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Pediatric Occupational Therapy

Initial Evaluation may include:

  • Parent/Caregiver Interview & Review of relevant educational & medical documents

  • Review of Developmental Milestones related to self-help skills

  • Fine and Gross Motor Evaluation

  • Sensory Processing Assessment

  • Visual-Perceptual Skill Assessment

  • Handwriting Evaluation if applicable

Treatment may include any of the following:

Sensory-Motor exercises to build strength, coordination, & sensory integration

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Self-regulation work, Tactile/Messy play

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Visual-Perceptual exercises

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Self-Help Skill practice

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Fine motor tasks, Instruction in Handwriting Principles for improved legibility

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Comprehensive Speech-Language Programs

Emergent Communicator 

An emergent communicator is typically a language-delayed toddler but may also include older children with developmental delays who have a very limited communication abilities. 

Initial Evaluation may include:

  • Parent/Caregiver Interview & Review of relevant educational & medical documents

  • Standardized Expressive/Receptive Language Exam

  • Word & Sound Inventory

  • Connected Speech Sample & Play Observation

  • Standardized Articulation/Phonology Assessment & Oral-Motor Exam

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Young girl in speech therapy office. Preschooler exercising correct pronunciation with sp

Preschool Speech-Language

Evaluations for children between the ages of 3-5 years of age typically require more in-depth analysis of speech & language as more complex patterns emerge. We can now begin to look a greater array of social skills and story retell/comprehension abilities. 

Initial Evaluation may include:

  • Parent/Caregiver Interview & Review of relevant educational & medical documents

  • Standardized Expressive/Receptive Language Exam

  • Word & Sound Inventory

  • Connected Speech Sample & Play Observation

  • Standardized Articulation/Phonology Assessment & Oral-Motor Exam

  • Formal Pragmatics (social skills) Assessment

  • Discourse (Narrative) Testing

School-Age Speech-Language 

For older children, the level of complexity of speech, language, and social skills increases as academic expectations also increase. We can now include analysis of how language may be impacting literacy skills and review executive function skills such as planning, organizing, & other cognitive skills. 

Initial Evaluation may include:

  • Parent/Caregiver Interview & Review of relevant educational & medical documents

  • Standardized Expressive/Receptive Language Exam

  • Word & Sound Inventory

  • Connected Speech Sample & Play Observation

  • Standardized Articulation/Phonology Assessment & Oral-Motor Exam

  • Formal Pragmatics (social skill) Assessment

  • Discourse (Narrative) Assessment

  • Literacy Skill Evaluation

  • Executive Function Skill Review

Female psychologist working with African American teenage boy in office.jpg

What to Expect in Treatment:

Speech Language therapy typically involves a lot of parent/caregiver coaching and educating for young children. This make sense for two reasons:

  1. Young children are usually most comfortable engaging with their caregiver.

  2. Caregivers will need to carryover treatment strategies into the rest of their day in order for change to occur. 

A skillfully executed therapy session should appear more like play than formal, desk top work. The older the child, the longer they can typically tolerate seated work however even with older children, I find allowing a lot of movement breaks and incorporating play

improves focus. 

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I also recommend integrating academic work into sessions whenever possible for maximal carryover. This could involve bringing in spelling lists, reading materials from school, or writing assignments

Speech Sound Evaluation

When there are no concerns related to language expression/comprehension, or other areas of development, an evaluation of the speech sounds system may be the only part requiring examination. 

Initial Evaluation may include:

  • Parent/Caregiver Interview & Review of relevant educational & medical documents

  • Connected Speech Sample - full phonetic transcription

  • Standardized Articulation/Phonology Assessment & Oral-Motor Exam

  • Apraxia (motor planning) or Fluency (stuttering) specialty Assessments if needed

Speech Therapy

Feeding Therapy Program

For extremely picky, problem eaters who severely limit the repertoire of foods they will eat, a sensory-based feeding therapy program can be helpful after medical causes of feeding difficulties have been either ruled out or managed by a physician. Evaluation involves careful analysis of feeding history, properties of foods accepted, and sensory motor skills relevant to feeding. Therapy sessions include gross motor and sensory calming strategies paired with systematic, graded exposure to increasingly challenging foods. 

Top view Baby self feeding with hand BLW or baby led weaning. Finger food mix fruit strawb

Initial Evaluation may include:

  • Parent/Caregiver Interview & Review of relevant educational & medical documents

  • Sensory Profile

  • Oral-Motor Exam

  • Fine/Gross Motor Screening

  • Feeding Observations

Treatment

After evaluation, recommendations for the number and frequency of sessions will be provided. Recommendations are estimates and depend greatly on carryover of strategies at home. Families are welcome to request an increase or decrease in frequency of visits based on their unique needs and situation. Sessions are 50 minutes in length with final 5 minutes reserved for parent debrief and questions. 

Individual Evaluation sessions
$250/hr

Individual 50 minutes Treatment session      $150/session

*A $50 no-show fee does apply for cancellations made with less than 24 hour notice.

Speech training concept. Little girl uses a laptop to study at home with a teacher, a spee

Virtual sessions are available by request

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