Discover Speech Therapy offers comprehensive evaluations and treatment in the following areas:
When working with children in early intervention (birth- 3rd birthday), focus is often on developing early social skills, foundational language skills such as joint attention, using gestures/signs, and learning to use first words to communicate wants and needs.
Speech sound disorders occur when children have substitutions and/or distortions on certain sounds (articulation) or a pattern of errors (phonology). There is a wide range for the acquisition of speech sounds (from 2 years to 7 years) so check the norms below if you have a concern regarding your child's speech sounds.
Receptive refers to the understanding of language and our ability to listen to language going on in our world. Children who have difficulty following directions, answering questions, understanding what gestures mean, or taking turns with others during conversation may have receptive language needs.
Expressive refers to the ability to express oneself through speaking and writing. Children who have difficulty asking questions, naming items, putting words together in sentences, learning songs and rhymes, using grammatical structures such as pronouns, or starting and keeping a conversation going may have expressive language needs.
Pragmatic refers to the appropriate use of language in a social setting, also referred to as social skills. Children who have difficulty starting a conversation, engaging in appropriate eye contact and joint attention, making and keeping friends, understanding feelings, and sharing and playing cooperatively with others may have pragmatic language needs. Often, children with autism benefit from social skills as this is an area of difficulty.
Children who stutter may repeat parts of words (b-b-bus) or whole words (I like-like-like that), experience prolongations (llllllet's go), or have abnormal stoppages of air flow when they speak. There may also be unusual body or facial movements that accompany these disfluencies. Stuttering therapy involves learning strategies to help improve the flow of speech.
Childhood Apraxia of Speech:
Also referred to as CAS or just "apraxia", this motor speech disorder is characterized by highly unintelligible speech. In this disorder, the brain has difficulty communicating the correct movement patterns to the muscles needed for speech production (lips, jaw, tongue) in the absence of muscle weakness. The child knows what he or she wants to say, but has great difficulty producing speech.