Ask A Therapist: A good start for a child with Down Syndrome

Hi there, my daughter is 2.5 years old, she has Down syndrome. We live in New Zealand. Can you please let me know what you would recommend for her? She is making sounds and attempting to say a few words. She uses sign language – and has approx 30 signs. Her tongue protrudes every now and then. She has no dribbling issues.

Thank you,


Hi Cassy,

I would start with the videos: “Developing Oral Sensory Motor Skills to Support Feeding in the Down Syndrome Population” and “A Three Part Treatment Plan for Oral Placement Therapy“. These will help you get the clear understanding of how to do TalkTools Therapy with your child if there is not a trained therapist available. The Parent Kit would be a good place to start as far as tools go to use with your child. You will probably need more in the near future but I think that is a good place to start.

Please let us know if you have any other questions.



Elizabeth Smithson, MSP, CCC-SLP is a Speech-Language Pathologist who has over 10 years of professional experience working with infants, children, adolescents and adults. She earned her Master of Speech Pathology at the University of South Carolina. Liz is also a Level 5 TalkTools® Trained Therapist. She has received specialized training in Oral Placement Therapy, Speech, Feeding, Apraxia, Sensory Processing Disorders, and PROMPT©. Liz works with clients with a wide range of disabilities including Cerebral Palsy, Down Syndrome, and Spinal Muscular Atrophy. She works through her own private practice Elizabeth Smithson Therapy, LLC in the home setting and in the TalkTools® office in Charleston, SC.

Talktool admin 27 Jul 16

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