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Speech-Language Therapy

After a child has completed an evaluation, speech-language therapy can begin. Speech-language therapy sessions are typically 30 minutes - 1 hour in length and take place at the clinic. 


"What can I expect during a therapy session?"

Here's our typical session procedure:

  1. The clinician will greet the parents/caregivers and child (important for teaching social skills and for carryover of other skills)

  2. The session will begin. Sessions are a mix of structured and unstructured activities addressing the child's area(s) of need. 

  3. The clinician reviews the child's performance/progress with the parent/caregiver

  4. Time is allotted for parent/caregiver to report on progress and area(s) of concern

  5. The clinician will provide strategies/suggestions/activities for parents to practice with their child until the next session

"Can I stay in the session?"

Absolutely! Parents are always welcome in the therapy room. In fact, depending on what is best for the child, parents may participate in the session as the clinician "coaches" the parent, to ensure the parent feels both comfortable and confident when working with their child. Some parents like to sit in the room and observe, while other parents prefer to take a break and have some coffee while the child is in the room. We support whatever works best for you and your family. 


"What kinds of things can you work on?"

Lots of things! Here are a few examples:

  • Intelligibility
    • Articulation: teaching the child individual speech sounds (such as "s", "w", or "th")
    • Phonology: teaching the child the patterns of sounds they're not using (such as the back sounds - "k" and "g")
    • Apraxia: increasing the accuracy of the child's speech motor planning
    • Dialect: accent modification services, such as teaching the "v" sound to Mandarin-speaking clients (not considered "therapy", as bilingualism is not a medical condition!)
  • Receptive Language
    • Vocabulary: increasing the amount and type of words the child understands
    • Following Directions: teaching the child how to follow simple and complex directions (such as: "touch the table after you give me the book")
    • Comprehension: teaching the child how to recall and answer questions about information they heard or read
    • Morphology/Syntax: teaching the child the significance of word endings and word order
    • Dialect: accent modification services, such as teaching irregular verbs to increase the client's understanding of specific English-language skills (not considered "therapy", as bilingualism is not a medical condition!)
  • Expressive Language
    • Vocabulary: increasing the amount and types of words the child uses
    • Comprehension: teaching/increasing the child's ability to recall to recall and answer questions about information they heard or read when they are not given choices
    • Morphology/Syntax: teaching/increasing the child's use of word endings and word order
    • Dialect: accent modification services, such as teaching the use of word endings, pronouns, and irregular past tense verbs (not considered "therapy", as bilingualism is not a medical condition!)
  • Pragmatic Language
    • Body Language/Vocal Emotion: increasing the child's understanding and use of nonverbal language and tone
    • Social Inferencing: increasing the child's ability to infer how people are feeling, how people might know each other, what they might do next in a situation, or why they might have done something
    • Social Scenarios: increasing the child's understanding of what to say/do in a social situation, both hypothetical and in real time
    • Emotions: increasing the child's understanding of emotions within themselves, recognizing and inferring the feelings of others, and how to manage feelings
  • Reading
    • Sound-letter knowledge: increasing the child's knowledge of the alphabet and the sounds each letter makes
    • Reading Comprehension: teaching the child how to recall and answer questions about what the child has read
    • Decoding: teaching the child to read unfamiliar words and to determine the meaning of unfamiliar words
  • Writing
    • Spelling: increasing the child's knowledge of the conventions of English spelling
    • Content: increasing the child's ability to respond to a written prompt as well as increasing the complexity of their response
    • Grammar: teaching the child conventions of English grammar, including: word order, capitalization, punctuation, and sentence structure

Payment

Speech Bubble Therapy is a private-pay clinic. A private-pay clinic does not go through insurance - meaning you get the services that best suit your child's needs, not just what insurance will allow your child to receive. A therapy session is booked in thirty minute increments; parents typically request a full hour of service. Sessions include a free family consultation at the end of session. 

Ways to Pay:

  • Cash

  • Credit

  • Paypal/internet payment service

Other Options: Family Consultations

  • A family can book the clinician to attend their child's IEP meeting to share progress or act as an advocate.
  • Parents who have difficulty paying for therapy services may instead choose family consultations without direct therapy services to learn strategies/receive suggestions to implement on their own.  

Did you know?

  • Speech Bubble Therapy can provide a "superbill" (a list of dates of services with what you paid for those services) for reimbursement from your insurance. To find out more, call your insurance and discuss private therapy reimbursement options.