How Long Does it Take to See Results with Speech Therapy? | www.agentsofspeech.com

Hello, Good morning. So if you're watching this on Facebook, hi, how are you? And hi to YouTube as well. If you're watching and you're watching this on a recording, that's cool. Just put down a comment and tell me what's going on. What's up with your. With what's going on at home right now. Okay, so why I want us to do this video about basically how long it takes to see results is because yesterday I was on a call with a parent, right? And then they were like, oh, man. It seems like nothing's going right at this time. They're like, their child is like two and three months, and they just don't reply to their name or anything like that. Like the very typical story about having a speech delayed child at home. And they. They're living in Bali, they don't know what to do. Bali, Indonesia, by the way, that they don't know what to do. They're like, how long does it take for, you know, for him to catch up as a guy we're talking about. And I'm like, this is one of the most asked questions I ever get, right? Because everyone who's coming to me is. Is basically coming for a. What's that called? Coming for a result, right? They're coming for a result. They're coming for a solution. They're coming for loads of things that they are asking for, right? They're coming to look at me and seek for advice, seek for exactly what to do and so on. So I realized I was muted on Facebook. Yeah. So I was saying that people come to me for results and they don't know when they're going to get it right. And this is the tricky part, because every time I have to tell and answer this question, it's very difficult. It's very difficult. And the reason is, there's a few reasons, like, number one, like, what kind of problem are we dealing with, right? Such as, are we dealing with an ASD kid, like a child on the autism spectrum, which I'm more familiar with, to be honest. Are we dealing with a person, a child who has multiple difficulties, he or she might have some cleft palate issues, meaning, like there's a hole inside their palate and they might have a genetic disorder. All these things account for how long it's going to take. But the usual, usual, usual, usual thing is, the answer is, mom, dad is going to be a long fight. It's going to be a very difficult time ahead of you. And recently I read a paper and it said, that do actually speech delayed children, or language delayed, if we say it nicely, is language delay children, do they actually catch up? That would be the question. And the answer is no, not really. So the thing is, if you want to know about that. What's that called? If you want to know about that particular study, please let me know in the comments. I'm very willing to, like, let you guys know because to be like, a lot of parents are actually very willing to learn, so. And they're willing to explore. So if you need anything, if you need anything, just tell me. Okay. The thing is about catching up is now becoming like. It's now becoming the new term for like, oh, how long it's going to catch up? Are they going to be okay? What time frame are we talking about? Like, are they going to be okay by seven? Not really. Not really? Not really. So most of them are still delayed in some shape or form. So nowadays therapists, assessment people, they like to call it language disorder more than delay, because delay implies that they're going to catch up and it gives a false hope. And to save our own bottoms, to save our own jobs, we hate it when we have to, when we are. We hate it to. What's that called? We hate it to give false hope and put our, like put ourselves in danger. Right. So that's why it's becoming more and more. If you get an assessment nowadays, it's more of a speech disorder. And the other day, the parent, one of the parents who is my client is saying, like, hey, Ming, language disorder sounds so much more scary than delay. Yeah. And the reason why it's like that is just to also make parents understand because. Because basically disorder is like a disease, right? Like if you have like Alzheimer's disease. Oh, wait, that. That is a literal disease. Right. But if you have like a motoric disorder, it means you're. You're born with it. Right. And there's nothing much you can do about it. But there is actually a lot you can do about it. It's more about like, can you actually. You need to teach your child and yourself how to cope with it. So there's a lot of studies out there that talk about, like, oh, whether children would catch up or not. And recently I've seen another one that are like, what happens if a child. There's like a significant risk for speech and language delay, right? Meaning they might be a little slower than their peers and the ones that are typical. So there's like, risk in terms of language and speech and delay. And then one type One group of parents, they choose to wait and see. All right? They choose to wait and see. The other group opted for early intervention. And also the mother and the father decided to like, learn themselves about how to do some things. Okay. So it was shown that parents who actually learned those tricks what we call like my liu, I'm not sure if I'm pronouncing it right, but my LIU teaching is something that we use a lot inside the clinic room. Right. And after parent training of 28 sessions, right, over a three month period, there was a significant improvement between those who those parents who decided to wait and see and those children who were those parents who actually decide to learn about stuff, you know, learn about like how to do language facilitation, doing Milo, whatever, that kind of stuff. And I'm going to quote that text over here, it says children in the control group, meaning the children who waited and see did not catch up but fell farther behind their peers. With meaning like the treatment group. Okay? So those parents who actually went and did the thing. So I'm going to link this over here. The link, the. I'm going to just link it to the comments so that, you know, basically it's a whole paper. But in summary, it just means that if you're scared that your child was like, will not catch up, well, you got to do something about it too, right? So this is not, this is not me trying to push you guys towards like learning everything you can because that's impossible. But you got to learn the things that are, that can help you do like things on a daily basis, right? Like, can you, can you learn some methods and techniques that will help you cope with the situation right now at home. And the best thing ever actually is I've already told you to about in a separate video. If you haven't, just go check it out. It's called like language facilitation. How to do speech therapy at home. Got a whole playlist about it. And usually this is what I tell parents, look, there's a risk now that your child is going to fall behind and obviously after assessment that, you know, he's already this amount of years behind or this amount of months behind. So if you don't do anything about it and you just wait and see, then it's just about risk management. Right. Do some children actually do catch up? Yes. And do some children never catch up also? Yes. And some parents actually tell me, right, right in my face or over the Internet, they say something like, they say something like, hey Ming, dude, I heard that Einstein is also a late talker, right? I also heard that J. Chow, the singer is autistic. Why should I care, right? Even like famous people are. But hey, this is might be true, might not be true. I'm not gonna this, whatever. I don't know. But the thing is, is your child going to be Einstein? Nobody knows how like, Einstein is like 1 in 10 million of people. You're using like one instance of person to justify if your child will catch up or not. Which is kind of like, it's not good. It's not good. It's like saying Michael Jordan, he was cut from his high school team for basketball, right? He was like, he was fired from his basketball team. And when he was doing like when he was in high school and he went on to become the best basketball player ever, period. Do all basketball dropouts in high school get into NBA? Absolutely not. Like very low percentage actually do. Right? And how many of those become the best basketball player ever? Neither. Who's the best basketball player now? LeBron James. What was he a legend in both high school basketball and football. American football. Not like, not like the ones that we know, like the ones that we really use our feet to play with. So given that I would say, like, I would say that, right? And they would be like, okay, fair enough. And I feel like sometimes this is the problem with a lot of therapists out there. It's because when parents throw these objections out, right? Like, oh, dude, people are going to catch up. Oh, you know, I have a cousin, cousin's daughter who, who has autism. He's, she's doing fine now, right? That's how they say in Southeast Asia. They're doing fine now. Like that, right? But as a therapist, you also are some, some sort of a sales because you're trying to sell your service to the parent, right? They're here for a reason. They're scared for a reason. But sometimes the therapist cannot give that, that little urgency to push them to take action, right? Some parents, you don't even need a push. They're already talking about, oh, how many sessions do we need? Like, oh, I want to see as much as possible. Those. You also have to calm them down. Not saying, okay, whatever, like, give me your money, like, that's just not cool. So here I'm actually helping out to answer the questions for those parents who do somehow find this video. Obviously this is not a one off video. I'll be making more videos like this, right? But what I'm saying is like a lot of therapists, they cannot pronounce their value to the parent and also pronounce the risks that need them to take action right now. So what are the risks? Right. The worst case, always we talk about the best case scenario and the worst case scenario, the best case scenario is that, oh dude, your child is only around like it's delayed for now. Let's say when child gets to three years old, suddenly there's like an explosion of words. Right? That's cool. That's cool. Explosion of words. And he's catching up. So by the time he's three to four, he catches up really quick and that's that. You don't need to think about it anymore. That's great. Right? Okay, so the worst case scenario is he will stay at this level forever. Right? That's the worst, worst, worst case scenario. Which is very highly unlikely. Unless they have like some sort of like multiple disabilities, like crazy, a lot of different things going on and you do nothing about it. Right. Then it will stay there forever. So these two scenarios, let's say that we do do some speech therapy, some ABA therapy, some occupational therapy for your child. Is it going to help? Maybe, maybe not. Right. But is it going to, let's say that in between like three to four that they do catch up. The best case scenario, right. If you let them have therapy during that time, is it going to accelerate it? Yes, it's going to. There are some sure fire ways to actually help children develop language. It's well documented, like people know it nowadays. Although our industry is rather premature, I would say we haven't been around for a long time. Right. So yeah, the best case and the worst case scenario therapy will still help. Will still help no matter what. So what are the things that the parents are thinking about when they don't? They're hesitant to actually continue with therapy. Well, obviously I'm speaking from like a matter of experience. You know, a lot of parents come to me after they do the assessment. They don't want to continue. It means that my assessment wasn't accurate in terms of what they're thinking about the kid. Usually if a therapist has done a good job with assessment, it enters the conversation inside the parent's mind. It's like, yeah, how did you know that? Right. It's only been like 20 minutes. How did you know that this would happen at home? Or how did you know that? Whatever, whatever. How did you make my child talk more than I do? Right. These are the things that it would make you more comfortable when you see a therapist who does assessments skillfully. Right. So to go back to the question of how long will it take? How long does it take to see results with speech therapy? I'm going to tell you that most of the time. Most of the time, you will see results in the first one or two months real quick. Are they going to catch up? Most probably not. What kind of results can you expect? You expect that they will start using the methods for communication with you. And what's going to happen is that if you don't continue, if you don't continue the sort of skills and the techniques that the therapist teaches you, then you won't see the same results. Because these children are very rigid. You know, they stick to their own ways. That's why they're delayed. They stick to their own way of doing something. That's why they don't learn new things. They're stubborn. And that's the most. That's the biggest characteristic that all parents say, oh, my kid's very stubborn. You know, it must be from his dad, or the dad's gonna say, it must be from his mom. Like, whatever. They're stubborn. That's like, that's like a hallmark of a delayed child. Of course they don't want to change. Right? They see a better way than speaking. Your speaking is hard, so they'd rather cry or, like, hit you or, like run away or pull your hand or whatever. So therefore. Therefore, if the skills and the methods of communication only. They only stay inside the clinical room every week, then it's going to be very difficult. All right. Yesterday I had a really good session online on Zoom with an online client. So she was actually talking a lot, talking very, very well for that whole, like, 30 to 40 minutes that I was engaging her with a, With a conversational level thing. Like, we were. I was just. She all. She always had a problem with, like, with, like, speech. Right. But we were able to, like, talk, like, really have a conversation for a whole, like, 30 or 40 minutes. Right. So don't mind my cat. She just woke up. And basically after that, the parent and the helper couldn't replicate the results. Right. So that's not their fault. Obviously, that really isn't their fault because me and the client, we have a different rapport than the other. Oh, yeah. Then, then, then she does with me. I'm sure if you're watching this. Oh, you would know who you are. Right? So it totally isn't your fault. It totally isn't anything. So, of course, when this happens, it's going to take longer for a parent or a child to catch up. Just because the only time that they can exercise their muscles are within that time frame when they're seeing a therapist, right? So Leena says, what about those centers that are telling us parents that our children. Jordan. Will speak in three months? Don't go to those centers. It's as simple as that. Look, no one's gonna guarantee your child to speak in a timeframe. Anyone who does that doesn't. Yeah, they're not supposed to do that, number one. Number two is, the fact is, what do you mean by speaking? Are they gonna, like, speak fluently? If they're only gonna speak one word, then, yeah, fair enough. They will. Maybe, maybe not. Like, if they're speaking, it means that they actually just say a vowel like, ah. Oh, there you go. He's speaking now. See, that is not cool. Anyone who over promises and centers is unethical, basically, because I don't think that's the best way to do it. And I don't know whether there are guidelines with this or anything. They. That's a bad way of selling. That's promising something that may or may not happen, Right? And when it doesn't happen, what's going to happen? You are going to be sour. And when you're sour, then you ask the therapist, and the therapists are going to say, like, hey, it's your fault. You didn't follow what I said at home. That's why they're not, like, you're not having the results that you get, right? And then they start to think about, okay, I'm going to leave the center because this sucks. I'm not getting the results. And Lena says, what should parents consider when those centers told us that way? Okay, so when centers tell you that, oh, hey, come to me, like, do an assessment. Assessment might be a lot more expensive than the therapy services, right? So it might be, like, three times more expensive given, like, the paperwork and everything. So the center knows that you have the purchasing power to pay for therapy. Therefore, they're gonna sell you, right? So when they sell you, they're gonna say stuff like, oh, dude, come. Because given what I've. I've seen. I've seen thousands of children. So what kind of. I've seen thousands of children, and I see that your child is one of those who will speak in three months, right? And what you should consider at that point is to ask a lot of questions to the center. So you would ask, like, hey, what made you say that? What kind of assessment did you do? Why would you think that they would start talking I didn't see that. You made my child talk in the assessment room. Most probably you won't be there because they don't let you. So why would you even think that? Right? That's question them. If they cannot answer and they stutter, it means that they don't know how to answer you. Right? That's just like an empty promise. So. And then what you can consider is to do what a lot of, well, to do families do in Hong Kong. They ask, they do assessments in different places in different centers and see which one is better. Obviously in Indonesia, where I am right now, or like in somewhere else where, you know, therapy services is like, pretty hard to get, this might not be an option for you, Right? So what you should do then is to think about, hey, am I well educated? Is the parent well educated about this stuff? And take some break. Take a break before you actually say yes to the center, Right? Go ask some people around, you know, some mom groups, some other friends, like people who have gone through the same thing. Have they seen similar results? Because, for example, one of those centers who promised stuff, and I'm not going to name any names here, it's the ABA center around in Jakarta, there's only a few, right? So what they do is they're very good at making the child talk in the first few months, but they stay there nearly forever. So let's say that they know how to really reward and bribe children. So the children will always say, like, I want whatever. I want whatever. So it's always like a cookie cutter therapy process. So given that they're teaching a bunch of ASD children, it means that they're becoming very, very, very rigid and they just keep on there. So the parents are happy about the situation in those three months because, oh, now they're talking because they can see I want. But after that they stay there for like a year or something, right? So maybe they're not. It's not an empty promise. It's really. That's what they're accustomed to. That's what they've been seeing. Right? So how you should react to it is to ask those parents inside to see what is good for you, what is bad for you. Are you okay with having your child to speak, oh, I want something. Right? Is that something you want to settle for for now? Okay. And then go to another center for other sort of things or skills that you want them to learn? Right. So I've seen multiple parents who graduate from different centers just because different centers have different special specialties or something at Least that's what parents think. And because parents think that they bring children to those centers. So those centers only get that kind of kids. So therefore they become better at that type of children. So that's why it's becoming like that. It's more like a self fulfilling prophecy. Like parents think, oh, this center is only good for children of this kind. So only, only this kind of children gets into it. And then this center only is good at, for this type of children. So like, therefore you get like chunks of parents and people going to those places. Right. And which the therapy centers use the same way to sell and talk to parents. Right. As Lena was saying, they would promise parents that, oh, in three months they'll be talking and you have to do your homework yourself. Right. And once you do that assessment, you need to be able to go into the, you know, they give you like a whole sheet of assessment paper report, which even I wouldn't want to read it. Like to be honest. Like I read the first part, I'm like, oh man, I'm going to come to my own conclusions. So it's difficult, it's difficult at this situation. It's hard. So would you expect, would you expect that within three months that your child will start talking? Yes and no. Yes and no. I really think that if it's an ABA center and you put your child there every day, it should be pretty easy to get results because it's just a very controlled environment. Right. Whereas if you're seeing a speech therapist like myself and it's been like three months and you see me every week. Yeah, you should still see results, but not as fast. Right. But the thing is, the key thing is that you continue the work at home. Which is why it might sound that I'm putting the blame on you guys or anything, but it's not. It's just that I've had clients who do exactly what I say. I had clients who overdo what I say. I have clients who don't. You know, back in Hong Kong, I used to give like a sheet of paper, it's called home practice. It's like a practice that we all do in Hong Kong. Really. Like those who really want something to happen at home would hand out home practices to the parent with a blank sheet of paper for them to fill in and take. Oh, did you do it today? Yes, Take, take, take like that. And then right before our session, the parent would like just scramble and take like, like the same pen and just take everything in the same fashion. And I'm like, dude, Obviously you did it like you ticked it right before you came in. So did you do it or not? Like it became a sour relationship, you know what I'm saying? So that's why I don't do it anymore. Instead I tell the parents to do it right in front of me, right? Which puts them at the spot and also makes them understand that the value of our work, because I can make it look very easy because I've done it many times, but when the parent sits down and they do it, they kind of screw it up because they haven't been through it enough times to know what to do, right? So it's kind of also a way for parents to understand, right? So if you are able to replicate nearly just 50% of what therapists are doing in the clinic room and you actually try, I can guarantee you that your child will advance through much, much faster, right? Especially for speech therapy. Because if your child improves every week, the speech therapist becomes more of a monitor, becomes more of a supervisor of how the progress is going. And then every time he or she, the therapist will teach you different things, harder things, so that your child can advance. And once you have that different and higher level thing, I give it to you and you do it at home, then for that week they're just gonna keep on improving because you're always pushing something harder, right? For so many times that I come back every week, it's the same old goals every time and sometimes it regresses a little bit and it just makes me wonder how it is at home. And then when I tell the parent to show me what's going on at home, it seems like, it seems like the kid just doesn't care. And it's not the parents fault, right? It's not your fault. If you're my client, then it means that I haven't communicated the importance of doing stuff at home, right? Because you're spending 99% of your time at home now because of the virus. So now you can't even go to a center, they can't even sell you that three month, four month package. They can't even do that. So what are you prepared to do at home? That's something that you have to think about and hopefully through this answering of this question, how long it takes to see results. One of the most frequently asked questions ever in therapy, right? Hopefully by this you understand the value of the importance of trying these techniques at home even if you fail. So I've seen so many parents just fail once or twice and just give up the difference between me and a parent is that first of all, I select the correct level of difficulty, right? Just enough for them. Just enough for your child to try. And not just straight out, just reject you and run away. And then I also provide and try out all the ways of queuing and prompting. Lena, you're here. So remember how we were doing the prompting? Like this with the hands. That's by trying, right? That's by trying. We know that mouth shape works. We know that tactile works tactile. We don't know how much it would work because she's sensitive. So we have to try it out. So the difference between me and my parent is that I choose the right level. I try the cueing, and I don't give up. No matter how many times they say no, they screaming, they're shouting, they're running away. I think of a way to make it economically beneficial to the child to try. Meaning that I will always have rewards at the back end. Meaning I will always try to make things easier if it's too hard for him. Meaning I will always try different ways of teaching until I hit a sweet spot. Hit a sweet spot, right? So one. One theory, one thing that we always talk about in therapy is called, like, zpd and that if you're from. I don't know, it's American or British anyways, like zpd. Okay, zpd, right. And what it is, what it is a zone of approximal development. And basically what it means is just like the comfort zone of a child, right? It's like a circle. Every time we push it, we push one corner of the circle out until we keep on pushing the corners and they expand and they improve, right? And that's basically how. What's that called? How theory and knowledge improves, right? It basically is a circle. We keep on poking, like, little corners and then make the circle bigger, Bigger, bigger, right? So that's probably what that is really, what is called zpd. Zone of proximal development. And I've. I've talked about in a different. A different video and how we get there is to scaffold it, right? Scaffolding means, like, you know, when you're building a building that's. I used building and the vert. Anyways, when you're constructing a building, that's better. When you're constructing a building, especially in Chinese culture and in China, in Hong Kong, we use bamboo scaffolding, right? We put it outside of the building so that we can paint, we can whatever. So that actually is the same analogy. You scaffold it, meaning you give the correct prompts, the cues to help them to get to expand their zone. Right. So how fast will it take to see results? So it's how fast you can kick your child. You can, like, nudge your child outside of their comfort zone, outside of their cpd, right? How. How can you do that? Well, first of all, they need to do stuff within their CPD with you first. That's why we need to talk about, like, the micro commitments. Are they willing to listen to you to do things that are within their zone of proximal development, within their comfort zone? Right. And this is actually a very. A very. A very common thing to think about. Like, if you cannot make a child do the things within, you can never push them to do the things outside. Right? And they would get stuck there for a long time. Right? So what kind of things are within the cpd, the zone of proximal development, their comfort zone. The things that they know already. Some children is so small, it's like this. Like the parent that was talking to me yesterday, their child basically had nothing, just some babbling, right? The stuff within the ZPD was only, like, kissing on the cheek, blowing kiss, clapping hands, those stuff. Not anything verbal. So we have to see if they're able to do things within consistently. Right? So every time he or she wants something from you, you make this stupid look. You make a. What's that called? Expectant look. That's the. That's what we call admy. I'm throwing a lot of words at you guys, but hopefully when you're watching this, you'll understand, like, maybe, like, I'll talk about this more, right? So don't worry if you can't remember. It doesn't matter. So every time your child does something and wants something, you give this expected expectant look like. Like that, and you're waiting for your child to, like, actually do something. You instruct them to do something within their comfort zone, within their ability, so that when they do that, when you do that, they understand that, oh, when I listen to mom or dad within that little shell, I'm able to do that. I get what I want. I also get praised. Hallelujah. Right? So once you do that over and over and over, over and over within that, you can start to do something that's outside of the comfort zone. And that's why within therapy, we can, within that hour, I can push the child to keep on going outside of the comfort zone, keep on doing, like, tasks that are right outside of what they can not do. And then make their competency a little bigger. Right? And if parents right now, you cannot do that. You cannot replicate those therapy techniques at home. Right? Then what you can do, what you can really do is just to start doing that at home. Ask them to do things within their ability, right? Within the ability. Just to make sure that they feel safe, they feel comfortable, they feel that they're supported by you. All right, so when going, why is this, like, why is this whole zpd, whatever comfort zone thing that you're talking about is related to how long it will take to see results in therapy? Is because. Is because parents are very. How to say, they are very discouraged when they see a therapist do something in the clinic room and they try. It doesn't work at home, and they think that, oh, God, I can't do it. I'll just let them do their job. That kind of stuff. It's because you haven't done enough within their comfort zone, within their ability, and then expand out. Right? That's the problem here, is that you haven't given them enough comfort to learn things with you. They don't feel supported. Right? And Anita says, hi, Ming, can you please show he how to play swing hands with my daughter? Right. I did tell, like, okay, some backstory, some context. So Anita was emailing me about, like, how to do things at home. She showed me how it is at home with the daughter, and I told her that, hey, usually between the tasks, I like to swing the hands to build a good routine. So I've talked about peekaboo. I've talked about falling down. I've talked about a lot of stuff that will build a routine. I don't have a kid here, so I'll have to swing myself. Basically, what you do is you see that in therapy, the therapist sits very close to the child. And this is correct, especially for you, Anita, for your daughter, you're sitting down to her level and making sure that she looks at you at her level of competence. That's great. You're helping her within that CPD and the comfort zone that you're close to her, obviously later we're going to, like, move further and further away. So that's more natural, but this time. And point. That's cool. Okay, so how do you swing hands? So every time you tell her, okay, listen up. Say ah. I'll make maybe no sound yet, right? Okay. You said like, do this. And when she does it, you say, yay. And then I remember your daughter. She likes it when you clap hands, right? You're like, yay. Good job. And then you can take her hands and just swing her like that. Okay. It needs to be smooth. I'm like a madman now. I'm air drumming on video. Like so you take two hands and you just swing like that. Okay. And her hands should go like this. Right. I'm sure that she's gonna like it because I saw, I saw that when you like high five her and shook a little bit. She was actually quite happy about it. Okay, so try that swinging hands. Tell me on the, in the comment, like, reply to me if it's, if this is, if this is clear enough. Okay, so. Yeah, that's right. That's how you swing. All right, so if you have any questions right now, you can also share like Anita is right now. I'm just, I just, I'm just going to keep on going about like, how long it takes to see results. So I actually sidetracked a little bit to talk about why it's not working at home. Right, so how long is it going to take to see results? The fastest, of course, is that you can continue therapy stuff at home. Right. So if you do that, I'm sure within one week you're going to see massive results. You're going to see massive, massive results with playing with your child. Right. That's because they're more comfortable with you. They're understanding that there is therapy time at home, there is playtime at home. But mom and dad is going to support me through everything. Right. If you can, if you can, you should do it every day. Yeah. Just to try, even if you fail. But don't do it to be too long because you're welcome, Anita. I hope if you don't know how to do it, you can still text me or something. So there was a parent, I always talk about this particular parent. And, and the reason why is because she's typical. She's typical. And what I mean by typical is that I tell her to do something and then she does it for 30 minutes instead of five minutes. And what happens next time I go back to the, to the therapy room is that I see the child has already fatigued from the toys that I borrowed her, you know, that I lent her. So at that point in time, it's just very, very difficult for me to continue on with like the, the play, the, the stuff that I wanted to do because she's already done it for like 30 plus minutes every day. And I've only see, I only see that kid once per week and she didn't, like, maybe it's also because I didn't, didn't communicate correctly. But what I wanted her was just to listen to me and just try it for five to 10 minutes because her methods were too obtrusive to the child. That's why if you do it for 30 minutes, the child would be very disinterested. So what I mean is like now I know the term is kiasu, right. It's when you do it very like you keep on doing it in a way that pisses off the kid and that's always not a good thing. So it's not your fault or the mom's fault to like wanting to have faster results. But if you cut, if you don't have a long term thinking and cutting down like ties and trees and all along the way and making the relationship like source and bond and like, and connecting bad experiences with toys, then it's going to be very difficult for them to come back and wanting to play with you. Okay. And yeah. And especially those who are, who have a second child, who have like three, two or three children to compare upon, those are the parents who are the most, you know, I want to get this done. It's impossible. This is impossible. And especially parents who are like high achieving and smart themselves and are super smart, they just know everything that I tell them. They would discredit the things that I tell them. They would really do that. If you are watching this and you are also a high achiever or at least you think you are or other people tell you that you are, I'm just here to tell you that. Yeah, I'm sure you're great at your work as well. But the thing is there are times that you have to listen to your therapist. There are times that you don't. Right. Especially when Leena tells me that, oh, I promise you that in three months your child's gonna speak. Yeah. Obviously there are times that you do and you don't. Right. But there is a reason behind. There's a reason behind when therapist tells you do something. And obviously there's a lot of people, a lot of therapists makes it very hard for parents to trust. Right. There's one therapist who blames. There's no therapist who blames the parents. Oh yeah, your child's delayed because of the gadget use. You're just, you know, spoiling them too much. You know, let them tie their own shoelaces or like let them go to the toilet themselves or something. Don't let them flush, don't feed them that kind of stuff. Yeah. Of course, don't listen. But what I'm saying is, when I say five to 10 minutes, parents do not understand the reason why, because they think, hey, how, how, how do you even learn anything in five to ten minutes? Right? It's like a little sprint. But as a matter of fact, it's scientifically proven that it's better to do sprints rather than marathons, right? And if you do enough sprints, it's part of the marathon, right? You need a rest just as, just as building muscle. If you go ahead and like, go to the gym for like two or three hours like they used to, it doesn't work as well as 30 to 45 minutes is scientifically proven. Rest is the way that the brain makes connections. Sleeping is the way that the brain makes connections. New, like, what's that? I don't want to embarrass myself. But you know, they make new connections, right? So it's actually the rest that improves you. It's the moments of when two things connect. They click, and then you understand how things work. I'm sure you must have done it before. The more you grind something, the more it doesn't work. Okay, I'm sure. But this is like the old school mentality. This is what my dad thinks about too. My dad thinks I should plant my bottom on my chair for at least four hours a day just to study to get good results, you know? And back then, just a side story, right? My dad told me, oh, if you get like, like this amount of grades, I would be so surprised and I would do like, I would, like, just say whatever. Like, I don't want to say it because it'll be bad to my dad, but, you know, and then afterwards, I did get that grade, you know, despite not having studied much. And that's because I've actually done sprints, right? So, you know, it's a hard pill to swallow, right? It's hard to understand that if, you know, time equals improvement, time spent equals improvement. It's not always like that. So if you're expecting and you're asking, how long does it take to see results? And you're not okay with someone who says, who tells you that, oh, it'll be a long fight. You don't know. We don't know when, right? We can only focus on the things that we can right now, which is sometimes my go to answer because I see the child at that moment. I don't know. I've only seen them for like one hour in assessment, right? So it sounds crazy to me. That a therapist would actually go out of their way to say, oh, they're. They're going to speak in three months. Because they. They've only done. They've only done. They have only done an hour or two of assessment. How do you even judge someone from an hour or two? Right. So the always. The answer that I feel like is the most respectful to the child and the mom and the dad and the grandma sometimes and the whole family sometimes, is that I don't know yet. I don't know. Seriously, I don't know. Right. Seriously. From the bottom of my heart. And I try to convey it with my tone of voice. Right. I try to tell them that, hey, man, I really don't know. At this moment in time, I've only seen your child for an hour. All I can say is that I know that your child is lacking in these departments. And after comparing it to his peers, the child's peers, he's around like a year to a year and a half delayed, Right. He's supposed to be able to do these things. He cannot yet. Right. Is he going to catch up? I really don't know. I haven't seen enough of him. I need to try therapy techniques on him to see how fast he grasped concepts. Right. And if, if you don't do that, you will never know if he will. He's actually reactive to therapy. Maybe he doesn't care enough. Right. Which is a low chance. Right. I'm gonna. You're gonna be, you know, I'm gonna try everything I. I can. Right. And you also, at this point, for me, I'm gonna qualify the parents. I'm gonna say, like, hey, I'm. I think that this is going to be a long fight. I think at the very least, let's try for like one or two months to see what's the best method for him. And I need your help here. If you can help me out with this, this and that, it would make the process faster, I'm sure. This is something I can guarantee. I can say that if you do, if we do it together as a team, it's going to be much faster. Look, you can't bring me back home. As much as he's speaking much more here. You cannot bring me back home. I've got other clients, you know, for the Next, the other 23 hours, it's on you. I'm here for you for one hour. But, you know, listen up. We're in it together. If you're gonna help me, I'm gonna be committed to help you. To the best of my ability. Right. Which is true. Everything is true that I say here. All right? So with that said, with that said, if you still have any questions about, like, how long therapy will take, you, let me know. Yeah. And tenor says time equals improvement. Noted. Yeah. But it needs to be quality time to know it's not like, oh, I'm gonna try and do it for, like, I don't know how many hours. Right. It needs to be short sprints of work. Right. It needs to be focused work for that. For that. Five minutes every day consistently. Right. So to answer nicely now, I'm going to summarize it. To answer nicely, how long does it take to see results in speech therapy or any therapy per se? The answer you're looking for is, I don't know which is stupid or, like, it depends. But in general, it's probably going to be a long fight. It's probably that you will be doing therapy one way or another with their child. It's been proven by scientific research that, you know, children do not really catch up. There's always something lacking. Right. And there's always scientific research that if you do it earlier, they will improve much better. Right. They will improve much better rather than doing nothing at all. So, yeah. I really don't know if you're gonna. When you're gonna see results, but I'm gonna promise you that if you do things at home according to, like, what we're what works inside the clinic room, not. Not things that don't work. Right. That's why you go to therapy. You see what works as a testing ground where you have hypothesis. You think about, like, what's wrong. You try to teach it, and then you try something that works. Okay, this works. Stick to it until it doesn't. Right. That's what you should do. The therapist will help you find out what works and stick to it like glue at home for the same thing until it works. And are you going to have difficulties at home trying the same things? Of course. Right. But do you give up? No. If you cannot do the same level as a therapist, what do you do? Decrease it. Do something that your child can do to have a good relationship with the child so that you can do the hard things later. Right. So how long does it take? Probably a long time. I don't know other kids that I will say I would give a certain time. Yes. For those who just lack a few. Sounds like there are some kids who come to me who just cannot say, like, the S sound. And I see that it's like, oh, man, this is like pretty easy. Their language is okay. The speech, it's just, you know, the S becomes a T or like, it becomes like sh. If they say like star, then, you know, it shouldn't be too hard to fix. And I would say, oh, well, give me like two or three months if you help me out every day to do it for like five minutes just to do the S sound. Keep on doing it. I'm sure it's just going to take a few months. Those I can say. Those I can say for sure, right? Because I've been through it. I know it, I can see it. I've tried therapy techniques on those kids probably in that hour, because I've already tried to like, elicit what the term is, try to make them say certain sounds to see how, how much they can take from therapy, right? So those I can say, I can say, yeah, this only takes this amount of time. Parents who come to me for the L sounds also just sounds in general. If it's just a speech delay or speech disorder, meaning there's only problems with pronunciation, I can give a concrete answer to that. I didn't say that. How long does it take to see results? Ah, just don't, don't sweat about it. It's going to take like two months, right? And it's true. And it's true. I've done it many times. Especially those who are having like those T and K confusions. Like if you tell him to say, like, let's say he's saying tokopedia in Indonesian, right? If he says toko for or like store is like say, or coco. So this confusion, right? Or in Cantonese, if they say like a bridge, like tin kil, it would say tin tiu like that, right? And those are pretty easy to do. So I would just show the parent in the clinic room that, dude, they can do the sound. It's just a matter of practice. It will only take a few months. If you do it with me. So. So that's all. That's all. That's all. If it's a language thing, it's a language disorder delay, it will take longer. If it's a speech delay disorder, it'll be much faster. Purely. Okay. Yeah. So that's it for today's live. If you have any more questions, thank you so much for hanging out with me here. Listening out, listening to what I have to say, asking me questions, that's always great. And if you have any more questions, you can always just comment in this live or something else. You can do is to email me at mingts of speech.com and before we leave, I do want to talk about like the workshop I'm doing on Friday night. My time. Friday night is 9pm my time w I B and EST. If you're in the USA, that would be 10am and for those, we're basically talking about toilet training. Toilet training as a means of, you know, there's a structured way that I feel like it's working for a lot of my clients. It has worked for me a long time ago, but I didn't know that, you know, parents can actually do it themselves. Right. So that's why I'm offering it. So go to agentsofspeech.com toilet to sign up. We have more than 10 parents joining us this time already and I just hope that you can join me if you have problems with toilet because it's. Because you know, it's something that is working and I want you to try out. All right? And there is a price to it. There's a little small commitment because I want you to stay with the whole way. If you're just there, in and out, you won't be able to take enough notes to understand which level your child is at and to analyze why your child hates the toilet, you know. So stay with me for an hour and a half, 90 minutes. On 9pm go to agentsofspeech.com toilet join those 10 plus parents who have already signed up. And I can't wait to see you there. Okay, thank you so much again. And I'll see you on Friday morning probably. And I'm also doing a live tomorrow night with the Montessori Asia House. Last time yesterday we actually talked about like receptive language skills. This time I forgot what we're talking about. Probably expressive. So there. You can also catch me and ask me any questions. It's at 9pm tomorrow as well. It's much easier for parents to actually join rather than in the morning like right now. But it just suits my schedule if I do it in the morning. Right? So thank you so much again and I will see you on tomorrow if you go on IG and I'll see you on Friday if you tune in again. All right, so bye bye. Have a great day. Have an awesome day ahead. And that's it.