Childhood Apraxia of Speech Awareness Month

May 14th is Childhood Apraxia of Speech awareness month! The month is not commonly recognised in Australia, but we wanted to write a piece about it to raise awareness for the disorder. 

What is Childhood Apraxia of Speech? 

Childhood Apraxia of Speech (CAS), or dyspraxia, is a rare neurological motor speech sound disorder that disrupts the planning and programming of accurate speech sounds. Just like we use our brain to make a cup of tea or ride a bike, we need our brain to tell our facial muscles (jaw, lips and tongue) how to move to make the correct sounds. Children with CAS know what they want to say, but are not able to accurately coordinate the muscles of their mouths to make the sounds they want. Children can vary from having mild to severe speech sound difficulties. These difficulties can impact children’s ability to engage in activities and participate in group activities due to their difficulties being understood by their peers.

Importantly, children with CAS are just like any other child. They like the same foods, the same iPad apps, and they all like to laugh and have fun. They just need some extra support and time to get their message across 💙

What does CAS sound like? 

Children with CAS experience varied degrees of difficulty producing accurate speech sounds.

The three main features seen in the speech of children with CAS are:

  1. Inconsistent speech errors. 

This occurs because children with CAS may not have a plan to make a sound, so it is different each time they make it. This means that they might make different mistakes for the same word. For example; producing the word ‘bike’, three different ways in a matter of minutes (‘ike’, ‘bi’, ‘bibe’). 

  1. Disrupted transitions between sounds and syllables. 

This means that the child’s speech may sound choppy or disjointed because they are experiencing difficulty moving onto the next part of their word or sentence. Children with CAS may speak slower than other children because they require more effort to get their message across. For example, ‘bay.. bee’ for baby. 

  1. Inappropriate prosody. 

Prosody refers to the volume, rhythm, intonation, and stress of speech. Children with CAS may speak without changing their intonation (monotone), or stress the wrong parts of speech (speak loudly at the incorrect time) because this is an extra layer of speech that needs to be planned. 

What therapy is there for children with CAS? 

Evidence shows that CAS requires frequent, intensive therapy to see the best results in children (twice weekly therapy). Therapy for CAS is slightly different from therapy that targets other speech sound disorders. Therapy for CAS often requires repeated attempts to produce the correct sound so the child can learn the correct motor plan. Therapists will assist children in producing sounds, syllables, and words correctly depending on their difficulties.

Available therapies can be found here: 

Children with CAS can also benefit from augmentative and alternative communication (AAC) such as speech generating devices or sign language to help them get their message across. 

If you have any questions about CAS, feel free to get in touch with us at Talking Fish. 

More information can also be found at this website:


Talking Fish has a new home!

We are excited to announce that Talking Fish is partnering with several other local businesses to create a new home at the Your Therapy Team Clinic at 101/445 Princes Hwy, Officer. From the April 2022 school holidays we will be offering clinic-based services at this location.

We can’t wait to see you there!

Our therapists will still be offering mobile services in certain circumstances but this will now incur a travel fee if the therapy location is outside Beaconsfield/Officer.


The relationship between learning how to read and spell, and your child’s speech sounds

  • Did you know that there are 44 speech sounds in the English language that combine to make thousands of words, using only 26 letters?!
  • These sounds are called phonemes. The letters or groups of letters that we use to represent these speech sounds are called graphemes. Understanding the relationship between graphemes and how that can be matched to phonemes is essential for our children when learning to read.
  • Our children need a full set of sounds (44), to decode the relationship between letters, and their sounds.
  • For some children, learning, understanding and using the correct speech sounds in conversation is challenging. For example, saying ‘pish’ instead fish.

They might not be able to map sounds to the corresponding letter, as they cannot produce the sound, or do not understand how the sound is used in words. For example, I can produce the ‘k’ sound, but say ‘tat’ instead of cat.

  • Some children may require additional support from a speech pathologist to support their ability to produce or understand certain sounds. This will improve their sounds in conversation, and their ability to decode letter-sound relationships.


  • When teaching your child the alphabet, teach them the letter sounds (phonemes) that the letters names make.



Talking Fish Training launch

Talking Fish is excited to announce that we have an online course!

Over 2 hours of videos teaching you over 100 signs to help you communicate with people who use sign as part of their communication system. We have broken all this amazing information down into 11 modules of core and fringe vocabulary. There is also lots of information about how signing works, what it is and what it isn’t, and how to best use this communication system with the complex communicators in your life.

Click here! to go to the course page.

Please note that this is not a course in Auslan or any other sign language. It is using sign alongside spoken language to enhance communication for people with complex communication needs.


COVID 19 operations

It’s a difficult time for everyone at the moment. Whilst allied health services such as speech pathology are eligible to still operate in person, Talking Fish Therapies has made the decision to operate completely via telehealth. Telehealth comes in many different forms, so we will be speaking to our families about what will work best for them during this time.


We are also working on some innovative solutions to get around some of the difficulties we are facing. Keep an eye out for updates on these!


Stay safe everyone, keep in touch, and please don’t hesitate to reach out if you need any assistance.