Within our practice, we offer different options for the child and family. Some children are seen in an intensive model, three to four times a week. Most of our children are seen once or twice a week with intensive parent training for carryover at home. I focus on a child’s ability to functionally communicate his/her wants and needs to caregivers. My therapy approach combines a fun and engaging environment for learning. I focus on developing trust and a safe space and place for practicing what is very difficult for many children.

I use a combination of the Dynamic Temporal and Tactile Cueing approach to support a child’s ability to acquire new movements for speech production and the use of adapted Motor Speech Treatment Hierarchy to guide target selection. Our target selection is different for every child. I focus on various consonant-vowel shapes, phonemic targets, rate and prosody, coarticulation transitions between sounds and varied multisyllabic syllabic levels. I also use the chaining and cycles approach contingent upon the individual child’s needs and what approach provides the most success for intelligible speech production.