Monday, April 1, 2013

An Open Letter to the Parent of a Child with Speech Delays

Dear Parent of a Child with Speech Delays,

Good morning/afternoon/evening.  You may have clicked this link hopefully, seeing “speech delays” and wondering if I have some answer that will help your child.  You might be here through a googling session, during naptime or late at night or at work because it’s just eating away at you and the-time-to-act-is-now and what-more-can-I-do to help my child communicate.  You may have a kitchen drawer, or a shoebox, or a giant Ziploc bag full of tools: chewy tubes and bite blocks, z-vibes and jigglers, horns and whistles, and bubbles, oh my!

(If you don’t know what I’m talking about, and you are the parent of a child with a minor speech issue, like a lisp or a funny /r/ sound . . . then this letter isn’t for you.)

I am one of you, a tired parent of a child who was late (oh so very, very late, and she’s still taking her time, traveling the long, hilly, bumpy, exhausting road) to speech.  Like me, you may have 20/20 hindsight, realizing that the feeding struggles that appeared early on should have hinted at the oral-motor weakness and disorganization that lay ahead.  Or perhaps sounds and speech made appearances, only to fade away and leave you wondering if they ever really happened in the first place.  You may look back on the times that people complimented your baby for being “so well-behaved and quiet!” with a combination of wistfulness (because back then you didn’t know) and angst (because back then, should you have known?).  You may wonder if things would have been different if you had spent more time sitting face to face with your child and practicing sounds, should you have done more, do other parents do more, how-was-I-supposed-to-know-what-more-to-do.

The truth is simple: there’s nothing (in the realm of normal parenting) that you could have done.  And once you identified a speech delay and started with the exercises, the dramatic enunciations, the games . . . well, you were already going above and beyond what a “typical” parent has to do to help their “typical” child develop speech. 

Anyway, back to your speech delayed/apraxic/dyspraxic/nonverbal child.  Your child may have some speech, just less than he should. Or perhaps she has a handful of sounds, but nothing intelligible to anyone (except for you, her parent, of course).  Maybe your child is young enough and delayed enough that they don’t have much of anything (so well behaved and quiet, indeed).

Maybe they are on the road to speech.  Maybe they aren’t yet.  Maybe they just aren’t, end of sentence.

If, in your quest to help your child communicate, you haven’t yet tried something besides speech therapy (as in, therapy aimed at producing and refining oral speech), the time is now.

Please, let the time be now.

My daughter, Maya, is almost 5 years old. She can clearly speak approximately 15-20 words.  With her talker (an iPad with a communication app) she can speak approximately 700 words, with thousands more available at the touch of a button if she needs them.  With her voice, she can say "Mommy" and "Daddy". With her talker, she can tell me that today is Friday and she’s going to the therapy gym in the afternoon and she wants to ride on the big swing and the tire swing and do an art project.  With her voice she can say “bus.” With her talker, she can tell me who she sat next to at school and what they talked about and what she wants to have for dinner and whether she’s feeling tired or happy or cranky.  With her voice she tells me “no.” With her talker she tells me “No way, Jose.”

With her talker, she tells jokes and is sassy and is proud, so proud, to tell us things and to connect with us.  If she only had her speaking voice, I would barely know her.

Maya & her talker (photo by Keith Wagstaff,

As we have spent the past three months searching for an ideal kindergarten for Maya, we have seen many (many) schools and met with numerous doctors and therapists for evaluations.  We have heard, over and over again, “I’ve never seen a preschooler use a communication device the way that she does.”  I have seen (too many) K/1/2 classrooms populated by nonverbal kids where I am told that certain children "are learning to use communication boards" or "have just started learning how to use an iPad app to communicate" or "will soon be evaluated by the assistive technology team and will probably start using a communication device in the near future."

This is not because these children needed to wait until K/1/2 to be ready to use a communication device.  This is not because preschoolers aren’t capable.  This is because most preschoolers (and pre-preschoolers, frankly) don’t have the access to the augmentative and alternative communication (AAC) that they need. And, not to put too much pressure on you (since I know that you have so much on your plate, and raising a child with special needs is overwhelming, I know) . . . but you’re the one who needs to make this happen. 

It’s on you.

It’s on you, unfortunately, because this is a rapidly growing field, and the therapists/teachers that you work with might not be aware of all of the new stuff out there.  It’s on you because speech therapists carry giant caseloads and aren’t technically required to be highly educated about or suggest AAC .*, **  It’s on you because the special needs schools and teachers won’t meet your kid until kindergarten, and then will spend a few months getting to know him before requesting as assistive tech evaluation, and now your kid is 5/6/7 and frustrated and acting out (or worse, shutting down).**  It’s on you because the preschool teachers/therapists have never seen a little kid on a big, total communication device/app and wouldn’t even think to suggest anything outside of a communication board or PECs, because they aren’t even aware that that’s a legitimate possibility.**

It’s time to expose your child to AAC, to give them alternative ways of communicating. If you haven’t heard of AAC, it's awesome, and I’m going to walk you through a few options in just a minute.  If you have heard of AAC, but haven’t tried it yet, I’m going to take a paragraph to dispel a few of the concerns that might have caused your hesitation.

First, the use of AAC will not prevent/impede the development of speech. Here are a few links and research that disprove this fear, and an important study that showed babies who learned sign language simultaneously with speech developed speech at the same timeline as a control group and ended up with larger vocabularies.***   Second, your child doesn’t need certain skills, understandings, or cognitive abilities to start using AAC.  You don’t wait for a baby to become skilled or “smart enough” before you speak to them . . . there’s no need to wait any longer to start modeling AAC use with your child.  Third, you don’t need to wait to see if maybe speech is right around the corner---AAC is not a “last resort.” Speech will keep on progressing alongside of the progress made communicating with the AAC system.  Fourth, your child does not have to be older!  We started toying with different things around 18 months, and I wish that we had started earlier. We had to switch systems a few times before finding the perfect one, but the work that we did from 18 months-3 yrs laid the foundation for when we found her perfect system at 3.5 years.  Start simply, start small, just get started already.

Are you convinced yet?  Think for a moment of what it would be like to have to rely on speech for communication, knowing that you couldn’t get any sounds out that made sense.  Imagine that you were in an accident that rendered your voice useless and landed in the emergency room . . . people talking at you, asking you questions . . . what would you do?  Hopefully someone would bring you a piece of paper and a pen . . . you know, an alternative way of communicating, a way in which you could be immediately successful while waiting for your voice to heal.  Your child needs the same.

So where do you go from here?

1. Talk to your speech therapist about AAC. If they don’t know much about it, talk to other speech therapists, or teachers, or a developmental pediatrician.  If you can’t find answers call a special needs school in your area and talk to their speech therapist.  If there’s a local children’s hospital or therapy center, talk to them. If you can find a support group for parents of kids with special needs, speak to the person who runs the group.  Post on local message boards asking for the names of top speech people in the area. If there are advocacy groups for people with disabilities in your area, talk to them. Don't be afraid to reach out to groups that serve specific disability populations (groups for children with cerebral palsy, Down syndrome, autism, etc) even if your child isn't a part of that population-these groups generally want to help families, regardless of your diagnosis, and may be able to steer you towards good resources. Keep asking around to see if you can get referred to someone in your area that knows about AAC/assistive technology and can point you toward a local expert or resources.

2. If your child has an IEP/IFSP, speak to your caseworker or the official in charge of the document. (You might want to work with your child’s preschool/school on this, if they are already school age.)  You want an assistive technology/augmentative communication evaluation, and you want to request it, in writing, immediately.   (I’m not sure if different states have different processes for these things. This is a good topic to discuss with the people/groups that you found in point #1.)

3. If at any point in Step 1 or Step 2 a professional indicates that they don’t feel like your child is ready, that they aren’t familiar with multiple options (example: they say something like “Oh sure, we have several children using -insert app name-,I guess we could try that” instead of actually creating an individualized plan), or they seem otherwise resistant, then proceed onward to the next steps.  You’re going rogue.  You’ve got to take the lead on this yourself. You need to get educated so that you can do it correctly. You can do it. (I had to do it, too.)

4. It’s time to hit the internet and read about AAC.  Join (or peruse) a message board/online community for parents of kids with special needs, kids with speech issues, kids who have apraxia, etc. (yahoo groups or babycenter groups might be a good place to start).  Use google.  Look for some general posts/articles about AAC---good buzzwords would be: PECS, picture cards, Boardmaker, communication boards, communication books, PODD books, AAC devices, AAC, AAC apps, communication apps.  Read other people’s stories, learn about how children use different types of AAC.

5. In conjunction with #4, search YouTube. Look for videos of kids using different communication systems.  Use the same buzzwords that I listed above.  See that it’s possible, see the different skill levels.  If you think “my kid couldn’t do that” just remember that most people don’t upload the videos of all the times that it didn’t work.

5 and a half: It's time to remember that this is a marathon, not a sprint. You might be reeling from too much information. Take a night off.  Then get back at it.  Go slowly, but keep going.  Now that we have a system in place, there are entire months in which I am not purposefully researching, just modeling and working our system. Then I start reading again.

6. Realize that you’ll probably end up trying several things, and that’s ok.  Here is a list of things that we tried with Maya, along with links that will take you to blog posts (most of which have pictures and/or video) so that you can see we’ve tried many things, too:
edited to add that we also did a 6 week trial with a Dynavox Maestro communication device. Clearly (as I forgot about it) it wasn't the best fit for us, but it great for many others.
7. Realize that AAC is really, really individualized. It is not a one-size-fits-all operation.  It’s possible that you saw something in #6 that seems like it could work for your child, or that what you saw gave you an idea that would need some tweaking, or that you saw nothing helpful at all.  That’s ok.  Some children start AAC with a high tech device/app, some start with a simpler choice-based app, some start with a communication board, some start with tangible cartoon picture cards . . . some start with laminated photographs of actual objects . . . some start with using the actual physical objects themselves (and if your child can't use their hands to point to cards/pictures/device, don't worry, then there's eye gaze technology).  Any starting point is infinitely better than not starting at all. (Prior to picking a system I recommend that you read some of the research and opinions of the people that I mention in #9--they may guide you toward some of the more sound, research-tested options. If you're going with an iPad app, Jane Farrall's list is a good place to start.)

8. Once you find something that seems like it might be worth trying with your child, it’s time to learn about best practices and how to start using it.  Picking out an AAC system seems like the trickiest thing ever, until you have it in your hands and realize that now the tricky part (so-what-the-heck-do-I-do-with-this-thing-now) starts now.  For me, the most important lessons (and reminders) have been about modeling and waiting and using core words as soon as you can.  This was my take on modeling & waiting.

9. Find out who the experts are and read their stuff. Research papers, websites, sites that mention them, etc.  Go hear them speak if you can. They will teach you about best practices---how to use your child's system with them, get them to embrace it, and teach them how to communicate. Here are some people who know their stuff, inside and out: Linda Burkhart, Cathy Binger, Karen Erickson, Jane Farrall, Carol Goossens', Gretchen Hanser, Katya Hill, Jennifer Kent-Walsh, Janice Light, Caroline Musselwhite, Gayle Porter, Gail van Tatenhove ****

10. Find some good AAC blogs/resources, follow them on Facebook/twitter/Pinterest, and don’t be afraid to reach out.  On Facebook I particularly recommend PrAACtical AAC and Lauren Enders---both are very active and share tons of articles and links.  I also like the core word suggestions from the Center for AAC & Autism, and I follow several apps--including the aforementioned Proloquo2Go and Speak for YourselfIf you want to find people to follow on Twitter start following the hashtags #AAC #augcomm #SLPeeps #ATpeeps. Some of my favorite twitter users (tweeters?) are: @CommGreenhouse @USSAAC @parkerrobin @ISAAC_AAC @janefarrall @SpeechTechie @speak4AAC @sayit_any_way   (Oh, and our FB page is Uncommon Sense Blog and my twitter handle is @UncommonBlogger) ****

11. A few other possible helpful sites:  YAACK, Speaking of Speech, AAC at Penn State, AAC Intervention, AAC Kids@PSU ****

12. For extra motivation from a parent who went against the advice of various professionals and fought to get his daughter an AAC system, read Schuyler's Monster: A Father's Journey with His Wordless Daughter  Besides being interesting and motivational, it's also just a good book (and I'm picky about books, so when I say "good" it means entertaining, witty, and solid from start-to-finish).

13. *This step is important* Remember that I am just a parent. I am not a professional. I am the mom of an adorable nonverbal girl who went out into the great wide internet in search of a solution that could help my kid communicate.  (although while I am "the mom" I'm not "just the mom") This blog post is the closest I can come to a master list: the reasons to try AAC as soon as possible and all of the steps/tips/tricks that I can think of giving someone who is newly on the road to AAC.  Undoubtedly, I am leaving things out (and I’m hopeful that some wise professionals and parents will fill in the gaps by leaving helpful tips and resources in the comments section of this post--please!).

Good luck.  This needs to happen.  You have to try.  The internet is wide and there are resources out there.  And the first time that your kid "says" something through AAC that they aren't able to say with their speaking voice, all of this work will be totally worth it.

A mom who wishes that she knew earlier

* Per ASHA, in their position paper on the roles/responsibilities of SLPs with regard to AAC

**If you are a speech therapist, preschool teacher, preschool therapist, kindergarten teacher, or elementary school therapist who read this paragraph and thought “Hey lady, wtf? I’ve been suggesting that stuff for years!”  . . . well, thank you.  Thanks for pushing our nonverbal kids who are capable of so much more with regards to AAC and assistive tech than most people give them credit for.  This paragraph is about the others---who are, unfortunately, the majority that I've encountered.

***Holmes, K. M., & Holmes, D. W. (1980). Signed and spoken language development in a hearing child of hearing parents. Sign Language Studies, 28, 239-254 and Daniels (1994), in “The Effect of Sign on Hearing Children’s Language”

****Undoubtedly I have forgotten some amazing people/websites here.  Please, knowledgeable folks, remind me (and everyone) who else we should be reading/following in the comments below.


Alli said...

Every single time I read your blog I find myself shaking my head in agreement, screaming YES! in my head, or relating to your story. Thank you for sharing your experiences on this journey. Your honesty, shared resources and explanations have helped tremendously. I came across your blog when I knew my twin 2.5 year old boys NEEDED more. We were using PECS and they were rocking it but it just wasn't enough. I wanted them to have a voice. I followed your experiences with Maya and it gave me the HOPE and determination to start working with my boys to find a system that would work for them. That was a year and a half ago. At 4 years old they both are successfully using AAC (for us it was proloquo). They have recently started to develop some verbal language while proficiently using their iPads to share their thoughts, wants, needs and even a handful of jokes. Thank you for continuing to provide such great information. This is a valuable post for those just entering the world of AAC and also those of us who have been here for some time.

Thank you for sharing with us!


Marissa said...

Thank you for this. I am starting to realize that it is MY fear that is now holding us back. Yes, Atticus is only just 1-year adjusted. And yes, his fine motor skills are almost as poor as his oral-motor skills. (He is exclusively tube-fed.) But he knows his name. He knows cause-and-effect. He knows which toys make which noises. I need to stop feeling overwhelmed. I know our ST with EI is useless, but I've known that for a year (and 2 therapists). Time to get on this.

Heidi LoStracco said...

Dana, this is excellent information as always! I shared it on our page, but also wanted to comment on your post.

I'm a speech-language pathologist who works only with children using AAC devices. (In full disclosure, I'm also the co-creator of the Speak for Yourself app).

One thing I would suggest is that if you are a parent of a child who is not talking, don't believe any professional who claims to know what your child wants to be able to say. We have heard (and read reports by) AAC evaluators who say that the child only wants to say 8 things so he doesn't need a system with more than 8 buttons. If you only ever give a child 8 buttons, that's all he will use. If you have guessed wrong about what he wants to be able to say, he won't have any way to tell you, and he may not use the 8 button system. You may say, "AAC didn't work for my child," but in reality, it may be that expectations were set too low, and your child knew it. Start with as little as one button, but set high expectations that they will need many, many more once they realize that language is powerful. Even if children are very young, plan as if they will be using the AAC system for the rest of their life. This will put your child in a position that allows his language to grow, whether he develops verbal speech or not. If he develops verbal speech, well, we have NEVER had parents that were upset when their child became verbal and didn't have to use the AAC system anymore. I think it's a safe bet that we never will!

Patty said...

THANK YOU!!!! A few friends posted a link to this on Facebook today, and it hit home. We started with AAC when my son was 4, and it is a long process for him (he is now 6). But he is able to communicate with me when he needs things and tell me how he feels, which is SO important. The SLP feels that he doesn't always understand, but I think he just gets bored doing the same thing over and over, so I challenged her to take him around the school and show him how to have real conversations with people he meets along the way. And you know what? He's only doing it exactly right 25% of the time, but that's more conversation than he'd be able to have otherwise, so it's good for me. I really wish we'd gotten started with this all even sooner. :-) But, FWIW, no one tried to tell me that he was too young, or that he wouldn't understand - they knew he needed it as much as I did.

Joanne said...

I really appreciate this post. It's because of you and Maya that I got my son an iPad and started working with him at all on it. I thought he was too young but he is like three years older than Maya, so after I saw what you are doing, I really felt like he could too. I also think he should start working with an AAC device and I have sent this link and well as a link to a youtube video about an eight year old with autism who has had great success with it to his Program Manager at school. The only thing I am taking issue with is that I don't agree that just because someone doesn't talk to you, that you would barely know them. My son doesn't talk too much to me but he does communicate a lot and I feel I know him pretty well at this stage.

Stephanie said...

Thank you.......just thank you. I'm going to get started with the reading about this and make an appointment for an assistive tech eval ASAP. My son is almost 4 and doesn't say a word; he uses sign language, but I can't teach him stuff fast enough. This is probably where we need to go.

Robin said...

Thank you so much for addressing this issue. Hopefully more and more SLP's are either being trained in AAC, make as much effort as you to keep current, & also begin to understand what you so eloquently illustrated. This will be another one of your posts that will be required reading for my SLP graduate students so that they can help families be partners in the process of teaching AAC. Many (most)meaningful language experiences happen with families and that is why even with professional guidance (if it is found) families and clinicians must be true partners. Thank you again for sharing your experiences about your family and AAC

Communication Station: Speech Therapy, PLLC said...

EUREKA!!! I LOVE LOVE LOVE this blog post and I MUST SHARE! As an SLP I am a HUGE fan of alternative modalities of communication and my encounter with parents has been the opposite in that I have spent many many weeks, months, and YES even years trying to get parents on board with trying AAC devices. Trying to get parents to realize a functional communication system right NOW will result in increased receptive and expressive language skills whether it be via their own voice or a voice activated device can be EXTREMELY frustrating to say the least. I've has many many parents actually make me write in an IEP that NO ALTERNATIVE means wills be used or supported in classrooms b/c no matter how many research articles I had given them, they believed if I wasn't working on speech output, the child would not talk. I LOVE this post b/c it is FROM a PARENT to PARENTS. You've been there, you've seen the other wonderful side of AAC and how it supports not weakens your daughter's ability to communicate!
NOW with all the wonders of the iPad/tablets and these AWESOME APPS we have technology that just a few years ago we had to wait for weeks, months for arrival after ordering from companies...spend weekends programming AAC devices and ONLY provide the child with AAC devices in the schools (b/c of the cost of the device and the loaning processes) which we all know is completely ridiculous as a child needs to communicate in EVERY environment! Here's the reality of the situation: Parents MUST BE WILLING to SPEND money on AAC devices/apps. They MUST be willing to purchase the device, or app that child will use. B/c if the school does actually get approval to purchase a particular AAC or app (which by the way would be like an act of GOD happening...the hoops one has to jump through is beyond ridiculous...and 6 months or more could easily be spent fighting for a child's aac app/device just to get a "NO" to our request) than the child would ONLY have access to it during the school day as it is school property. So parents HAVE to be willing to purchase the device. PARENTS NEED to be willing to spend money on their children...they NEED to get the ball rolling b/c in truth, we as SLPs WANT so desperately to move away from communication boards but without the parents support and fight for their own children we are stuck with the fairly primitive means of BoardMaker and sign. Your points are all very very true! Sorry for the sidebar but I really would love parents to understand how the school SLPs hands are tied and we really need PARENT support. I always tell parents...when in doubt you fight for your child b/c this is the only life he/she is going to get! As a communication specialist...I'll back you 100% and do whatever is in my power to support your child and you! Thank you again for this great blog post! Well said!

Emily said...

Hi! I'm a first year master's student in speech-language pathology and AAC is exactly where I want to be! I fell in love with it by working with non-verbal kiddos in an elementary school after college. This post is so spot-on, and I wish more teachers and professionals were on board with early intervention and really pushing hard for AAC. Thanks for all the links you provided; I can't wait to check it all out!

Rachel said...

Awesome letter. A must read by all parents with a young child struggling to communicate. Great job and thank you.

Amy said...

Thank you for your post. Our daughter is also 5 with speech delay plus gross motor, fine motor, and sensory issues. It's comforting to read about another family's journey. Blessings to you and your adorable, bright daughter.

IllusiveAnna said...

My friend linked your article on her Facebook page. Please know that you've made me cry (a good cry) and that I had no idea AAC existed, and my son has had speech therapy for the last year and a half (he's 3 1/2). Thank you, thank you, thank you. I cannot thank you enough. Seriously. I'm going to start following your blog, and I don't follow *any* blogs.

John McCarthy said...

Thanks so much Dana! As I think about the adults I work with who use AAC on a daily basis, they all have an incredible family support structure behind them. SLPs may be noted as positive influences in their backgrounds, but many times they are under the obstacles column too. SLPs, even the good ones, move in and out of children's lives, but parents are the constant. May I and my colleagues never stop listening to you and to all parents.
Thanks also for the mention. @sayit_any_way

Janet Dubac said...

Thank you so much for posting this! The tips and advice in this letter are brilliant! A lot of moms and dads will be able to find this very useful and will be able to do something about their child soon--that's all thanks to you and your blog post. I hope a lot of parents will be able to read this and learn something from it.

Vivien Field said...

WOW! This is a big post! Agree with you and wish it was THAT easy. I have been chasing this tiger by the tail for a LONG time. We have a good SLT but yep, we're still on picture cards, low tech books and most of that I have made myself. I have had limited success with AAC on my sons iPad. He just isn't keen on trying it so we've had to go back to basics and teach him the purpose of AAC and Low Tech communication. I would rather leap forward to the iPad but alas, its been a dismal failure with our son. He just doesn't want to get past the cause and effect features of ANYTHING on the iPad. I have tried the App you use with Maya and alas because of eyesight issues, my son just didn't get it. Believe me I have tried a lot of things, and as with his physical delays its just time and effort required. I seriously hope we get to where you are at now with Maya. My son is also 5 1/2 years old and non-verbal (he also dosen't walk or crawl).

Leslie Sanderson said...

I actually wish I had read this about 9 years ago. My son is now 9. Because he had a rare disorder no one knew about they actually thought he would not speak. He really had no language until age 3. When he did start speaking it was intelligible due to hypotonia. In preschool they had recommended a Go Talk. It took so long to get, he was actually speaking before we had the device. Now he is extremely verbal and will not stop talking but it was a long road to that point. Still he has fine motor delay and we use the IPAD and touch screen technology for this issue as he can not write with a pencil. Still we have the same issues, no one can use or is trained in the use of the device and there is no expert in the area. We were seen at our state diagnostic center by the AT person that said give up using the IPAD and do just a functional curriculum and only use the IPAD for leisure activities. This is in a child that is verbal, can spell verbally but can not yet read. So I hear you. Wish there was more support and options and really wish I had started on this journey earlier. Many need to read and hear your info. Thanks so much. Leslie

Mommy Square said...

Bravo! I especially like the part's on you. Far too many times I see parents not doing all that they can. We started using iPad and an iPhone to assist our son as early as 2. It was amazing for him to be able to order at a restaurant and feel like his choice did matter and we did "hear" him. Now at 4, he is no longer non verbal but we are still battling apraxia (and winning). It is up to us to fight for them. Thank you for this post :)

Anonymous said...

Hi! This was very informative, and a lot to take in- in a good way! I'm a parent of a seven year old with (mostly) expressive speech deficits. Something I wish more people would touch on is the prohibitive cost of many AAC devices and the difficulty getting into the hands of low income kiddos. I can read and watch youtube but at the end of the day, if I can't afford a device and apps my son is still not having his communication needs met.

natasha said...

yes absolutely. iwas told my son "wasn't ready" for PECS...he sure was. I was told AAC would not make him less autistic -too true - but if he wants to tell me that "aunty has a purple car" ten times a day = well so be it. that is what eh wants to communicate and so he should. And as time has gone by his vocab and language has come on so much (he uses gridplayer running on ipad with personalized gridsets from Grid2; and mostly the predictive typing keyboard)

natasha said...

AAC is not prohibitive these days - you can get a refurbished ipad or ipad mini and a free communications app to get going.

Caroline Ramsey Musselwhite said...

So elegantly and delightfully and FORCEFULLY shared. Thank you so much! I am so very honored to be mentioned in this post!

Anonymous said...

Hello all- I am trying to figure out what/how/where to go with our non-verbal 3 year old daughter. We had almost decided to get a tablet with an App. Then I emailed her school to get teacher input- and found out she could not take her tablet to school (liability if broken), so they could provider her soemthing at school. I am thinking this will be very confusing- if she has 2 devices.


kate said...

Your blog was one of the first I found about speech delay. My son just turned 3 and has no words yet. I love your honesty and that you pour your emotions into your writing. I am the same way. Life is a roller coaster. Some days I am so sad about his delays. And other days I look at how perfect he is. Thank you. You give me hope and strength.

Box Hill Speech Therapy said...

You must feel extremely proud of yourself to receive such positive feedback from someone. Good work.

Anonymous said...

Hello. I see the use of AAC. However I am curious in the role of ASL. My son 2.5 autistic nonverbal (maybe apraxic,maybe hard of hearing)after a year of speech therapy has not progressed orally but has been signing. I immersed our whole family in the deaf community and we are all learning ASL and I spend the day signing to my son constantly. Now all of a sudden our speech program for the state university wanted to use AAC on him when he seemed to be responding to signs so well. I am not able to reconcile the situation right now as at home he is able to sign that his brother is crying and why he is crying and now I am painfully watching him two hours a week hand a card over to a speech student for juice when he can sign juice and sometimes make the initial j sound.

Tamala said...

I came across your letter while conducting a google search about delayed speech for a 3.5 year old. I am so happy to land here. Literally last week our new Speech Therapist wants me to get a script for an Augmentative Evaluation to get the ball rolling on an electronic communication device for my daughter. My daughter was a preemie born at 25 weeks gestation and has experienced several milestone delays. She has caught up to some, but is gtube dependent for food, receives occupational therapy with focus on feeding, and speech therapy. She has one word, bye bye. Everything else is inaudible babble, grunting and yelling. Yet her receptive language is that of a 2 year old. We are doing everything possible with walk in services through school and outpatient with the hospital. But now learning about this gives me hope that soon I can understand some of what my daughter is thinking. Thank you for being a great voice.

Becky Gohs said...

A great new resourse is available through the Angelman Syndrome Foundation... The Communication Training Series with Erin Sheldon, Caroline Musselwhite, and Maureen Nevers. Click the link to watch the first video:

Betsy Furler, MS, CCC-SLP said...

This is a great blog post!!! I am a SLP. I specialize in AAC - especially the use of iPads and other tablets. I am continually frustrated with many others in my field. Especially when I get a referral for a 40 yr old who is nonverbal and had never had access to AAC. Or a typical 15 yr old who happens to be nonverbal and has been sitting in Life Skills for 9 years without AAC. I could go on and on!!!!
I work with Please put use on your list of resources!!!

Joni Fay said...

Hi Dana, I have shared this post with every parent I know as well as all the members of both of my children's teams. We have struggled for several years with communication as we were steered by ALL the "professionals" we encountered towards the traditional route of speech therapy. Both my kiddos, five year old boy/girl twins, are autistic both with varying degrees of apraxia. After making zero progress with the traditional routes we always KNEW giving our kiddos their own voice (in whatever form) was job #1. Thank you for reaffirming that as parents we must "go rogue". We've used pecs, aacorn app, proloquo2go, and I'm now considering speak for yourself (especially after seeing your youtube videos of your daughter) I have just ordered the AMDi cases for their ipad mini talkers and am feeling very hopeful about the things I know I must do to help my kids really utilize their talkers more. Thank you so very much for putting words to the thoughts that have been rambling in my head for many years--and finally saying the harsh truth...that it's ON US. No one is going to make this happen for my kids besides me tirelessly working towards it with them.

sarah said...

If its ok I would like to share this with parents and teachers I work with

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The Colourful Baby said...
This comment has been removed by the author.
Peggy Walker said...

My son and daughter-in-law have a sixteen-year-old daughter with Apraxia. She is intelligent, but has few friends at school. Is there an on-line chat room where my Ruth could talk with other parents of teenagers with Apraxia? Thanks! Peggy Walker in Kentucky

Johnson Smith said...

I have been suffering from (HERPES) disease for the last four years and had constant pain, especially in my knees. During the first year, I had faith in God that I would be healed someday.This disease started to circulate all over my body and I have been taking treatment from my doctor, a few weeks ago I came on search on the Internet if I could get any information concerning the prevention of this disease, on my search I saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man DR TASHE and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so I wrote to DR TASHE telling him about my (HERPES Virus) he told me not to worry that I was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later I started experiencing changes all over me as the DR assured me that I have cured, after some time i went to my doctor to confirmed if I have been finally healed behold it was TRUE, So friends my advice is if you have such sickness or any other like HSV1,2,HPV1,2,3,CANSER HIV,COLE SORES,TOOTH AKA,SYMPTOMS,y. you can email DR TASHE on( sir I am indeed grateful for the help I will forever recommend you to my friends!!! with your lovely Email Address ( or you can also WhatsApp him on this number +2347064849505

Robert James said...

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lisa Jerry said...

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Johnson Smith said...

I have been suffering from (HERPES) disease for the last four years and had constant pain, especially in my knees. During the first year, I had faith in God that I would be healed someday.This disease started to circulate all over my body and I have been taking treatment from my doctor, a few weeks ago I came on search on the Internet if I could get any information concerning the prevention of this disease, on my search I saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man DR TASHE and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so I wrote to DR TASHE telling him about my (HERPES Virus) he told me not to worry that I was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later I started experiencing changes all over me as the DR assured me that I have cured, after some time i went to my doctor to confirmed if I have been finally healed behold it was TRUE, So friends my advice is if you have such sickness or any other like HSV1,2,HPV1,2,3,CANSER HIV,COLE SORES,TOOTH AKA,SYMPTOMS,y. you can email DR TASHE on( sir I am indeed grateful for the help I will forever recommend you to my friends!!! with your lovely Email Address ( or you can also WhatsApp him on this number +2347064849505

caroldean said...

I was diagnosed of Herpes in 2014 and I have tried all possible means to get the cure but all to no avail, until i saw a post in a health forum about a Herbal Doctor(Dr Aloha) who prepares herbal medicine to cure all kind of diseases including Herpes,at first i doubted if it was real but decided to give it a try,when i contacted Dr Aloha through his Email: he guided me and prepared a herbal medicine and sent it to me via courier Delivery service,when i received the package (herbal medicine) He gave me instructions on how to consume it,i started using it as instructed and i stooped getting outbreaks and the sores started vanishing,could you believe i was cured of this deadly virus within 10-14 days of using this REMEDY,couldn't believe the healing at first until i went for a check-up,indeed i was tested negative to HERPES.Contact this great herbal Doctor today via Email: and get cured permanently. or Call/Text: +1(312) 361-5917

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1. Vocabulary Development and Instruction: A Prerequisite for School Learning
Andrew Biemiller, University of Toronto

2. Early reading acquisition and its relation to reading experience and ability 10 years later.
Cunningham AE, Stanovich KE.

3. Double Jeopardy How Third-Grade Reading Skills and Poverty Influence High School Graduation
Donald J. Hernandez, Hunter College and the Graduate Center,

Herbs that cure Fibroid said...

God bless you great doctor Alfa,I want to say a very big thank you to Derick Elvis for directing me to Doctor Alfa Uribhor, and after I contacted him concerning my son case with the problem of Autism, he said he is going to send me medicine which I will use for one month only for him, so after three days I received the medicine and I started giving my son the way I was directed, within one week I started seeing good results, he started talking clearly and able to walk around and after he finished everything for one month according to what Doctor told me he was perfectly okay and he has no problem with Autism anymore, contact doctor today so that he can help you out, his email is Thanks for taking you time to read my testimony.
Thank you great doctor

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Michael Olly said...

I'm here to share to the worldwide that Dr Osagie is a Powerful Herbal Medicine man. that can cure your disease if you can only contact him and let him help you. I was cured from my Herpes Disease. after suffering since 11 months but when i contact him on the internet. he gave me a Natural cure that ended my suffering after using it for six weeks. i went to check myself on the hospital and i was tested negative. I can't more happier but to say thank you sir and i use this medium to say to everyone don't waste any time to contact this powerful herbal Dr Osagie On any Kind of Disease he is Ready to help you. You can reach him through Email: OR
DROSAGIESOULTIONTEMPLE@YAHOO.COM ) Dr Osagie Cell Number:+2347030465649 He also have a herbal cure for Following DISEASES,this is 100% Real

Stephen Walker said...

So happy for the great work of Dr Akuna the great herbal healer that has cured me of my 20years HEPATITIS A&B after using his herbal mixture that was sent down to me from Africa within 3 days, i was completely cured i can't believe it that Dr Akuna can cure me of my HEPATITIS A&B Disease after Doctor prove no cure for it, but today i am a free Man and i own you a word of appreciation, and that is why i am writing this to tell the world how powerful you are to the humanity. May God keep blessing you more and more. Dr Akuna is specialis in other kinds of illness: Typhoid Fever, Yellow Fever, Meningitis, Cholera, HIV, Cold Sore,Herpes virus all types, Common Cold and More. Write to his WHAT APP LINE OR CALL HIM:+2348154625070 Or CONTACT HIS EMAIL:DRAKUNASOLUTIONTEMPLE@GMAIL.COM or his web:

Unknown said...

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did not cure me. I was browsing through the Internet searching for remedy
on Parkinson cure and i saw comment of people talking about how DR SAKURA
cured them. when i contacted him he gave me hope and send a Herbal medicine
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without problem, my Parkinson VIRUS left me immediately . I pray for you
DR SAKURA am cured, you can also get yourself cured my friends if you
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His also capable of curing this following diseases



(3)Hepatitis B

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lendatanny said...

I'm lenda tanny , I contracted HIV disease in 2016, I was told by my doctor that there's no possible cure for HIV. I started taking my ARV's, My CD4 was 77 and viral load was 112,450. I saw an email of Dr.Bello , also I saw a lot of testimonials about him on how he uses herbal medicine to cure HIV disease. I contacted him and told him my problems, He sent me the herbal medicine and I took it for 7 days after then I went for check-up and I was tested negative. The medicine has NO SIDE EFFECT, there's no special diet when taking the medicine. He also cure ALS, HEPATITIS B, CANCER, HERPES, DIABETES and lots more.You can reach him on or call, whatsApp him on +2348147271779.

Rose Sharon said...

Hello, everyone! I,m here to explore blogs and forum about the wonderful
and most safe cure for HERPES SIMPLEX VIRUS (HSV).
I was positive to the deadly virus called HERPES and i lost hope because i
was out casted and rejected even by my closet friends.
i searched on-line to know and enquirer about cure for HERPES and i read
someone testimony on how he was cured from HSV-2 so i decided to contact
the same herbalist Call Dr Edidia because i know that nature has the power
to heal everything.
i contacted him to know how he can help me and he told me never to worry
that he will help me with the natural herbs from God!
after 2 days of contacting him, he told me that the cure has been ready and
he sent it to me via UPS SPEED POST and it got to me after 3 days!
i used the medicine as he instructed me (MORNING and EVENING) and i was
its really like a dream but i am so happy!
thats the reason i decided to also add more comment of Him so that more can
be saved just like me!
and if you need his help, you can email him on
or whatsapp +2349074505296
here is the Dr Blog page

I,m rosesharon and you can get intouch with me via

Rose Wendy said...

Hello everyone, i am so grateful to Dr.Ezra for curing me completely from COPD DISEASE. I was told by my medical doctor that i have COPD Few years ago, and ever since i have been taking different kinds of medication and yet no improvement until i saw testimonies of Dr.Ezra about how he has been curing people from different kinds of diseases Although i was skeptical about contacting him, but i also knew the importance of herbal medicine, then i made up my mind and contacted him we talked on phone and he prepared and gave me the medicine which i took according to his instructions. Now I’m so happy I’m 100% free from COPD. My heart is so filled with joy, thank you so much Dr.Ezra. If you are reading this and you have COPD or any other disease you can contact Dr.Ezra today on this Email address: or WhatsApp or call him on this number +2348116755255.
He cures all manner of diseases like
What ever the disease may be just contact him and he will surly cure you without having any side effect.

mable joshua said...

I am really happy that i have been cured from (HEPATITIS VIRUS) with the herbal medicine of Dr Aba, i have been suffering from this disease without any solution until i came across the email of this doctor who have cure so many people with his herbal medicine, i also choose to give him a chance to help me and my husband, he told me what to do and i kindly did it, and he gave us his herbal medicine and direct me on how to use it, i also follow his instructions for use and he ask us to go for a check up after 1 week and 4days which i did, to my greatest surprise our result came out as negative, we are really happy that there is someone like this doctor who is ready to help anytime any day. To all the readers and viewers that is doubting this testimony stop doubting it and contact this doctor if you really have one and see if he will not actually help you. i am not a stupid woman that i will come out to the public and start saying what someone have not done for me and i know that there are some people out there who are really suffering and hurting just because of these diseases so you can mail him on or whatsApp his number on +2348107155060

Natasha Donald said...

Herbal Medicine Cure Herpes Virus Contact Dr Zuku To Help You.

my people Join me as i share the wonderful work of Dr.Zuku how he cured my Herpes 2 Disease, that almost took my life, i have lived with this disease and did all i could be cured but no way.i have been searching out on a cure to terminate my Herpes and on my search i found Dr.Zuku help on the lives of many people . and after i wrote to him on how to get a cure, he directed me on the steps and he prepared my herbal medicine and after he sent it to me True DHL to deliver the herbal medicine to me..within 2 week after using it that after using it, i will be cured, and that was how he sent me my medicine and after using it for 2 week i was found negative by my test result. why not contact him today on his email: and he can still cured..HSV 2,HEPATITIS B,HIV/AID,CANCER,DIABETICS, his email via Blogs also text/call: +16177296273 or web/site

Wanda Dancy said...

hello friends,am Wanda Dancy from U S A. God is be really good to me in my life, before people said there is no cure for Herpes, but today many people have now believe that there is a cure FOR HERPES can be cured through Africans root and herbs, our great doctors have finally found the cure of Herpes, many have get cured with the help of a great spell caster known as Dr Ose he's the one of the great spell herbal doctor in Africa and he has the cure on this disease H.P.V/TYPE 1 TYPE 2 TYPE 3 AND TYPE 4. TYPE 5, human papilomavirus, genital warts, herpes, syphilis, cancer, hepatitis a b and c. high blood pressures, body disease, diabetics, epilepsy, HIV aids, pregnancy,ALS and many difference kinds of diseases, last month he share is Herbal medicine in some medical hospital and now he is well recognize as one of the best spell caster in Africa, you don't have to be sad any more or share your tears any more on this disease when the cure have already be found. in 2015 the total number of people living with H.P.V was 5.8 million but today the total number is now 2.0 million, if you want to get in touch with him in private contact him on this e-mail below: call and whatsapp him on +393512872745,so now contact him and get rid of your disease. immediately because this disease are not melt for us, with GOD all things are possible, so GOD has use this great dr Ose of dr Ose herbal center to let people no that this disease are not actually melt for us. and also here is my email address you can get in contact with me if you wish to no more about this great wonderful herbal doctor that has so much made me believe in him ok, so here is my email address thanks everybody and most especially you dr Ose of

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Tina Dellary said...

I am so Happy to be writing this article in here, i am here to explore blogs forum about the wonderful and most safe cure for GENITAL HERPES VIRUS . I was positive to the deadly Virus called HERPES and i lost hope completely because i was rejected even by my closet friends. i searched online to know and inquire about cure for HERPES and i saw testimoney about Dr PETER online on how he cured so many persons from Herpes Disease so i decided to contact the great herbalist because i know that nature has the power to heal everything. i contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God! after 3 days of contacting him, he told me that the cure has been ready and he sent it to me via UPS office, and it got to me after 5 days! i used the medicine as he instructed me (MORNING and EVENING) and i was cured! its really like a dream but i'm so happy! that's the reason i decided to also add more comment of Him so that more people can be saved just like me! and if you need his help,contact his Email: ( You can contact him today VIA WHATSAPP +2348132537313
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Jonathan Nixon said...

I want to share my testimony on how i get cure of my HERPES GENITAL with the help of Doctor idahosa, i have being suffering for this disease for a very long time now.i have try several means to get rid of of the (HERPES) disease for the last five years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulate all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man Dr idahosa and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr idahosa telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as the Doctor assured me that i am cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So friends my advise is if you have such sickness or any other at all you can email Dr idahosa on sir i am indeed grateful for the help i will forever recommend you to my friends and to share this to every one that have any of this sickness you can call him on via +2348134261542

Rose Sharon said...

Hello, everyone! I,m here to explore blogs and forum about the wonderful
and most safe cure for HERPES SIMPLEX VIRUS (HSV).
I was positive to the deadly virus called HERPES and i lost hope because i
was out casted and rejected even by my closet friends.
i searched on-line to know and enquirer about cure for HERPES and i read
someone testimony on how he was cured from HSV-2 so i decided to contact
the same herbalist Call Dr Edidia because i know that nature has the power
to heal everything.
i contacted him to know how he can help me and he told me never to worry
that he will help me with the natural herbs from God!
after 2 days of contacting him, he told me that the cure has been ready and
he sent it to me via UPS SPEED POST and it got to me after 3 days!
i used the medicine as he instructed me (MORNING and EVENING) and i was
its really like a dream but i am so happy!
thats the reason i decided to also add more comment of Him so that more can
be saved just like me!
and if you need his help, you can email him on
or whatsapp +2349074505296
here is the Dr Blog page

I,m rosesharon and you can get intouch with me via

Rose Sharon said...

Hello, everyone! I,m here to explore blogs and forum about the wonderful
and most safe cure for HERPES SIMPLEX VIRUS (HSV).
I was positive to the deadly virus called HERPES and i lost hope because i
was out casted and rejected even by my closet friends.
i searched on-line to know and enquirer about cure for HERPES and i read
someone testimony on how he was cured from HSV-2 so i decided to contact
the same herbalist Call Dr Edidia because i know that nature has the power
to heal everything.
i contacted him to know how he can help me and he told me never to worry
that he will help me with the natural herbs from God!
after 2 days of contacting him, he told me that the cure has been ready and
he sent it to me via UPS SPEED POST and it got to me after 3 days!
i used the medicine as he instructed me (MORNING and EVENING) and i was
its really like a dream but i am so happy!
thats the reason i decided to also add more comment of Him so that more can
be saved just like me!
and if you need his help, you can email him on
or whatsapp +2349074505296
here is the Dr Blog page

I,m rosesharon and you can get intouch with me via

Jesus Mckinney said...

Irrespective of receiving daily oral or future injectable depot therapies, these require health care visits for medication and monitoring of safety and response. If patients are treated early enough, before a lot of immune system damage has occurred, life expectancy is close to normal, as long as they remain on successful treatment. However, when patients stop therapy, virus rebounds to high levels in most patients, sometimes associated with severe illness because i have gone through this and even an increased risk of death. The aim of “cure”is ongoing but i still do believe my government made millions of ARV drugs instead of finding a cure. for ongoing therapy and monitoring. ARV alone cannot cure HIV as among the cells that are infected are very long-living CD4 memory cells and possibly other cells that act as long-term reservoirs. HIV can hide in these cells without being detected by the body’s immune system. Therefore even when ART completely blocks subsequent rounds of infection of cells, reservoirs that have been infected before therapy initiation persist and from these reservoirs HIV rebounds if therapy is stopped. “Cure” could either mean an eradication cure, which means to completely rid the body of reservoir virus or a functional HIV cure, where HIV may remain in reservoir cells but rebound to high levels is prevented after therapy interruption.Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Cancer,Hiv_ Aids,Herpes,Copd,Diabetes,Hepatitis,I read about him online how he cure Tasha and Tara so i contacted him on even talked on whatsapps +2348149277967 believe me it was easy i drank his herbal medicine for two weeks and i was cured just like that isn't Dr Itua a wonder man? Yes he is! I thank him so much so i will advise if you are suffering from one of those diseases Pls do contact him he's a nice man.

Tina Dellary said...

I was told i had Genital Herpes six months ago. of course it was the worst experience ever and i thought my life was over. So i went online to find things i can do from prevent getting outbreaks and maybe even cure this. I found someones story and how it possibly cured him. ive only had once outbreak which was the first one and i havent had another in six months. This is what i did! Vitamin D one tablet 3x a day, Vitamin C one tablet 3x a day, L-Lysine one tablet 3x a day.You can also take tea tree one tablet 3x a day, everynight after a shower i clean my lower back and make sure its nice & clean i add DSMO cream Mix with 8 drops of oregano and put it on your lower back. The DSMO cream is the one ive heard that can possibly cure it so that is the most important, im soon going to get tested again and im praying to God it comes out negative. I am very happy, that is why i am here to testify on how Dr PETER helped me and how he has help people that i have directed to him, i am not shy to broadcast about how i suffered of HERPES disease because i am free now, i was positive for 3 years but now i am HERPES Negative now with the help of Dr PETER Herbal Medicine. My dear friends, i am glad to say Dr PETER cured me and made my family happy again. he can cure any disease or sickness so i advice you to contact him if you have any problem you can contact him today via Email: ( or or call +2348132537313 whatsapp or call hem

Dina Steven said...

I believed God has sent dr onokun to help people out from this horrible virus. i was diagnosis with hpv for 3years, few months ago a friend introduced me to dr onokun and i only took his natural treatment for a week & 3days, and i totally got cured with his herbal treatment. if you are suffering from genital herpes, you don't have to be roaming round dr onokun email is been attached to contact him.

katherine said...

Hello viewers I am glad to have met with the powerful herbal healer called Dr voodoo who use his herbs to cure my HIV disease I suffered from 15years, but now I am a happy woman and i am free from this sickness that has been problem to my living, after using Dr voodoo herbal medicine within 1week i was diagnose negative, I will recommend Dr voodoo to everyone reading this article because this herbal healer is capable to heal anything, the scientist said has no cure, Email him : or add Dr voodoo on whatsApp: +2349061243458

Mr Eix said...

It’s no secret that a man’s ego has a powerful pull on him.

In fact this hardwired need to impress and to WIN is so deeply embedded into the male mind...

That nearly everything a man truly desires is based around this biological “drive” to prove, succeed and to win.

It’s why so many men become workaholics, gym junkies or become obsessed with their hobbies.

But what most women don’t know... how deeply this “drive” is connected to his love, desire, and attraction for the woman in his life.

And I’m about to show you how you can “tap into” a man’s ege to refocus that same drive and gut level obsession...

...on pleasing you, romancing you, and proving his love for you like you’re his sole purpose in life.

Here’s how: ==> The “Game ON!” Signal That Makes Him Obsessed With Winning Your Love ]


P.S. When you tap into a man’s ego this way, you can cause him to literally become obsessed with proving his love for you. So please don’t use this on a man unless you are ready for something serious.

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Unknown said...

Hello beautiful people, i am writing to say how much grateful i am for dr akuna herbal medicine that cured my HERPES VIRUS IN 2WEEK. His medicine is what i will call super formula, which has transformed me to a happy living free from HERPES Of 6years and 5month. Reach dr akuna today on or What app/Call? +2348154625070 he has remedy for all kind of challenges you are facing, he cures various Illness: Diabetes. Cold sores, HSV1&2, Cancer, Hepatitis B&C SYPHILIS, Brain Tumor, Ex Back, Ex lover, Goodluck spell. and many more.

Raven Gallery said...

I am Raven Gallery From USA.. Never Believe what the medical doc say that there is a cure for HIV AIDS but i found that there is herbal cure for you HIV AIDS disease with a 100% guaranteed I am a prove of it, I and my Boyfriend was effected and no one know who got effected first, in 6months time, the symptom was very rapid, I was annoyed with the words coming out from my doc after hearing from there was no cure for my disease..few days later i meet a friend online we got to meet and he didn't live very far, and she directed me to this Great Magical herbal doc Akuna and i contacted, to cut my story short, in 2weeks after using his medicine, i and my boyfriend was diagnose negative. I never believe there was a Man out in the world to cure my Virus. Thank very much sir. i Admonish that you contact doc Akuna fast as possible to get cured like me. or What App/Call: +2348154625070.