Difficulty switching between language structures in therapy:

Child may be having trouble switching between two different skills that you’re working on

With speech sounds: http://www.speechandlanguagekids.com/what-to-do-when-a-child-overgeneralizes-new-sounds/

With language skills:

• Focus on one at a time if the child is very young or unable to work on two
• Compare two language structures side by side and talk about when each one is used (like he/she and him/her)
• Provide sentences that use both (she is chasing her)
• Practice examples with both skills side by side

Difficulty changing what she says to fit the situation:

Child may say the same thing in many situations and not adapt her speech to the situation (code switching)

• Observe her daily conversations and identify where the child is struggling with this
• Teach her new speech to use in those different situations
• Teach her rules of when to use each type of speech or language structure
• Practice switching between different types of speech or language structures in staged scenarios (act it out)
• Monitor her during normal conversations to check for carry-over and to provide awareness cues as necessary

Difficulty understanding when things are worded differently:

May have trouble following directions if they are not worded exactly the same way each time

• Give simple directions and have her practice following them when worded differently (provide many examples)
• Teach her how to ask the teacher to re-word requests or directions
• Talk about synonyms for common words she hears
• Practice, practice, practice