a2 Therapy Works, LLC
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Speech Therapy

Speech Therapy

​Pediatric speech and language therapy aims to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, literacy, and swallowing disorders in children. 

Click here to learn more about feeding and swallowing therapy.

Are you a pediatrician? Download our handout on when to refer to pediatric speech and language therapy!

  • Expressive Language
  • Receptive Language
  • Articulation, Fluency, & Voice Skills
  • Literacy & Reading
  • Social Communication
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Expressive language disorders can impact the form (grammar), content (semantics), or use (pragmatics) of language in a functional way. Expressive language disorders may impact sharing thoughts, ideas, and feelings via spoken or written language.

​Children and adults with expressive language difficulties may not produce words by 15 months, or may not string words together by 2 years. 
Receptive language disorders may involve one's ability to understand the form, content, or use of language in a functional way. A receptive language disorder may impacy a person's ability to understand others. 

​Children and adults with receptive language disorders may not identify common objects when asked, or may not follow simple routine directions when asked.
Articulation is accurately producing the various sounds that make up a language.

​Children and adults with articulation challenges may find it difficult to be understood.
Fluency skills refer to producing speech in a smooth and easy flowing manner.  

​Children and adults with fluency difficulties (i.e., stuttering or cluttering) will produce speech in a choppy manner because their speech gets stuck, suddenly rushes out to quickly, sounds like all the words are mushed together, they repeat or hold out a sound, or they produce a very high number of filler words in a row (e.g. um).
Voice skills include producing normal pitch, loudness, and vocal quality.  
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​Children and adults with voice disorders may have chronic gravelly, scratchy, hoarse, or breathy sounding voices.
Literacy and reading skills refer to understanding the written word. Addressing literacy and reading in therapy helps to develop decoding, reading comprehension, and reading fluency skills.

Children and adults with literacy or reading challenges may be reading below grade level and may avoid reading.
Social communication refers to using and identifying verbal and non-verbal communication.

​Children and adults with social-communication difficulties may have difficulties greeting, commenting, asking questions, talking in ways that suit the setting, and following the rules of conversation (i.e. the back and forth).
Cognitive communication refers to organizing thoughts, paying attention, remembering, planning, and/or problem solving. This can impact thought organization during spoken or written language. 

Children and adults with cognitive-communication difficulties may have a hard time organizing their thoughts well enough to logically present their ideas via spoken or written language. ​



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A2 Therapy Works, LLC
3200 W. Liberty Rd., Suite F
Ann Arbor, MI 48103
Phone: (734) 369-6002
​Fax: (734) 315-0426
  • Home
  • About
    • Meet The Team!
    • Getting Started
    • Employment Opportunities
    • Volunteer Opportunities
  • Clinic Services
    • Speech Therapy
    • Occupational Therapy
    • Feeding Therapy
    • Certifications & Programs
    • Tutoring
    • Special Services
  • Resource Center
    • FAQs
    • Insurance Information
    • Parent Training Videos
    • Resources for Download
    • Useful Links
    • Autism
    • Privacy Policy
  • Testimonials
  • Blog & Vlog
  • Contact