Therapeutically Enhanced Education
Holistic Outpatient Therapy

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Therapeutically Enhanced Education™

ACT Philosophy of Therapy and Education

ACT therapists provide a holistic approach for students and their families addressing behavioral, therapeutic and academic, needs for the home, community, and at school. Our holistic approach includes six domains of health and wellness: social, emotional, environmental, intellectual, physical and spiritual.


Welcome To All Children's Therapy


Developmental Verbal Dyspraxia or Developmental Apraxia of Speech?

These two terms are generally synonymous. Developmental verbal dyspraxia is often shortened to "DVD" and developmental apraxia of speech to "DAS". The "a" in "apraxia" stands for absence and "dys" in dyspraxia stands for partial. Thus, apraxia is absence of speech and dyspraxia is used by some to indicate some speech ability. "Praxis" indicates difficulty executing skilled movements. However, more recently Childhood Apraxia of Speech is the preferred term for describing apraxia of speech in children.

Oral Apraxia and/or Verbal Apraxia?

Oral apraxia indicates that the child has difficulty with volitional control of nonspeech movement. For instance, perhaps the child will have difficulty sticking out and wagging their tongue when requested to do so. Or the child may have difficulty sequencing movements for the command, "Show me how you kiss, now smile, now blow". Verbal apraxia indicates that the child has difficulty with volitional movement for the production of speech. This can be at the level of sounds, syllables, words, or even phrases (connected speech). The motor struggle is most typically seen with sounds sequencing.

Often oral apraxia accompanies verbal apraxia, but that is not always the case. Speech and language pathologists have mentioned that it is very rare and fairly unheard of for a child to have oral apraxia without verbal apraxia/dyspraxia.

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Developmental Delays

Developmental delay is a common diagnosis for children especially below the age of 3 years. A developmental delay is any significant decrease in skills in a child's physical, cognitive, behavioral, emotional, or social development, when compared to children of the same age.

Developmental delays can be caused by very specific diagnoses such as traumatic brain injuries, cerebral palsy, and Autism Spectrum Disorders or from non-specific causes due to unknown factors. Environmental and cultural factors may also play a role in the child’s ability to develop age appropriate skills. Developmental delays can affect one or all of the developmental domains and the severity can range from mild to severe.

To understand if a child has a developmental delay, knowing what is typical is necessary. Often time parents suspect a delay in their child but are told they may grow out of it or it is nothing to be concerned about. Sometimes parents are unaware of the child’s delays, thinking that this is just his/her personality. Understanding normal development can help a parent determine if their child is developing in an age range that is typical.

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Dyslexia is a learning disorder characterized by difficulty reading due to problems identifying speech sounds and learning how they relate to letters and words. Also called specific reading disability, dyslexia is a common learning disability in children.

Dyslexia occurs in children with normal vision and intelligence. Sometimes dyslexia goes undiagnosed for years and isn't recognized until adulthood.

There's no cure for dyslexia. It's a lifelong condition caused by inherited traits that affect how your brain works. However, most children with dyslexia can succeed in school with tutoring or a specialized education program. Emotional support also plays an important role.

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Oral Motor Feeding Disorders

Feeding therapy helps infants and children with a wide array of feeding difficulties which may include one or more of the following:

  • Reduced or limited intake
  • Food refusal
  • Food selectivity by type and/or texture
  • Dysphagia (swallowing difficulty)
  • Oral motor deficits
  • Delayed feeding development
  • Food or swallowing phobias
  • Mealtime tantrums

  • Addressing feeding problems may be important for preventing or eliminating nutritional concerns, growth concerns including failure to thrive, unsafe swallowing which may lead to aspiration pneumonia and future poor eating habits/attitudes.

    Feeding therapy may be conducted in an outpatient clinic or hospital. Staff involved in conducting the initial feeding evaluation and any subsequent therapy will depend on the location of the evaluation and the infant or child’s current concerns. The feeding team may include one or more of the following: a speech/language pathologist, occupational therapist, physical therapist, nutritionist, social worker or other medical professionals.

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    Sensory Processing Disorder

    Sensory processing disorder is a generic term used to describe a child’s inability to integrate sensory stimuli from the environment in order to make an appropriate response. Sensory processing disorder may also be referred to as sensory integration dysfunction.

    The sensory integration theory was developed by Jean Ayers and is referred to as having both neurological and behavioral components. When a child has a well integrated sensory system, he/she is able to take in the information from the environment (sights, sounds, smells, tastes, touch, and movement), interpret the information and respond to the information in ways that are appropriate for the situation. Children with SPD lack the ability to “make sense” out of the stimuli around them, thus are unable to make necessary responses that are appropriate.

    Types of Sensory Processing/Integration Disorders

    There are many types of sensory processing disorders. Major categories that fall under the umbrella of SPD include: Modulation, Sensory Defensiveness, and Apraxia.

    Modulation refers to the ability to be able to maintain a level of attention and arousal to learn and respond to the demands of a task effectively. Children with modulation difficulties may exhibit behaviors that appear to be overactive and distractible, lethargic and passive, or fluctuating between these two extremes throughout the day.

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    Meet Cindy

    Cindy A.Young, Founder CEO

    Cindy A. Young, Founder, MSE, CCC-SLP, Pediatric NDT Certified

    Contact Us

    Contact All Children's Therapy by phone, email or in person!

    Corporate Office

    180 Port Au Prince Street
    Hot Springs National Park AR. 71913

    phone number

    (501) 772-7771