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Services

Childre-and-Family

For Children & Families

We can improve you or your child’s speech, eating, nasal breathing and sleep by addressing the root cause…

Does your child breathe through their mouth?

Does your child (or your partner) audibly breathe or snore at night?

Does your child have dental issues like crooked teeth or frequent cavities?

Are there feeding difficulties? Gagging or choking on food?

Does your child have prolonged oral habits? Suck their thumb? Use a pacifier? Or chewing or sucking on objects?

What are Orofacial Myofunctional Disorders (OMDs)?

OMDs are abnormal muscle movements of the face, mouth and tongue that affect eating, talking, and breathing.
“The study and treatment of oral and facial muscles as they relate to speech, treatment of oral and facial muscles as they relate to speech, dentition, chewing/bolus collection swallowing and overall mental and physical health.” – Sandra R. Holtzman, CCC-SLP COM, QOM

Orofacial Myofunctional Disorder can look like…

Mouth Breathing
Crowded or crooked teeth
Tongue low in the mouth or resting on teeth
Diminished or recessed chin
Suspected tongue tie
Chronic chapped lips
Drooling past the age of 2
Picky eating habits
Neck pain 
Jaw pain
Lisps 
Trouble with chewing and swallowing
Teeth grinding 
Tongue pushes against or between teeth during swallow 
Failed braces or aligner treatment 
Snoring 
Clicking jaw 
Poor posture 
Tongue not behind the teeth for sounds like T, D, L, N, CH, J or SH sounds 
Oral habits, including pacifier use after age of 12 months, as well as finger, thumb, or tongue sucking

(Warren & Bishara, 2002; Warren, et al., 2005; Zardetto, Rodrigues & Stefani, 2002)

Feeding your baby can be a calm bonding experience, with the right support…

Difficulty breastfeeding or bottle feeding?

Difficulty starting solids?

Taking a long time to finish meals?

Does your child avoid certain textures? Or have difficulty trying new foods?

Frequent back arching when feeding?

Coughing, gagging, choking while eating?

Finding food left over in their mouth?

What are feeding and swallowing disorders?

Pediatric feeding disorder (PFD) is “impaired oral intake that is not age-appropriate and is associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction” These difficulties can arise from various causes such as oral motor issues, sensory sensitivities, developmental delays, medical conditions, behavioral factors, or psychological factors.

Common Signs & Symptoms:

Back arching
Gagging, coughing and/or choking during or after swallowing
Crying during mealtimes
Taking longer to finish meals or snacks (longer than 30 min per meal and less for small snacks)
Refusing foods of certain textures, brands, colors, or other distinguishing characteristics
Taking only small amounts of food, overpacking the mouth, and/or pocketing foods

(Goday et al., 2019) (ASHA, 2024)

Boost your child’s confidence and full potential with specialized speech therapy services…

Do you have difficulty understanding what your child is saying?

Does your child grow frustrated trying to communicate their needs?

Has your child had persistent speech errors specifically for R, S, SH, CH, J sounds?

Or does your child produce T, D, N, or L between their teeth instead of behind their teeth? 

What is a speech sound disorder?

Articulation disorders focus on errors (e.g., distortions and substitutions) in production of individual speech sounds. Phonological disorders focus on predictable, rule-based errors (e.g., fronting, stopping, and final consonant deletion) that affect more than one sound.

Possible signs and symptoms:

Sounds are omitted or deleted (e.g., “cu” for “cup” and “poon” for “spoon”)
Sounds are substituted  (e.g., “thing” for “sing” and “wabbit” for “rabbit”)
Sounds are added or inserted into a word (e.g., “buhlack” for “black”)
Sounds are altered or changed
Weak syllables are deleted (e.g., “tephone” for “telephone”)
Adults

For Adults

Reclaim your voice and reconnect with family and friends through personalized aphasia therapy, designed to improve language skills and enhance quality of life…

Do you have difficulty finding words within conversation?

Do you have difficulty following others’ conversations?

Do you often use incorrect words or mix words up in conversation?

Do you struggle to form complete sentences or speak in short, fragmented phrases?

Are you having difficulty understanding or making errors when you read? Or write?

What is Aphasia?

Aphasia may also result from neurodegenerative disease, a stroke is the most common cause of aphasia, however head injuries, brain tumors, and neurological conditions. Aphasia is a language disorders that can involve varying degrees of impairment in one or all four primary areas:

Spoken language expression
Written expression
Spoken language comprehension
Reading comprehension

Common Signs & Symptoms:

Having difficulty finding words, forgetting a word in conversation
Difficulty understanding what others are saying  
Empty speech or speech without meaning 
Creating new words that are not meaningful
Substituting sounds (e.g., “wishdasher” for “dishwasher”)
Substituting words (e.g., “table” for “bed,” “bird” for “chicken”). 
Grammatically incorrect speech 
Lacking awareness of errors
Having difficulty reading or spelling or grammatical errors with writing sentences 

(NHS, 2021)

Enhance your memory and problem solving with individualized cognitive communication, dedicated to teaching strategies for clearer thinking to increase daily living skills

Do you have difficulty finding the right words in conversation?

Do you often repeat yourself or lose track of what you’re saying?

Do you struggle to understand complex instructions?

Do you have trouble remembering names, dates, or recent events?

Do you experience challenges with problem solving or decision making?

What are Cognitive Communication Disorders?

 A cognitive communication deficit refers to difficulties in communication that arise from impairments like Alzheimer’s disease, dementia, brain tumors, stroke or traumatic brain injury. These deficits can affect various aspects of communication, including understanding, talking, social cues, attention, memory, problem-solving, and planning or organization.

Easily distracted or poor attention
Loses track of the topic of conversation
Rapid forgetting of new information
Difficulty recalling names of family and friends
Difficulty remembering events, situations, and experiences
Difficulty appointments or events
Difficulty setting goals and planning
Poor judgment
Difficulty correcting own errors
Trouble with depth perception and sensitivity to light
Difficulty starting a conversation
Difficulty maintaining the topic of a conversation
Difficulty understanding others in conversation
Difficulty recalling the days of the week, month or year
Word-finding difficulties
Using more language than is necessary to express an idea
Use of jargon or loss of meaningful speech

Swallow safely and enjoy mealtime again, with dysphagia therapy, designed to enhance comfort and reduce the risk of possible complications…

Do you often experience difficulty swallowing food or liquids?

Do you feel like food is getting stuck in your throat or chest?

Do you have pain or discomfort while swallowing?

Do you have unexplained weight loss or dehydration?

What is Dysphagia?

Dysphagia is a medical term that refers to difficulty or discomfort in swallowing. It can occur at different stages of the swallowing process, including when moving food or liquid from the mouth to the throat (oral phase), when moving it through the throat (pharyngeal phase), or when it enters the esophagus (esophageal phase).

Common Signs & Symptoms:

Coughing or throat clearing during meals
Extra time for chewing or swallowing
Incomplete chewing 
Food or liquids remaining in the mouth before or after the swallow 
Liquids or food falling out of the mouth 
Complaints of food sticking to the throat 
Pain while swallowing
Wet gurgly voice 
Hospitalized for Aspiration Pneumonia 

Communication

Do you frequently find it difficult to articulate words clearly?

Have you noticed any stuttering or frequent pausings in your speech?

Have you been told that your speech is hard to understand?

Are you experiencing any slurring of words or slowing of speech?

Do you have a lisp? Have you noticed any consistent mispronunciations of sounds, more specifically “S” or “Z”?

What Speech Services Do You Offer?

Speech therapy for adults addresses a wide range of communication difficulties from neurological speech disorders like apraxia (difficulty planning movements for speech) or dysarthria (weakness or incoordination of speech) from stroke, TBI or other brain injuries.

Common Signs & Symptoms:

Slurred speech
Imprecise articulation
Reduced loudness
Initiating speech
Abnormal vocal quality 
Difficult to understand 
Producing accurate speech sound
Inconsistent errors in their speech
Irregularities in speech rate
Stuttering

Strengthen you voice and improve communication, clarity and confidence in your speech

Have you experienced a decrease in volume in your voice? Have you noticed it’s harder to be understood in noisy environments

Have you noticed any changes in the pitch of your voice?

Has your voice become more monotone or facial expressions are more flat?

Are you having difficulty initiating conversation? Or experiencing any tremors in your voice?

What is Voice Therapy for Parkinson’s Disease?

Voice therapy for Parkinson’s disease (PD) is a specialized form of therapy aimed at improving voice quality, loudness, and overall communication for individuals affected by Parkinson’s-related voice changes. Parkinson’s disease can affect the muscles involved in speech production, leading to reduced vocal loudness, monotone speech, hoarseness, or difficulty with articulation.

Common Signs & Symptoms:

Reduced Vocal Loudness 
Monotone or flat vocal quality
Hoarseness or Breathiness
Food or liquids remaining in the mouth before or after the swallow 
Slurred or unclear speech
Reduced Rate of Speech (Bradykinesia)
Difficulty Initiating Speech
Vocal fatigue or strain 

Treatment Guide

telephone

Free Consultation Call

15 Minutes
online-meeting

Consultation, Education, or Support (Virtual)

45 Minutes
check-list

Full Evaluation

45 to 60 minutes
reevaluation

Reevaluation

45 to 60 minutes 
school

School Observations

60 minutes
thums-up

Habit Elimination Program

60 minute evaluation & 3 treatment sessions

Treatment Offerings 

Treatment – 30 Mins

Treatment – 45 Mins

Treatment – 60 Mins

Treatment Packages

Travel fees will apply outside of Loudoun County