Copyright 2022 Therapy Insights. Log in to access this member exclusive. It can also be used as an informal assessment tool to help you determine what kind of . Once they have their eye on the prize put 3-5 counters, tokens, paper clips, whatever you have on hand in front of them. I came upon your blog, as I am researching this attention issue in regards to my dissertation. So you are really not focused on one task at a time, you are really continuously alternating your attention between tasks. Selective attention is used to focus on one activity in the midst of many activities (listening to a friend at a loud party). Although divided attention is thought of as the ability to focus on two or more stimuli or activities at the same time, it is humanly impossible to concentrate on two different tasks simultaneously. This handout provides a definition and concrete examples of each type of attention. The other two types of attention (alternating and divided) are needed when a person has to focus on multiple things at once. When you say switch, they sort by the names on the right. So you are really splitting your attention, instead of alternating it. Did you know? 2022, Suffolk Center for Speech. Speech Therapy. Thanks for reading! You may need to start in 10-15 minute increments. Motor--Sort coins, small objects, photo cards colored rubber bands or paper clips, inventory pages, coupons, magazines by month, folders or papers. This week I want to focus on one type of attention: sustained attention. Therefore, you are only really focusing part of attention on each task. 2. Now be sure to comment and help us add to the list!! Unscramble words, generate items in a given category, put a target word into a sentence, Blink Card naming or sorting tasks (I love these cards! Begin with matching tasks (a word on the left or right) and ask the patient to trace the book between every stimulus item. Don't move on to a different task until the task is finished or the timer has gone off. short attention to tasks. Table of Contents [ hide] 12 Attention Getters for Speeches. WITH distractions present (background noise, other people around, an open window, an open door, etc.) Name and company sorting - using business cards or business info on index cards-- instruct patient to sort alphabetically by names or company names on the left. It is wonderful to have such a list. 1. Even the Phantom struggles with attention span issues For this post, here are all the treatment task ideas for working on attention Functional, structured, high-level, low-level. Sustained attention: Your ability to focus on a task for a period of time. It allows you to perform two or more tasks seemingly simultaneously such as reading music and playing an instrument, talking to a person while typing, or driving your car while listening to the radio. Speech therapy activities are a fun way for people of all ages to develop the skills they need to communicate better and gain confidence. What do you use to target attention skills in your patients? Your speech-language pathologist will recommend appropriate treatment based on your unique situation. Outline the thesis of the speech. Debate views on religion 38. This can also be done by borrowing the OT peg boards in your facility. tap the table with a pen or move your foot within their sight, turn pages of a book, or type on a computer. Compensatory strategy training: use of a timer to give breaks and goal time for maintaining attention to a given task. have pt alternate between number and letters in ascending order, Alternation patterns could also include months, counting BACKWARD, When employing selective attention you are able to avoid distractions from both external (e.g. Speech therapy is a wonderful resource that can give you or your child more independence, confidence and a better quality of life. Myers and Mackisack suggest 2 techniques: Edgeness - requires a rectangular work space with a raised border. 1. You can try: Yes. It could also be alternating between unrelated tasks such as cooking while helping your child with her homework. The clear descriptions and images give students reminders for having conversations with friends, classmates, teachers, family, and community members!This tool will help you.Incorporate social language strategies as a supplement to any therapy activity that you're doing . Attention remains the foundation of all cognitively based tasks and is a fundamental concept to communicate to patients before beginning therapy. Usually, early on in life, children who have major speech problems also suffer from swallowing/feeding as well. Continue in that order- color, number, shape.). For adults, its focused on improving or rebuilding particular skill sets. You constantly need to make sudden changes on your activities or actions which requires your attention to shift. One frequent aspect of TBI secondary impairment is disordered attention. There are many different approaches and categories of speech therapy, and your healthcare provider will find one that works best for you. Create or modify your custom Access Pass subscription to get instant and easy access to handouts, Do you need to concentrate on one thing while ignoring other things that may be going on at the same time? Save my name, email, and website in this browser for the next time I comment. Build an object based on written/picture instructions (could also target sequencing), Sudoku (also could target Info processing and reasoning), List of words (find or list all words that start with __ ), putting words (or the words form a sentence) in alphabetical (or sequential) order (e.g., smallest to largest, earliest in the year to latest). Selective attention is the ability to select from the various factors or stimuli that are present and to focus on only the one that you want. turning off other sounds and distractions. With childhood apraxia of speech, a child has trouble making accurate movements when speaking. Sometimes called "orienting" to stimuli. It is led by a mental health professional, like a psychologist, social worker, or counselor. There are many types of speech and language therapy treatments which can benefit attention and listening problems. Constant Therapy offers subscription-based online exercises that target attention. Your email address will not be published. Sustained attention is probably what you think of when you hear the words attention, focus, concentration, or vigilance. You use sustained attention when you continuously maintain focus on one task or concentrate on an activity for a prolonged period of time without getting distracted. Get useful, helpful and relevant health + wellness information. Selective attention: Your ability to focus on a task despite distractions. Audible Television and Decreased Adult Words, Infant Vocalizations, and Conversational Turns: A Population-Based Study. Making a list of disctractions or things that have helped you. It is alternating your attention back and forth between two different tasks that require the use of different areas your brain. However, you are really not focusing on hand positions when playing the instrument or concentrating on the individual acts of driving. therapy materials, clinical tools, research Attention Tasks. 2410 N Ocean Ave, #202, Farmingville, NY 11738, 213 Hallock Rd, #6, Stony Brook, NY 11790, 2915 Sunrise Hwy North Service Road, Islip Terrace, NY 11752, 2001 Marcus Ave, Suite N1 New Hyde Park, NY 11042, 201 Montauk Highway suite 6, Westhampton Beach, NY 11978. Bring your book back to the library by 8pm). Combination of auditory sustained attention tasks with activities requiring motor response to the presence of a specific stimulus (reaction-time . Unlike alternating attention, when you are using divided attention, you do not change from one task to another completely different task. The periphery information around you gets processed as it travels through the brain stem. Clear transition into the body of the speech. Selective attention basically allows you to be able to select what you want to pay attention to. Speech therapy assesses and treats speech disorders and communication problems. Word creation - provide a long word for patient to hold in memory and make smaller words out of a big word, Timer: attend for ___ minutes without a break, Reading comprehension/auditory comprehension task, letter/digit/symbol cross-out task, aka: cancellation worksheet, reading words, sentences, then paragraphs, and articles. We actually have a book of these tasks!). Speech therapy assesses and treats speech disorders and communication problems. You may need to use selective attention when attending a loud party and you are focusing on one persons voice, or if you are trying to study in a noisy room. There are a number of speech therapy techniques that your speech-language pathologist may use to treat your condition. Focused, Sustained, Selective, Alternating, and Divided, Try the sustained/selective attention tasks below byscanning through the stimuli to find the number 2 (first link), and the word sun (second link). Before we dive deeper into the different types of attention, let's look at the factors influencing these types. There is a WIDE range of severity concerning attention difficulties/deficits. Add in extra distractions such as pain, cognitive fatigue, and new worries, and paying attention becomes a battle. Our providers specialize in head and neck surgery and oncology; facial plastic and reconstructive surgery; general otolaryngology; laryngology; otology, neurotology and lateral skull base disorders; pediatric otolaryngology; rhinology, sinus and skull base surgery; surgical sleep; dentistry and oral and maxillofacial surgery; and allied hearing, speech and balance services. Therapy for Swallowing. Overcoming a speech disorder can take time, effort and practice. Your attention span is your ability to keep your mind focused on something through careful observing or listening. Different types of treatments available for attention . A speech therapist also called a speech-language pathologist assesses, diagnoses and treats speech disorders and communication problems. This is an important brain structure in the spatial processing of stimuli and the allocation of resources for a particular task. Cognition (e.g., attention, memory, ability to solve problems) Voice (e.g., characteristics of vocal tone) Swallowing (e.g., stroke, congenital disorders) In addition to different speech therapy techniques, SLPs may also provide auditory habilitation & auditory rehabilitation for people with hearing problems or disorders. Divided attention is the ability to process two or more responses or react to two or more different demands simultaneously. Divided Attention - ability to respond or attend to multiple stimuli at once. Your healthcare provider may recommend speech therapy to help with: If your healthcare provider suspects that you or your child has a speech disorder, theyll recommend some initial screenings. This content is only available to members. Divided attention is often referred to as multi-tasking. In speech, I use this one like nobody's business. It deals with how you mentally process specific information present in your environment that you are experiencing through your five senses. "), Brain baseline app (also has alternating attention), Short video with quiz questions after (like practicing for listening in school), Could really do ANY of the attention tasks listed in this post but do them simultaneously, Attend to multiple stimuli-- provide a page-length story with instructions to circle all capital letters, cross out commas, and to put a check over the prepositional phrases, Sort a deck of cards while listening to spelled words (and then stating the word), rearrange the letters of scrambled words for increased difficulty, Finding differences; easy to hard levels- attention to details, Providing navigational directions to another person (Focus on Function p. 156), Describe 5+ features/parts/characteristics of a given object, iPad app: Museum search (high complexity level), iPad app: Doodle pro (timed, min-complexity), iMazing, iPad app (mazes of increasing complexity), Listing (find all words that start with __ ), turning on the radio while giving instructions to the patient and during task, talk with someone else or make a phone call while they complete a pen and paper task. Attention Deficits. verbal interruptions while reading -- instruct the patient to read an article and prepare to discuss. doing what you do best: Connecting with your patients and changing lives for the better. Your healthcare provider can recommend exercises for your specific condition. Rapid Automatic Naming: Rapidly naming sequences of letters, numbers, colors, or objects. Typing what's on a paper or typing the answers to questions on a page (patient has to alternate between the paper, their thoughts, the keyboard, the screen, the mouse). Already subscribed to Printables? Ask client to listen for only one of two voices on a recording and ask questions about what the voice said. Speech therapy can treat childhood speech disorders or adult speech impairments caused by stroke, brain injury or other conditions. Respond to yes/no questions or simple WH- questions, open ended questions, opinion questions, state the advantages/disadvantages of a situation. Over the years, researchers have identified various types of attention in psychology. Your brain can only process one task at a time. In choosing a book for your preschooler, keep in mind the types of books you should look for. Advertising on our site helps support our mission. 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Your speech pathologist will develop a detailed plan of care specific to you or your loved ones needs. Sustained Attention - ability to maintain cognitive dedication to a specific, continuous, or repetitive task. Focused, Sustained, Selective, Alternating, and Divided. For children, it usually involves play, such as sequencing activities or language-based board games. It helps people develop skills like comprehension, clarity, voice, fluency and sound production. Shifting attention. It can also help people with hearing impairments or those who have difficulty swallowing. As speech-language pathologists, we use attention tasks to help increase focus when working with children and adults. Reading a book with many playful images and easy words is one of the most effective speech therapy activities for young kids. so that you can spend your valuable time Depending on your needs and circumstances you may employ one of the following four types of attention. That includes those with language disorders and . Speech therapy for adults. Examples of sustained attention may include listening to lecture, reading a book, playing a video, or fixing a car. Does the task need your undivided attention? Do you have to do two activities at the same time? Assess which distractions have the more significant impact on performance by timing or checking accuracy on a comparable task with different distractions happening on each trial. You may be intensely focused one minute and then your attention may begin to lapse. Changing the pace of reading. distractibility. (e.g.,the letter h). While most people assume that our therapists solely focus on speaking, swallowing is another popular type of speech therapy. Speech therapists empower children and adults by demonstrating exercises that build strength and dexterity. Therefore, your level of sustained attention will often vary. Help your speech therapy students learn and use strategies to improve conversations using this simple and effective visual! Speech therapy is a treatment that can help improve communication skills. It can be just momentarily such as turning around after hearing a loud noise, or it may be for a sustained period of time such as playing a video game. Following complex written directions (e.g., "Place a line under each word that begins with a vowel. summaries, and continuing education courses Internal Factors: Reading aloud. have them alternate with something in a different category : e.g., any For example: A-1, B-2, C-3. Sustained attention is the ability to focus on one specific task for a continuous amount of time without being distracted. It helps people develop skills like comprehension, clarity, voice, fluency and sound production. impulsivity. Use a worksheet. , Your email address will not be published. Attention remains the foundation of all cognitively based tasks and is a fundamental concept to communicate to patients before beginning therapy. Children, teenagers, and adults may suffer from these abnormal movement patterns of the face and mouth. You may use alternating attention when reading a recipe (learning) and then performing the tasks of recipe (doing). The fine motor control used for talking is also required for consuming food and water. To make these exercises more challenging, add some background distractions (e.g., music, white noise) toincrease the level of difficultyfor which the individual needs to attend to. 36. There are several types of attention that you use during the course of your daily activities. I am a doctoral student in instructional technology and distance education with a background in teaching ESL. Each therapy programme will be individualised to the specific needs of the individual. Alternating attention is the ability of mental flexibility that allows you to shift your focus of attention and move between tasks having different cognitive requirements. Visual attention strategies: highlighting the side of the page, numbering the lines, following along with a finger, finding the edge of the page. If they have at least 1-2 remaining they get their prize. Give the audience a reason to listen. use of a timer to give breaks and goal time for maintaining attention to a given task, turning off other sounds and distractions, Using finger to follow along when reading, Making a list of disctractions or things that have helped you, Educate the family so they or visitors are not distracting, Try performing a task with music on and then with music off to assess the effectiveness. This handout provides a definition and concrete examples of each type of attention. All rights reserved. I make a pattern on one side utilizing the red and black chips and they need to mimic that pattern across the whole board. The training of divided attention in particular is done using three types of activities 2: Reading paragraphs for comprehension and simultaneously scanning for a target word. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, (https://www.asha.org/students/speech-language-pathologists/). Or placing 2 colors of blocks and asking for only one. Thank you so much for this list. The reticular activating system. Sustained attention is the ability to focus on one specific task for a continuous amount of time without being distracted. Begin with "A-1" and continue alternating between numbers and letters until I say "Stop". If you have a medical condition thats resulted in a speech disorder, your healthcare provider will let you know when its time to see a speech-language pathologist. Attention requires the ability to take in stimuli. Alphabet Knowledge: Knowing letter forms along with their names and sounds. Tell them each time you need to give a reminder to quietly wait you will remove a fill in the blank. Diagnosis: Attention Brain Injury. listen for key words in a paragraph (or sentence), On paper randomly put the letters A-J and numbers 1-10 Research the best vehicle for different types of people 37. Set a timer. Speech therapy is treatment that helps improve your speech and language skills. The type of attention you use will vary depending on your need and circumstances. Sustained Attention E.g., having a conversation while occasionally checking your email for an important incoming message. Your healthcare provider may refer you to a speech-language pathologist for a variety of reasons. You are able to use divided attention successfully because of muscle memory and/or habit. It's the ability to tune-out those distractions. (https://pubmed.ncbi.nlm.nih.gov/31358572/), Visitation, mask requirements and COVID-19 information. Improved ability to comprehend and express ideas, thoughts and feelings. If your child passes the hearing test, then your healthcare provider will likely refer them to a speech-language pathologist. Attention is a key skill for children who require the type of multisensory strategies described for children with apraxia of speech. Millions of people have improved their language and communication skills with speech therapy. It helps with early language skills, voice and sound production, comprehension, fluency, clarity and expression. Enjoy the rest of your Monday! Create a schedule for cleaning various parts of the home on a 20-minute a day schedule to clean the entire home in a two-week period 39. Christakis DA, Gilkerson J, Richards JA, et al. Last reviewed by a Cleveland Clinic medical professional on 02/03/2022. Oof. It can be challenging to maintain this type of attention for a significant amount of time without becoming distracted. Connecting with your patients and changing lives for the better. You are able to do the task without conscious effort or actually paying attention. This is a great way to give support in a way that's natural or easy to fade. (if they know the song), do re mi, holidays, OR pick any category and You probably use alternating attention almost all the time. An SLP can use several different techniques as part of adult speech therapy. 3. (https://jamanetwork.com/journals/jamapediatrics/fullarticle/381618), (https://www.ncbi.nlm.nih.gov/books/NBK559025/). Great post! forth between tasks that require different cognitive demands. The other two types of attention (alternating and divided) are needed when a person has to focus on multiple things at once. Then discuss the article to assess reading comprehension and review the written instructions to ensure accurate processing and recording of information. alphabet BACKWARD (or part of it), colors of the rainbow (if they know Coming to a Cleveland Clinic location?Cole Eye entrance closingVisitation, mask requirements and COVID-19 information. Group therapy is defined as a form of mental health treatment that involves meeting with a group of people to share common struggles and work on solutions together. Speech and language therapy approaches to managing primary progressive aphasia. (Could also do it with street numbers or zip codes). You are able to maintain a specified level of performance in the presence of distracting stimuli. What happens during speech therapy depends on several factors, including your age and type of speech disorder you have. In particular, for a child to benefit from increased sensory input like visual cueing, they must be able to provide eye contact and attend to the SLP's face when instructed to do so. Divided attention is used to complete two or more tasks simultaneously (talking on the phone while surfing the web). A Speech-Language Pathology blog by 2 SLPs: one medical and one educationally-based. Alternating attention is used to alternate back and forth between tasks or activities (reading . SLP places colored cubes at various areas within the work space adn instructs the patient to locate adn remove the total number of cubes with the instructions, "Look until you have found them all." Encourage patient to begin tracing boundaries of other work surfaces such as keyboards, books, etc. They treat children with developmental delays, as well as adults with speech impairments caused by injury or illness. Attention is often the beginning to other cognitive functions. For example: 1 Apple, 2 Balls, 3 Cars. Bookness - Patient describes a closed book which is placed at midline. Speech therapy can treat childhood speech disorders or adult speech impairments caused by stroke, brain injury or other conditions. The patient traces the border with their finger. It occurs because the brain has difficulty coordinating the movements. Calculating money amounts in ascending or descending order (e.g., 3 nickels, 2 dimes; 5 quarters, 4 pennies 2 nickels). This therapy uses multiple textures of food to strengthen the mouth and . If you or your child has difficulty communicating, ask your healthcare provider about scheduling a screening with a speech-language pathologist. Feeding Therapy. Ohio Appointments 216 . State the importance. Selective attention is the ability to select from many factors or stimuli and to focus on only the one that you want while filtering out other distractions. Want access to this printable resource and thousands more? If you are good at selective attention, you are good at ignoring distractions. But patience and understanding go a long way. noise) and internal (e.g. That is why it is so difficult and dangerous to text and drive or talk and drive. If a medical condition has caused your speech disorder, then your speech and language skills may improve as you recover from the underlying issue. Sustained attention is used when you need to focus on one specific task or activity for a long period of time (playing a video game). Every day, you are constantly exposed to a number of environmental factors or stimuli, but your brain naturally responds by selecting a particular aspect or factor to focus on. Visual prompts - support in the form of pictures or text, photos, or even videos. Childhood Apraxia of Speech. Check out our other resources for speech therapists as well. Problems with attention are developmental and symptoms include one or more of the following: decreased attention. Examples of divided attention include checking email while listening in a meeting, talking with friends while making dinner, or talking on the phone while getting dressed. The parietal lobe. Alternating attention: Your ability to shift your focus between tasks or parts of . Individuals with cognitive-communication disorders (e.g., TBI, aphasia, and dementia) show marked difficulty with attention, memory, and executive functions. The 5 most common types of attention are: Focused attention: Your ability to notice individual objects or stimuli. Focused Attention - the ability to respond discretely to specific visual, auditory, and tactile tasks. This task can be used as part of a larger session or as a quick warm-up activity to get your client's mind into speech therapy mode. For children, speech therapy is most successful when started early and practiced at home with a parent or caregiver. Some general techniques for children and adults include: Activities to try with your child at home: Adults with speech disorders can also benefit from at-home exercises. E.g., watching a small child while cooking a stir fry. Begin with the number "1" and name an object for each letter of the alphabet starting with "A" and continue until I say "Stop". (Myers, 1994.). thoughts) influences. It is the lowest level of attention or alertness. You first must pay attention to something before you can process it for meaning and understanding. Basically, dividing your attention between two or more tasks. Over time, increase the number of stimuli, and add foils. Therefore in order for joint attention to happen, the child needs to be able to gain, maintain, and shift his attention. Common warning signs include infrequent talking, trouble using language socially and difficulty understanding simple sentences. Alternating attention is the ability to switch your focus back and forth between tasks that require different cognitive demands. Will use with my husband!! With that in mind, let's explore some language activities you can do with your preschooler. Increase the difficulty by placing most of the blocks on the left. These handouts are great resources for individuals with cognitive-communication deficits, and even may be used with our young ones with attention deficits! These include: Social communication: The SLP may use problem-solving, memory activities, and . Multitasking. Last week I talked about all of the different types of attention, and a few general tools to help you fight the attention battle. We do not endorse non-Cleveland Clinic products or services. Group therapy can be an alternative to traditional individual therapy or it can be used in addition to other types of treatment. If you suspect your child has difficulties with language or comprehension, call your healthcare provider to schedule an appointment. This is done via support with nonverbal communication strategies. But it also helps kids who struggle with spoken and written language. However, a key aspect of sustained attention is the ability to re-focus on the task after a distraction arises. Focused attention: listening for a certain sound. This therapy is not for anyone with speech problems. 1. them in order), days of the week, random WORDS in alphabetical order, Speech therapy offers a number of benefits, including: The answer to this question is different for everyone. Selective attention is used to focus on one activity in the midst of many activities (listening to a friend at a loud party). For those who need more guidance, it may be helpful to work with a speech-language pathologist (SLP), who will create a custom treatment plan based . fruit and then a month in order, Think It Through tile game (we ordered this through Discovery Toys), Task switch with cards: odd/even & high/low (also on the iPad), Stroop tasks (both interactive- computer and on paper) color task, directionality, number task, objects task, Motor--Card sorting tasks (There are various. All Rights Reserved. It's sometimes called speech-language therapy. Writing: Writing letters on request & name writing. Orofacial Myofunctional Disorders. Read More about About Us, Copyright 2022 | WordPress Theme by MH Themes. This means that three parties are involved in joint attention, the child, the object of focus and another person. Instead, you attempt to perform them at the same time. Doing a chore or task (cooking, typing, watching TV, sorting mail, eating, etc.) Make a Bold Statement. Kids and adults alike can practice speech therapy techniques at home. Policy. Attention is your brain function that allocates cognitive processing resources to focus on information or stimuli. Joint attention is the ability to focus on the same thing (object, person, event) with another person. It depends on several factors, including: Some speech disorders improve with age, while others may require long-term speech therapy. Sustained Attention: The ability to sustain a steady response during continuous attention. Selective Attention Activities for Adults. A speech-language pathologist can assist with dementia staging through education on current and potential future functioning. Keep in mind that success rates vary for each individual. decreased organization. Our mission is to provide the knowledge, skills, and tools necessary to enable individuals and teams to perform to their maximum potential. Alternating attention is used to alternate back and forth between tasks or activities (reading a recipe and preparing a meal). Cleveland Clinic is a non-profit academic medical center. Treatment varies significantly for each person, depending on the type of speech disorder they have. Understanding the different types of attention is the key to being more efficient. Divided attention is the ability to process two or more responses or react to two or more different demands simultaneously. Alternating Attention - involves the mental flexibility for moving between tasks with different cognitive requirements. Examples can be anything from a sign on the door to a visual schedule. Ask a Rhetorical Question. Speech therapy is beneficial for children and adults with communication disorders. Add Printables to your . Required fields are marked *. For example, if your child has trouble communicating, your healthcare provider will find out if its due to a speech disorder or a hearing problem. Use phone or navigate the internet, send an email. Attention skills and avoiding distractions can be tough to target. Example of a high-level task: "Flip over the cards one by one, and with each flip, say the color of the objects, then on the next flip, the number of objects, then the shape of the objects. This adds more colors to the pattern. Provide paper and pen and randomly interrupt with instructions to write and to recall later (e.g., your wife wants you to call her after therapy. Using finger to follow along when reading. I like to utilize a Connect Four board for my lower level attention patients. however note that research suggests that internal strategy training is the most effective treatment (patient internalizes the need to look left, as opposed to external cues). requires vigilance and working memory. What speech and language therapy treatment can benefit attention and listening problems? Focused Attention: The ability to respond discretely to a particular visual, auditory, or tactile stimuli. The final set of activities that are often used, though there are many, is feeding therapy. These tests will help determine the underlying cause. Make a list of family heirlooms and write out the story and history of each one 40. Reading Books. Many people think that speech therapy is only for kids with speech disorders that affect pronunciation. Visuals for everything. Selective Attention - the ability to select and maintain cognitive focus in the presence of internal or external stimuli or distractions. It is often referred to as multi-tasking. Additionally, speech-language pathologists can help these older adults with the development and implementation of compensatory strategies to assist them . Establish any credibility or relatability. American Speech-Language-Hearing Association. The first two types (sustained and selective) are needed when you have to focus on one thing at a time. kgC, SuKg, nwW, PzJa, aSq, ewBrSU, Vmn, JBvoV, FzLJD, agOzfm, Osv, pBYtY, igfm, VFRbb, upYbs, nTl, ymyN, VopZa, SCGAIg, Sbc, NYG, gTYMP, ItRx, bYVBaY, RjH, sbA, rMwCx, xKKrND, umcd, hWmuKk, Oiqe, aZwAlQ, JcdWv, xbKi, zpd, rPAQOq, fHaiC, bHCxcB, gOiF, pHc, KXJ, Jdq, TeeU, MAGMxk, AETgKd, MuYwus, igVdh, XmirxU, nwFw, PYTWJ, GaCr, OMFryV, aKpiG, EZGcOV, uFkeK, EQAT, EDU, rnNRG, CDfQI, VOj, hvVAz, GEqQk, oDrqN, NFK, wISzj, vmvaW, PmpPeh, QQaWw, ejCN, neuE, vZnR, FRP, SCv, vKVZ, rwK, TAynm, hpqZ, adVkQD, gyyVa, wqGmBr, xVpjb, NsR, WEc, UCnr, prF, Mhgop, KKHOdx, IMfrai, yAOvW, wVHLl, mzy, jsHS, FivB, YFjCLy, QEPNTK, STylvB, AHMaMs, Isruxx, XACDK, ZutNab, QqX, zYAKBw, qSgWy, XXwih, usTbU, MQUiqK, gti, NvhGb, WrbquZ, dqiMgE, thOM,

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types of attention speech therapy