Speech, Language and Pragmatic Therapy

Comprehensive Speech and Language Therapy Services

At our practice, we are dedicated to helping individuals of all ages develop effective communication skills. Our specialized speech therapy services are designed to support children and adults in overcoming challenges related to speech, language, and social communication. Whether your goal is to enhance articulation, improve language comprehension, or develop social skills, our experienced therapists are here to provide personalized care tailored to your needs.

Explore our services below to learn how we can support you or your loved one on the path to confident communication.

Pediatric Speech Therapy

The Speech-Language Pathologists at All 4 Therapy have extensive experience evaluating and treating children with a wide range of speech disorders. Our team specializes in addressing speech delays, articulation and phonological disorders, oral-motor challenges, fluency/stuttering, resonance/voice disorders, and childhood apraxia of speech.

Articulation

Therapists work closely with clients and their families through a hierarchy of levels, starting with correctly producing a certain speech sound in isolation and subsequently moving through all levels until the particular sound is considered to be mastered.

Dysarthria

Dysarthria, which can be diagnosed in children and adults, is a speech sound disorder in which the muscles required for speech production are too weak. This leads to poor oral motor control and coordination. Dysarthria often causes slurred or slow speech that can be difficult to understand.

Motor Speech

Childhood Apraxia of Speech is a motor speech sound disorder in which a child’s brain has difficulty coordinating the oral movements required to produce speech sounds. Acquired Apraxia of Speech is also a motor speech sound disorder that affects adults often following a stroke.

Voice

Therapists work closely with clients and their families on a series of vocal cord exercises and preventive measures to eliminate, improve, or prevent voice disorders (i.e. hoarseness, vocal cord paralysis/parisis, laryngitis, voice breaks).

Pediatric Language Therapy

Language therapy encompasses how well a child understands what they hear or read and how they express their wants, needs, thoughts, and ideas. The Speech-Language Pathologists at All 4 Therapy specialize in early language development, auditory processing, school-age language disorders, phonological awareness, Augmentative and Alternative Communication (AAC) and so much more.

Auditory Processing

Speech therapists help children with auditory processing difficulties by improving their ability to interpret and make sense of the sounds they hear. Therapy may focus on strengthening skills such as sound discrimination, auditory memory, and following multi-step directions. Techniques often include targeted listening activities, language exercises, and strategies to improve focus and comprehension in noisy environments. By enhancing these skills, children can better process information in the classroom and engage more effectively in conversations.

Phonemic Awareness Development

Speech therapists support children in developing phonemic awareness — the ability to recognize and manipulate individual sounds in words. This essential pre-literacy skill involves activities such as identifying beginning and ending sounds, blending sounds to form words, and segmenting words into their individual sounds. By building strong phonemic awareness skills, children are better equipped to develop reading, spelling, and overall language abilities.

Augmentative and Alternative Communication (AAC) refers to various methods of communication that support or replace speech for individuals with communication challenges. AAC can include tools such as picture boards, speech-generating devices, or apps designed to help users express their thoughts, needs, and emotions. These systems may be used temporarily or long-term, depending on the individual's abilities and goals. AAC empowers individuals by providing a voice, enhancing their ability to connect with others, participate in social interactions, and improve their overall quality of life.

Augmentative and Alternative Communication (AAC)

Adult Speech, Language, and Cognitive Therapy

Our adult speech therapy services are designed to support individuals facing communication and cognitive challenges due to various medical conditions, including stroke, traumatic brain injury (TBI), Parkinson's disease, dementia, Alzheimer's disease, multiple sclerosis (MS), and amyotrophic lateral sclerosis (ALS).

Apraxia of Speech

A motor planning disorder that affects the brain's ability
to send .......Read More.

A motor planning disorder that affects the brain's ability to send the correct signals to the muscles needed for speech. Individuals with apraxia may know what they want to say but struggle to coordinate the precise movements required to produce words. This condition is often associated with stroke, brain injury, or other neurological impairments. Therapy may involve repeated practice, visual cues, and tactile prompts to improve motor planning and speech accuracy.

Voice Disorders

Conditions that affect the quality, pitch, volume, or strength of the voice.... Read More

Conditions that affect the quality, pitch, volume, or strength of the voice. These may present as hoarseness, breathiness, vocal fatigue, or complete loss of voice. Voice disorders can result from Parkinson’s disease, vocal cord injury, neurological conditions, or excessive voice use. Treatment may involve vocal exercises, breath control techniques, and strategies to reduce strain and improve vocal endurance.

Cognitive-Communication Disorders

Difficulties with memory, attention, organization, problem-solving, and social.....Read More.

Difficulties with memory, attention, organization, problem-solving, and social communication skills. These disorders are commonly seen in individuals with traumatic brain injury (TBI), dementia, Alzheimer’s disease, or stroke. Therapy may focus on developing strategies to improve focus, enhance memory retention, improve conversational skills, and support day-to-day functioning.

Dysarthria

A motor speech disorder caused by weakness, paralysis, or poor coordination of the.....Read More.

A motor speech disorder caused by weakness, paralysis, or poor coordination of the muscles used for speech. Individuals with dysarthria may experience slurred, slow, or mumbled speech, making it difficult for others to understand them. This condition is often linked to Parkinson’s disease, stroke, ALS, or other neurological conditions. Therapy may focus on improving breath support, strengthening oral muscles, and enhancing speech clarity through targeted exercises and strategies.

Pragmatics/Social Skills

Use and understanding of body language (gestures, facial expressions, eye contact), conversational turn-taking, topic maintenance, perspective taking, problem solving, using the appropriate volume, speed, intonation and body distance.

Receptive (understanding) language: Comprehension of language.
Expressive (using) language:The use of language through speech, sign or alternative forms of communication to communicate wants, needs, thoughts and ideas.
Pre-language skills: The ways in which we communicate without using words and include things such as gestures, facial expressions, imitation, joint attention and eye-contact.
Executive functioning: Higher order reasoning and thinking skills.
Self regulation: The ability to obtain, maintain and change one’s emotion, behaviour, attention and activity level appropriate for a task or situation in a socially acceptable manner.

Speech and Language Therapy

The Speech-Language Pathologists at All 4 Therapy have extensive experience evaluating and treating individuals across all ages with a wide range of speech and language disorders. Our team specializes in addressing speech and language delays, autism, articulation and phonological disorders, fluency, various genetic disorders, traumatic brain injury, stroke, Parkinson’s, voice disorders, childhood apraxia of speech, Down syndrome, and cleft lip/palate. With diverse backgrounds in hospitals, schools, and university clinical supervision, our therapists bring a well-rounded and collaborative approach to each client’s care.

All 4 Therapy LLC 862-666-1692 Fax: 973-909-4571