Types of Speech Therapy

Child playing with speech therapist
Child playing with speech therapist. vgajic/Getty Images

You may be referred to a speech therapist, or more appropriately termed a speech-language pathologist (SLP), for a variety of disorders. A SLP can help treat problems related to speech, hearing, and swallowing. More specifically a SLP can help assess and treat:

  • Fluency — stuttering and cluttering
  • Speech — articulation
  • Language — ability and comprehension of spoken and written language
  • Cognition — attention, memory, ability to solve problems
  • Voice — characteristics of vocal tone
  • Auditory Habilitation & Auditory Rehabilitation — recovery techniques associated with speech, hearing & language disorders
  • Swallowing disorders — stroke and congenital disorders
  • Other services — some therapists will specialize in other services including: professional voice development, accent or dialect modification, transgender voice, business communication modification, and voice hygiene

Listed below, you will find some of the therapies that a SLP will utilize to treat some of the more common speech-language disorders.

Speech Therapy for Late Talkers

If your infant or toddler should be talking by now but isn't, he may be referred to a speech therapist. The therapist will likely try different things to encourage your child to talk, including playing with him. Sometimes, withholding a favorite toy until a child asks for it motivates small children to talk, but this depends on the circumstance.

For some children, other types of communication, such as sign language or picture cards, might be introduced. Speech therapists may also refer your child for further evaluation, such as hearing tests if necessary.

Speech Therapy for Kids With Apraxia

Children with apraxia have difficulty saying certain syllables or making certain sounds.

Your child knows what he or she wants to say, but it doesn't seem to come out right. Speech therapists are qualified to evaluate children for apraxia by using several tests, including:

  • oral-motor assessment to check for muscle weakness in the jaw, lips or tongue
  • melody of speech assessment during which the therapist listens to see if they can appropriately stress certain syllables and use pitch and pauses at the appropriate place in a sentence
  • speech sound assessment which further determines how well the child can pronounce sounds, including vowels, consonants and sound combinations. This includes determining how well others are able to understand the child's conversational speech

If your child is diagnosed with apraxia, they will probably need speech therapy on a one-on-one basis several times per week. This therapy will likely consist of intensive practicing their speech. The therapist will try to help your child understand auditory feedback as well as visual or touch cues. One way a therapist might do this is to have your child look at themselves in a mirror while speaking, or record them speaking and then playing it back. Many children enjoy this. Since successful treatment for apraxia involves a lot of time and commitment, your therapist may give you "assignments" to practice with your child at home.

Speech Therapy for Stuttering

Stuttering is a problem that usually develops during childhood but can develop during adulthood as well. Stuttering is usually considered a type of behavioral problem. Speech therapists will try to teach your child who stutters behavioral modification techniques, that in turn may help control their stuttering. A common method that may be used on your child is to teach them to control the rate of speech, since speaking too quickly can make stuttering worse for some people. Practicing speech in a slower, more fluent manner can be helpful. It can also be helpful to monitor breathing.

Even after treatment, people who stutter may require follow-up sessions with their speech therapist to keep the problem from recurring.

Speech Therapy for Aphasia

Aphasia is a condition that causes difficulty speaking as a result of some sort of damage to the brain. The condition can also consist of difficulty listening, reading, and writing. Aphasia happens to many adults after they have experienced a stroke. Speech therapists play a crucial role in diagnosing aphasia by evaluating an individuals ability to understand others, express themselves, and even swallow. There are many different things a speech therapist might do to help a person with aphasia, including:

  • drills to improve specific language skills
  • group therapy to improve conversational skills
  • gestures and writing to augmenting their communication skills

Speech Therapy for Swallowing Difficulty

Your child may experience difficulty swallowing for a variety of reasons. A speech therapist may help your child with swallowing difficulty by assisting them with exercises to make her mouth strong, increase tongue movement, and improve chewing. A speech therapist may also make recommendations about the consistency of food. For infants, a speech therapist may assist in coordinating her suck-swallow-breath pattern.

As previously mentioned these are only some of the things that a speech therapist might do. There are many other conditions and methods used to evaluate those in need.

Sources:

Aphasia. American Speech-Language-Hearing Association website. http://www.asha.org/public/speech/disorders/Aphasia/. Accessed 12/29/2017

Childhood Apraxia of Speech. American Speech-Language-Hearing Association website. http://www.asha.org/public/speech/disorders/ChildhoodApraxia/. Accessed 12/29/2017.

Feeding and Swallowing Disorders (Dysphagia) in Children. American Speech-Language-Hearing Association website. http://www.asha.org/public/speech/swallowing/Feeding-and-Swallowing-Disorders-in-Children/ Accessed 12/29/2017.

Stuttering. American Speech-Language-Hearing Association website. http://www.asha.org/public/speech/disorders/stuttering.htm. Accessed 12/29/2017.

Scope of Practice in Speech-Language Pathology. American Speech-Language-Hearing Association website. http://www.asha.org/policy/SP2016-00343/. Updated 2016. Accessed 12/29/2017.