At Speech Start Therapy we serve individuals and their families, from diverse linguistic and cultural backgrounds. Services are provided based on applying the best available research evidence, using expert clinical judgments, and considering clients’ individual preferences and values. At Speech Start Therapy we address typical and atypical communication and swallowing in the following areas:

speech sound production

  • articulation
  • apraxia of speech
  • dysarthria
  • ataxia
  • dyskinesia

resonance

  • hypernasality
  • hyponasality

voice

  • phonation quality
  • pitch
  • loudness
  • respiration

fluency

  • stuttering
  • cluttering

language (comprehension and expression)

  • phonology
  • morphology
  • syntax
  • semantics
  • pragmatics (language use, social aspects of communication)
  • literacy (reading, writing, spelling)
  • pre-linguistic communication (e.g., joint attention, intentionality, communicative signaling)
  • paralinguistic communication

cognition

  • attention
  • memory
  • sequencing
  • problem solving
  • executive functioning

feeding and swallowing

  • oral
  • pharyngeal
  • laryngeal
  • esophageal
  • orofacial myology (including tongue thrust)
  • oral-motor functions

developmental disabilities

  • specific language impairment
  • autism spectrum disorder
  • dyslexia
  • learning disabilities
  • attention deficit disorder
  • auditory problems
  • hearing loss
  • deafness

oral anomalies

  • cleft lip/palate
  • dental malocclusion
  • macroglossia
  • oral-motor dysfunction

laryngeal anomalies

  • vocal fold pathology
  • tracheal stenosis
  • tracheostomy
  • neurological disease/dysfunction
  • traumatic brain injury
  • cerebral palsy
  • cerebral vascular accident
  • dementia
  • Parkinson’s disease
  • amyotrophic lateral sclerosis
  • genetic disorders
  • Down syndrome
  • Fragile X syndrome
  • Rett syndrome