Common Etiologies:

  • Autism/PDD
  • Cerebral Palsy
  • Pre maturity/Development Delay
  • Feeding/Oral-motor difficulties
  • Voice
  • Fluency
  • Functional articulation
  • phonological
  • language disorders.


     Consult Pediatrics First Therapy when:

  • A child has difficulty expressing needs/wants or routine information intelligibly.
  • A child's communication skills inhibit them from communicating independently for their expected age.
  • A child's speech intelligibility and/or language abilities (including reading & writing) inhibit them from performing successfully in and educational environment.
  • A child demonstrates sensory-integration difficulties and is unable to progress successfully from liquid to to solid foods
  • A child with known respiratory, neurological, and/or structural abnormalities with delayed chronological development across the speech, language, voice, or feeding /oral motor areas.
  • A child has an abnormally "hoarse" or "harsh" vocal quality for an extended amount of time. (Clearance from an ENT is mandatory prior to initiation of voice therapy).
  • A child demonstrates significant difficulty with fluency of speech and is known to "stutter".
  • A child residing in a bilingual household demonstrates communication delays in both languages.



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