For over two decades, Mr. Adediji Adetayo John has worked with children living with speech and hearing challenges. In this interview, the graduate of Lagos State University, shares insights on misconceptions, challenges, and the passion required to thrive in a field that is often misunderstood yet deeply rewarding. PEACE TEMITOPE ISAAC was at the interview session at the Media Career Development Network office in Lagos and here reports. Excerpts:
What motivated you to go into speech therapy?
My love for children. I studied special education, specialized in hearing and speech, and learned sign language. From working in a special school, I grew passionate about helping children overcome speech challenges.
What are some misconceptions people have about speech therapy for special children?
Some families believe speech problems are caused by foundational curses or family traditions. But professionally, we know it can be medical or hereditary. Many grandparents say they overcame speech issues without therapy, but if you don’t intervene early, it becomes a lifestyle for the child.
How do you identify a person with Down Syndrome?
Down Syndrome is the easiest to identify, even for non-professionals. They usually have protruding tongues, distinct facial features, and slanted eyes. Unlike hidden speech challenges such as stuttering or echolalia, their physical appearance gives them away.
Based on marital issues, what can be done to ensure a child doesn’t repeat the same mistakes in the future?
That is where counselling comes in. I usually sit parents down to let them know fighting will not solve issues. After carrying out an assessment, I talk to them about my discoveries, the causes of the issues, and then we work towards solutions. At the end of the therapy, I also give them assignments to carry out, and they return with results.
Can Down Syndrome be corrected or managed?
Yes, but it starts with proper assessment. We look at strengths and weaknesses — can the child talk, can they reason well? From there, we decide on the type of therapy. Some cases are curable, others are manageable.
How would you describe your profession in one word?
Passion. Without passion, you cannot last in this field. Many trainees quit after seeing how demanding it is. Working with hyperactive children requires patience, because raising your hand against them is considered a crime.
What are the most common speech disorders you have encountered?
Some children cannot make use of their speech organs but can cry. Others struggle with stuttering, repetition, omissions, or substitutions of words. That is why assessments are crucial before planning therapy.
How has technology impacted speech therapy over the years?
Technology has introduced tele-therapy, especially during COVID-19. I have clients abroad whom I work with via phone and laptop. Tools like microphones, hand coordination devices, and vibrators help stimulate speech. However, physical contact remains more effective because of exercises and massage.
What are the major challenges you face on the job?
Consistency. These children need regular therapy, so even when I’m sick, I push myself to attend sessions. Taking too many breaks negatively affects the child’s progress and makes parents lose confidence.
What techniques do you often use?
After assessment, we design an Individualised Educational Plan (IEP). We use Speech Stimulation Exercises to keep speech organs active and vibrating, depending on the child’s needs.
What was your most difficult therapy session?
Recently, I worked with a highly hyperactive autistic child while I was unwell. It was very stressful because he scattered things within minutes. Even toilet training was a battle, but I managed to complete the session.
How do you communicate a child’s condition to parents?
We don’t label children. Instead, we tell parents there are traces of a condition and explain how it can be managed. Labelling can break parents emotionally, so we focus on possibilities and solutions.
How do you charge for therapy?
We charge per session, usually a minimum of two hours. Therapy is recommended at least three times a week. Some wealthy parents employ multiple therapists daily to keep their hyperactive children engaged.
What areas do special children excel in?
Many are good with computers and tablets. However, overexposure can hinder their learning in other areas, so it must be regulated.
Finally, what advice would you give the public about awareness and prevention?
People should watch what they eat, live healthier lifestyles, and go for regular medical check-ups. The government should also improve living standards so families can access quality healthcare.
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