Speech & Feeding and Lactation Services

Speech & Feeding and Lactation Services

Offered in New York or Over by Teletherapy to Those Outside NYC

Speech in The City LLC provides private speech/feeding/lactation evaluations, school consultations, and direct one-to-one speech therapy in the following areas guided by the American Speech and Hearing Association’s rigorous standards

What We Offer

Speech, Pre-Speech & Language Therapy

Children who are not yet using verbal speech

Children with delayed or disordered speech

Children who are having challenges planning speech

Children who have a motor speech disorder like apraxia or dyspraxia

Children who have an injury resulting in loss of speech such as traumatic brain injury

Children with language based disorders and challenges

Children with auditory processing disorders.

Children with voice disorders.

Children with social skills and pragmatic challenges.

Children with behavioral differences

Children with sensory differences

Children relying on Alternative & Augmentative Communication to verbally express themselves.

Gestlat Langauge Processors

Lactation Services

Mother and Infant Feeding Support ages 0+

Babies who may need more support with latching, milk supply concerns

Breast and nipple pain and soreness

Weight concerns

Pain or breast damage

Supplementation Plugged milk ducts

Mastitis, Engorgement

Breastfeeding / chestfeeding

Weaning Bottle-feeding

Breastmilk pumping Back to work

Feeding, Pre-Feeding & Oral Motor Therapy

Children who are having trouble eating my mouth

Children with a history of reflux related eating challenges

Children who are having trouble transitioning through different textures (example purees to solids)

Children who are working on transitioning from tube to oral eating

Children who are working on taste trials of food

Children who need support with muscle movements of the oral motor system in order to prepare for eating by mouth

Children who have had challenges with feeding therapy in the past due to poor perceptions of eating

Children with facial anatomical differences

Children who are “picky” or “prefer” certain types of foods including texture, temperature and color

Children with myofunctional disorders for example thrust, tongue tie, lip tie.

Children with acquired traumatic brain injury resulting in swallowing impairment.

We believe it is our job to help children to the best of our abilities by providing a safe place and safe feelings around food. Though we have an office location, most of feeding therapy is done at home or through telemedicine to avoid any additional stress on the child and family during mealtimes.

Articulation Disorders &/or Articulation Delays

Including a comprehensive case history; oral mechanism examination; hearing screening; speech sound assessment (single-word testing and connected speech sampling), including severity, intelligibility, stimulability, speech perception; spoken-language testing, including receptive and expressive language assessment, phonological processing; literacy assessment. Treatment and management of diagnosis.

Pragmatic & Social Language Disorders

Determining any overlapping or similar signs and symptoms. Alongside a collaborative information from families, caregivers, classroom teachers, other speech langauge pathologists, psychologists, hearing teachers, and other health care professionals. Treatment and management of diagnosis.

Feeding & Swallowing Disorders

Diagnosing and managing sensory, motor and/or behavioral feeding disorders. Using clinical competency to provide proper referrals for specialists including swallow studies (MBSS or FEES) based on the severity of the disorder. Creating and managing a plan of care and trails of new foods, diets and consistencies.

Language, Hearing & Processing Disorders

Early Intervention and identification of language and hearing disorders including receptive language disorder, expressive langauge disorder, cognitive disorders, mutism, dyslexia, auditory processing and other language disorders including severity and assessment.

Oral Facial Myofunctional Disorders

This include assessing the adult/child who is a mouth breather and/or has difficulty breathing through the nose. Other assessments include looking at tongue movement, eating patterns, jaw tension, disordered lip movement, dental limitations, and sound disorders, as well as excessive drooling psat the age of two. Referring out to other a dentist, an orthodontist, and/or doctor if needed. Treatment and management of diagnosis.

Gestalt Language Processors

Speech Language Pathologists that are trained in Natural Language Acquisition (NLA) provide neurodiversity affirming, child-led therapy to children who are Gestalt Language Processors.

What Our Clients Think

  • “We were referred to Rebecca through another therapist to help us with some feeding and speech issues we’re working on with our son, Bennett, who has CP and is on a feeding tube.  We are so…

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    A Caring Mom

  • She is young, energetic, has a great tech background and wants to work in a progressive environment with equally motivated, energetic therapists. She does so much extra work in the community outside of school and…

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    Email from one parent to another parent

  • “My son, Jesse, started working with Rebecca when he was just 4 years old. His initial evaluation was eye-opening, revealing he was more delayed in speech and language development than we had thought. Since that…

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    Sarah, a Mom and Former Client

Let's Start Speech Therapy!

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