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10 - Management of speech and language problems in epilepsy

from Part I - Speech and language problems

Published online by Cambridge University Press:  26 October 2009

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Summary

Speech and language therapy can be divided into three types: speech therapy (usually articulation therapy), one-on-one language therapy, and language therapy as part of a team approach

The stress of speech therapy

Some children with epilepsy may find therapy stressful, possibly even triggering seizures. The tendency is for speech therapy to be canceled until the seizures can be controlled. Without the stress, the child may regain control, only for seizures to break through again when the child returns to speech therapy. In such cases, the therapist needs to know about the seizures and how to handle them. A low-key initiation with stress-helps may overcome the stress. If small seizures do occur, the therapist may let the child rest and then resume, always in a relaxed manner. A combined speech and behavioral approach works best.

Special speech and language therapy approaches

Therapy is aimed at trying to overcome identified problems. Initially, this may be individualized, one-on-one therapy with the child, but eventually it may move on to group therapy in which the therapist works with a group of children with similar problems. The next stage is to continue the therapy in the regular classroom (or a preschool program) via the teacher with the therapist serving as consultant to the teacher.

Help at home

The parent and family need to be involved in the therapy, incorporating it into their interactions at home. Hopefully, the family may be able to model proper speech as well as interact appropriately with the child in therapy.

Type
Chapter
Information
Childhood Epilepsy
Language, Learning and Behavioural Complications
, pp. 141 - 148
Publisher: Cambridge University Press
Print publication year: 2004

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References

Henry, D. & Browne, M. (1987). Language and auditory processing deficits. Presented at the St Francis Epilepsy Symposium, Wichita, KS, 1987

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