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Is my child’s speech delayed?

There are developmental guidelines that provide a general idea as to when certain speech skills are to occur. These are general guidelines:

1-2 years old: Uses some 1-2 word questions; states more words each month; puts 2 words together; follows simple commands and understands simple questions

2-3 years old: Uses mostly 2-3 word utterances; able to be understood by most people; often directs actions.

3-4 years old: talks about daily activities using 4 word utterances; talks easily usually not needing to repeat syllables

What has caused my child’s speech to be delayed?

In most cases, it is not known exactly what causes a child’s speech to be delayed.

Are my child’s play and interaction skills normal?

Play skills often parallel language skills so if one is delayed, the other is most likely delayed as well. Joint attention, initiation skills and eye contact when interacting are important skills that should be demonstrated early on.

My child refuses to eat solids although he is at an age when he should be able to eat them. Is this normal?

Some times, a child is a very picky eater and that is normal. However, if he/she consistently refuses a certain texture, and or gags when a certain texture is presented, not allowing for the child to receive the nutrition required, then this may be indicative of a feeding disorder that is most likely due to a sensory imbalance. Therapy is recommended for those children in which the aversion persists.

My spouse has received speech therapy for several weeks as an outpatient after being discharged from the hospital. Will he/she be able to continue getting better?

Yes. The first 6 months to one year are critical for continued recovery. Recovery can actually continue for years.

I am often coughing when eating and drinking. Should I see a Doctor?

If you are often coughing when eating and/or drinking you are recommended to see your Physician in order for him/her to make the appropriate recommendations. You will most likely be referred to a Speech-Language Pathologist who will carry out a swallow evaluation to determine if the cough is due to a swallowing disorder. Further recommendations will be made after the initial evaluation.

 I have been diagnosed with Dysphagia and have received short-term therapy but am still having difficulty. Will continued therapy help?

Your recovery will depend on the cause of the Dysphagia (swallowing disorder).

I was constantly loosing my voice and my Doctor diagnosed me with vocal polyps. Do I need therapy in order to get rid of them?

In therapy you will learn how to eliminate the polyps and avoid recurrence and worsening of the polyps. Therapy can be very effective if you follow the program.

How often is therapy scheduled and how long will I/my child need to be receiving therapy.

Therapy is scheduled a minimum of two times per week and sessions can be 30, 45, or 60 minutes, depending on the severity of the diagnosis. The duration also depends on the severity of the diagnosis. However, a home exercise program will always be established and, if followed, often shortens duration of therapy.

Do you accept insurance?

Insurance is not accepted. However a detailed invoice with billable codes is provided which can then be remitted to your insurance for reimbursement. 

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