Complete Speech and Language Evaluations

 A complete pediatric speech and language evaluation typically assesses expressive and receptive language skills, speech articulation, oral motor function and parameters of voice and fluency.  A vision and hearing screening is typically conducted at the pediatrician's office 

When a toddler is late speaking, this can be concerning to parents. Often, when speech is

delayed, adjusting our language modeling can be the trick the child needs. I assess and

include the parent in the therapy so these simple, yet non intuitive strategies, can be

implemented at home.

 Autism Spectrum Disorder is a complex developmental disorder that usually affects a range of behaviors including a delay in expressive and receptive language.  This therapist uses relationship based methods with behavioral theory methods to help the child develop speech, vocabulary, and sentence structure as well as expanding their purpose in communicating to include social means. 

Early Intervention services are provided for free by the NYS Department of Health’s Early Intervention Program. These in-home services are for infants and toddlers, ages 0-3, if they qualify. 

If a speech sound disorder is identified, the treatment plan is dependent on the type and severity of the disorder.  NOTE: Toby is PROMPT Level 3 trained.

 A language delay or disorder is generally described as a significant lag or deviation in the acquisition of language. Language can be impaired in any modality; speaking and understanding and mirrored in writing and reading.  

Children with difficulty reading and writing can be helped through word drills and practice. I

follow a phonics-based approach and incorporate speech cues. In conjunction with other

educators, we work on helping your child decode (read) and comprehend (understand) written

text. We also work on writing skills.

Some children have vocabulary and language but don’t use it for purposes of making

connections with others. I provide language therapy to provide opportunities for the child to

use his/her language to comment, explain, verbally inference, and better engage with others.

Providing services through telehealth platforms can be a convenient alternative to in-person

therapy. I service toddlers through parent coaching and provide therapy directly to school-age

children, offering interesting on-line shared materials and practice for youngsters with a wide

range of speech and/or language disorders.

Stuttering is generally described as a disruption in the fluency of speech. Dysfluent speech can

be described as speech that contains sound, word, or phrase repetition, sound or syllable

prolongation, or silent blocks, or disruptions in the flow of speech.