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Physical Medicine and Rehabilitation

Speech-language therapy.

speech therapist working with a patient

The Johns Hopkins speech-language pathologists (sometimes informally called speech therapists)  provide therapy for adults whose ability to speak or swallow has been affected by an injury or illness. Our speech-language therapists assess and treat a variety of speech, language, cognitive and swallowing disorders. This may include retraining for “slurred speech” after a stroke, cognitive therapy after brain surgery, swallowing therapy related to a neurological condition and everything in between.

Our Specialty Areas

Speech-language therapists play a key role in these and other rehabilitation programs:

  • Brain injury and stroke rehabilitation
  • Parkinson's rehabilitation
  • Cancer rehabilitation
  • Geriatric rehabilitation
  • Multiple sclerosis rehabilitation
  • Spinal cord injury rehabilitation
  • Swallowing rehabilitation
  • Rehabilitation for performing artists

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Common Conditions We Treat

Swallowing disorders.

Swallowing is a complex neuromuscular activity and is susceptible to problems as a result of strokes, head injuries, esophageal disorders, head and neck cancers and neurological diseases like Parkinson’s disease.  Swallowing disorders (dysphagia)  are of particular concern and urgency because in its severe form, dysphagia can lead to aspiration pneumonia.

Our speech-language pathologists offer clinical evaluations and diagnostic tests to assess the swallow function. We work closely with patients and families to tailor a plan that can promote good eating and drinking habits while preserving health and safety.

Difficulty Speaking

Difficulty speaking often has to do with problems in engaging muscles involved in speech (apraxia). Speech impairments in adults are most commonly the result of a stroke, head injury or brain surgery.

Treatment focuses on strengthening the muscles used for speech, improving coordination and training in strategies for improving intelligibility of speech.

Language Problems

Neuro-cognitive issues.

Speech-language pathologists also evaluate and provide rehabilitation for cognitive deficits, which are most often associated with strokes, head injuries and traumatic brain injuries.

Therapy may include learning strategies in improving attention, memory function, organization, reasoning and problem solving, with the primary objective of returning patients to safe and functional living while maximizing independence.

Voice Problems

Voice is assessed both perceptually and objectively using diagnostic tools, such as a computerized speech lab. There are many causes for voice disorders (dysphonia). People who use their voice for their employment are often at risk for straining the vocal cords and/or developing nodules or polyps. Other conditions that affect vocal function include spasmodic dysphonia, presbylaryngis, cancers and Parkinson’s disease, to name a few.

Voice therapy may focus on education in vocal hygiene and training in reducing vocal strain and developing a strong and clear vocal quality. Our speech-language pathologists work closely with the referring physicians to develop a treatment plan that is effective and appropriate for vocal rehabilitation.

Meet Our Therapists

Allison copeland | speech-language pathologist.

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Lyana Frantz | Speech-Language Pathologist

headshot of Lyana Frantz

Erin Hollister | Speech-Language Pathologist

photo coming soon

Meaghan Isaacs | Speech-Language Pathologist

headshot of Meagan Isaacs

Erin Klein | Speech-Language Pathologist, Clinical Specialist, Outpatient Speech-Language Pathology Fellowship Coordinator

headshot of Erin Klein

Rachel McConnell | Speech-Language Pathologist, Team Coordinator

headshot of Rachel McConnell

Ashley Ramos-Guasp | Speech-Language Pathologist

Leyna schroeder | speech-language pathologist.

headshot of Leyna Schroeder

Rebecca Willman | Speech-Language Pathologist

Theresa walker | speech-language pathologist, find a therapist in washington, d.c..

The Sibley Center for Rehabilitation Medicine offers outpatient and inpatient therapy services. Our experts use the latest rehabilitation tools and practice patient-centered care to help you achieve the best outcomes.

Specialized Programs and Treatments

  • Augmentive and alternative communications provide various means of communications for those with speech difficulties.
  • Modified barium swallow studies (videofluoroscopy) help assess swallowing and swallow safety; providing an X-ray video that helps diagnose the swallow function.
  • LSVT LOUD™  is a specialized treatment for people with Parkinson's disease that helps address voice volume and quality, difficulties swallowing and changes in speech.
  • Fiberoptic endoscopic evaluation of swallowing (FEES) exams allow for the assessment of the voice box area and opening of the esophagus, through the use of a small flexible telescope.
  • VitalStim® technology allows to combine the power of neuromuscular electrical stimulation with traditional therapy to help speed up dysphagia recovery.
  • Speech and swallowing evaluation prior to head and neck cancer treatment helps maximize function during and after the treatment.

Speech therapy: What it is and how it helps with language challenges

Speech therapy can help with communication skills, including spoken and written language. It can even help with reading. Learn more about this treatment, and how to request it for your child.

speech and language therapy d

By Gail Belsky

Expert reviewed by Kelli Johnson, MA

Speech therapy is a treatment that can help improve communication skills. It’s sometimes called speech-language therapy.

Many people think that speech therapy is only for kids with speech disorders that affect pronunciation. But it can also target problems with:

Receptive language (understanding language)

Expressive language (using language)

Social communication (using language in socially appropriate ways)

Reading and spelling (including dyslexia )

Here’s more about speech therapy and how it can help kids with language challenges.

Dive deeper

How speech-language therapy works.

The specialists who do this type of therapy are speech-language pathologists (SLPs). They first identify what kind of speech or language problem a child has. Then they find the underlying causes and the best treatment. 

Therapy can happen one-on-one or in small groups. It may last from a few months to a few years. The earlier therapy begins, the more helpful it is. Language difficulties are usually lifelong, but skills can improve with the right support. 

Kids may get therapy in school for free as part of special education. It would be part of an IEP . Or they might start even earlier. One way is through their state’s early intervention system. Therapy can also happen in private settings.

Speech-language therapy is tailored to a child’s specific needs. Here are some common skills SLPs work on:

Phonological awareness. An early reading skill. To improve it, SLPs might focus on rhyming and identifying sounds in words. 

Expressing more complex ideas. SLPs might teach “joining words” like and , but , or because to help kids combine their ideas in sentences.

Building vocabulary. SLPs might help kids remember words by acting them out or using them to tell a story.

Conversation skills. SLPs might role-play conversation and help kids pick up on social cues.

Parents and caregivers can help kids practice these exercises at home. This can make speech therapy even more effective.

Learn more about how speech-language pathologists work with kids .

Speech-language therapy and reading challenges

Phonological awareness is one of the first reading skills. It’s the ability to recognize and use sounds in spoken language. Kids rely on this skill to sound out (decode) words. 

Kids with reading challenges like dyslexia often have trouble with this skill. Speech-language therapy can help them hear that the word bat breaks down into b , a , and t sounds. This can improve reading comprehension skills.

Challenges with language can also cause problems with reading comprehension. SLPs work on those skills, too.

Learn more about phonological awareness .

How to request speech therapy

To get speech therapy at school, kids need to be evaluated by the SLP. This tends to be part of a full school evaluation for special education services. For some kids, speech therapy is the only service they need. Find out how to request a free evaluation for:

Early intervention (kids under age 3)

Preschoolers (kids ages 3–5)

Kids in kindergarten and up

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We help kids speak no matter their speech challenges! Speech therapists advise parents about late talkers, speech delay, stuttering, apraxia, articulation, and other speech impediments.

From your first worry to your first appointment, and your last speech therapy session – find the information you need to help your child thrive and gain necessary speech skills.

Parent's Academy › Speech Disorders › Speech Sound Disorders › T and D Sounds Articulation Therapy: A Guide for Parents

T and D Sounds Articulation Therapy: A Guide for Parents

Stacie bennett.

Speech-Language Pathologist , Trenton , New Jersey

Feb 13, 2022 In all of my years of being a speech pathologist, I have found that if a child has difficulty producing the /t/ sound, they will most likely have issues producing the /d/ sound.

That is because both of these sounds are produced in the same location. The only difference is voicing – /t/ is voiceless and /d/ is voiced. If your child can produce a /t/ sound and not the /d/ sound you simply teach them to “turn on their voice” for the /d/ sound . Or if it is the other way around you teach them to “turn off their voice” by whispering the sound for the /t/ .

Can Your Child Lift Their Tongue Tip?

The first thing you have to look at is if your child can lift the front part of his tongue (the tip) to reach the top of his mouth. If born with a tongue tie, this will be impossible for your child to complete.

Tongue tie surgery is a very simple and common procedure that will remove the small piece of skin that is connecting the tongue to the floor of the mouth. Once this procedure occurs, the child can lift his tongue to reach the correct placement. 

Most children, however, are just confused as to where their tongue goes. This is why most children replace the /t/ and /d/ sound with the /k/ and /g/ sounds, which are created in the back of the throat. 

Teach Your Child Where to Place the Tongue for /t/ and /d/

If lifting up the tongue tip is no problem, then it’s simply a placement issue. Show your child where their tongue should be positioned for each sound. This can be done with a mirror – it’s the most fun and effective because you can practice making silly faces. 

Make silly faces while you try this

Another way to get your child to reach that part of their mouth is to try stimulating the gums behind the front teeth (the alveolar ridge), and the tongue tip with a small toothbrush, then tell the child to place the tongue tip behind his front teeth. Once the tongue is in place, have him try to imitate a /t/ or /d/ sound all by itself. This should produce the sounds.

Teach Your Child How to Raise the Tongue for /t/ and /d/

If raising the tongue is difficult, I like to use an incentive to get the child motivated to try. I will stick things like marshmallow or peanut butter right behind their teeth. Then, I ask the child to taste the food. Obviously, in order to taste it, then they need to lift their tongue. This can be done as a game, as well.

Blind fold your child before introducing the food. They have to guess what you have on the roof of their mouth. Once the tongue tip is in place, have them try to say the /t/ or /d/ sounds. You might say, “Make the sound of a clock, t-t-t-t-t-t.” Out of all of the therapy tips and tricks I give, this is one of the most successful articulation tips I can give parents. 

Tongue Strengthening Exercises

If you are currently working with a speech pathologist, they will perform an oral motor examination prior to starting therapy. This is where they will look at all of the structures in and around the mouth area. If anything is weak, they will give exercises to do at home in order to strengthen that particular area. 

One way to work on strengthening the tongue muscle is to have the child hold a cheerio, or smartie on the alveolar ridge with his/her tongue tip. Play a game where they hold it up while you count to 10 then they can eat it. This typically works well with children who are 4 years of age and older . You can do it with smaller children – just make sure you don’t use anything that they can choke on. 

Moving Into Syllables

Once your child can produce the /t/ or /d/ sound in isolation, it’s time for you to introduce syllables. For this, have your child add vowels to the end of the sounds. For example, “to, tea, ta, ti, ate, it, aught.” You can have the sound in the beginning or end of the syllable and switch it up between /t/ and /d/.

Moving Into Words

Your child has mastered syllables and is ready to produce the sounds in words. Below are 6 links from Mommy Speech Therapy to use when working on the /d/ and /t/ sounds. Download the picture cards of words beginning with the /t/ and /d/ sounds, ending with the /t/ and /d/ sounds or with /t/ or /d/ occuring in the middle and work on them at home. I suggest making a game out of the cards – like, Bingo or Tic-Tac-Toe. 

  • /t/ in the initial position of words
  • /t/ in the medial position of words
  • /t/ in the final position of words
  • /d/ in the in initial position of words
  • /d/ in the medial position of words
  • /d/ in the final position of words

How To Play Articulation Bingo?

  • Use the button below to download our Articulation Bingo Board
  • Print out the board and give it to your child or cut out the pictures and put them into a bag
  • Let your child pick a word from the board / bag 
  • Find the word in Speech Blubs App and practice it, play with fun filters and watch educational videos
  • Your child is a winner when he practices three pictures in a row (across, down, or horizontally) or the entire board

Articulation Bingo T Sound

Boost Your Child’s Speech Development!

Improve language & communication skills with fun learning!

speech and language therapy d

Moving Into Sentences

You’re almost through the entire hierarchy of articulation therapy . Once a child is consistently and accurately using the sounds in words, put them into sentences.

For example with /t/ words you might use the sentence “Talk to the _________.”

Fill in the blank with the initial /t/ words you have been practicing, “Talk to the tree,” or “Talk to the tiger.” It’s important to remember that your child may master one position of the sound, but not the others. It’s ok to be working on /t/ in the initial positon in sentences, but still be on syllable or word level with the other two positions . 

Stories and Conversation

The last and final step of therapy is stories and conversation. Have your child read aloud to you and talk to you about their day and what they are doing. If your child cannot read, have them make up silly stories to tell you and see how intelligible their speech is.

Once they are good talking to you in stories, then you are good to move into conversational level.  It is at this point you can correct your child if they forget to pronounce the /t/ and /d/ sounds spontaneously.

Each child will progress through therapy differently and at different rates . Don’t compare your child to anyone else’s and be patient!

If your child has difficulties with other sounds, here are the articles that can help you with speech therapy and articulation activities ideas:

  • Articulation Therapy: An All-in-One Guide for Parents
  • B Sound Articulation Therapy
  • H Sound Articulation Therapy
  • JJ and CH Sounds Articulation Therapy
  • L Sound Articulation Therapy
  • Lisp Articulation Therapy
  • M Sound Articulation Therapy
  • N Sound Articulation Therapy
  • NG Sound Articulation Therapy
  • R Sound Articulation Therapy
  • S Sound Articulation Therapy
  • SH Sound Articulation Therapy
  • W Sound Articulation Therapy

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The author’s views are entirely his or her own and may not necessarily reflect the views of Blub Blub Inc. All content provided on this website is for informational purposes only and is not intended to be a substitute for independent professional medical judgement, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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InformedHealth.org [Internet].

In brief: what is speech therapy.

Created: August 12, 2020 ; Next update: 2024.

Speech therapy can help people who have difficulty speaking to communicate better and to break down the barriers that result from speech impediments. The goals of speech therapy include improving pronunciation, strengthening the muscles used in speech, and learning to speak correctly.

Speech therapy can be used for a lot of different speech problems and disorders, from smaller problems like a hoarse voice up to partial loss of speech due to brain damage. Depending on the type of disorder, other medical or psychological treatments may be used as well.

  • What kinds of disorders can speech therapy treat?

Speech therapy can be used to treat language disorders, speech disorders and swallowing problems.

Language disorders

A childhood language disorder can affect the child’s ability to learn to speak, to name objects and build complete sentences. Although the causes of these disorders are often not clear, the main known risk factors include hearing problems , general developmental problems and disorders affecting the development of the brain.

Language disorders in adults are almost always the result of brain injury or disease. People who have had a stroke , for example, often have trouble forming sentences or remembering words. That type of disorder is called aphasia.

Speech disorders

People with speech disorders have difficulty producing the sounds of speech, saying words clearly or talking fluently.

Children often have trouble with pronunciation, and may have a lisp or swap certain sounds for others. Speech disorders may be the result of developmental disorders, but psychological factors might also play a role. Adults with neurological diseases sometimes have speech disorders too, often making it hard to understand them.

Another group of speech disorders, known as fluency disorders, involve problems with the flow or evenness of speech. People with this sort of disorder may stutter or “clutter,” for example. When people stutter, there are often silent pauses in their speech, or they repeat or lengthen certain sounds or syllables. Cluttering is abnormally fast speech that makes the pronunciation imprecise or leaves out sounds or parts of words.

Voice disorders (dysphonia)

A voice disorder is a persistent change in someone’s voice. They might sound hoarse, strained, raspy or nearly silent. Often the voice is somewhat weak – in other words, it cracks easily or the person is not able to speak loudly. Voice disorders may arise from speaking too much or too loudly, from using the wrong breathing technique, or from problems with the voice box (larynx) like vocal nodules . Psychological causes like depression or a reaction to a distressing event can change a person’s voice too.

Trouble swallowing

In people with swallowing problems, the movements of the muscles involved in swallowing are affected. This leads to problems transporting food through the mouth and throat. The cause is often a disease or disorder of the nervous system, such as Parkinson’s disease , multiple sclerosis, dementia , an infection like Lyme disease or tetanus, or a head injury. If food gets into the lungs because of a swallowing disorder, it can lead to life-threatening complications.

What treatments are used in speech therapy?

There are various speech therapy techniques for each of the areas described above – the ones that are considered depend on the particular disorder. A long series of treatment sessions is typically needed, with each lasting 30 to 60 minutes. They may take place in a group or one-on-one.

The treatment approaches used in speech therapy include:

  • Perception exercises, for example to differentiate between individual sounds and syllables
  • Exercises to produce certain sounds and improve the fluency of speech
  • Exercises to improve breathing, swallowing and the voice
  • Help with communication using things like sign language, communication boards and computer-assisted speech
  • Advice for people who need speech therapy, their parents and other loved ones
  • Support in implementing these measures in everyday life

For the treatment to help over the long term, it’s often important to also regularly practice the techniques at home.

  • Where is speech therapy offered?

Speech therapy is offered at the following facilities:

  • Speech therapy practices
  • Rehabilitative care centers
  • Special needs schools
  • Children's day care facilities specializing in speech therapy

Besides speech therapists, there are a number of other specialists who also use similar methods. These include breathing, speech and voice coaches.

  • Do statutory health insurers cover the costs of speech therapy?

Note: The procedures and requirements for applying for and receiving speech therapy may vary according to your country. This information describes the current situation in Germany.

To have outpatient treatment at a speech therapy practice, you need a prescription from a doctor. An initial prescription will generally include up to 10 treatments, each typically lasting 30 to 60 minutes. Appointments are usually offered one to three times per week.

For the medical conditions listed above, prescribed speech therapy is often covered by statutory health insurers (apart from a fixed amount that you have to pay yourself, known as a copayment). The copayment does not have to be paid when getting a treatment that has been prescribed for children. If speech therapy is given as a part of rehabilitative care, an accident insurer or pension fund will cover the costs.

The copayment that you have to pay for yourself is 10 euros per prescription plus 10% of the treatment costs. If each treatment costs 55 euros, for example, for ten treatments you would have to pay 65 euros (the basic fee of 10 euros per prescription plus 10 x 5.50 euros).

Some speech therapists may offer certain treatments without a prescription. You then have to pay for all of the costs yourself. In Germany, these are known as individual health care services (individuelle Gesundheitsleistungen, or IGeL for short).

The German Federal Association of Speech Therapists (DBL) has a search function for speech therapists on their website (in German).

  • Bode H, Schröder H, Waltersbacher A (Ed). Heilmittel-Report 2008. Ergotherapie, Logopädie, Physiotherapie: Eine Bestandsaufnahme. Stuttgart: Schattauer; 2008.
  • Deutsche Gesellschaft für Sprachheilpädagogik (DGS). Ausbildung in der Sprachheilpädagogik .
  • Deutscher Bundesverband für akademische Sprachtherapie und Logopädie (dbs). Der Verband [ dbs homepage ]. 2020.
  • Deutscher Bundesverband für Logopädie (dbl). Logopädie . 2020.
  • Gemeinsamer Bundesausschuss (G-BA). Richtlinie über die Verordnung von Heilmitteln in der vertragsärztlichen Versorgung (Heilmittel-Richtlinie/HeilM-RL) . July 1, 2020.
  • Verband der Ersatzkassen (vdek). Rahmenvertrag zwischen LOGO Deutschland und den Ersatzkassen über die Versorgung mit Leistungen der Stimm-, Sprech- und Sprachtherapie. Anlage 1: Leistungsbeschreibung . June 1, 2017.

IQWiG health information is written with the aim of helping people understand the advantages and disadvantages of the main treatment options and health care services.

Because IQWiG is a German institute, some of the information provided here is specific to the German health care system. The suitability of any of the described options in an individual case can be determined by talking to a doctor. informedhealth.org can provide support for talks with doctors and other medical professionals, but cannot replace them. We do not offer individual consultations.

Our information is based on the results of good-quality studies. It is written by a team of health care professionals, scientists and editors, and reviewed by external experts. You can find a detailed description of how our health information is produced and updated in our methods.

  • Cite this Page InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. In brief: What is speech therapy? 2020 Aug 12.

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What Is Speech Therapy?

speech and language therapy d

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Speech therapy is a form of healthcare that helps improve communication and speech. It can also help improve swallowing function and other behaviors related to feeding.

About one in 12 children in the United States has a speech or swallowing disorder. Disorders are most common in young children, but many adults have a related condition. For example, about one million adults in the United States have aphasia (difficulty expressing or comprehending written and verbal language).

Speech therapists (STs) or speech-language pathologists (SLPs) assess and treat people of all ages. They use various techniques to help people with challenges related to speech production, language comprehension, hearing, voice quality, fluency, and swallowing. 

What Does Speech Therapy Treat?

Speech therapy treats various disorders involving hearing, speech, language, literacy, social communication, voice quality, executive functioning (for example, memory and problem-solving), feeding, and swallowing.

Specific speech disorders include:

  • Articulation disorders: Difficulty pronouncing words or sounds such as the “s” sound (for example, saying “thun” rather than “sun”). This can occur during childhood language development or with structural problems like tongue-tie. A tongue tie is when a small band of skin connects the tip of the tongue to the bottom of the mouth. It is congenital, meaning it's present at birth.
  • Dysarthria: Slow, slurred, or unclear speech. This occurs with oral (mouth) muscle control decline due to neurological conditions (related to the brain or nervous system), such as multiple sclerosis (MS) —a condition that occurs when the immune system attacks myelin, the covering wrapped around nerve cells.
  • Apraxia: Knowing what you want to say but having difficulty producing the correct sounds or words. Apraxia can cause slow, error-prone speech or the need to intentionally move your tongue and lips in order to produce sounds and words. Apraxia can be present at birth, but it can also occur as a result of brain injuries, brain tumors , or a stroke .
  • Fluency disorders: Speech flow disruptions like stuttering. Stuttering is experiencing interruptions in speech and repeating sounds, syllables, or words. Researchers are still exploring possible causes of dysfluency, but they seem to include genetics, developmental components, neurological factors (how the brain processes), and brain injury. Many children outgrow fluency disorders, but they can persist into adulthood.
  • Voice disorders: Vocal cord spasming (choppy voice), hoarseness, pitch problems, or voice fatigue are examples of voice disorders. This can result from infection, overusing the vocal cords, or neurological disorders. 

Language or communication disorders include:

  • Aphasia : Aphasia is a language disorder in which you have difficulty expressing or comprehending written and verbal language. Receptive aphasia is difficulty understanding written or verbal words. Expressive aphasia is difficulty communicating thoughts and ideas with language components like vocabulary, grammar, and sentence formation. Aphasia can occur with childhood development, language impairment, autism spectrum disorder (ASD), brain injury, or neurological disorders.
  • Pragmatic language disorder: This relates to social communication. Signs include misunderstanding social cues like eye contact, body language, and personal space. It can occur during childhood development or with underlying neurodivergence (brain variation), such as autism spectrum disorder (ASD) , a brain development condition that affects how a person perceives and socializes with other people.
  • Accent or tone: While this is not a disorder, speech therapists can also work with people who wish to modify their accent or an unusual speech rhythm, pitch, or tone. For example, a high-pitched, sing-song, or robotic tone can occur with ASD.
  • Executive functioning: Executive functioning challenges include difficulty with memory, planning, organization, problem-solving, and attention. This can occur due to brain injuries or conditions like ASD and attention-deficit hyperactivity disorder (ADHD) , a neurodevelopmental disorder characterized by inattention (being distracted), hyperactivity (feeling restless), and impulsivity (making hasty decisions).
  • Auditory processing disorder: This is a neurological condition that makes it difficult to make sense of sounds. 

Feeding and swallowing disorders affect how you suck, chew, and swallow food and drinks. Difficulty swallowing is also known as dysphagia , which can result in choking during meals—and lung infections if food or liquid enters the airways.  It can occur with structural abnormalities, muscular weakness, or neurological conditions like a stroke.  

How Does Speech Therapy Work?

Speech therapy involves techniques like language practice, pronunciation exercises, voice therapy, and swallowing exercises. It begins with a thorough assessment, including observation of communication strategies, challenges, and frustrations.

Speech therapy for infants, toddlers, and children involves fun and engaging activities like play, language exercises, reading, picture cards, and modeling correct sounds. This helps make learning more enjoyable.  

Parents or caregivers often attend sessions and learn ways to support children at home. The ST or SLP will tailor the treatment plan to the child’s developmental stage. Early recognition and intervention (treatment) can help improve outcomes.

With adults, the ST or SLP will begin with an assessment to identify specific challenges. They will then create a specific care plan that addresses underlying concerns such as:

  • Medical conditions
  • Accent modification
  • Voice challenges
  • Pronunciation
  • Conversational language
  • Problem-solving
  • Memory exercises

What To Expect During Speech Therapy

Speech therapy can occur in a class, small group, online, or one-on-one. Speech therapists typically assign exercises to practice at home in order to reinforce what you learn. Activities might include:

  • Vocal warm-ups like humming 
  • Tongue twisters to improve articulation
  • Breaking words into syllables to improve clarity
  • Contrasting word exercises—for example, "ship" versus "sheep"
  • “Pausing” practice (for stuttering)
  • Repetition after listening to a native speaker 
  • Repetition exercises for sounds like “s” 
  • Speech rate control—for example, by tapping hands to a beat
  • Pitch exercises
  • Breathing and posture exercises

Receptive language exercises include:

  • Memory or problem-solving exercises
  • Reading comprehension (similar to a book report)
  • Speech supplementation (written, gestural, voice amplifier, speech-generating devices)
  • Word association
  • Communication partner exercises, such as practicing eye contact and active listening

Exercises for swallowing and feeding include:

  • Diet modification (pureed to solid foods)
  • Oral muscle strengthening (like tongue “push-ups”)
  • Swallowing exercises

Benefits of Speech Therapy

One of the main goals of speech therapy is to enhance a person’s ability to express thoughts, ideas, and emotions effectively. This can lead to a greater sense of self-expression, meaningful interactions with others, and less frustration. Other benefits include:

  • Greater self-confidence: Gaining more control over language and communication can increase confidence and boost self-esteem. As a result, you might be more willing and excited to engage in social activities. 
  • Improved academic or professional performance: Clear speech and language can lead to enhanced skills in comprehension, reading, and writing. This can support academic success. Better articulation, language, and presentation abilities can help with career development.
  • Greater independence: Speech therapy can lead to greater self-reliance, especially if you have severe communication challenges. For example, augmented and alternative communication (AAC) methods , such as speech-generating devices (SGDs), can allow you to express yourself more independently.

How Successful Is Speech Therapy?

Speech therapy's “success” depends on your goals. The meaning of success can vary based on your underlying communication or medical condition and its severity, as well as your motivation and commitment to therapy, the therapist's expertise, and your support systems. The time it takes to reach your goals also varies based on underlying factors like these.

For example, you may define success as improved pronunciation, or you may work towards more effective communication, more skilled accent modification, or swallowing without choking. If you stutter, your goal might be improved fluency or feeling more comfortable communicating openly with a stutter. For most people, what’s most important is to set realistic expectations and recognize that any improvement in communication is a success.

How To Find a Speech Therapist

A qualified speech therapist or speech-language pathologist holds a master's degree in speech-language pathology and state licensure to practice in your area. You can find speech therapists in settings like:

  • Home health agencies
  • Rehabilitation centers
  • Private practice
  • Telehealth (online)

You can also ask for recommendations from healthcare providers or school personnel who may know local speech therapists. The American Speech-Language-Hearing Association (ASHA) also offers an online directory of certified speech therapies to help you locate someone in your area.

Check with your health insurance provider to see if they cover speech therapy. They can provide you with information about your co-payments and deductibles. If your insurance doesn't cover the cost, the clinic or speech therapist may offer payment plans . Some children may also qualify for:

  • Individualized education programs (IEPs) that cover speech therapy costs as a service from the school district
  • Early intervention (EI) or Preschool on Preschool Special Education (CPSE) programs for infants and toddlers for little or no cost to families
  • State and federal programs, like Medicaid
  • Financial assistance programs from non-profit and advocate organizations

A Quick Review

Speech therapy is a specialized healthcare field in which trained professionals help improve speech, language, hearing, swallowing, and feeding for people of all ages. Speech therapists (STs) and speech-language pathologists (SLPs) thoroughly assess and develop specific treatment plans for a wide range of conditions including difficulty communicating or processing language, stuttering, and voice disorders.

Speech therapy takes place in locations like schools, hospitals, and private practice. It can be one-on-one or in a group setting. Success depends on underlying factors such as the severity of the condition. It also depends on personal goals and your definition of success—which can vary widely from person to person.

Many people who have speech therapy experience powerful benefits that affect them in nearly every aspect of life, including greater self-confidence and self-reliance.

National Institute on Deafness and Other Communication Disorders. Quick statistics about voice, speech, language .

Houtrow A, Murphy N. Prescribing physical, occupational, and speech therapy services for children with disabilities . Pediatrics ; 143 (4): e20190285. doi:10.1542/peds.2019-0285

American Speech-Language-Hearing Association. Who are speech-language pathologists, and what do they do? .

National Institute on Deafness and Other Communication Disorders. Stuttering .

American Speech-Language-Hearing Association. Stuttering .

Law J, Dennis JA, Charlton JJ. Speech and language therapy interventions for children with primary speech and/or language disorders . The Cochrane Database of Systematic Reviews . 2017 (1). doi:10.1002/14651858.CD012490

Krekeler BN, Weycker JM, Connor NP. Effects of tongue exercise frequency on tongue muscle biology and swallowing physiology in a rat Model . Dysphagia . 2020; 35 (6):918. doi:10.1007/s00455-020-10105-2

National Institute of Deafness and Other Communication Disorders. Speech and language developmental milestones .

National Institute of Health Clinical Center. Speech and language pathology .

American Speech-Language-Hearing Association. Dysarthria in adult

Brady MC, Kelly H, Godwin J, Enderby P, Campbell P. Speech and language therapy for aphasia following stroke . The Cochrane Database of Systematic Reviews . 2016 (6). doi:10.1002/14651858.CD000425.pub4

American Speech-Language-Hearing Association. Scope of practice in speech-language pathology .

American Speech-Language-Hearing Association. Help finding a professional .

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Types of Speech Therapy

Different speech therapy approaches and techniques are used for various issues

  • List of Types
  • For Late Talkers
  • For Apraxia
  • For Stuttering
  • For Aphasia
  • For Swallowing

Frequently Asked Questions

Speech therapy is not one thing. There are different types of speech therapy, each of which involves approaches and techniques that are specific to the issue that needs addressing. That could be related to speech itself—e.g., therapy for people who stutter—or it could relate to problems with memory swallowing, and more.

A speech-language pathologist (SLP), often just called a speech therapist, will perform assessments to determine which type(s) of speech therapy is right for you.

This article reviews the different types of speech therapy and the various disorders each one can be used to treat.

Types of Speech Therapy Used by Speech Therapists

A speech-language pathologist can use different types of speech therapy to help people with problems related to:

  • Fluency (e.g., stuttering, and cluttering)
  • Speech (e.g., articulation)
  • Language (e.g., ability; comprehension of spoken and written language)
  • Cognition (e.g., attention, memory, ability to solve problems)
  • Voice (e.g., characteristics of vocal tone)
  • Swallowing (e.g., stroke, congenital disorders)

In addition to different speech therapy techniques, SLPs may also provide auditory habilitation & auditory rehabilitation for people with hearing problems or disorders.

Some SLPs specialize in other services including professional voice development, accent or dialect modification, transgender voice therapy , business communication modification, and voice hygiene.

Speech Therapy for Late Talkers

A common speech therapy method is used to help children who have reached the expected age for speech development but have not started talking .

If your infant or toddler should be talking by now but isn't, they may be referred to a speech therapist. The therapist will likely try different things to encourage your child to talk, including playing with him. Sometimes, withholding a favorite toy until a child asks for it motivates small children to talk, but this depends on the circumstance.

For some children, other types of communication, such as sign language or picture cards, might be introduced. Speech therapists may also refer your child for further evaluation, such as hearing tests if necessary.

Speech Therapy for Kids With Apraxia

Certain speech therapy techniques are helpful for kids with apraxia.

Children with apraxia of speech have difficulty saying certain syllables or making certain sounds. Your child knows what they want to say, but it doesn't seem to come out right. Speech therapists are qualified to evaluate children for apraxia by using several tests, including:

  • Oral-motor assessment to check for muscle weakness in the jaw, lips, or tongue
  • Melody of speech assessment during which the therapist listens to see if they can appropriately stress certain syllables and use pitch and pauses at the appropriate place in a sentence
  • Speech sound assessment further determines how well the child can pronounce sounds, including vowels, consonants, and sound combinations. This includes determining how well others are able to understand the child's conversational speech

If your child is diagnosed with apraxia , they will probably need speech therapy on a one-on-one basis several times per week. This therapy will likely consist of intensively practicing their speech. The therapist will try to help your child understand auditory feedback as well as visual or tactile cues.

One way a therapist might do this is to have your child look at themselves in a mirror while speaking, or record them speaking and then playing it back. Many children enjoy this.

Since successful treatment for apraxia involves a lot of time and commitment, your therapist may give you assignments to practice with your child at home.

Speech Therapy for Stuttering

Speech therapy techniques can be applied to help treat stuttering.

Stuttering is a problem that typically develops during childhood but can develop during adulthood as well. Stuttering is usually considered a type of behavioral problem. Speech therapists will try to teach your child who stutters behavioral modification techniques that in turn may help control their stuttering.

A common method that may be used on your child is to teach them to control the rate of speech since speaking too quickly can make stuttering worse for some people. Practicing speech in a slower, more fluent manner can be helpful. It can also be helpful to monitor breathing.

Even after treatment, people who stutter may require follow-up sessions with their speech therapist to keep the problem from recurring.

Speech Therapy for Aphasia

Some speech therapy methods help people with aphasia . Speech therapy assessments can also help determine if someone has the condition.

Aphasia is a condition that causes difficulty speaking as a result of some sort of damage to the brain. The condition can also consist of difficulty listening, reading, and writing. Aphasia happens to many adults after they have experienced a stroke .

Speech therapists play a crucial role in diagnosing aphasia by evaluating an individual's ability to understand others, express themselves, and even swallow. There are many different things a speech therapist might do to help a person with aphasia, including:

  • Drills to improve specific language skills
  • Group therapy to improve conversational skills
  • Gestures and writing to augment their communication skills

Speech Therapy for Swallowing Difficulty

Speech therapy techniques can also be used to help people who are not able to swallow when they eat or drink.

Your child may experience difficulty swallowing for a variety of reasons. A speech therapist may help your child with swallowing difficulty by assisting them with exercises to make her mouth strong, increase tongue movement, and improve chewing.

A speech therapist may also make recommendations about the consistency of food. For infants, a speech therapist may assist in coordinating her suck-swallow-breath pattern. As previously mentioned these are only some of the things that a speech therapist might do. There are many other conditions and methods used to evaluate those in need.

There are different types of speech therapy that can be used to treat various disorders affecting speech, hearing, and swallowing. Children and adults with speech delays, apraxia, swallowing problems, and certain medical conditions may benefit from working with a speech therapist.

A speech therapist evaluates, diagnoses, and treats speech issues and communication problems, as well as swallowing disorders. They provide various services, from teaching articulation and clear speaking to helping strengthen muscles used to talk and swallow.

The four types of articulation disorders are substitution, omission, distortion, and addition. Speech-language pathologists use the acronym SODA to remember them.

Childhood Apraxia of Speech: Treatment . Asha.org.

Chang S, Synnestvedt A, Ostuni J, Ludlow C. Similarities in speech and white matter characteristics in idiopathic developmental stuttering and adult-onset stuttering .  J Neurolinguistics . 2010;23(5):455-469. doi:10.1016/j.jneuroling.2008.11.004

Stuttering . Asha.org.

American Psychological Association. APA Dictionary of Psychology - Definition of Articulation Disorder .

Scope of Practice in Speech-Language Pathology . American Speech-Language-Hearing Association website.

Childhood Apraxia of Speech . American Speech-Language-Hearing Association website.

Feeding and Swallowing Disorders (Dysphagia) in Children . American Speech-Language-Hearing Association website.

By Kristin Hayes, RN Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children.

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Gritman Therapy Solutions is proud to offer comprehensive, evidence-based, multidisciplinary treatment for children from birth to 18 years of age. Our expertly trained pediatric therapists work closely with a child’s family to build a personalized treatment plan to address each child’s individual needs. We provide occupational, physical and speech-language services that are focused on helping a child develop and succeed.

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Speech-Language Pathologists (SLP): What Do They Treat?

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What Is a Speech-Language Pathologist?

A speech-language pathologist (SLP), also known as a speech therapist, is a health professional who diagnoses and treats communication and swallowing problems. They work with both children and adults of all ages in clinics, schools, and hospitals. They can help if you or someone you love has a developmental disorder, neurological condition, or brain injury that affects your ability to communicate with other people. They also can help if you have trouble eating or drinking safely due to swallowing issues.

What Do Speech-Language Pathologists Do?

A speech-language pathologist does many things. Typically, they check how you're able to communicate or swallow. When you're having trouble communicating or swallowing , they will try to find the cause. They'll also develop a treatment plan just for you based on the trouble you're having and the reason for it. They'll work with you and provide therapy to help. They'll also keep track of how you're doing over time. Any treatment they offer is known as speech therapy.

SLPs provide a broad range of therapies because they treat communication and swallowing problems caused by so many different disorders. Their work may include:

  • Helping people learn how to form sounds
  • Teaching how to speak clearly and easily
  • Using exercises to strengthen muscles used to speak or swallow
  • Helping people increase the number of words they can say and/or understand
  • Working with people to improve the way they put words together in sentences
  • Providing augmentative and alternative communication (AAC) systems for people who have severe language disorders
  • Educating patients and their families about how to overcome challenges from the communication or swallowing problem
  • Providing a type of treatment called aural rehabilitation, which helps people with hearing loss

An SLP can help you understand other people better. They can also help other people understand you better by improving your ability to share your feelings through words, gestures, or other means. They can help you learn how to carry on a conversation, including taking turns or giving other people personal space.

SLPs can help you even if you have very limited or no ability to speak the way other people do. They can train you on how to use devices, such as electronic tablets or communication boards. In addition, they can help you learn to swallow safely with approaches that help you better control your swallowing muscles.

SLPs also can help you with:

  • How your voice sounds
  • How loud you talk
  • Memory, attention, problem-solving, organization, and thinking
  • Sucking and chewing

Types of Speech Therapy

Speech-language pathologists use different techniques and tools depending on what the underlying cause is, how old you are, and other factors. You may have different types of therapy including:

  • Articulation therapy. You'll work on articulating sounds and words more clearly. Your therapist may use games to make it fun.
  • Oral motor therapy. Your therapist will work on the muscles around your mouth with exercises to help with speaking or swallowing.
  • Language intervention therapy. This type of therapy can help when you have a speech delay or language disability.
  • VitalStim therapy. Your therapist may use electrical stimulation around your neck. This approach can help if you've had a stroke leading to problems with eating, swallowing, drinking, or speaking.
  • Lee Silverman speech therapy (LSVT). This approach can help with vocal control, volume, and facial expressions. Your therapist may use it if your issues aren't related to your speech ability.
  • Modeling techniques. Your therapist may repeat what you say back to you correctly or add in extra words. They'll offer plenty of praise and feedback to help with speech problems.

Speech pathologist vs. speech therapist

You might hear SLPs called speech pathologists or speech therapists. But they are the same thing. Either refers to a health care provider who helps with problems related to speech, communication, or swallowing.

What Conditions Does a Speech-Language Pathologist Treat?

SLPs provide therapy for people with hearing loss, children with developmental delays, and people with communication and swallowing problems. They treat disorders such as:

Speech disorders

These conditions make it difficult to produce sounds. Some examples include:

  • Apraxia: When the brain has trouble directing the movements of the muscles used to speak
  • Articulation disorders: The inability to form certain sounds, such as “th” or “r”
  • Stuttering: When the flow of speech is broken by pauses and repetition
  • Resonance disorders: Caused by an obstruction such as a cleft palate
  • Dysarthria: Weakness in the muscles used in speech, caused by brain injury

Language disorders

These may be receptive (difficulty understanding language) or expressive (difficulty making oneself understood by others). Some examples are:

  • Aphasia: Difficulty speaking or understanding others because of damage to the brain
  • Auditory processing disorder: When the brain has trouble understanding the meaning of sounds

Cognitive-communication disorders

Usually, any brain injury that causes problems with memory, attention, organization, or reasoning, cognitive-communication disorders can make it difficult for a person to speak, listen, read, or write. Causes of cognitive-communication disorders include traumatic brain injury, stroke, or dementia .

Social-communication disorders

These conditions make it hard to communicate socially: greeting, asking questions, taking part in conversations, and talking in ways that are appropriate for the situation. Difficulty with social communication can be caused by autism spectrum disorder or events such as a traumatic brain injury.

Swallowing disorders

Sometimes called dysphagia, swallowing disorders are problems with eating and swallowing. Symptoms include coughing or choking during or after eating, food leaking from the mouth, taking much longer than normal to finish meals, weight loss, dehydration, and frequent pneumonia.

How to Become a Speech Pathologist

Speech-language pathologists hold a master’s degree from a program accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology. Along with classes in the assessment and treatment of communication and swallowing disorders, these programs include at least 375 hours of clinical experience.

After graduation, a 1-year clinical fellowship (or medical training period) is required, with a minimum of 1,260 hours of work under the supervision of a certified SLP. Then the candidate must pass an exam to become certified as a speech-language pathologist.

Where Do Speech-Language Pathologists Work?

You can find speech-language pathologists in many different places. Settings include:

  • Assisted living facilities
  • Business or work settings
  • Military bases
  • Rehabilitation centers
  • Long-term care or skilled nursing facilities

Reasons to See a Speech-Language Pathologist

If you or a loved one experience any of the following problems, it might be a good idea to seek out a speech-language pathologist.

Difficulty communicating after an injury or illness

Speech therapy can help some people regain the ability to express wants and needs, build relationships, carry out daily tasks, and succeed in school or at work. 

Difficulty eating after an injury or illness

Swallowing therapy can strengthen the muscles used in eating, help adults relearn swallowing coordination, and teach ways to reduce the risk of aspiration (accidentally inhaling food particles).

Feeding issues in infants and children

Babies and toddlers with swallowing disorders may have a pattern of fussiness at mealtimes, avoiding certain food textures or temperatures (called sensory aversions ), congestion or vomiting after eating, or gagging during meals. Feeding therapy can teach chewing, sipping, and swallowing, overcome sensory aversions, and help children learn to eat independently and enjoy mealtimes.

Delayed speech development

If you’re concerned that your child might not be speaking or understanding speech at a level appropriate for their age, talk with your child’s doctor. They can refer you to a speech-language pathologist if your child needs to be evaluated. If a child does have a speech or language disorder, getting therapy early can help.

Speech-language pathologists work in many different places to help people of all ages when they have problems related to communication, speech, or swallowing for any reason. If you or a loved one is having trouble in any of these areas, ask your doctor if they'd recommend you get speech therapy to help.

Speech-Language Pathologist FAQs

  • What happens during speech therapy?

Speech therapists treat many different problems that may be caused by many different conditions. They also use many different techniques and tools. What happens during your speech therapy session will depend on the problems you need help with. Ask your doctor or speech therapist what you can expect.

  • How long do you need speech therapy?

That depends. Some people may need speech therapy for a few weeks, while others may benefit for months or even years. It depends on what you need speech therapy for. It also can depend on how much time you put into practicing the exercises or other skills your speech therapist recommends.

  • How well does speech therapy work?

Speech therapists go through a lot of training and learn how to use methods that are based on evidence they work. One study of kids with a speech or language problem showed that 6 hours of speech and language therapy over 6 months helped. Another study suggests more variable outcomes after a stroke. How well speech therapy works for you will depend on the condition it's treating. It isn't a cure for any disorder, but it can help you with issues that affect your everyday life and ability to interact with people or eat. Ask your doctor or speech therapist how much they think it can help in your case.

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SPEECH AND LANGUAGE THERAPY

(509) 332-5106

Speech and language therapy focuses on receptive and expressive language, articulation, voice, cognition, memory, auditory processing and fluency. Speech therapists also perform swallow evaluations for children and adults, often with special radiographic studies, to diagnose and treat swallow dysfunction.

Our Areas of Expertise:

  • Language Disorders  are characterized as a difficulty understanding others or sharing thoughts and feelings. Found in both children and adults, these disorders can result from a medical problem or have no known cause. 
  • Dyslexia is a language-based neurological condition that affects roughly 15-20% of our total population. While the symptoms and severity present differently from person to person, most individuals with Dyslexia have difficulties reading, spelling, writing, pronouncing words, and mastering other language-based skills.
  • Motor Speech Disorders  include structures used to articulate words, such as motor and neurologic function of the tongue, lips, jaw, soft and hard palate.
  • Voice Disorders  fall into one of three categories: hyperfunctional, hypofunctional, and dysfunctional. Your care plan will help to restore function to an impaired voice through techniques and education.
  • Dysphagia (swallowing) Disorders  impact a wide variety of patient populations. Your Speech Language Pathologist will determine degree and severity of the swallowing impairment, and strategies, exercises, and behaviors to improve the condition.
  • Pediatric Feeding & Swallowing Disorders  occur when children experience difficulty swallowing, chewing or eating a variety of foods. Oral motor plans, feeding evaluations, home programs, collaboration with caregivers, and parent education are provided along with Pediatric Modified Barium Swallow studies.
  • Fluency Disorders  are characterized by disruptions in the production of speech sounds, also called dysfluencies.
  • Cognitive Disorders  are impairments with memory, attention, concentration, organization, and problem solving.
  • Assistive and Alternative Communication  helps individuals whose oral or written communication abilities do not meet their functional needs.

Meet our Speech Language Pathologists

Jessie Armstrong, SLP

Jessie Armstrong, SLP

Speech language pathologist.

Special Interests: Early intervention, Pre-Literacy, School Age Children, Speech Sounds Disorders, Autism spectrum disorders, AAC, and developmental learning disabilities.

Tami Dial, SLP

Tami Dial, MA-CCC-SLP

Special Interests:  Early Intervention, Pre-Literacy, School Age Children, Speech Sounds Disorders and General Language Delays.

Jennifer Griffin, SLP

Jennifer Griffin, SLP

Special Interests: Pediatrics, Pre-Literacy/Literacy (i.e. dyslexia) and Autism Spectrum Disorder.

Keri Jones Updated

Keri Jones, MA, CCC-SLP

Special Interests: Voice Disorders, Cognitive Impairment Therapy, Aphasia & Apraxia Therapy, and General Speech & Language Delay.

Sara Osgood

Sara Osgood, M.S., CF-SLP

Special Interests: Voice Disorders, Aphasia Therapy, Early Intervention and General Speech & Language Delay.

Kelly Sebold, SLP

Kelly Steele, MA, CCC-SLP

Special Interests: Infant and Child Feeding and Swallowing Disorders, Pediatric Modified Barium Swallow Studies, General Speech and Language Delay, Autism, Early Intervention, Apraxia of Speech, Head and Neck Issues, Pet Partners/Prescription Pets program, care coordination and multidisciplinary collaboration.

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To make an appointment:

Contact Summit Therapy & Health Services by calling (509) 332-5106 or visiting us at 1620 SE Summit Court, Pullman, WA 99163

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Sara Osgood, M.S.,CF-SLP knew she wanted to be a Speech Language Pathologist since she was a little girl.

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A traveling & virtual practice helping loved ones to connect & communicate.

A private practice, with NYS licensed & board certified speech-language pathologists who conveniently travel to you. We  help loved ones to connect and communicate. 

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Evaluate, design & implement therapy services to meet your needs, via private and school/center based therapy.

Who we service

We serve individuals across the lifespan, with a specialty in pediatrics. Our clients are diverse, including children & adults of all backgrounds & abilities, as well as neurodivergent populations.  

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Building a solid and trusting relationship with our clients and their caregivers is paramount to the success of our practice. By fostering a positive rapport, we can work together more effectively to achieve therapeutic goals and improve the quality of life for each individual. At Taylor'd Speech & Language Services, we are committed to providing personalized care that is both neurodiversity-affirming and culturally responsive. Our goal is to empower our clients to reach their full potential and maintain their independence, ultimately enhancing their overall well-being.

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Assessments allow our clinicians to determine the area(s) of concern that require treatment.

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Speech-language therapy helps support and care for children and adults who have difficulties with communication, comprehension, feeding and swallowing.

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Speech-language services offered via tele-practice, from our home/office to yours!

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Developmental milestones and collaborative teams to educate parents on child's development .

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“Over the two+ years Onjalique worked with my son, he showed dramatic improvement in his speech. His vocabulary, pronunciation, and ability to compile phrases and sentences grew significantly. Onjalique is kind, patient, and professional. She is passionate about her work with children and it shows! "

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"Incredibly professional and highly recommended!"

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"The time spent with our son was helpful and fun! He really enjoyed his time and advanced with the help of his teacher."

Reginald Weston / Brooklyn, NY

"As a fellow speech therapist, I am grateful to know  colleagues at Taylor'd Speech for when I may need to refer clients . Parents always report back with positive news and the kids enjoy it!"

TrIcia Short, M.S. CCC-SLP / Brooklyn, NY

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Sentara Health Plans

CDC speech therapy guidelines have changed, but early intervention is still the goal

speech therapy session

When the CDC updated the developmental milestones for its “ Learn the Signs. Act Early ” initiative for the first time since 2004, a controversy erupted, confusing pediatricians, speech therapists and parents.

The initiative details when children from birth to 5 years should reach milestones on how they play, learn, speak, act and move. The updated developmental tracker, published in 2022, pushed some speech milestones previously set at 24 months back to 30 months.

In this article, we’ll talk about how developmental milestones are meant to be used, what the updates mean for parents and caregivers, and what you should do if you’re worried your child might have a speech delay.

Developmental milestones and early intervention

The CDC launched “Learn the Signs. Act Early” in 2004 because they recognized that people didn’t always have the information they needed to catch developmental delays – such as speech disorders or speech delays – at the earliest stages. The earlier you can identify a developmental problem and start treating it, the better the outcomes for patients.

“We always want to intervene as early as possible, whether it’s strategies to help with communication, or help with a delay or disorder,” says Alison Barclift , a speech-language pathologist at Sentara Therapy Center - Pediatrics Newtown . “The sooner we’re in there the better.”

In addition to assisting parents, the developmental milestones checklist in “Learn the Signs. Act Early” is primarily used by pediatricians to identify children who might have a developmental issue so they can be referred to a specialist for a more thorough screening.

“Pediatricians are generalists for ages 0-18; they know a little bit about a whole lot of things,” Barclift says. “This checklist helps guide them, to give them a basis for saying ‘you know what, let me refer them.’”

New guidelines stir up controversy

The CDC’s developmental milestones are one of the primary tools that providers and parents use to determine if a child might need help. So the changes in speech milestones from 24 months to 30 months perplexed parents and providers.

According to the CDC, the new guidelines shift the expectation to the age when most children reach a specific milestone rather than when the average child has reached a specific milestone. For instance, the previous guidelines said children should be able to say 50 words at 24 months. That was based on research that showed that about 50 percent of children could do that by age 2. The new guidelines have moved this milestone to 30 months. Experts have determined that’s when 75 percent, or the majority, of children can say 50 words.

While this shift does seem to have the potential to delay the start of treatment for children with speech disabilities, the CDC’s checklist is not the only tool that pediatricians use to make referrals. For example, the communication milestones checklist created by the American Speech-Language-Hearing Association (ASHA) places children speaking at least 50 words in the 19-24 month range.

“I have not noticed a change in the referrals that we’re seeing, and I don’t think that I’m that surprised by that,” says Barclift.

Normal is a spectrum

Ultimately, the CDC’s checklist and similar tools are just the starting point. Once a child has been referred to a speech therapist, more in-depth testing is done to determine the exact nature of the delay, disability or needed support.

This data is then used to decide whether the child qualifies for services through state early intervention programs and/or in the outpatient setting. A simple checklist can only really serve as a starting point because ‘normal’ is a spectrum – all children develop differently.

“There’s a large range of normal,” says Barclift. “A 4-year-old who can speak in complete sentences and a 4-year-old who’s putting only three words together to make only simple sentences are both within that normal range.”

According to Barclift, the testing that professional speech therapists conduct is meant to get a more thorough picture of where the patient is having problems.

“For early intervention evaluations, we spend up to two hours with the child and most of the time in the home,” says Barclift. “That helps because the pediatrician's office is not always where your child is going to act the way they normally act. In the clinic setting, therapists may have less time to complete evaluations and take detailed histories from parents and caregivers to make sure they are capturing the whole child and any concerns.”

Parents know their children best

Parents know their children better than anyone and are well positioned to spot developmental issues before anyone else does. But that’s only if they know what to look for. Fortunately, the CDC has resources targeted specifically to parents that can help you screen your child while going about your daily lives.

“The CDC has children's books and parent resource guides that parents can get for free that help the checklist become more natural and understandable,” says Barclift. “These resources help parents bring this conversation into their daily lives, instead of making it this scary thing that only happens when they go to the pediatrician.”

If you think your child might have a speech delay or other developmental disability, speak to your child’s pediatrician as soon as possible. The earlier a problem is identified, the better, but even if a problem isn’t spotted until later, therapy can still help.

“There’s also no such thing as too late either,” says Barclift. “Any time a parent is concerned we want them to come in.”

Reach out to your pediatrician today to get your child screened for developmental delays.

By: Andrew Perkinson

Otolaryngology–Head & Neck Surgery

Q&A with Clinical Audiologist and Speech Language Pathologist Sallie Vanderhoof

speech and language therapy d

Washington University Clinical Audiologist and Speech Language Pathologist Sallie Vanderhoof shares her passion for being a mom and traveling.

What is your current title and how long have you been with WashU ENT?

 I am an Audiologist and Speech Language Pathologist in the cochlear implant program.  I have been with the department for twenty-three years.  Before coming to Washington University, I worked in the otolaryngology department at SLU.  Prior to that I worked in various settings as a Speech Language Pathologist.

speech and language therapy d

What do you like most about your work here?

I became interested in cochlear implants my junior year in college.  Even at that time, the strides recipients were making with the technology was fascinating.  I love working with people and getting to be a part of the journey these patients take with a cochlear implant.  Working with them to optimize their hearing and improve communication with the people around them is very rewarding.  In addition, I get to work with an amazing team of Audiologists and Otologists!

How would you describe life in the Vanderhoof household?

There is never a dull moment in the Vanderhoof household with everyone coming and going. My husband, Tim, and I have two daughters. Our oldest daughter Elise is a creative writing major at Webster University and lives at home. Our youngest daughter Amara is a junior in high school and is involved in several sports. Tim has retired from the public school system but keeps busy with odd jobs and volunteer work. Last but not least, our Doberman Willow and Weimaraner Luna who are always right there in the thick of things!

Do you have a favorite activity or pastime?

I have many different interests, not necessarily one favorite activity.  If my daughters are involved in something that is my priority, watching them and supporting their interests.  I enjoy being outside, taking a walk or going on a hike with the dogs.  My husband’s family has a small cabin on a lake in Northern Minnesota, it is beautiful there and we enjoy many lake activities each summer.

Is there a special something at the top of your bucket list, and why?

We love to travel so there are numerous places I would like to visit that are on the bucket list.  Believe it or not, one thing I have always wanted to do is fly a plane.  I’m not sure it will ever happen, but you never know!

Amara, Elise, and Willow at the lake

BCP Council

2x Speech and Language Therapy Assistants - Canford Heath Infant and Junior School

Job introduction.

TEACH Poole

Are you passionate about making a difference to the lives of children who need you? Do you thrive in a dynamic and supportive environment? If so, we have an exciting opportunity for you!

Due to the opening of two new Speech and Language Specialist Resourced Base Provision at Canford Heath Infant and Junior School, the MAT Trustees are looking to appoint two Speech and Language Therapy Assistants who are dedicated, compassionate, and committed to making a positive difference in the lives of our children.

Pay Grade: Grade F (12-17) £26,421 - £28,770 pro-rata

Actual Salary – c. £19,805 - £21,565

Term time plus INSET Days

32.5 hours per week 

8.30 am – 4 pm daily

Required for November 2024 for two brand-new 

Speech and Language Resource Bases opening in January 2025

The TEACH Poole Multi Academy Trust was formed in April 2015.  Ofsted has recently graded all four of our wonderful schools as good or outstanding. We are extremely popular, over-subscribed, forward-thinking schools with supportive staff and fantastic children.

The Resourced Base Provision will cater for children of primary age (4-11), initially accommodating a maximum of 15 children across the two bases, with anticipated growth up to a maximum of 35 children over the next three years.

The post holder will be required to:

•      Work under the guidance of a qualified therapist to assist in developing, implementing, and managing interventions for speech, language, communication, and behavioural needs. Deliver therapy sessions to pupils one-on-one, in groups, or as a whole class.

•      Prepare and maintain therapy materials and equipment, including communication aids and visuals.

•      Help deliver training for teachers, teaching assistants, parents, and families to enhance therapeutic support across the school.

•      Work with class teams to implement therapy recommendations and provide supervision to Teaching Assistants who act as links between classrooms and the Therapy Department.

•      Contribute to systems for tracking and recording pupils' academic and social progress. Support pupils in off-site activities to integrate therapy goals into real-life settings

We are looking for someone with:

•      A passion for making communication accessible for the individual learner.

•      A creative and flexible therapeutic approach that builds success through challenge, personalisation and innovation.

•      The confidence and skills to build positive relationships that help to break down barriers and build self-esteem.

•      A commitment to enabling all our pupils to overcome their challenges and achieve their potential.

We can offer you:

•      An opportunity to be part of this exciting new provision.

•      Fun, friendly and supportive staff who get on well together.

•      Rights’ Respecting pupils with excellent attitudes to learning and outstanding behaviour.

•      Superb opportunities and specialist training for career professional development within our Trust.

•      A fantastic induction programme and full training.

•      Enviable support at all levels, and a proactive approach to staff well-being for you and your family; work-life balance; and care for each person as an individual, including the opportunity to take time off during term time.

•      Term time with salary shared across 12 months for ease of budgeting.

•      Beautiful school grounds and welcoming learning environments.

•      Highly competitive rates of pay and excellent pension contributions by the Trust.

•      Employee Assistance Programme through Health Assured.

•      Long service awards.

We would love to meet you and offer you tours of our lovely schools. 

Please contact the HR department on 01202 380015 for further information.  

All applications must be made online at:  https://mynewterm.com/jobs/5611/EDV-2024-TP-25472

Closing date:        6th October 2024

Interview date:      15th October 2024

Join our team and help us make a real difference in the lives of our children!

Personal information provided by candidates will be securely filed electronically and password protected, with paper copies locked in filing cabinets in a locked office. They will not be released to third parties outside the school without the consent of the person concerned, except where there is a legal requirement to do so. If the application does not proceed, the data will be securely disposed of after 6 months. Any concerns regarding data gathered in the recruitment process should be directed to the Data Manager – Hayley Hemmings at [email protected] 

These schools are committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.  Rigorous checks will be undertaken of the successful applicant’s background credentials including an enhanced DBS check.  Online searches will be undertaken on all shortlisted candidates. Suitability to work with children will be explored at interview.

TEACH Poole is committed to Equal Opportunities.

Attached documents

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  • Salary Grade F (12-17) £26,421 - £28,770 pro-rata. Actual Salary – c. £19,805 - £21,565
  • Dynamics Position Number TEACH/12527/1399
  • Contract Type Permanent
  • Closing Date 06 October, 2024
  • Job Category School Support Staff
  • Business Unit External
  • Location Poole, United Kingdom

Posted on 13 September, 2024

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Jobs in the same category, 2x higher level teaching assistants - canford heath infant and junior school.

Poole, United Kingdom

Grade F (Point 12 – 17) £26,421 - £28,770 per annum pro-rata (Actual Salary c. £19196 - £20903)

Apply by 06 October, 2024

2x Speech and Language Support Assistants - Canford Heath Infant and Junior School

Grade E (7-9) £24,294 - £25,119 pro-rata (See advert text for actual salary)

Apply by 13 October, 2024

Family Support Worker (ELSA qualified preferred) – Hillbourne Primary School

Grade F12-17 (£26,421-28,770) Actual Salary £19,405- £21,130) (pay award pending)

Apply by 24 September, 2024

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Grade C3 £22,737 pro rata per annum (£2,569 actual) (pay award pending)

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Voices of the future: a career in speech and language therapy.

The purpose of this webinar is to raise awareness of the Speech and Language Therapy profession among school and college students, career leaders, career advisors, teachers, parents/carers, and individuals considering a career change. The event is designed for anyone interested in learning more about speech and language therapy; whether you’re a student, parent, teacher, or considering a career change, everyone is welcome to join.

The webinar will offer an overview of the profession, including various pathways to enter the field. The panel will feature a speech and language therapist, representatives from higher education institutions, as well as a current speech and language therapy student.

By the end of the webinar, participants should have a clear understanding of:

  • The definition of speech and language therapy
  • The various settings in which speech and language therapists work
  • The pathways to becoming a speech and language therapist
  • The experience of studying speech and language therapy courses
  • Sources for further information about the courses and the profession

A Q&A session will form part of the event. Questions can be collected at registrations or given on the day anonymously.

Please be advised that the webinar will be recorded.

Register your place

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IMAGES

  1. D Word Lists and Speech Therapy Activities

    speech and language therapy d

  2. D Word List For Articulation Practice

    speech and language therapy d

  3. SPEECH AND LANGUAGE THERAPY

    speech and language therapy d

  4. What is speech therapy?

    speech and language therapy d

  5. A Guide to Speech and Language Disorders

    speech and language therapy d

  6. Parents' guide to speech and language therapy

    speech and language therapy d

VIDEO

  1. Speech Language Therapy Kit for Brescia University

  2. Speech and language therapy #bestautismcentre #autismcentre #autismcenter

  3. Speech-Language Therapy

  4. L.A. Speech Pre-Vocational Summer Experience

  5. BSc Speech & Language Therapy Tracey Day

  6. Success With Speech Language Therapy Comes When Strategies Are Carried Over to the Home

COMMENTS

  1. Speech Therapy: What It Is, How It Works & Why You May Need Therapy

    Speech therapy is a treatment for speech disorders. Both children and adults may benefits from speech therapy. During speech therapy you may perform speech exercises, work on language ...

  2. D Word Lists and Speech Therapy Activities

    D Word Lists and Activity Ideas for Speech Therapy. A Speech Therapist shares tips on how to teach the D sound. Learn about voice and voiceless pairs. Includes initial D word list, medial D word list, and final D word lists. Activity ideas and speech therapy resource suggestions for the D sound. Gam

  3. Speech Therapy: Uses, What to Expect, Results, and More

    A speech-language pathologist (SLP) can help you with speech, language, and swallowing. They provide speech therapy to children and adults who may have speech or language disorders. People with certain medical conditions may also benefit from speech therapy. Medical conditions that may cause speech or swallowing impairment include traumatic ...

  4. American Speech-Language-Hearing Association

    The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for 234,000 members, certificate holders, and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology assistants; and students.

  5. Who Are Speech-Language Pathologists, and What Do They Do?

    SLPs work with people of all ages, from babies to adults. SLPs treat many types of communication and swallowing problems. These include problems with: Speech sounds —how we say sounds and put sounds together into words. Other words for these problems are articulation or phonological disorders, apraxia of speech, or dysarthria.

  6. Speech-Language Therapy

    Speech-Language Therapy. The Johns Hopkins speech-language pathologists (sometimes informally called speech therapists) provide therapy for adults whose ability to speak or swallow has been affected by an injury or illness. Our speech-language therapists assess and treat a variety of speech, language, cognitive and swallowing disorders.

  7. Speech therapy: What it is and how it helps with language ...

    96 Morton Street, Floor 5. New York, New York 10014. Media inquiries: [email protected] (preferred) or 646-757-3100. Speech therapy is a treatment used to improve communication skills. Many kids with language disorders, and reading challenges like dyslexia, can also benefit from speech-language therapy. Learn more.

  8. PDF What is speech and language therapy?

    Speech and Language Therapy after Stroke. Stroke Association: London vii Bryan K, Freer J, Furlong C. Language and communication difficulties in juvenile offenders. International Journal of Language and Communication Disorders 2007; 42, 505-520. REFERENCES AND RESOURCES How speech and language therapy can help

  9. T and D Sounds Articulation Therapy: A Guide for Parents

    Below are 6 links from Mommy Speech Therapy to use when working on the /d/ and /t/ sounds. Download the picture cards of words beginning with the /t/ and /d/ sounds, ending with the /t/ and /d/ sounds or with /t/ or /d/ occuring in the middle and work on them at home. I suggest making a game out of the cards - like, Bingo or Tic-Tac-Toe.

  10. In brief: What is speech therapy?

    Speech therapy can help people who have difficulty speaking to communicate better and to break down the barriers that result from speech impediments. The goals of speech therapy include improving pronunciation, strengthening the muscles used in speech, and learning to speak correctly. Speech therapy can be used for a lot of different speech problems and disorders, from smaller problems like a ...

  11. Speech Therapy: How It Works and What to Expect

    Speech therapy for infants, toddlers, and children involves fun and engaging activities like play, language exercises, reading, picture cards, and modeling correct sounds. This helps make learning ...

  12. Types of Speech Therapy: Techniques and Approaches

    A speech-language pathologist can use different types of speech therapy to help people with problems related to: Fluency (e.g., stuttering, and cluttering) Speech (e.g., articulation) Language (e.g., ability; comprehension of spoken and written language) Cognition (e.g., attention, memory, ability to solve problems)

  13. Pediatric Therapy

    Gritman Therapy Solutions is proud to offer comprehensive, evidence-based, multidisciplinary treatment for children from birth to 18 years of age. Our expertly trained pediatric therapists work closely with a child's family to build a personalized treatment plan to address each child's individual needs. We provide occupational, physical and ...

  14. Speech Language Pathologist

    What is Speech/Language Therapy. Speech therapy provides treatment and support for individuals with communication impairments which encompass a broad range of skills: articulation (how we say and combine the sounds), language (how we use and understand language), and fluency (how smooth our speech is). The speech therapist will tailor treatment ...

  15. What Is a Speech-Language Pathologist (SLP)?

    One study of kids with a speech or language problem showed that 6 hours of speech and language therapy over 6 months helped. Another study suggests more variable outcomes after a stroke. How well ...

  16. What Is Speech? What Is Language?

    Speech is how we say sounds and words. Speech includes: How we make speech sounds using the mouth, lips, and tongue. For example, we need to be able to say the "r" sound to say "rabbit" instead of "wabbit.". How we use our vocal folds and breath to make sounds. Our voice can be loud or soft or high- or low-pitched.

  17. SPEECH AND LANGUAGE THERAPY

    SPEECH AND LANGUAGE THERAPY. (509) 332-5106. Speech and language therapy focuses on receptive and expressive language, articulation, voice, cognition, memory, auditory processing and fluency. Speech therapists also perform swallow evaluations for children and adults, often with special radiographic studies, to diagnose and treat swallow ...

  18. Home

    Evaluate, design & implement therapy services to meet your needs, via private and school/center based therapy. Who we service. We serve individuals across the lifespan, with a specialty in pediatrics. Our clients are diverse, including children & adults of all backgrounds & abilities, as well as neurodivergent populations. Taylor'd Philosophy ...

  19. Best 15 Speech Therapy in Moscow, ID with Reviews

    Speech Therapy in Moscow on YP.com. See reviews, photos, directions, phone numbers and more for the best Speech-Language Pathologists in Moscow, ID.

  20. Speech and Language Therapy

    Engage with the latest research to learn how to manage speech, language, communication and swallowing difficulties. Studying speech and language therapy at postgraduate level will enable you to apply for registration and become a practicing Speech and Language Therapist in the health and social care ...

  21. CDC speech therapy guidelines have changed

    For example, the communication milestones checklist created by the American Speech-Language-Hearing Association (ASHA) places children speaking at least 50 words in the 19-24 month range. "I have not noticed a change in the referrals that we're seeing, and I don't think that I'm that surprised by that," says Barclift. Normal is a spectrum

  22. Speech and Language Therapy Assistant SureStart Band 3

    Branch: Northern HSC Trust Area Location: Northern Trust Area Directorate: Women, Children & Families Division Functional Area: Speech & Language Therapy Service Salary: Band 3 (£22,816 - £24,336) Contract Type: To create a waiting list Opening date: 12/09/24 Closes: Thu, 26 September 2024 @ 5:00 PM

  23. Q&A with Clinical Audiologist and Speech Language Pathologist Sallie

    I am an Audiologist and Speech Language Pathologist in the cochlear implant program. I have been with the department for twenty-three years. Before coming to Washington University, I worked in the otolaryngology department at SLU. Prior to that I worked in various settings as a Speech Language Pathologist.

  24. 2x Speech and Language Therapy Assistants

    If so, we have an exciting opportunity for you!Due to the opening of two new Speech and Language Specialist Resourced Base Provision at Canford Heath Infant and Junior School, the MAT Trustees are looking to appoint two Speech and Language Therapy Assistants who are dedicated, compassionate, and committed to making a positive difference in the ...

  25. Voices of the Future: A Career in Speech and Language Therapy

    The purpose of this webinar is to raise awareness of the Speech and Language Therapy profession among school and college students, career leaders, career advisors, teachers, parents/carers, and individuals considering a career change. The event is designed for anyone interested in learning more about speech and language therapy; whether you ...

  26. asha ccc jobs in Remote

    The Stepping Stones Group is currently interviewing Speech Language Pathologists for teletherapy services for the 2024-2025 school year across the country! Our teams are constantly raising the bar to excite, inspire and unite Speech Language Pathologists across the nation and beyond. Join our team today!