Q: My son doesn't talk and gets frustrated because he can't tell me what he needs, but he's only 2. My mother said I didn't talk until I was 3 and I turned out ok. Should I be worried?

A: The truth is that we never know which children will be the lucky ones to "catch up" and which ones won't. It is rare for a child to spontaneously begin to communicate when they are delayed and experiencing frustration due to communication difficulty. Their delays only become greater as the grow older and the gap between their age and level of functioning widens. The earlier the intervention, the better.

Q: I see there is no office location. Where will my child receive services?

A: Services are provided in the child's natural environment. That is, the therapist travels to your home or the child's child care/early childhood education setting (with the child care provider's and parent's permission), or any place your child spends time with an adult, such as parks and libraries.

Q: What insurance is accepted?

A: The credentialing process with various insurance companies can be lengthy. Referrals for Medicaid clients are accepted at this time. Private insurance will be accepted in the future. The Hanen courses are private pay. Grants and community resources may be available for those who seek them out for financial assistance for the cost of these programs.

Q: What is the age limit of clients?

A: Pediatrics goes up to age 21 years. Adult clients may be accepted in the future.

Q: How are speech and language different?

A: Speech is the verbal expression and includes articulation (the way sounds and words and formed. It includes factors such as intelligibility (how understandable a person's speech is to others) and rate of talking.

Language is the entire system of giving and getting information in a meaningful way. It's understanding and being understood through communication - verbal, nonverbal, written, sign language, AAC (augmentative, alternative communication) use, etc.

Q: When should I seek a speech evaluation for my child?

A: The following can be red flags or markers to know when to seek help (keep in mind that these are minimum requirements for a child to not be considered delayed, not average development):

  • Not using communicative gestures (waving, pointing) and at least one word by 12 months
  • Not using 20 consistent, spontaneous words and using words to get needs and wants met by 18 months
  • Not using at least 50 consistent, spontaneous words and putting 2 words together (e.g., "My ball," "Go Daddy") by 24 months
  • Not conversing in reciprocal conversation and using sentences by 3 years
  • Repetitive, inflexible play or behavior
  • Limited ability to engage socially with other people, such as enjoying play or other activities together