Keeping the set up appropriate for the environment. One size doesn't fit all.....

Bluebell has selective mutism as well as autism. The selective mutism causes extreme anxiety, it's not through choice, it's huge and stops her doing so much. After our slt appointment, the slt said bluebell could use the advanced core set up. Yes, no problem.......at home........but take her out of our environment and she NEEDS basic, complete basic. We have decided to work on asking for a hot chocolate in our regular tea rooms every week. (Poor me eh!!) I'm pleased to say she did it.....we've been twice now, and today she was far less anxious than last time. 

As you can see this set up is extremely easy. It needs to be to help with Bluebells anxiety. Bluebell didn't want to press the 'speak' box, but that's fine, she turned the iPhone around so staff could read the sentence.