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General Information

What Is A Speech-Language Pathologist?
What Is An Audiologist?
What Are Communication Disorders?
Characteristics Of Common Communication Disorders
What Causes Communication Disorders?
What Are The Signs Of A Communication Disorder?
What is Myo-Functional Therapy?
What To Do If You Suspect A Speech-Language Problem
Insurance Issues

What Is A Speech-Language Pathologist?
A Speech-language pathologist is a professional educated in the study of human communication, its development, and its disorders.  By evaluating the speech and language skills of children and adults, the speech-language pathologist determines if communication problems exist and decides the best way to treat these problems.

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What Is An Audiologist?
An Audiologist is a professional educated in the study of normal and impaired hearing and specifically focuses on aural habilitation.  The audiologist determines if a person has a hearing impairment, what type of impairment it is, and how the individual can make the best use of remaining hearing.  If a person will benefit from using a hearing aid or other listening device, the audiologist can assist with the selection, fitting and purchase of the most appropriate aid and with training the individual to use the aid effectively.

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What Are Communication Disorders?
Communication disorders can be grouped in two main categories:

  1. Hearing Disorders are characterized by an inability to hear sounds clearly.  Such disorders may range from hearing speech sounds faintly, or in a distorted way, to profound deafness.

  2. Speech & Language Disorders affect the way people talk and understand.  These disorders may range from simple sound substitutions to not being able to use speech and language at all.

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Characteristics Of Common Communication Disorders

bullet Hearing
Conductive: sound is not conducted efficiently through the outer and/or middle ear, causing speech and other sounds to be heard less clearly or to sound muffled.  This kind of hearing loss can often be medically or surgically corrected.
Sensorineural: caused by damage in the inner ear or nerve pathways to the brain.  Certain sounds are heard less distinctly than others, causing distortion and reduced understanding of speech.  While this kind of hearing loss is usually not medically correctible, people with sensorineural hearing loss can often be helped by using a hearing aid or other amplification device.
Mixed: a combination of conductive and sensorineural hearing loss.
bullet Language
Delayed Language: is characterized by a marked slowness in the development of the vocabulary and grammar necessary for expressing and understanding thoughts and ideas.
Aphasia: the loss of speech and language abilities resulting from stroke or head injury.
bullet Speech Disorders
Stuttering: an interruption in the flow of rhythm of speech, characterized by hesitations, repetitions or prolongations of sounds, syllables, words, or phrases.
Articulation Disorders: difficulties with the way sounds are formed and strung together, usually characterized by substituting one sound for another (wabbit for rabbit), omitting a sound (han for hand) or distorting sound (shlip for sip).
Voice Disorders: characterized by inappropriate pitch (too high, too low, never changing or interrupted by breaks); loudness (too loud or not loud enough); or quality (harsh, hoarse, breathy, nasal).

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What Causes Communication Disorders?

bullet Hearing: Some of the causes of hearing loss are chronic ear infections, heredity, birth defects, health problems at birth, certain drugs, head injury, viral or bacterial infection, exposure to loud noise, aging, and tumors.
bullet Speech and Language: Some of the causes of speech and language disorders are related to hearing loss, cerebral palsy and other neuromuscular disorders, severe head injury, stroke, viral diseases, mental retardation, certain drugs, physical impairments such as cleft lip or palate, vocal abuse or misuse, and inadequate speech and language models; frequently, however, the cause is unknown.

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What Are The Signs Of A Communication Disorder?

bullet Hearing: Hearing loss might be suspected when a person responds inconsistently to sounds, when sounds seem to be ignored, when a person turns his ear towards the sound, cups his ear with his hand, frequently asks the speaker to repeat, turns the TV or radio up too loud, or shows obvious signs of confusion or misunderstanding of speech.
bullet Speech and Language Disorders might be suspected when a person's speech or language is markedly different from that of others of the same age, sex, or ethnic group; when a person's speech and/or language is difficult to understand; when a person is overly concerned about his own speech; or when a person frequently avoids communicating with others.

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What is Myo-Functional Therapy?
Myo-functional therapy is an approach to teach a person how to swallow correctly and re-train the facial muscles.  Its purpose is to treat the swallowing problem, the associated facial muscle imbalance, speech production issues and to compliment ongoing and / or potential orthodontic / dental issues.

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What To Do If You Suspect A Speech-Language Problem

bullet Contact a speech language pathologist
bullet Discuss the issue with your pediatrician or primary care physician
bullet Pursue a speech-language-hearing screening or a speech-language evaluation

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Insurance Issues
Medical insurance is quite reluctant to cover Speech Therapy unless related to a medical etiology and / or a medical necessity.  Speech Therapy services are generally covered if the diagnosis is related to stroke, trauma, accident, injury, or congenital conditions.  For this reason, I keep my fees very reasonable.  My fees are a small margin above an individual's required co-pay.  My intent is to be a low cost provider to individuals requiring this specialized and valued service.

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Early intervention is the key for children.  Speech, language, and communication is the basis for literacy!