Brooklyn Letters IconBrooklyn Letters

1139 Prospect Avenue, Brooklyn

4.9 56 reviews

  • Avatar Emily Matles ★★★★★ a week ago
    We would highly recommend Ally! Our son always asks about her, so very thankful to Brooklyn Letters for introducing us.
    ~ Emily, mom of Brooklyn 2 year old
  • Avatar T Ainsley ★★★★★ 5 months ago
    I cannot express how grateful and rewarding my experience with Brooklyn Letters has been. Her tutor Ms. Daria is so knowledgeable, amazing, kind and awesome. My daughter has made so much progress in Literacy and Math and it's all … More thanks to Ms. Daria. I know my daughter is sad that she can no longer work with Ms. Daria, as she looked forward to their sessions every week. Thank you again!
  • Avatar Natalie Levon ★★★★★ 4 months ago
    Nicole has been an amazing therapist!! She played a tremendous role in our daughter’s speech progress and overall development. She has come such a long way and we are so happy with the therapy she received!
  • Avatar Colin Peters ★★★★★ 6 months ago
    We could not be happier with the services Valerie provided! She is very thoughtful and knowledgeable and provided significant guidance to support our daughter's speech development outside of our scheduled sessions. She established … More a great working relationship with her, and she will definitely be missed! Your business model is amazing and it was an absolute pleasure working with Valerie. I've referred your organization and Valerie to the Executive Director of our daughter's school and friends/colleagues who are in need of speech therapy services.
  • Avatar Lil Amatore ★★★★★ 7 months ago
    Christina was absolutely wonderful. She went out of her way to win my son over and it worked. He looked forward to her visits and his speech improved so much under her care. She was super flexible and it’s clear she truly cares. We adore … More Christina and we’re going to miss her. Almost sad he improved so much! She’s simply amazing and we can’t say enough how great she is. I would recommend her services to anyone and everyone, without hesitation. Thank you so much for connecting us with her!
  • Avatar Heather Liljengren ★★★★★ a year ago
    We cannot say enough good things about Effie, the ASL teacher, who was so engaged and effective with our 2 year old daughter from the very first session! Effie gladly included our whole family in the sessions! Her expertise and fantastic … More personality gave our daughter a way to communicate that she was so desperately seeking. The coordinators at Brooklyn Letters were so helpful and communicative…I would highly recommend their services!
  • Avatar Brigid Bower ★★★★★ 11 months ago
    Samantha Dalmas was fantastic! We saw her for a feeding therapy evaluation and while she doesn’t think my daughter needs more feeding therapy sessions at this time, but she gave me lots of tips to try. If my daughter's doctors want … More to see more progress at her next appointment, I wouldn’t hesitate to reach out to Samantha again.
  • Avatar Duygu Başaran ★★★★★ 11 months ago
    Brooklyn Letters was recommended to me through a friend's speech therapist friend in NJ. The articulation evaluation for my daughter went well. We were pleased with Kristin's services.
  • Avatar Kelley Peters-Patel ★★★★★ a year ago
    Melissa was wonderful. Our daughter warmed to her immediately and by the time she left, had already started "practicing" some of the techniques Melissa had shown her. I will not hesitate at all to reach out to Melissa again, should … More the need arise.
  • Avatar R Elmore ★★★★★ a year ago
    Aileen was INCREDIBLY helpful to us, both in assessing possible origins of my grandson's food aversions, as well as informing us of various available interventions to consider.
    I can’t thank you and Brooklyn Letters enough for connecting
    … More us with Aileen. In all our feeding therapy journey we have not gotten anything near the kind of benefit that we did from her. Her knowledge, professionalism, and responsiveness have put us on the path of progress with my grandson and has also made us feel genuinely well cared for.
  • Avatar Christine Weiher ★★★★★ 2 years ago
    We were amazed with Allison! She met my son at 2 1/2 years old, not speaking much at all, and over a computer, and she was able to develop a bond and friendship, so much so that he would look forward to his weekly computer time with Allison. … More I was not sure how the speech therapy would go- but we are so happy that we tried it out and continued. It allowed my son to gain confidence in his speech, make a new friend :), and also give him the skills and a bit of understanding of how to shape his mouth or where to place his tongue to make the proper sounds. We were extremely happy with Allison- she was fantastic to work with.
  • Avatar Andrea Saffady ★★★★★ 2 years ago
    My sessions with Karen have been extremely helpful. My speech has improved tremendously. In fact, I just finished 2 hours of conducting interviews with a consulting client via MS Teams and I have an upcoming conference call. Both my … More neurologist and neurosurgeon remarked about how good my speech is. Much of the day it is perfect, although I still have some rough spots when I get tired or speak too quickly. One of my granddaughters is a speech pathology student at Ithaca College. She sat in on 2 sessions while she was home for winter break, and she was very impressed with Karen.
  • Avatar Jacob B ★★★★★ 4 years ago
    We were delighted with Christie. First, and most importantly, our son made great strides under her guidance. So great, that we felt he no longer needed help! She was incredibly patient and kind with him and our son really responded to … More her. Christie was also great with me and my wife. She provided thorough and informative updates on our son's progress and which exercises she was using with him, so we could reinforce what she was teaching him. All in all, we had a fabulous experience with Christie and would highly recommend her.
  • Avatar Jessica C ★★★★★ a year ago
    Theo was wonderful and his work with my son has produced some progress. I am grateful for the services Theo provided.
  • Avatar Melissa Stevens ★★★★★ 2 years ago
    Highly recommend Jill. She is a total pleasure to work with. After a few months working with Jill, my son is reading above grade level and LOVES to read. Mission accomplished!
  • Avatar Demet Evren ★★★★★ 2 years ago
    Paige was great and we had been really happy with her. I would highly recommend her! I recommend Brooklyn Letters to whomever asks for a speech therapist.
  • Avatar Jeizel Rosenthal ★★★★★ 2 years ago
    Isabel was WONDERFUL and our son absolutely adored her, and he is making great progress with his reading and writing.
  • Avatar Lesley Duval ★★★★★ 3 years ago
    Theo was fantastic with our 4yo son. We were very worried that his progress would fall off when we had to switch to remote sessions, but Theo kept our son happy and engaged through the screen. Highly highly recommend!
  • Avatar Samantha Packard ★★★★★ 3 years ago
    We've been working with Theo from Brooklyn Letters for close to 4 months now and the results are apparent; our daughter has vastly improved her speech in a relatively short amount of time. We make "Theo Day" a celebration … More in our house with pancakes for breakfast, and the enthusiasm is matched in the sessions. Theo is fun, patient, professional, and caring, and he gives us the tools to take the lessons beyond the session. Thank you Theo, and Brooklyn Letters, for helping our daughter express herself.
  • Avatar Travis Ricca ★★★★★ 3 years ago
    I worked with Alina to enhance my pronunciation, tone, and pacing while communicating socially and in a work environment. She was great to work with and clear about goals and learning objectives. The improvement from day 1 has been tremendous! … More
  • Avatar Enrico Bermudez ★★★★★ 3 years ago
    Cathy has been excellent with us and our son. We will sorely miss her. He has improved significantly with Cathy’s help. Cathy was a true partner with us, especially as we pursued additional help through our son’s school system.
  • Avatar Kayne Elisabeth Wilk ★★★★★ 4 years ago
    We really loved working with Alina, she is so fantastic. Patient yet firm, and determined the best course of action very clearly and succintly for us. And it all transitioned so well to Zoom as well. I will definitely be back in touch for … More services for our other child after summer break!
  • Avatar Jen S ★★★★★ 4 years ago
    Vera was amazing! My 11 yo daughter made progress so quickly and really looked forward to her sessions. She was kept motivated and engaged.
  • Avatar susie tofte ★★★★★ 3 years ago
    The work that Allison P. did with our daughter over the years has been invaluable to us. Our daughter had such a good relationship with Allison, and it allowed them to work really well together - even remotely these past 6 months. This … More year, Allison went above and beyond by helping us throughout the neuropsych eval we did, trying to re-open our daughter's IEP at her school, and eventually landing her at our chosen school. She was in contact with our daughter's teachers, with the neuropsychologist, and made herself available as a reference to speak on behalf of our daughter's learning differences.
    Allison stopped by our house last week to give our daughter cupcakes and say goodbye, and I literally cried with appreciation for what an amazing speech therapist she has been. She has been our daughter's biggest champion. The new families that she will work with this year are lucky to have her.
  • Avatar Alicia Perez-Katz ★★★★★ 4 years ago
    Sydney was great! Our son was sad to end his sessions with her, which says a lot. We appreciated her honest assessment of his skill level, and he now has materials to self monitor and practice. Thank you!
  • Avatar Kristin Ames ★★★★★ 4 years ago
    Our experience with Theo was terrific. Theo was great with my son. He developed a positive relationship with him based on sincerity, respect, trust and a deep personal connection. In their lessons, Theo was encouraging, creative and kind. … More He helped our son understand how to differentiate the sounds he made when he spoke, and gave him great exercises to practice every week between lessons. Our son was sorry to have the lessons come to an end, but recognized that Theo had helped him as much as possible and it was time for him to stop. Theo explained to him (and us) how to keep working to get the last 5%, and encouraged him to keep working on the exercises on his own. I have recommended Theo to another parent who noticed my son's improvement and inquired for her own son.
    We are all grateful to have gotten to know Theo, and we greatly appreciate all the work he did to help our son.
  • Avatar Aisha Holder ★★★★★ 4 years ago
    "I have nothing but wonderful things to say about Michelle Macroy-Higgins. We are extremely pleased with her work with our daughter. I was so grateful for my daughter to have a speech therapist who is a researcher (specialty in late … More talkers), graduate professor and practitioner. Her expertise was clearly evident in our conversations and work with our daughter. She was very responsive to my questions and often sent articles and other materials about language development that I found helpful. Thankfully, my daughter's speech improved tremendously. Michelle developed such a warm relationship with my daughter. My daughter was always excited to see Michelle and would greet her at the door with a big hug. Lastly, I would add that Michelle always demonstrated empathy with me as a mother who was initially worried about her daughter's language development. I could go on and on about how pleased we were with Michelle's work."
  • Avatar Andrea Peartree ★★★★★ 4 years ago
    Theo is a wonderful Clinton Hill speech therapist. We were really pleased with him. Our son showed drastic improvement, not only in his speech but in his confidence.
  • Avatar mario costa ★★★★★ 4 years ago
    Alexa has been an enthusiastic, reliable, well prepared and caring teacher for our 6 year old daughter. She has been able to improve and increase our daughter's confidence lesson by lesson with patience and competence; through varied … More and productive didactic practice. Alexa has engaged our daughter in several activities that always kept her motivated and eager to learn literacy. My wife and I, both of us are educators, feel so fortunate to have had the opportunity to observe Alexa's pedagogical skills. Alexa has had a big impact on our daughter literacy growth. Thank you Brooklyn Letters!
  • Avatar Lily Alt ★★★★★ 4 years ago
    We were absolutely DELIGHTED with Marsha's services. She was wonderful. We found her to be kind, fun, engaging, very knowledgeable. She provided us with clear instructions and additional written handouts each week. She engaged our … More son with different techniques and toys, and showed us how to use her techniques when we were interacting with him. I actually just texted her on Saturday - Our son finally said "more" - one of the target words we had been working on with her. It was a total joy to hear, and I had to share it with her - she wrote back immediately to congratulate us. I am so appreciative of her expertise, and wish we could have seen her for longer. I recommended her to another family in our neighborhood who is looking for a speech therapist.

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Understanding Childhood Apraxia of Speech: Why Assessment and Early Diagnosis Matter

Understanding Childhood Apraxia of Speech Why Assessment and Early Diagnosis Matter2

Childhood Apraxia of Speech (CAS) is a motor speech disorder that affects a child’s ability to coordinate speech movements. Accurate assessment and early intervention are essential for effective treatment. At Queens Letters, we specialize in delivering evidence-based assessment and early intervention for Queens families, providing personalized support that makes a lasting impact on speech development.

As Featured In:

Our goal is to serve Queens, NYC, including Astoria, Auburndale, Bayside, Bayswater, Beechhurst, Belle Harbor, Bellerose, Breezy Point, Briarwood, Cambria Heights, College Point, Corona, Douglaston, East Elmhurst, Edgemere, Elmhurst, Far Rockaway, Floral Park, Flushing, Forest Hills, Forest Park, Fresh Meadows, Glendale, Hamilton Beach, Hillcrest, Hollis, Hollis Hills, Holliswood, Howard Beach, Hunters Point, Jackson Heights, Jamaica, Jamaica Estates, Jamaica Hills, Kew Gardens, Kew Gardens Hills, Laurelton, Lefrak City, Lindenwood, Little Neck, Long Island City, Malba, Maspeth, Meadowmere, Middle Village, Neponsit, North Corona, Oakland Gardens, Ozone Park, Pomonok, Queens Village, Rego Park, Richmond Hill, Ridgewood, Rockaway Park, Rosedale, Roxbury, South Jamaica, South Ozone Park, Springfield Gardens, Steinway, Sunnyside, Utopia, Whitestone, Willets Point, Woodhaven, and Woodside. Our experienced speech-language pathologists (SLPs) offer in-home therapy services to ensure that every child in Queens has access to expert care within the comfort of their own home.

This article explores the characteristics of CAS, the diagnostic process, and the importance of early detection in supporting speech development.

Training/Certifications
Training/Certifications

What Is Childhood Apraxia of Speech (CAS)?

Childhood Apraxia of Speech (CAS) is a motor speech disorder that affects a child’s ability to coordinate the precise movements needed for speech. Unlike other speech disorders, CAS is not caused by muscle weakness but by difficulties in planning and programming speech sounds. Without early diagnosis and intervention, CAS can significantly impact a child’s communication skills.

According to the American Speech-Language-Hearing Association (ASHA), children with CAS often experience:

  • Inconsistent speech errors
  • Difficulty imitating speech sounds
  • Frustration when trying to communicate
  • Disrupted speech rhythm, leading to slow or choppy speech
  • Limited consonant and vowel use, including vowel distortions and voicing errors
  • Visible struggle or “groping” movements when attempting to speak

CAS can occur without a known cause, result from neurological events (such as stroke or trauma), or be associated with neurodevelopmental conditions like Fragile X syndrome, Rett syndrome, or Prader-Willi syndrome. It is estimated to affect 1–2 out of every 1,000 children and is more commonly diagnosed in boys than girls.

Discover the evidence supporting a leading treatment for Childhood Apraxia of Speech. This study examines the implementation and outcomes of the Dynamic Temporal and Tactile Cueing (DTTC) protocol in young children. Learn how DTTC can lead to meaningful changes in speech production by downloading the study now.

Early intervention plays a vital role in improving speech clarity and overall communication abilities. Early intervention through Queens Letters can provide Queens families with the support needed to improve speech clarity and enhance overall communication skills.

Levels of Childhood Apraxia of Speech Severity

Writing or written expression is one of the fundamental skills of literacy and communication. But for some children, developing writing skills needs special attention. This is particularly true for children with learning disabilities. A student with a learning difficulty will typically struggle with literacy, particularly with writing skills.

For students struggling at the word level with encoding (spelling), we highly recommend an Orton Gillingham approach with an emphasis on spelling tutoring. For students writing at the sentence level, there are various strategies and techniques to help students at the written level. For students struggling at the oral level of literacy, we have speech language therapists/pathologists who help students with their oral and written forms of literacy.

Some students need help with vocabulary acquisition. For students with executive functioning (EF) difficulties, e.g. planning, organizing ideas etc., we help these students with EF at the appropriate modality/modalities, e.g. written, oral, both.

To further enhance writing skills, The Writing Pathway provides high-quality instruction for all students, utilizing a research-based approach combined with AI tools. These tools help educators save time by generating writing practice tailored to any curriculum or content area for grades 3-12.

How Is Childhood Apraxia of Speech Diagnosed at Queens Letters?

Diagnosis of Childhood Apraxia of Speech (CAS) is well-researched, but tools for differentiating it from pediatric dysarthria are lacking. Since both motor speech disorders share overlapping symptoms—and can co-occur—differential diagnosis is difficult. This tutorial will (a) assess clinician confidence in differentiating CAS and dysarthria and (b) provide a systematic procedure to facilitate accurate assessment.

At Queens Letters, we use a dynamic and individualized approach to distinguish CAS from other speech disorders. Our assessments typically include:

  • Speech Pattern Observation: Evaluating speech in different contexts.
  • Imitation Skills Assessment: Analyzing the ability to imitate sounds and words.
  • Error Pattern Analysis: Identifying inconsistencies in speech.
  • Prosody Evaluation: Examining speech rhythm, stress, and intonation.
  • Oral-Motor Assessment: Ensuring muscle strength and coordination are not the root causes of speech difficulties.

Our Queens-based SLPs are trained to recognize the subtle signs of CAS, providing Queens families with accurate diagnoses and tailored treatment plans.

Childhood Apraxia of Speech vs. Dyspraxia

Terms such as childhood apraxia of speech, developmental verbal dyspraxia, and developmental apraxia of speech are often used interchangeably. However, there is a distinction between apraxia and dyspraxia:

  • Apraxia refers to a complete inability to execute voluntary movements for speech.
  • Dyspraxia involves partial difficulty in planning and coordinating speech movements, often presenting with milder symptoms.

Healthcare professionals may use both terms when describing speech motor planning difficulties, depending on the severity of the condition.

Early Signs of Childhood Apraxia of Speech (CAS)

Children with CAS often know what they want to say but face difficulties in planning and coordinating the precise movements required for speech. Some early indicators of CAS include:

  • Difficulty imitating sounds or words
  • Inconsistent speech errors
  • Visible struggle or “groping” movements when attempting to form words
  • Delayed speech development compared to peers
  • Unusual rhythm, stress, or intonation patterns in speech

These challenges may lead to:

  • Vowel and voicing errors
  • Distorted speech sounds
  • Inconsistent errors across repetitions
  • Difficulty transitioning smoothly between sounds and syllables
  • Trouble pronouncing multisyllabic words and maintaining proper stress patterns

By identifying these signs early, Queens Letters can provide timely intervention, helping children in Queens develop effective communication skills.

Co-Occurring Characteristics and Symptoms of Childhood Apraxia of Speech (CAS)

Co Occurring Characteristics and Symptoms of Childhood Apraxia of Speech (CAS)

Children with CAS often experience additional challenges beyond speech difficulties, which can impact language development, literacy skills, and motor coordination. These may include:

Language and Literacy Challenges

  • Delayed language development
  • Difficulty forming grammatically correct sentences and organizing word order
  • Struggles with reading, spelling, and writing
  • Challenges with social communication and appropriate use of language in conversations

Sensory and Motor Difficulties

  • Delays in gross and fine motor skills
  • Motor coordination difficulties or general clumsiness
  • Oral and limb apraxia (difficulty planning and executing non-speech movements)
  • Feeding difficulties, including trouble chewing or swallowing
  • Abnormal oral sensory responses, such as heightened or reduced sensitivity to textures and temperatures

Recognizing these co-occurring characteristics can help ensure a comprehensive approach to assessment and intervention, addressing not only speech production but also broader developmental needs.

CAS and Developmental Language Disorder (DLD)

Studies suggest that up to 80% of children with Childhood Apraxia of Speech (CAS) may also have Developmental Language Disorder (DLD). This connection emphasizes the need for comprehensive language assessments to identify and address challenges beyond speech production.

CAS and Developmental Language Disorder (DLD)

Developmental Coordination Disorder (DCD)

Developmental Coordination Disorder (DCD) is typically diagnosed after age 5, though in some cases, an earlier diagnosis may be possible (Blank et al., 2019). According to the DSM-5, a DCD diagnosis requires meeting four key criteria:

  • Motor skills that are below age expectations, often leading to clumsiness (e.g., frequent tripping, bumping into objects) or difficulty with tasks such as handwriting, using scissors, or riding a bike.
  • A noticeable impact on daily activities, including self-care, academics, social participation, or physical tasks.
  • Symptoms appearing during early childhood development.
  • Ruling out other potential causes, such as intellectual disabilities, visual impairments, or neurological conditions (e.g., cerebral palsy, muscular dystrophy).

Given the overlap between motor and speech coordination difficulties, a thorough evaluation can help determine the best course of intervention.

Prevalence and Co-Occurring Conditions

Developmental Coordination Disorder (DCD) affects approximately 5%–6% of children, with boys being diagnosed more frequently than girls (Blank et al., 2019). DCD is also more prevalent in children with:

  • Autism Spectrum Disorder (ASD)
  • ADHD
  • Developmental Language Disorder (DLD)

Prevalence of Childhood Apraxia of Speech (CAS)

Childhood Apraxia of Speech (CAS) is estimated to affect 1–2 children per 1,000 (0.1%–0.2%), with boys diagnosed 2–3 times more often than girls (Shriberg et al., 1997; Hall, Jordan, & Robin, 1993). Despite these statistics, misdiagnosis is a concern—research suggests that up to 75% of children initially diagnosed with CAS may actually have severe expressive language delays that resemble apraxia.

Due to this, experts caution against diagnosing CAS too early. Instead, it is essential to recognize any communication challenges a child may face and ensure they receive individualized, evidence-based intervention. Consulting with a speech-language pathologist specializing in CAS can help ensure an accurate diagnosis and an effective treatment plan.

Additionally, children with CAS often experience:

Apraxia of Speech Diagnosis and Evaluation at Queens Letters

Apraxia of Speech Diagnosis and Evaluation at Queens Letters

At Queens Letters, our apraxia of speech therapy begins with a comprehensive evaluation to assess:

  • Oral-motor abilities and oral apraxia
  • Speech sound development and phonological patterns
  • Overall communication skills, including prosody and intelligibility

Our assessments use dynamic evaluation methods to distinguish Childhood Apraxia of Speech (CAS) from other speech disorders, such as dysarthria. We may also conduct a motor speech examination and analyze specific speech characteristics to ensure an accurate diagnosis. Early identification is key to designing a targeted therapy plan that supports each child’s individual needs.

Focus on Speech Movements, Not Individual Sounds

At Queens Letters, we emphasize smooth transitions between sounds rather than isolating single sounds. This motor speech disorder-based approach is essential for treating Childhood Apraxia of Speech (CAS) and improving speech clarity and fluency.

New Diagnostic Tools for CAS and Dysarthria

Looking for a clear, structured roadmap for your Childhood Apraxia of Speech (CAS) sessions? This visual hierarchy outlines the complete Dynamic Temporal and Tactile Cueing (DTTC) protocol, detailing the progression from simultaneous speech to spontaneous production, alongside necessary cueing strategies.

For a detailed description of the underlying theory and clinical decisions involved in DTTC, refer to Dr. Edythe Strand’s article.

Personalized Assessment and Intervention

Queens Letters provides:

  • Intensive therapy focused on motor planning and speech clarity
  • Multisensory techniques, incorporating visual, auditory, and tactile cues
  • Regular evaluations to track progress and refine treatment goals

Our customized approach ensures each child receives the support they need to develop clear and confident speech.

A Parent’s Guide to Childhood Apraxia of Speech (CAS)

Childhood Apraxia of Speech (CAS) is a motor speech disorder in which the brain has difficulty coordinating the precise movements needed for speech. This often leads to inconsistent speech errors, challenges with rhythm and intonation (prosody), and noticeable frustration when trying to communicate. Recognizing these signs early can help parents seek timely intervention, which is key to improving speech outcomes.

Key Components of a CAS Evaluation

A comprehensive evaluation by a speech-language pathologist (SLP) is essential for diagnosing CAS. This process may include:

  1. Speech and Language Testing: Assessing the child’s ability to produce sounds, syllables, and words, with an emphasis on imitation skills.
  2. Motor Speech Examination: Evaluating how well the child can coordinate speech movements to identify motor planning difficulties.
  3. Dynamic Assessment: Observing how the child responds to different types of support, such as visual, verbal, or tactile cues, and how speech accuracy improves with repetition.
  4. Prosody and Intonation Analysis: Examining speech rhythm, stress patterns, and overall speech melody to detect disruptions in natural speech flow.
  5. Oral-Motor Assessment: Assessing the coordination and strength of non-speech oral movements, such as tongue and lip control.

Phonological Assessment: Identifying patterns in the child’s sound production and speech errors to guide appropriate treatment strategies.

The Importance of Early Diagnosis

Early and accurate diagnosis of CAS is crucial because it allows for specialized intervention tailored to the child’s needs. Key benefits of early identification include:

  1. Targeted Therapy Approaches: CAS requires specific treatment methods focused on motor planning and speech sequencing, which differ from traditional articulation therapy.
  2. Avoiding Misdiagnosis: Studies suggest that many children with CAS are initially misdiagnosed, leading to delays in receiving the appropriate therapy.
  3. Language Development Support: Since CAS can affect overall expressive language skills, early intervention helps children build stronger communication abilities.
  4. Better Long-Term Outcomes: Research indicates that early, evidence-based intervention can reduce the persistence of CAS symptoms and improve speech clarity over time.

Seeking guidance from an experienced speech-language pathologist ensures that children with CAS receive the individualized support they need for successful communication.

The Role of Speech-Language Pathologists in CAS Assessment

Speech-language pathologists (SLPs) are essential in accurately diagnosing Childhood Apraxia of Speech (CAS). Their expertise allows them to:

  • Differentiate CAS from other speech disorders, such as dysarthria or phonological disorders
  • Conduct comprehensive, evidence-based assessments to ensure an accurate diagnosis
  • Evaluate speech characteristics in various tasks and contexts to identify patterns of motor speech difficulties

What Happens After a CAS Diagnosis?

Once a child is diagnosed with CAS, a personalized treatment plan is created to address their unique needs. Effective intervention typically includes:

  1. Intensive Therapy: Frequent, structured sessions are recommended to maximize progress.
  2. Motor-Based Approaches: Treatment focuses on speech motor planning and programming, using research-backed methods such as:
    • Dynamic Temporal and Tactile Cueing (DTTC)
    • Rapid Syllable Transition Treatment (ReST)
  3. Multisensory Techniques: Incorporating visual, auditory, and tactile cues to support speech production.
  4. Augmentative and Alternative Communication (AAC): AAC tools may be introduced to aid communication while speech skills develop.
  5. Parent Involvement: Parents receive training in home practice strategies to reinforce therapy goals and support communication at home.

Early and targeted intervention led by an experienced SLP ensures that children with CAS receive the specialized support they need to develop clearer, more effective speech.

Schedule an Apraxia Speech Evaluation Today

If you are concerned about your child’s speech development, early assessment is crucial. At Queens Letters, we provide comprehensive evaluations and personalized therapy for Childhood Apraxia of Speech. Our goal is to help Queens families achieve speech clarity and confidence through research-backed techniques.

📞 Contact us today to schedule an evaluation and take the first step toward enhancing your child’s communication skills with Queens Letters, your trusted partner in Queens, NYC!

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Call: (347) 394-3485,
Text: (917) 426-8880
Email: [email protected]
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