Setting Up for Success: Build Rapport First

Full transcript

Hi, it's Nicole from the NYU Motor Speech Lab. I got a question from a student the other night. I teach in the grad program, and I was showcasing a video of the DTTC technique. She asked me, "How do I get these little kids to participate so willingly in this type of intensive therapy?"

I laughed a little to myself because, I mean, we curate these videos to teach the technique. That doesn't always mean that's what the sessions look like, and I'm here to tell you, they don't. But what do I do to set up for success?

Honestly, it goes back to what I learned in grad school in the late nineties, believe it or not, and it still applies today. It applies to all therapy, especially pediatric motor speech therapy: establish rapport. Take the time to get to know this child, but also let them get to know you.

How do I do that? I know this is so basic, but it's so important. I share with them about my family. I show pictures of my dog. I talk about my day and my weekend. I let them have an understanding of who I am. And I ask them questions about them. I want to know what makes them happy, what makes them angry, what makes them tick. It's so much better when you have a safe environment, and these kids are willing to be vulnerable to attempt these really challenging targets.

I also do something where I ask them for help, and it always gives them a feeling of pride. Maybe I don't remember how to play with this toy: can you show me? Or I'm having trouble putting this together; maybe you can help me. When we're walking back to my room, I always ask them for help getting water from the water cooler. Try it next time. They're little things, but they really help with your session.