Communication is at the center of who we are and how we experience the world around us. Speech disorders can be devastating to a child both socially and academically. When children succeed in speech and language therapy, they are finally able to communicate, to say what they are thinking and to be understood.
Evaluation and Treatment at tuLIPS
Initially, you will be asked to provide as much information as possible including birth history, diagnosis, medical history, developmental milestones, and other relevant family history. Evaluations conducted may be informal or formal, depending on the concerns expressed during the initial interview.
Oral Motor, Feeding & Speech Evaluations
Generally two hours in length. During this comprehensive evaluation, we analyze the oral structures as the child moves through his/her environment using a variety of food and non-food items to determine how oral motor functioning and motor planning are impacting sound production and feeding skills. A task analysis approach is used to develop an individual program plan with specific exercises to address any areas of deficit.
Speech and Language Therapy Sessions
Speech Therapy provides therapy that is individualized to each child’s personality and needs. Sessions are typically 45 minutes once or twice a week. A variety of techniques are used so your child has the best chance to make substantial progress in his/her speech and language goals.
Oral Motor Therapy
Designed for clients with muscle-based articulation disorders related to poor/decreased muscle strength, low tone, apraxia, dysarthria, and/or tongue thrusting. Specific lip, jaw, tongue and cheek exercises are used with tactile cueing and feeding techniques to increase strength within the oral musculature to address the issues identified and analyzed in the evaluation. These techniques are used in conjunction with traditional speech therapy.
At tuLIPS, we try to incorporate therapy techniques into activities of daily living as your child is able to directly relate the therapies into practice at home. Parents are welcome to be present during therapy. In cases where it is not ideal for the parents to be present, we will provide ongoing consultation on the progress made and updated program plans designed for therapy at home or in coordination with other therapists.
Duration of Speech and Language Therapy
The duration of therapy greatly depends on your child’s speech and language goals. A child with minor articulation or clarity disorders may only need therapy for 12 months or less, whereas a child with more severe issues and other complicating factors may require therapy for many years.The following all impact your child’s overall progress:
- Severity of the disorder
- Child’s personality
- Family involvement
- Home practice
- Duration/frequency of therapy
Speech Therapy For Adults
We provide speech therapy for adults targeting:
Accent Modification: Accents reflect the unique characteristics and background of a person. Many people take great pride in their accents. However, some people may have difficulty communicating because of their accent. Services concentrate on the pronunciation, stress, rhythm and intonation of speech.
Aphasia: A disorder that results from damage to the parts of the brain that contain language. Aphasia causes problems with any or all of the following: speaking, listening, reading, and writing.
Speech Therapy For ChildrenCommunication is at the center of who we are and how we experience the world around us. Speech disorders can be devastating to a child, both socially and academically. When children succeed in speech and language therapy, they are finally able to communicate, to say what they are thinking and to be understood. Each therapy session is unique. Therapy is based on an intervention plan which incorporates the speech and language goals specific to you or your child’s needs. Carryover of speech and language skills to their natural environment and daily routine is reinforced by weekly home assignments for adults and children.
Speech Disorders We Treat
Apraxia of speech (AOS)
A motor planning disorder. There is a struggle planning and producing the precise sequence of oral movements that are necessary for intelligible speech. It is where the child knows what to say but by the time the message gets to the mouth, he/she doesn’t know how to move the articulators to be able to form the words.
Aphasia is a disorder that results from damage to the parts of the brain that contain language. Aphasia causes problems with any or all of the following: speaking, listening, reading, and writing.
Difficulty with the production of individual speech sounds. Omissions, deletions or substitutions of sounds in speech which affect speech intelligibility.
Accents reflect the unique characteristics and background of a person. Many people take great pride in their accents. However, some people may have difficulty communicating because of their accent. Services concentrate on the pronunciation, stress, rhythm and intonation of speech.
Expressive/Receptive Language Delays
Children with delays in expressive/receptive language delays may have difficulty understanding or communicating with others. Therapy concentrates on good language skills which help with learning, behavior, self- esteem, and social skills.
Autism Spectrum Disorder
Autism is a developmental disability that causes problems with social skills and communication. Autism can be mild or severe. It is different for every person. Therapy concentrates on the use of communication and social skills in activities of daily living and the child/adults environment.
Dysarthria is a motor speech disorder. The muscles of the mouth, face, and respiratory system may become weak, move slowly, or not move at all after a stroke or other brain injury. The type and severity of dysarthria depend on which area of the nervous system is affected.
A phonological process disorder involves patterns of sound errors. For example, substituting all sounds made in the back of the mouth like “k” and “g” for those in the front of the mouth like “t” and “d” (e.g., saying “tup” for “cup” or “das” for “gas”). Therapy aims to reduce errors in production of sound patterns.
Stuttering affects the fluency of speech. It begins during childhood and, in some cases, lasts throughout life. The disorder is characterized by disruptions in the production of speech sounds, also called “disfluencies.
Anxiety Induced Speech Disorders
Treatment helps patients use strategies to reduce anxiety and increase communicative abilities.
Feeding disorders include problems gathering food and getting ready to suck, chew, or swallow it. For example, a child who cannot pick up food and get it to her mouth or cannot completely close her lips to keep food from falling out of her mouth may have a feeding disorder. Feeding therapy is customized to meet individual needs of the child.
Traumatic Brain Injury
People with a brain injury often have cognitive (thinking) and communication problems that significantly impair their ability to live independently. These problems vary depending on how widespread brain damage is and the location of the injury.
When a child fails to develop a mature swallow and instead rests the tongue against the front teeth possibly causing a misalignment of the teeth and a frontal lisp.
Treatment to assist with vocal cord nodules and polyps, vocal cord paralysis, paradoxical vocal fold movement and spasmodic dysphonia.
Voice and Communication Therapy for Transgender/Transsexual Clients
Voice and communication training for male-to-female (MtF) clients and for female-to-male (FtM) clients look at a variety of aspects of communication, including vocal pitch, intonation and resonance, and nonverbal communication.