Specialized Services


Our therapists are trained in a diverse range of approaches to address a variety of issues. We work diligently to create age appropriate, and results driven treatment therapies backed by evidenced based practice for all ages (newborn-adult):

We offer both in person speech services and virtual speech services for patients across the lifespan (from infancy through adulthood). We offer individualized therapy services to each patient who struggles with language difficulties, language delay, fluency, stuttering, tongue thrust, issues related to sleep apnea, swallowing disorders including reverse swallow, articulation, and phonological disorders to name just a few. In addition. we work with children experiencing speech differences and behavioral issues relating to ASD, pragmatic delays, cerebral palsy, ADHD, cochlear implants/hearing difficulties, special needs, and Childhood apraxia of speech.

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Childhood Apraxia of Speech (CAS), sometimes called verbal dyspraxia or developmental apraxia is a motor speech disorder that occurs when there is a disruption in the speech centers of the brain making it difficult for the mouth and tongue muscles to move appropriately. Often, a child knows what they want to say but cannot make the corresponding sounds. This leads to frustration for the child and can be confusing for family to understand what the child is trying to convey. CAS does not resolve on its own with time and symptoms can worsen if not addressed. Therapy is required to treat this disorder. Thankfully, therapy interventions can help and our team at Now You’re Talking is here to provide you and your child with the tools and practices needed to see improvement.
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Speech Therapist Image

Orofacial Myofunctional Therapy

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Tongue Tips

These programs are designed to resolve symptoms of an OMD by retraining the muscles of the face and tongue for proper posture within the mouth. It also works to correct the swallowing motion and any speech sound errors that have been identified. This program incorporates a variety of exercises that stimulate different muscles that are associated with an orofacial myofunctional disorder. Using this system your SLP will work with you to ensure that you are completing each exercise correctly. Over time, these exercises are proven to eliminate tongue thrust, correct speech articulation errors, improve overall health, re-establish nasal breathing, and increase the self confidence of patients.

If needed the Thumbs Up! Program can be used as a stand-alone therapy or in conjunction with Tongue Tips to aid children in remediating any nonnutritive sucking habits.

The Thumbs Up! Program

The Thumbs Up! Program is a thumb sucking remediation program that can be used as a stand- alone therapy or in conjunction with Tongue Tips/Tiny Tongue Tips to see improvement in OMD related symptoms. This program may also be necessary if a child exhibits no symptoms of an OMD but is experiencing negative side effects as a result of nonnutritive sucking.

Children who can break the habit typically enjoy an improved appearance, improved speech and feeding skills. Early remediation of oral habits will result in improved orthodontic health for your child in the future.

The best time to break the habit

The best time to break this habit is before permanent teeth grow in at around 4 to 6. If your child is older and continues to suck their thumb, don't worry! Therapy performed by a qualified speech language pathologist with training in orofacial myology can begin to reverse the negative effects in just a few weeks. Our Thumbs Up! program uses the power of positive reinforcement as a motivator. This allows your child to take charge of breaking his or her own habit with guidance and support from both the therapist and parents.

Speech Therapist Image
Speech Therapist Image

Sensory Motor Approach to Feeding Therapy

Feeding therapy is often necessary when a child refuses foods, or when they are not gaining the weight needed for proper development and health. Often, well-meaning parents offer children foods they lack the sensory motor skills to handle. Due to medical, postural, tone or sensory processing issues their compensatory motor skills are not adequate to handle these foods. Frequently these children have had scary experiences with food and have reacted with a fight or flight response that is adaptive rather than behavioral.

A sensory motor approach to feeding encompasses sensory processing and oral sensory-motor skill development needed for safe, effective, and nutritive feeding.

Payment Options

  • Insurance options
  • Out of network insurance benefit options
  • Private pay options

Call Now You’re Talking today to find out the best payment option for you!

Contact us for more information or call us at
(845) 533-5544
Opening hours

Mon-Fri: 9am-7pm Sat: By special appointment

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