Services

ARTICULATION

Articulation or Phonological disorders include patterns of substitutions of sounds in words. An example of this may include substituting /r/ for /w/ or “uh” sound (wed vs. red, watuh vs. water), substituting /l/ for /w/ lion vs. wion, substituting /k/ and /g/ for /t/ and /d/ car vs. tar, go vs. do. Articulation disorders may also include a frontal lisp which is exhibited when there is tongue protrusion and a lateral lisp which demonstrates incorrect airflow and sounds like slushy speech. We also address difficulty with overall intelligibility or difficulty understanding your child. According to standardized norms: A child should be intelligible ● 25% of the time by 18 months ● 50% of the time by 2 years ● 75% of the time by 3 years ● 90-100% of the time by 4 years https://pubs.asha.org/doi/10.1044/2018_AJSLP-17-0100

APRAXIA

Apraxia disorders are classified as a motor speech disorder. Apraxia of speech varies from articulation disorders as apraxia has the following characteristics: ● Difficulty with saying sounds or words the same repeatedly ● Difficulty with vowels and misarticulates/distorts vowels ● CAS is a rare motor speech disorder, occurring in only 1-2 children per 1,000. ● Assessments and therapy include an in depth process to address any underlying motor speech difficulties. https://www.asha.org/public/speech/disorders/childhood-apraxia-of-speech/

LANGUAGE

● Receptive Language includes what a child understands. This may be demonstrated through pointing and identifying language concepts, following directions and/or commands, and comprehension of spoken or written langauage. ● Expressive Language includes how a child communicates including verbalizing, signing, gesturing, babbling, using jargon, AAC (Augmentative and Alternative Communication) devices or a mixture of these using total communication. ● Pragmatic Language/Social Language includes various types of play (functional play, symbolic play, solitary play, onlooker play, parallel play, pretend play), joint attention, greeting others, and engaging in conversations appropriately. ● 18 months- uses 10 words (milestone) uses 50 words (average), identifies familiar pictures and objects, engages in pretend play ● 2 years- 200-300 word vocabulary, understands and follows directios, uses 2-3 word phrases ● 3 years- 900+word vocabulary, understands 2 step directions, uses 3-4 word sentences https://www.ldonline.org/ld-topics/speech-language/speech-and-language-milestone-chart

STUTTERING

Stuttering vs. Normal Disfluencies Normal disfluencies occur when a child or even an adult is searching for the correct word or idea and instead of fluency speech there may be a pause, stopping or saying umm. Stuttering may include ● Part Word Repetitions-repeating part of a word ○ Ex: My da-da-da-dog is white and brown. ● Whole Word Repetitions-repeating whole words ○ Ex: My my my dog is white and brown. ● Prolongations-prolonging a sound ○ Ex: My dog is wwwwwhite and brown. ● Interjections-inserting Um or uh ○ Ex: My um my um um dog is um um white and brown. ● Blocks- when an individual tries to say a word but has a long pause and can not say the word they want to ○ Ex: (Pause...) My dog is white and brown. https://www.asha.org/public/speech/disorders/stuttering/

Locations

We travel to and provide therapy in The Woodlands, Magnolia, Conroe, Spring and Cypress areas in the following locations:

HOMES
PRE-SCHOOLS
PRIVATE SCHOOLS
ABA CLINICS
TELETHERAPY
MAGNOLIA CLINIC(506 Honea Egypt Magnolia, TX 77316)
CYPRESS CLINIC (17774 Cypress Rosehill Rd. Cypress, TX 77429)

Insurance and Payment

We are in network with BCBS. We also take private pay clients. If you have a different insurance we would be happy to give you a superbill. A superbill is similar to a receipt you submit to your insurance company for reimbursement.