximal cueing informs prognosis

📈Why start age and habit strength matter for entrenched /r/ and /s/ errors

📈Why frequency > duration for home practice, and how to embed one daily rep

📈The “no-data-during-DTTC” mindset: probe quickly, cue deeply, fade fast

The 3 levers (non-negotiables):

📈Target selection: Complex, maximally distinct clusters (SW > ST/SP/SK) to drive system-wide change.

📈Delivery: DTTC-style, moment-to-moment cueing (choral → fade), with brief probes to verify learning.

📈Challenge point: Keep accuracy near ~80%—high enough to learn, low enough to adapt. If you’re reinforcing errors, pivot.

00:00 Why progress “flatlines” then explodes

03:10 Predictor #1: Attention/self-monitoring

06:20 #2: Sensitive temperament & predictable routines

10:00 #3: Language/working memory vs. “looks like CAS”

14:15 #4: Hearing impairment (HF cues, fricatives/affricates)

17:10 #5: Motor speech considerations

20:05 #6: Structural constraints (open bite, dental)

22:40 #7: Stimulability with maximal cueing

25:00 #8: Older start age, entrenched habits

27:10 #9: Intensity/attendance

28:45 #10: Environmental barriers

30:45 The 3 levers: complex targets, DTTC, 80% challenge point

38:00 One-rep-a-day home carryover that actually sticks

Call to action: Stop reinventing materials. Make your work easy with effective, educationally-rich SSD tools at your fingertips—complex target sentence strips, paragraphs, and movement-literacy activities ready so you can focus on cueing, not prep. 👉 Join the SIS Membership: https://www.kellyvess.com/sis

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41 MIN
196. 10 Reasons to Use the ‘Look at’ Sentence Strip to Spark Speech in Autism
OCT 30, 2025
196. 10 Reasons to Use the ‘Look at’ Sentence Strip to Spark Speech in Autism

If you work with children with autism who are minimally speaking, this episode is a must-listen. We’re breaking down why the “Look at” sentence strip has been a total game-changer in my therapy room—and why it consistently helps children begin to speak, connect, and comment on the world around them. After 25 years of practice, I can tell you this tool does more than encourage speech—it builds neurological pathways for speech to flow. You’ll learn:

✅ The neuroscience behind why repetition and motor consistency matter

✅ How DTTC and “look at” work hand-in-hand to build automaticity

✅ Why “look at” is far more powerful than “I want” for developing joint attention

✅ How to pair high-tech AAC with low-tech sentence strips for best outcomes

✅ The 10 reasons this strip transforms therapy for children with autism.

This episode is full of practical insight, real-world examples from my SIS members’ “back porches,” and evidence-based strategies that rewire how we think about early speech intervention. 🎧 Tune in, and then grab your own Look at sentence strip and watch your minimally speaking students light up the room. 💫 Join the SIS Membership today for access to the weekly movement- and literacy-based therapy materials that pair perfectly with this episode—complete with parent emails and ready-to-go Google Slides for your whole group sessions. 👉 https://www.kellyvess.com/sis

Thanks for joining me at today’s drawing board for a better tomorrow, 💚Kelly

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31 MIN
195. Groundbreaking Autism Study Reveals How Autism Can Develop At Any Age and How to D.S.D.
OCT 23, 2025
195. Groundbreaking Autism Study Reveals How Autism Can Develop At Any Age and How to D.S.D.

Discover how a 2025 Nature autism study transforms early intervention in speech language pathology. Learn how family history, genetics, and executive function shape assessment, therapy planning, and lifelong communication outcomes. If you work with children with autism, this episode will change how you think about early intervention forever. A major 2025 study published in Nature titled Polygenic and developmental profiles of autism differ by age of diagnosis has revealed that early onset autism and later developing autism are not the same. This is one of the largest autism studies ever conducted, examining more than 47,000 individuals around the world. The results reshape how we understand autism heritability, family psychiatric history, and executive function development. In this episode, you will learn:

✅ Why early autism diagnosed before age three is genetically distinct from later developing autism that emerges in middle childhood or adolescence

✅ How family psychiatric history, including ADHD, anxiety, depression, bipolar disorder, and substance use predicts later developing autism

✅ Why the DSM 5 removal of the age three cutoff was not only progressive but empirically supported

✅ How this research should change your parent input forms and follow up recommendations

✅ Why executive function including attention, cognitive flexibility, and self regulation is the bridge between prevention and intervention

This study confirms that autism can emerge at any point in development when social and academic demands exceed a child’s executive function capacity. That finding changes everything about how we evaluate, how we plan early intervention, and how we empower families. If you are ready to move beyond reactive labels toward proactive, capacity-building intervention, this episode will show you how to do exactly that. 💡 Join the SIS Membership at https://www.kellyvess.com/sis to access weekly movement-based literacy and language activities that build executive function, the foundation for lifelong communication, learning, and independence.

Source: Zhang, Y., et al. (2025). Polygenic and developmental profiles of autism differ by age of diagnosis. Nature, 631(8046), 455–468. https://pubmed.ncbi.nlm.nih.gov/41034588/

Note: The diagnosis of Autism is an interdisciplinary process. In the U.S. public school system, a psychologist, social worker, and SLP are minimally required. In private settings, most insurers require a psychologist, MD, or psychiatrist with an allied health professional, such as an SLP. 

 

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20 MIN