At Milestone Therapy, our speech language pathologists (also referred to as a “speech therapists”) provide evaluations and remediation to a variety of disorders and/or delays. Some possible disorders or delays that are seen include articulation disorders, cognitive impairments or delays, social language use or pragmatic disorders, expressive and receptive language impairments or delays, fluency/stuttering, voice disorders, auditory processing disorder, oral motor and oral feeding issues, and dysphagia (swallowing).

alternate communication strategies children
Speech language pathologist may be able to help you and your child develop improved articulation, modify and develop feeding strategies, address fluency issues or stuttering, provide techniques to address expressive and receptive language impairment, or
develop alternate communication strategies for children unable to speak

Infants and toddlers often have trouble with pronunciation and difficulties putting sentences together. A child between the ages of 18 months and 3 years will generally mispronounce many words. For example, many substitute an “f” or “d” sound for “th” (“I’m taking a baf”) or a “w” sound for an “l” or “r” (“The wion wawed” = “The lion roared”). fluency stuttering issues
You want to watch for your toddler’s speech improving over time. By age 3, most of what your child says should be pretty understandable.
If the problem is not pronunciation but rather that your child isn’t talking or is talking very little, you should act more quickly.


    • being overly sensitive to sounds such as vacuums or hair dryers, yet seem indifferent at other times when people call her name
    • doesn’t learn “bye-bye” or react to games like peek-a-boo
    • your child not reacting normally or consistently to sounds
    • talking using mostly vowels or single words only — no sentences
    • omitting whole consonants, saying “a” for “cat.”
    • use one catch-all sound or syllable to name most things (“duh” or “duh-duh” is a popular one).
  • use a word once and then not use it again frequently or at all.
  • Not pointing to common objects in books.
  • Answering questions by repeating part of your question. (If you say, “Do you want milk?” responds by saying “Milk!” instead of a head nod or “yes” response — this is called echolalia, and may be an early sign that lots of work is ahead.

expressive receptive language impairmentAs with all our disciplines, it is imperative to have the commitment and support of the family throughout the therapy process, which is why home programming is a staple of any successful outcome at MST. This home programming will educate and reinforce specific skills and behaviors, which will be used to improve and facilitate the child’s performance and long term functioning.

Interested in learning more about speech therapy in the clinics? Check out our Highland, IN and Olympia Fields, IL clinic pages.

Milestone therapy not only helped our son with down syndrome
maximize his abilities, they also helped our whole family get involved.
it was as much therapy for us as it was for brendan.
– Jeannine H.
Sydney S. is so passionate and knowledgeable about her job. She really cares for her clients and goes above and beyond expectations to help the kids achieve their goals. It is bittersweet to have my child graduate from PT but we will miss seeing Sydney so much. It is VERY rare to find someone like her!
– Ishani P.
Cyndi Stedman at Milestone worked with our son for more than two years, and always went above and beyond the call of duty.  Our son has a rare genetic disorder, and over the time she worked with him, got him crawling, walking, and going up stairs, which was no modest accomplishment.  Cyndi integrated her work with all of our son's other therapists, and really took cared for our son, and challenged him.  We're very lucky that we got to work with Cyndi.
– Tim M.
"What can Milestone do better" -- one word: Donuts!
– Happy Customer
Milestone has made a world of difference for Sophie. Laura's patience with her is awesome.
– Grateful Customer
I'm simply thankful that my son is improving every day with the help of Milestone
– Thankful Client
All my son's needs are being met wonderfully...!
– Happy Client
Plainly said, this has been an awesome experience.
– Thankful Client
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