He is 28 with an extremely high narrow palate thus cannot breathe well. His tongue has the "macro" appearance due to the palate issues. He's gone through surgeries, ENT referrals, and I started therapy on him to strengthen his lips and to habituate a correct resting tongue posture. I also referred him for a lingual frenectomy that he followed through with. We only worked together around 5 sessions and he was then out of the country with work.