u/Few_Emotion9839

I have used multiple sunscreens such as the Eucerin oil control and Biodermal mattifying sun fluid. These work well when I apply them once or twice a day. I don't get acne from them.

However, when I'm on holiday and need to apply up to 4 times (let's say 10 AM, noon, 2 PM and 4 PM), I still get quite some acne after a few days. I'm wondering if there's any acne prone sunscreens that also uphold with reapplication? I'm thinking of using make-up wipes to clean my face in between, but this isn't too practical on a hike.

I have a client (4 years old) who came to our special language school about 8 weeks ago with a diagnosis of suspected DLD. She was in early treatment before that and they did testing, also cognitive (lower to normal range). The ENT has established that she has laryngeal webbing. However, this could disappear naturally and did not need speech intervention according to the ENT. This student has severe expressive and receptive delays. She's non-verbal, but can repeat utterances. Spontaneous communication is her use of facial emotions, pointing and natural gestures. She has intention to communicate. She can repeat something like 'help' after you told her to, but will never use it herself. When she repeats it's very soft and hoarse. If she wants help closing her zipper, she'll just point to her jacket and stare at you. Since she's been in early treatment (3 days a week for 9 months) before she came to our school, so it's a bit of a red flag to me that she hasn't picked language like this up yet even with frequent exposure.

The follow-up with the ENT one month ago didn't give any results since she didn't allow for the laryngoscopy. In two months parents have another one scheduled.

I'm wondering if laryngeal webbing can have a role in her communication? The precious ENT rapport didn't seem to indicate this, but can that be ruled out? Does anyone have experience with this? I'm thinking of trying to contact the ENT but I don't want to be an idiot lol.

I’m currently taking a DTTC course and it’s very interesting. I'm not able to follow-up with the in-person course however, since it's not available in my country. One thing the professor really emphasizes is keeping the child engaged without relying on activities that pull their attention away from your face (like toys, crafts, worksheets, etc.), and instead using reinforcers that don’t distract from speech practice.

The problem is… my entire therapy style up to now has been built around those kinds of activities 😅

I use cycles-style approaches with lots of repetition embedded in games, like saying a word 5 times to earn a turn (pop a sword in a pirate game, feed a toy, glue items on worksheets, coloring after trials, etc.). It works well for engagement, but now I’m questioning whether it’s actually optimal for motor speech learning.

I’m struggling to picture what sessions look like without those props. How are you all keeping kids motivated and engaged while still maintaining that face-focused, high-frequency practice that DTTC emphasizes?

Would love concrete examples of what this looks like in real sessions, especially with younger kids or those with shorter attention spans.