Speech Therapy

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Articulation/phonological disorders refers to difficulty producing speech sounds characterized by substitutions, distortions or omissions and additions. It can also include difficulty with speech intelligibility.

Childhood apraxia of speech (CAS) is a motor-speech disorder that makes it difficult for a child to speak.  A child with CAS knows what they want to say. The problem is not how the child thinks but how the brain tells the mouth muscles to move.

Fluency is an interruption in the flow of speaking characterized by atypical rate rhythm and disfluencies (stuttering, repetition of sounds, syllables, words and phrases.)

Children with hearing difficulties often require speech therapy for oral and motor memory. One popular method is Auditory Verbal Therapy, which teaches the use of lip reading and auditory cues to understand others and practice correct muscle memory during articulation. 

Receptive and expressive language disorders may include difficulty with comprehension and use of   oral language. This can often be seen with children who struggle with using appropriate pronouns, "wh"- questions, and sentence structure.

Voice disorders may include velo-pharyngeal incompetence, hypo/hyper nasality, vocal cord dysfunction, vocal nodules, and continuous cough.

Pragmatics is characterized by persistent difficulties with the use of verbal and non-verbal language for social purposes. 

Treatments and assessments are available at DISH in the following languages:

- English

- Portuguese

- Spanish

- French