Speech therapy services for your child’s success.

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Explore the speech difficulties and disorders our therapists can treat in person, or with teletherapy.

If your child has speech struggles related to:

  • autism
  • stuttering
  • expressive and receptive language delays
  • language disorders
  • and much more…

You’re not alone, and we can help.

Articulation and Phonology

Articulation disorders focus on errors (e.g. distortions and substitutions) in production of individual speech sounds. Phonological disorders focus on predictable, rule-based errors (e.g. fronting, stopping, and final consonant deletion) that affect more than one sound. [https://www.asha.org/practice-portal/clinical-topics/articulation-and-phonology/]

Fluency

A fluency disorder is an interruption in the flow of speaking characterized by atypical rate, rhythm, and disfluencies (e.g., repetitions of sounds, syllables, words, and phrases, sound prolongations, and blocks), which may also be accompanied by excessive tension, speaking avoidance, struggle behaviors, and secondary mannerisms (American Speech-Language-Hearing Association [ASHA], 1993)

Orofacial Myofunctional Disorders

(OMDs) are abnormal movement patterns of the face and mouth. When these abnormal movement patterns occur, it can impact a person’s ability to articulate speech sounds.
According to ASHA, some signs of an OMD may include the following:

  • Someone who always breathes through the mouth or has difficulty breathing through the nose.
  • Limited tongue movement.
  • Eating may be messy or difficult. Keep in mind that it is normal for babies to stick their tongue out and push food out of their mouth. Over time, they do this less.
  • An overbite, underbite, and/or other dental problems.
  • The tongue pushing past the teeth, even when a person is not talking or using the tongue.
  • Difficulty saying some sounds, like “s” in “sun,” “sh” in “ship,” or “j” in “jump.”
  • Drooling, especially beyond age 2.
  • Difficulty closing the lips to swallow.
    https://www.asha.org/public/speech/disorders/orofacial-myofunctional-disorders/

Language Disorders

We can have trouble with speech, language, or both. Having trouble understanding what others say may suggest a receptive language disorder while difficulty sharing our thoughts, ideas, and feelings may indicate an expressive language disorder. It is possible to have both a receptive and an expressive language problem. [https://www.asha.org/public/speech/development/speech-and-language/]

Apraxia

Childhood apraxia of speech (CAS) is a neurological childhood (pediatric) speech sound disorder in which the precision and consistency of movements underlying speech are impaired in the absence of neuromuscular deficits (e.g. abnormal reflexes, abnormal tone). CAS may occur as a result of known neurological impairment, in association with complex neurobehavioral disorders of known and unknown origin, or as an idiopathic neurogenic speech sound disorder. The core impairment in planning and/or programming spatiotemporal parameters of movement sequences results in errors in speech sound production and prosody. (ASHA, 2007b, Definitions of CAS section, para. 1).

Social Communication Disorders

Social communication is the use of language in social contexts. It encompasses social interaction, social cognition, pragmatics, and language processing. Social communication skills include the ability to vary speech style, take the perspective of others, understand and appropriately use the rules for verbal and nonverbal communication, and use the structural aspects of language (e.g. vocabulary, syntax, and phonology) to accomplish these goals. [https://www.asha.org/practice-portal/clinical-topics/social-communication-disorder/]

Are you concerned about your child’s speech sounds?
Wonder if your child needs speech therapy?

Download our Speech Developmental Milestones pdf.

This guide will help you know what to look and listen for at various stages.

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