Little Big and LOUD Pediatric Therapy

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Little Big and LOUD Pediatric Therapy Individualized speech, language, and feeding therapy evaluations and services.

Little Big and LOUD also provides services for receptive and expressive language delays, pragmatic language disorder, articulation/phonology disorder, childhood apraxia of speech, autism, early intervention, feeding skills, and stuttering disorder.

🎃 Tip Tuesday: October is AAC Awareness Month!! 🎃AAC stands for Augmentative and Alternative Communication. AAC is used ...
10/13/2026

🎃 Tip Tuesday: October is AAC Awareness Month!! 🎃

AAC stands for Augmentative and Alternative Communication. AAC is used to supplement, support, or replace verbal language. There are both high-tech and low-tech options for AAC.

Low-tech options include:
😄 Facial expressions: a smile to indicate happiness, a frown to indicate sadness, etc.
👉🏼 Gestures: such as pointing, the “okay” sign, or a thumbs up!
📝 Writing: putting thoughts onto paper
🤟🏼 Signs: utilizing sign language for core vocabulary words such as “more,” “help,” and “I love you!”

High-tech options include:
📲 Speech-Generating Device: an electronic assistive technology system (such as a tablet, computer, or other device) programmed to produce synthesized speech outputs
👀 Eye Gaze: a tracking system in which a person chooses the words they want to say by looking at a computer screen

Many people incorporate BOTH low-tech and high-tech AAC options into their communication.

REMEMBER: AAC is a valid form of communication, just like verbal language. If you see someone using AAC, don’t hesitate to talk to them!

Happy AAC Awareness Month! ✨




🧡 TIP TUESDAY“Should I Be Worried?”My child refuses to get messy!Does your child avoid sticky, wet, gooey, or messy text...
10/06/2026

🧡 TIP TUESDAY
“Should I Be Worried?”
My child refuses to get messy!

Does your child avoid sticky, wet, gooey, or messy textures? 🙈

Don’t worry—you don’t have to force it! Some kids have strong sensory preferences, and getting comfortable with new textures can take time. 💛

Try these simple strategies:

🖐️ Start small: Begin with dry textures like rice or cereal before trying wet or sticky materials.

💬 Talk about it: Model words like wet, dry, sticky, soft, squishy, cold, smooth, and rough.

👀 Describe, don’t quiz:
“Your hands are wet!”
“You’re scooping the rice.”
“That pasta is so soft!”

🔄 Expand their words:
Child: “Pasta!”
You: “Yes! Soft pasta!”

🎯 Create communication opportunities:
“More?” • “Help!” • “Open?” • “All done.” • “I don’t like it.”

🤔 Wonder together:
“I wonder what will happen if we add water?”

🙌 Honor their boundaries: They can watch, scoop, pour, use a spoon, touch with one finger, or wear a glove. It all counts!

✨ Remember: Messy play is about exploration—not forcing your child to get messy. Follow their lead, keep it playful, and use every opportunity to build language!

Save this for your next sensory play day! 🧡

🍂 Tip Tuesday: Build Language Through Fall Fun! 🎃Fall is full of simple, everyday opportunities to build language! You d...
09/29/2026

🍂 Tip Tuesday: Build Language Through Fall Fun! 🎃

Fall is full of simple, everyday opportunities to build language! You don’t need a formal lesson—just use the activities you’re already doing to encourage your little one to talk, describe, answer questions, and follow directions. 🧡

🍁 Collect leaves: Talk about their color, size, and texture. Ask, “Which one is bigger?” or “How do they feel?”

🎃 Pick a pumpkin: Practice WH questions like, “Which one do you want?” “What color is it?” or “Where should we put it?” You can also compare: “This pumpkin is bigger than that one!”

☕ Make hot chocolate: Practice following directions and sequencing with words like first, next, then, and last. For example: “First, get your cup. Next, add the cocoa. Then, add the marshmallows!”

✨ Remember: Language learning can happen anywhere! Follow your child’s interests, model new words, ask questions, and most importantly—have fun together! 🍁🤎

🎉 NEW THERAPIST ALERT! 🎉Help us give a BIG LBL welcome to Ms. Analiese! 🌈 We’re so excited to have her joining the LBL f...
09/24/2026

🎉 NEW THERAPIST ALERT! 🎉

Help us give a BIG LBL welcome to Ms. Analiese! 🌈 We’re so excited to have her joining the LBL family, and we know you’ll love getting to know her!

Analiese grew up in West Tennessee, just outside of Memphis, before making her way East to Knoxville, where she completed both her undergraduate degree and Master of Science degree at the University of Tennessee! 🍊

One fun fact about Analiese? She took a gap year to work in Southern Appalachia with a home repair organization—talk about being a handy person to have around! 🛠️🏡😉

When she’s not at LBL, you can find her reading mystery novels 📚 or baking bread 🍞.

So, the next time you see Ms. Analiese around LBL, be sure to give her a big HELLO and help us make her feel right at home! 👋🌈

Welcome to the family, Analiese! We’re so happy you’re here! ✨

❤️

🛁 Tip Tuesday: Make Bath Time a Language-Learning Time! 💬Bath time is a fun, everyday routine that gives you lots of opp...
09/22/2026

🛁 Tip Tuesday: Make Bath Time a Language-Learning Time! 💬

Bath time is a fun, everyday routine that gives you lots of opportunities to build your child’s language skills—without adding extra work to your day!

Try these 3 simple ideas:

✨ 1. Create a routine
Use the same simple words and phrases each time. Repetition helps children learn and understand language!
Try: “Shirt off.” → “In the tub!” → “Wash, wash, wash!” → “All done!”

👃 2. Focus on body parts
Talk about body parts as you wash. You can ask, “Where’s your nose?” “Where’s your head?” or “Let’s wash your feet!”
Keep it playful and give your child plenty of chances to point, look, or respond.

🫧 3. Make it a bubble bath!
Blow bubbles and pop them together while repeating “POP!” Over and over! You can pause before popping to give your child a chance to join in.

Remember, you don’t need extra time or special activities to build language. Everyday routines like bath time are full of wonderful opportunities to talk, play, repeat, and connect. 💕

💡 🛁

🗣️💻 Speech Therapy From the Comfort of Home!Not in the Oak Ridge area? No problem! We offer pediatric speech therapy thr...
09/21/2026

🗣️💻 Speech Therapy From the Comfort of Home!

Not in the Oak Ridge area? No problem! We offer pediatric speech therapy through telehealth, making it convenient for your child to receive the support they need—right from home. 🏡💙

📞 Give us a call to learn more about our telehealth services and see if they’re the right fit for your family!

🍦☀️ I scream, you scream, we ALL scream for ice cream!🍦 ☀️We’re excited to share a fun afternoon with our patients and f...
09/15/2026

🍦☀️ I scream, you scream, we ALL scream for ice cream!🍦 ☀️

We’re excited to share a fun afternoon with our patients and families! Come join in on the ice cream fun with an ice cream truck! 🍨💙

📅 Wednesday, September 16th
⏰ 1:00–2:00 PM
📍 Parking lot of LBL & Omega Technical Services
💰 $6

The ice cream truck will be serving up delicious treats from Irvey’s Ice Cream, with lots of yummy flavors to choose from! 😋

Say farewell to summer with a sweet treat!
☀️

🗣️ Tip Tuesday: Recognizing and Understanding Phonological Processes 🗣️Phonological processes are error patterns that ch...
09/15/2026

🗣️ Tip Tuesday: Recognizing and Understanding Phonological Processes 🗣️

Phonological processes are error patterns that children use in order to make their speech sound more functional or adult-like. This helps them use words they hear in conversation even though their speech sound system is not fully developed yet.

IMPORTANT: Phonological processes are NOT the same as articulation disorders! 🚫 These impact an entire class of sounds, such as consonant clusters, rather than individual speech sounds. Therefore, phonological processes require a different treatment approach than articulation/speech sound disorders.

Here are 4 common types of phonological processes you might hear your child using:

💬 Final Consonant Deletion: eliminating the last sound in a word
✨Typically resolves by age 3

💬 Fronting: using “front” sounds in place of “back” sounds
✨ Typically resolves by age 3.5

💬 Stopping: using “short” sounds in place of “long” sounds
✨ Typically resolves by age 4

💬 Cluster Reduction: dropping one sound in a consonant cluster
✨ Typically resolves by age 5

REMEMBER: Phonological processes are a typical part of many children’s speech & language development and often help your child use more functional language. However, phonological processes can also make your child’s speech difficult to understand, especially if they are using more than one error pattern at a time.

If you feel that your child’s speech is unintelligible due to phonological processes, especially if the pattern continues beyond the approximate age of elimination, give us a call to schedule an evaluation.

🌟 TIP TUESDAY: Should I Be Worried? 🌟“My child refuses almost every food. Is this just picky eating?” 🍎🥦Some picky eatin...
09/08/2026

🌟 TIP TUESDAY: Should I Be Worried? 🌟

“My child refuses almost every food. Is this just picky eating?” 🍎🥦

Some picky eating is a very normal part of childhood. Kids may go through phases where they strongly prefer certain foods, reject foods they used to love, or need many opportunities before accepting something new.

But sometimes, food refusal is more than typical picky eating.

🚩 Consider talking with your pediatrician or give us a call if your child:

Eats a very small variety of foods
Refuses entire food groups or certain textures
Gags, chokes, coughs, or vomits during meals
Has significant anxiety or distress around eating
Has difficulty chewing or managing food
Is not growing as expected or has low energy
Has a food list that keeps getting smaller
💡 A few things parents can try:

✨ Take the pressure off. Avoid forcing “just one bite.” Pressure can make mealtimes more stressful.

✨ Keep offering. A child may need many exposures to become comfortable with a new food. Seeing, touching, smelling, and licking a food can all be steps toward eating it!

✨ Serve a “safe” food. Pair a less-preferred food with something your child already enjoys.

✨ Make mealtimes predictable. Regular meals and snacks can help children know when food is coming.

✨ Look beyond the food. Sometimes the challenge isn’t the food itself—it may be texture, chewing skills, sensory differences, anxiety, or another underlying factor.

❤️ Remember: You don’t have to figure it out alone.

Early support can make mealtimes feel easier for the whole family!
💡

🇺🇸Holiday Closure Notice🇺🇸LBL will be closed, Monday September 7, in observance of Labor Day. We’ll reopen Tuesday, Sept...
09/04/2026

🇺🇸Holiday Closure Notice🇺🇸

LBL will be closed, Monday September 7, in observance of Labor Day. We’ll reopen Tuesday, September 8, and look forward to seeing you then.

Happy Labor Day from the LBL team! ❤️🇺🇸

Address

102 Mitchell Road
Oak Ridge, TN
37830

Opening Hours

Monday 8:30am - 6pm
Tuesday 8:30am - 6pm
Wednesday 8:30am - 6pm
Thursday 8:30am - 6pm
Friday 8:30am - 4pm

Telephone

+18652132844

Website

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