Breastfeeding Support Group Newsletter

IBCLC Ran Baby Feeding Support Groups or One-on-One Consultations

Breastfeeding can be a beautiful and bonding experience for both you and your baby. Unfortunately, it doesn’t always reach a level of ease for the mother-baby dyad immediately. From slow weight gain and low milk supply, to sore nipples and mastitis, we are here to support you.  If you need help with any step along the way, need a weight/feeding transfer weight or just need to know that there are other mothers out there experiencing the same things you are, please join Katie, our in-house International Board Certified Lactation Consultant (IBCLC), for our breastfeeding support groups or a one-on-one consultation.

Click here for more information!


The Dirt on Dirt!

The Dirt on Dirt!

It’s summer and time for fun with dirt! It turns out that playing in dirt is actually important for all of us. We reap many benefits! These include a stronger immune system, fewer allergies, better digestion, less heart disease, better stress management and contact with soil is a natural anti-depressant agent according to a 2018 article in Family Time and research by the National Wildlife Federation. Contact with dirt has been found to improve mood, facilitate learning, and reduce anxiety! Check out this article from Gardening Know How and learn more about how dirt makes us happy! fertilizers/antidepressant-microbes-soil.htm

So, get out there and get in the dirt with your kids! Some ideas include:

A Family Garden – Benefits here are reaped multifold as you get your kids involved in planting the food they eat – great for all kids, but also really great for the picky eaters we know. There is nothing like watching something you have planted from a seed emerge. Kids of all ages can dig and water and pull weeds.

Mud Kitchen – Use rocks, twigs, and of course dirt and mud to make culinary delights for pretend play extraordinaire!

Mud Art – Make sculpture or paint on sidewalks!

Written By: Robin Hoffman OTR/L


Making breathing fun! by Megan Roney

A key part of every BODY’s regulation is breath. While it may seem inherent to remember to breathe, stress to the body can easily stifle the natural breath pattern, causing us to hold our breath or shorten our breath as a reaction to feeling anxious. This can happen to our kids when entering an unfamiliar environment, when a change in schedule occurs, or during times of sensory overload. Here’s the kicker…when this happens telling our kids to “just take a breath” is about as helpful as feeding a thirsty puppy peanut butter.

So, what can we do? Let’s make breathing fun and exciting! Here are a few ideas to reload the steam in your kid’s engine through the power of good ol’ O2.

• Have a cotton ball race: blow cotton balls or other small items across a table through a straw and across a finish line
• Blow up balloons and play keep it up
• Blow bubbles and use your breath to keep them up in the air
• Make some music! Play harmonicas, whistles or small flutes
• Breathe like your favorite animals
o Lion’s breath – inhale deeply and on your exhale stick out your tongue and let out a roar!
o Snake breath – inhale deeply and on your exhale push the air through closed teeth to make a hissing noise.
o Bumble bee breath – inhale deeply and on your exhale cover your ears and hum with your lips closed, feeling a buzz with your breath.
• Check out the free Breathe, Think, Do phone app from Sesame Street. Help the monster calm down by taking deep belly breaths!

Book Review: by Robin Hoffman Book:“Adventures in Veggieland” by Melanie Potock,MA, CCC-SLP

As therapists we often stress the importance children “playing with their food” and spending  time experimenting with all kinds of foods for sensory exploration and growing acceptance of new textures, tastes, and smells. Speech Pathologist Melanie Potock has written a great new book to help parents with imaginative and fun ideas for not only getting kids to play with their veggies, but getting them involved in preparing fun and yummy dishes as well, including vegetables!  In the book are ideas regarding strategies for exposing your child to healthy foods, including the therapeutic rationale for this hands on exploration,activities for food science, games and art activities.  Examples include Bell Pepper Baseballs, Corny Corn Bread with Honey Butter, Asparagus Log Cabins, Jungle Animals, Magic Spinach Game, and Cucumber Caterpillars.
Here is an excerpt from the book, a recipe for Polka-Dot Green Dragon Smoothie, which is guaranteed to be a kid pleaser.
Total Time:  10 minutes Serves 4 to 6.
1 cups fresh baby spinach, packed
1 ½ cup fresh or frozen chopped pineapple
1 cup fresh or frozen green grapes
1 fresh or frozen orange peeled
½ fresh or frozen banana, peeled
 1 lime wedge, with rind, seeds removed
One ¼” piece ginger
Ice  for desired consistency (optional if using frozen fruit)
1/4 cup mini chocolate chips
·     Blend all ingredients except the chocolate chips in a high-powered blender until they are smooth, adding a splash of water as needed if using all frozen fruit.
·     Add the chocolate chips and blend for just a few seconds to create polka dots throughout.
All kids can..
*Peel the orange and banana
*Put the ingredients in the blender (with an adults help)
*Slice the ginger with a kid-safe knife
When fresh grapes, oranges, and bananas are on the verge of becoming overripe, wash and freeze by the cupful in freezer bags for use in smoothies‼

Ideas to support summer speech development

May is better speech and hearing month! Here are some ideas to help your child practice his/her articulation and language skills over the summer.

  1. Read books aloud together
  • Listen for your child’s target sound and have him/her repeat words
  • Ask who, what, where, how, and why questions about the story
  • Ask your child to re-tell the story chapter focusing on event sequencing, main idea, and important details
  • Pick an object/idea from the story to describe (category, function, additional attributes, parts, location, materials, etc.
  1. Drawing pictures together
  • Have your child follow verbal directions using concepts like: first, before, big, small, purple, beside, around, middle, above, several, many, etc. (e.g. first draw a big blue house in the middle of the page, then draw a little yellow flower next to the house)
  • Look for objects within the picture with targeted speech sounds and repeat his/her words
  1. Field trip
  • Draw a map of your neighborhood/town and go on a “field trip”
  • Have your child sequence directions to get from one place to another
  • Follow his/her directions (even if they are incorrect) and see if your child can get to the correct place (this targets problem solving, directional skills, grammar, and descriptive skills)
  • Also have your child practice his/her targeted speech sounds when giving directions (if applicable)
  1. Cooking together
  • Choose a fun recipe to make with your child
  • Decide what supplies are needed, what steps need to be completed, and the order of steps
  • Have your child re-tell the cooking sequence focusing on proper sequence of events, grammar, and targeted speech sounds
  1. Vacation postcard
  • If you go on vacation this summer have your child fill out a postcard (highlighting some of the most important things they did/activities they liked the most)
  • You can do this if you stay home too (have them make your own postcard and write their favorite parts of the summer)
  • You can mail them off to a friend or family member for a fun surprise!
  • Focus on targeted speech sounds, sequencing, grammar, descriptive words, etc.

Nikki Kirchoff, MA, CCC-SLP

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Help Your Kids with Holiday Stress

Families want the holidays to be a happy time for everyone, especially their children.  It is important to take a few moments and recognize that what adults view as the “hustle and bustle” of the season can be overwhelming and over-stimulating sensory input for children, especially those with Sensory Processing Disorder or other neurological challenges.  Here are a few suggestions to help children and adults stay healthy and happy over the holiday season.

Laughter is the best medicine! It’s the quickest way to change everyone’s mood from bad to good. Tell silly “knock-knock” jokes with your kids or watch funny movies together.

That’s right, take a deep breath in and let your belly gently expand out. This sends a signal to your brain that it’s okay to relax and unclench those tight shoulders and jaw. Just like a yawn, belly breathing is contagious and your kids will start to copy your deep breath.

Remember Routines
Many routines are disrupted during the holidays and this can be very upsetting for children, causing them to be cranky and complaining. Try to keep naps and meals at the same time every day. It’s okay to say “no” to invitations when your kids (and you!) are on sensory overload. Offer to get together in the New Year, instead. Try using calendars or picture schedules to help your child know what to expect. Predictability helps everyone stay calm.

Enjoy your holiday traditions with your families!

Cindy Clark, MS, OTR/L, BCP, CIMI/L

Back to School!

No More Manic Mornings!

Back to school time can be both exciting and stressful for children and parents. Returning to a faster pace, the morning rush, homework and after school activities can add additional stress to family life. Here are some helpful strategies you can do to relieve back to school stress in yourself and in your kids:

Start Early

Let’s face it — over the summer, most families take their cues from the sun and stay up later. While it is tempting to keep the late-night fun going up until the end, starting your school routine a few weeks early can help ease the transition back to school. Starting the week before the beginning of school, start going to bed and getting up close to when you need to for school and try to eat on a more regular schedule as well. This advice isn’t just for little kids — teens and adults need quality sleep for optimal brain functioning as well, and getting your schedule straight now will help ensure that you all start the school year off more prepared and don’t feel as much anxiety over the start of school that first day.

Do a Walk-Through

It’s a good idea to visit the school before the first day. For kids who are going to be first-timers for kindergarten, first grade, middle school, or even high school, this can help them feel more comfortable with the new place and get a better idea of where to go once they’re there. With preschoolers and young grade-schoolers, take advantage of playing on the school playground. Even for returning students, it doesn’t hurt to know where the classroom is, say hello to whatever staff is there getting ready, and start getting excited about going back.


Help your Child Develop Social Skills

Help your Child Develop Social Skills

by Laura Behling, M.S., CCC-SLP

Humans are social creatures. We use social skills every day when communicating with one another. Building children’s social skills is a hot topic these days, but what are “social skills” really?

If you’ve had encounters with speech therapy, the terms “social communication” or “pragmatics” have probably come up. These terms refer to the way a child uses language for a variety of purposes (making requests, greeting, giving information/ sharing) while following basic rules for conversation including:

  • taking turns in conversation
  • introducing topics of conversation
  • staying on topic and maintaining a circle of communication
  • recognizing and repairing miscommunications
  • rephrasing when misunderstood
  • use and understanding of nonverbal signals
  • personal proximity and orientation of body when speaking to others
  • using facial expressions and eye contact/ eye gaze

Weaknesses in social skills create barriers to building interpersonal relationships and communication development.


Here are a few things you can do to help develop your child’s social skills:

  • Encourage conversation and imaginative play. Play make-believe with your child. Build on the conversation by adding details that create more interesting story lines.
  • Use puppets to develop question-asking skills. Encourage your child to have puppets ask each other questions like who?, what?, where? and why?.
  • While we all try to limit screen time for our children, if you do find yourself with the TV on, ask your child what is happening during the show. Have them name characters and tell something about them. Describe their clothes. Talk about what they like to do.
  • Encourage your child to talk on the phone to a relative or friend. This helps develop his ability to listen and answer questions.
  • Make specific facial expressions and ask your child to tell you the feeling shown on your face. Talk about what makes you happy, sad, angry, excited, or afraid.
  • Point out how we talk differently in different places. Talk about using inside voices at home, in the library, or in the preschool classroom and outside voices in the park or yard.
  • Build a story together. You start and then have your child add the next sentence.
  • Talk about what your child did at school. If this is challenging, they might need some scaffolding. Try to meet with his educators at pick-up and get a “quick” update on what he did. This will allow for you to prompt your child.
  • Ask your child to tell a family member about an interesting experience. Encourage her to talk about what she saw and did following a visit to the park, museum, or the zoo.
  • Role play greetings you use with different people. Show the difference between talking to an authority figure (using Mr. or Ms.) and talking to a playmate (using his first name).
  • Encourage your child to say please and thank you to people.
  • Talk about how important it is to take turns and share. Talk about things that you share with your family and friends.
  • Play board games with your child. Play a few times where they get to win and you get to win. Winning is fun, but it is okay to lose.

For more information on activities to do with your child or questions regarding social pragmatic language skills, please email Laura at



Back to School

How to choose a backpack for your child

By Cindy Clark, MS, OTR/L, BCP, CIMI/L

Every fall, millions of children head back to school wearing backpacks filled with books, water bottles and school supplies. What many parents may not realize is that if their child’s backpack is too heavy or doesn’t fit properly it can lead to back pain or even injury. Up to half of all students have back pain, fatigue and muscle soreness related to improper fit and wearing. Many students experience ongoing low back pain for more than six months and this can follow them throughout their school years and into adulthood.

How can you prevent this? The American Occupational Therapy Association (AOTA) urges parents and caregivers to consider the following when selecting and wearing a backpack this school year:

  1. Appropriate size – Make sure the height of the backpack extends from approximately two inches below the shoulders to waist level, or fit in the curve of the lower back.
  2. Shoulder Straps – Backpacks should have well-padded shoulder straps that can be worn on both shoulders so when packed with books the weight can be evenly balanced by the student. Shoulders and necks have many blood vessels and nerves that can cause pain and tingling in the neck, arms and hands when too much pressure is applied by unpadded shoulder straps.
  3. Adjust the Shoulder Straps – Adjust the shoulder straps so that the pack fits snugly on the child’s back. A pack that hangs loosely from the back can pull the child backwards and strain muscles.
  4. Hip belt – Backpacks with a hip or chest belt take some strain off sensitive neck and shoulder muscles and improve the student’s balance.
  5. Right Fit – Just as your child will try on clothes and shoes when back-to-school shopping, experts say it is important to try on backpacks too. “The right fit should be your top criteria when selecting your child’s backpack,” says Karen Jacobs, EdD, OTR/L. “If you order online, be sure that the seller has a return policy just in case the backpack is not quite the best fit for your child and needs to be exchanged.”
  6. Weight – Your child should carry no more that 10% of his or her body weight. For example, if your child weighs 100 pounds, they should carry 10 pounds or less. If their pack is too heavy, check to see if there are items that can be left at school or put in a wheeled carrier. When putting items in the backpack, put the heaviest items at the back so they rest against your child’s back.

Here is a great video to see more information on choosing a backpack.

How to Choose a Backpack

For more ideas and research on backpack safety, go to the Backpack Awareness Council website at:

National Handwriting Day!

National Handwriting Day

is celebrated on January 23, 2015. This day was chosen because it is John Hancock’s Birthday. He was the first person to provide his signature on the Declaration of Independence.

Handwriting is important, as finger movements activate large regions of the brain involved in thinking, memory, and language. The act of physically gripping a pen or pencil and practicing the swirls, curls and connections of cursive handwriting activates parts of the brain that leads to increased language fluency. Writing is, by nature, an opportunity for creativity and personal expression. When writing is incorporated in learning and assessment, there is increased opportunity to produce the ideal situation for active, attentive learning because students value creative problem solving and creative production.

Posture and Places to Practice
There are many FUN ways to practice handwriting, other than sitting at the table with your feet flat on the floor and body up tall!

• In the bathtub – use shaving cream or washable crayons
• In the car – keep clipboards and pencils so kids can write down vehicles, buildings and
people they may see on their ride
• In the grocery store – have a child make a grocery list and check off items while
• On the wall – tape a large piece of paper or use an easel
• On the move – have a child carry a small notebook in their pocket or backpack to write
down ideas, reminders or draw pictures
• At the breakfast table – have children draw, color or write while you are preparing their
• While watching TV – during commercials kids can write down or draw pictures about
what is going on in the show they are watching
• Next to a computer – it’s always nice to have a notebook next to the computer to take
additional notes
• Lying on your belly – coloring or drawing in this position can be so much fun! Use a slant
board or 3” ring binder to provide a smooth surface

Activities to Practice Handwriting
• Write a letter to a friend, family, the President, a soldier, or someone you admire
• Decorate a cake and have everyone sign their name with frosting
• Write a poem
• Check out books on handwriting at the local library
• Create an autograph book and have people sign it
• Start a journal or diary
• Give the gift of a pen as appreciation
• Create a treasure hunt
• Practice your own signature

Games that Promote Fine Motor Skills
• Pick Up Sticks
• Jenga
• Connect 4
• Yo-yo’s
• Perfection
• Trouble
• Legos, Building Blocks, Erector Sets
• Lite Brite
• Operation/Bed Bugs
• Topple
• Chess/Checkers

Top 10 Fine Motor Tools Under $1
• Clothes Pins
• Stickers
• Playdough
• Shoelaces
• Beads
• Push Pins
• Wikki Stix
• Tweezers
• Hole Punch
• Scissors