Individualized speech-language evaluations and therapy via telepractice
screenings and initial phone consultations
Speech-language screenings are performed to identify who may require a more extensive evaluation. We also offer on-line or telephone consultations with parents, loved ones or physicians to discuss the possibility that a patient may benefit from a full evaluation.
THIS SERVICE IS FREE!!!
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Speech ANd LANGUAGE evaluations FOR All Ages
Speech-language evaluations include a review of the individual's educational and medical history, clinical observation, interviews with parents and caregivers. Goals are set and standardized testing is performed if needed. Every evaluation results in a written report with actionable recommendations. Allison’s reports have been praised by parents, healthcare professionals, and educators as clearly written and extremely practical.
Any time is a good time to help your child learn language and literacy skills. Comprehensive specialized in-depth recommendations provided to parents with tips and a detailed outline of communication milestones from birth to age 5. We will help you understand how to turn any activity you do with your child into opportunity to build speech and language and enable you to have fun while you're doing it! Recommendations can also be provided to parents for carryover activities that could be performed at home with a child who has 'graduated' from speech treatment but still needs at-home parental/caregiver support.
speech, language, Voice and FEEDING therapy
Therapy sessions are tailor-made for each client and their family's needs. With 17 years of voice and swallowing training, we are dedicated to the evaluation and treatment of speech and voice problems and helping our patients succeed. Additionally, we offer specialized speech and language services, such as articulation and language delay.
The following are definitions of some (but not all!) of the speech problems that I treat:
CHILDHOOD SPEECH AND LANGUAGE DISORDERS- Most children develop speech and language skills in a specific order. A child who takes longer to meet milestones, may have a problem. Some childhood speech problems include: childhood apraxia of speech, stuttering, dysarthria, speech sound disorders, oromyofunctional and voice disorders. Language disorders can affect talking and/or understanding. Speech and language problems may happen before your child starts school. Early detection is very important. Getting help early from us is better than waiting!
SPEECH SOUND DISORDERS- Your child may have trouble making sounds. They may substitute another sound, leave sounds out, add sounds, or change the sound, making it difficult for others to understand him/her. It is normal for young children to say the wrong sounds. For example, your child may make a "w" sound for an "r" and say "wabbit" for "rabbit." She may leave sounds out of words, such as "nana" for "banana." This is okay when the child is very young, but may be a problem if she keeps making these mistakes as she gets older.
CHILDHOOD APRAXIA OF SPEECH (CAS)- Apraxia is a motor speech disorder that makes it hard to speak or say sounds correctly. It is most often acquired as an adult but can also be developmental, which affects children from birth. With apraxia, it can take a lot of work to say sounds and words aloud. This may cause a person to say something very different than what they meant because of a problem getting the message from the brain to the mouth to make the muscles move in the correct sequence. For example, they may say "chicken" for "kitchen." Or an individual may say a word that does not make sense at all like “berit”. The individual with apraxia may know that what they said is wrong and try to fix it. Sometimes they will get it right, but other times they will say something else entirely. This can be very frustrating. A speech language pathologist can teach strategies to improve symptoms.
VOICE DISORDERS- Voice disorders, or dysphonia, are medical conditions involving abnormal pitch, loudness or quality of the sound produced by the larynx and thereby affecting speech production.
Nodules, cysts, or polyps can cause hoarseness, breathiness or changes in pitch. You may also have the sensation of having a "lump" in your throat and your neck may feel "tight". You may also feel that you get tired quickly when speaking. Some causes include loud talking or singing, talking over background noise, smoking, allergies, tense muscles, or acid reflux. If your doctor recommends voice therapy, we can address these issues together.
Paradoxical Vocal Fold Movement (PVFM) is when your vocal folds close when they should open. This can cause wheezing and breathing problems. If your doctor recommends voice therapy to treat PVFM, we can help!
DYSARTHRIA- Dysarthria is a speech disorder caused by muscle weakness. It can make it hard for you to talk. People may have trouble understanding what you say. Dysarthria happens when you have weak muscles of the mouth, tongue, jaw lips or palate. This can result in slurred speech, speaking too slowly, too fast, too quiet or too loud. It can also result in voice changes.
EARLY LITERACY- During speech and language development young children learn skills that are important to the development of literacy (reading and writing). This stage, known as emergent literacy, begins at birth and continues through the preschool years. Signs that may indicate later reading and writing problems include persistent baby talk, absence of interest or appreciation for nursery rhymes or shared book reading, difficulty understanding simple directions, difficulty remembering or learning names of letters, or identify letters in the child's name. We can help to prevent such problems, identifying children at risk for reading and writing difficulties, and provide intervention to remediate literacy related difficulties.