From the Clinic (August 2020)

posted Jul 27, 2020, 5:40 PM by San Jose Scottish Rite

Zephy is a sweet and compassionate nine-year-old-girl who has been seen at the Scottish Rite Childhood Speech and Language Clinic secondary to a diagnosis of Childhood Apraxia of Speech. Zephy loves her cat, Rascal. She likes to play superhero with her friends and enjoys hanging out with her cousins. Zephy wants to be a doctor when she grows up. During our sessions, Zephy always has fun stories to tell and smiles continuously. She is an absolute pleasure!


Zephy’s diagnosis of Childhood Apraxia of Speech (CAS) is a speech and language disorder that affects how the brain tells the muscles to move and make sounds. In order for speech to occur, messages need to be sent from the brain to the mouth. When a child has CAS the messages from the brain to the lips and tongue do not get through correctly and the child has difficulty moving their articulators in the right ways even when their muscles are not weak. Thus, a child with CAS will know what they want to say but when the brain tells the mouth and muscles to move, there are hiccups along the message pathway. CAS is not a problem that children outgrow and takes years of speech therapy to help the child. According to the American Speech and Hearing Association, the National Board for Speech and Language Pathologists, treatment sessions of up to 4 times per week may be recommended. With specific therapy techniques that are specialized for training speech motor plans, a child’s speech can be changed successfully but not without a lot of work.


Zephy has done exceptionally well and she continues to make progress. Her parents are supportive of her therapy sessions and understand the need for Zephy to practice each day. Zephy’s mom recently commented, “We have had an amazing experience with the clinic. I am so thankful for the services. I don’t have to worry about her digressing during the summer or being denied for services by our insurance agency. Every speech therapist has had great communication with us and I have seen so much improvement with Zephy. She enjoys her lessons and I am so happy she has them!” We are proud of Zephy and all she continues to accomplish during her therapy. Keep up the fantastic work Zephy!