Shono Bangladesh



Auditory Verbal Therapy (AVT) is a specialized approach to habilitation and rehabilitation for individuals with hearing loss. It focuses on developing listening and spoken language skills by using amplified sound and speech therapy techniques. AVT aims to optimize a person’s ability to hear, understand, and use spoken language in everyday communication. It involves collaboration between a trained therapist, the child with hearing loss, and their family. The therapy emphasizes early intervention and can benefit children with hearing loss of all ages, including those with cochlear implants and hearing aids.

Auditory Verbal Therapy
A Revolutionary Approach

Auditory-Verbal Therapy (AVT) is a family-oriented approach designed to assist children with hearing loss. Its primary objective is to enhance spoken and listening abilities by modeling parent-child interaction strategies. AVT is tailored to meet the individual needs of children who use hearing aids or cochlear implants. The primary goal of this therapy is to enable children to develop age-appropriate spoken language skills in a variety of settings, including home, education, and social situations.

Shono Bangladesh:
The Best Choice for Auditory Verbal Therapy

At Shono Bangladesh, we provide exceptional Auditory Verbal Therapy services that are tailored to meet the unique needs of each child. Our skilled therapists create a welcoming and friendly environment that supports children’s communication and language development. In addition, our spacious ambient environment and group therapy sessions provide children with a comfortable and engaging learning experience. Parents are encouraged to attend therapy sessions and learn valuable techniques and strategies to use at home, ensuring that therapy is not only effective but also sustainable. Choose Shono Bangladesh for Auditory Verbal Therapy services that make a difference!

Considering Candidacy for AVT

Auditory-Verbal Therapy (AVT) is a highly successful approach for children who are deaf or hard of hearing, particularly when started early, as young as two to three months old. If your child falls under this category and uses hearing aids and/or cochlear implants, they may benefit from AVT. Here are some key considerations to keep in mind:

  • Ensure that your newborn undergoes the Universal Newborn Hearing Screening (UNHS).
  • If your baby has hearing loss, they can be fitted with hearing aids.
  • Cochlear implants can be evaluated for children as young as nine months of age.
  • AVT can be effective regardless of whether your child was born deaf, hard of hearing, or if their hearing loss is temporary or permanent.
  • AVT can benefit children with hearing loss ranging from mild to severe or profound, and those who experience hearing difficulties in one or both ears.

By considering these factors, you can make an informed decision about whether AVT is right for your child’s hearing needs.

Our Auditory Verbal Therapy Goals​

The session plans in AVT are designed to reach the primary goals of speech perception.

The ability to be aware of sound is defined by auditory perception. Detecting sound is determined by the question, "Do you hear the sound, yes or no?" Speech recognition is influenced by our hearing ability and the strength of the speech signal.

The ability to discern between the many speech stimuli (phonemes, syllables, etc.) of our language is referred to as speech discrimination. With relation to discrimination, the question asked is, “Do the two sounds sound the same or different?”

It is the ability to name or point to something to label or identify what has been heard. The question about identification can be asked as, “What is that sound?”

A fundamental ingredient in the perception of speech is giving attention or focusing on the speaker and the message conveyed from the speaker. How well speech is understood will depend on how much and how well the listener is paying attention.

Speech perception relies on retaining and storing verbal information, both for brief and extended periods. Memory is crucial to other aspects of speech perception as well, allowing us to combine speech units to derive meaning from a complete verbal message, rather than from each individual unit.

Closure is the process of bringing perceived speech elements together to create a meaningful whole, allowing individuals to recognize speech even when some cues are absent due to hearing loss.

Understanding audio communication fully. Related question: "What does it mean?"

How Auditory Verbal Therapy (AVT) Works?

Parent-Mediated Intervention

The goal is to enhance developmental outcomes by encouraging parents to participate in therapy sessions, use child-centered engagement techniques, and instruct their child between sessions.

AVT is a triadic intervention system involving the parent, the child, and the therapist. Four critical elements are highlighted: parent engagement, comprehension, reflection, and practitioner skills.

The Triadic Intervention System

Coaching Techniques

Parents are coached on improving interactions with their children using shared interest, parent-child interactions, and strengthened parenting skills. Practitioners use coaching techniques in addition to emotional assistance.

AVT combines with play-based therapy strategy where child learns like playing activities which makes it child-friendly, enjoyable, and comfortable.

Play-Based Therapy Strategy

Improved Parent-Child Interactions

Consistent use of hearing devices combined with parent-mediated interventions produces improved interactions and spoken language growth. Systematic family-based intervention improves parental sensitivity, affect, empathy, and perspective-taking.

AVT therapists assess parental responsiveness through formal or informal observations of parent-child interactions. Practitioners aim to improve parental sensitivity.

Professional Assistance

Principles of AVT

The AG Bell Academy for Listening and Spoken Language (2007) outlines the following principles of certified LSLS (Listening and Spoken Language Specialist) Auditory-Verbal Therapists (LSLS Cert. AVT):

  • Encourage timely identification of hearing impairment in infants, toddlers, young children, and newborns, followed by prompt audiologic intervention and auditory-verbal treatment.
  • Advise for timely evaluation and utilization of cutting-edge hearing devices to achieve optimal advantages of sound stimulation.
  • Coach and guide parents, including grandparents, relatives, guardians, and caregivers, to help their child develop listening and spoken language skills using hearing as the primary sensory modality.
  • Enable parents to take on the role of the principal enablers of their child’s listening and spoken language growth by engaging in personalized auditory-verbal therapy actively and consistently.
  • Create environments that support listening for the acquisition of spoken language throughout the child’s daily activities.
  • Assist children in incorporating listening and oral communication into all facets of their daily activities.
  • Use natural developmental patterns of audition, speech, language, cognition, and communication in therapy.
  • Teach parents how to help their child self-monitor spoken language through listening.
  • Conduct continuous formal and informal diagnostic evaluations to formulate personalized auditory-verbal therapy strategies, track advancement, and assess the efficacy of the plans for the child and their family.
  • Encourage inclusive education in mainstream schools with typically hearing peers and suitable support services starting from early childhood.


By following these principles, certified LSLS AVT therapists can help children with hearing loss to develop listening and spoken language skills to their fullest potential.

The success of AVT

When children receive AVT at a young age – as early as two to three months, it is most beneficial. Are you the parent of a young child who is deaf or hard of hearing and uses hearing aids or cochlear implants? If so, auditory-verbal therapy may be the solution you’re looking for. Regardless of the cause or severity of your child’s hearing impairment, auditory-verbal therapy can help them develop spoken language and listening skills. Whether your child was born deaf or hard of hearing, has difficulty hearing out of one or both ears or has a hearing loss that ranges from mild to profound, auditory-verbal therapy can be beneficial. With this evidence-based approach, your child can learn to listen and speak confidently, paving the way for future success.

Shono Bangladesh: creating standards in Audiologic Rehabilitation

Shono Bangladesh offers certified professionals and well-equipped facilities for Auditory Verbal Therapy (AVT). It stands out as one of the few places in Bangladesh that is exclusively run by certified professionals who have expertise in performing the protocols of Auditory Verbal Therapy (AVT). The professionals are adept at performing implant mapping, which enables them to accurately assess the child’s reception of speech stimuli, identify areas requiring adjustments, and monitor the prognosis effectively.

Unique Session Planning Strategy of Shono Bangladesh

We have implemented a strategic approach of utilizing package systems rather than daily basis charging for session planning. The therapy sessions are made available in a package system, where a minimum of 3 months package is offered to clients, which includes an assessment and evaluation of the client’s communication level. These sessions are distributed over 3 days a week, providing clients with a total of 12 therapy sessions per month. This style of session provision aids in maintaining the continuity of attending sessions and facilitates the tracking of gradual progress in clients.

Some AVT Highlights at Shono Bangladesh

A 6-year-old girl named Rifa (pseudonym), who was born without the ability to speak, underwent 6 months of Auditory Verbal Therapy at Shono Bangladesh. Remarkably, within that brief period, she achieved the impressive feat of producing 3 keyword sentences.

Salma (pseudonym), a 7-year-old girl, received Cochlear Implants upon arriving in Shono, Bangladesh. Following this, she underwent 5 months of Auditory Verbal Therapy, allowing her to achieve a level of understanding where she could construct 4-key word sentences and respond to questions.

Some AVT Highlights at Shono Bangladesh

A 6-year-old girl named Rifa (pseudonym), who was born without the ability to speak, underwent 6 months of Auditory Verbal Therapy at Shono Bangladesh. Remarkably, within that brief period, she achieved the impressive feat of producing 3 keyword sentences.

Salma (pseudonym), a 7-year-old girl, received Cochlear Implants upon arriving in Shono, Bangladesh. Following this, she underwent 5 months of Auditory Verbal Therapy, allowing her to achieve a level of understanding where she could construct 4-key word sentences and respond to questions.

Frequently Asked Questions

The earlier the better, as early the diagnosis of hearing impairment can be done after birth and adopting a suitable amplification system (hearing aid or CI), then Auditory Verbal Therapy can be started. It should be kept in mind that the brain’s maturation completes by the age of 5 which is the critical period of learning necessary skills.

A minimum of 6-8 months of therapy is required.

Auditory verbal therapy is completely listening-based training incorporating speech, language, and cognitive skills whereas Speech and Language Therapy is generalized to teach overall communication skills.

At about 1 month a child may produce Ling’s sounds.


Rotna khatun Parents

My child can now call me mamah! I was in despair when I discovered my child had a hearing impairment, but with the blessings of Almighty, we found Shono Bangladesh. Thank you Shono Bangladesh

Karima sultana Parents

Never knew treatment could be this fun and with games! Amazing kid-friendly environment.

Shams Parents

We had the courage to help our child in his struggle but didn't have the knowledge how to do it, thanks to Shono Bangladesh who built the bridge between our child and us