Speech and language therapy sessions usually last 30 minutes and treatments are recommended twice a week. The duration and frequency of treatment depend on the severity of the disorder, the age of the client and the associated physical, emotional and social factors.

There are no charges for cancellations made 24 hours before a scheduled appointment. If you do not cancel less than 24 hours in advance, a $40.00 cancellation / non-filing fee will apply. This policy strictly applies and applies to all patients, regardless of their insurance or payment method.

Before scheduling an appointment, you need to obtain a prescription from your referring physician for the evaluation and treatment of speech and language. Contact us if you need help getting a prescription from your doctor. Patients cannot be seen for an initial evaluation without a valid prescription.

We accept NC Medicaid and various tailored plans including AmeriHealth, Healthy Blue, Partners, Trillium, Vaya, United Health, and Alliance. We also accept BCBS and Aetna.

Yes, contact us for a list of our private payment rates. Private payment rates are on a variable scale so that high quality care is affordable for everyone.

Evaluations may include a series of standardized tests, observations, developmental checklists and a collection of a speech and language sample. Several sessions may be needed to get enough information to make a diagnosis. Evaluations may include a collaboration of professionals such as speech and language pathologists, audiologists, social workers, psychologists and neurologists.

Speech treatment varies according to the severity and type of diagnosis. With very young children, therapy often takes the form of parental counseling and language stimulation activities to help allow and support the child's development. Structured game tasks can be used to teach communication skills, as well as model language structure and conversation rules (such as taking turns).

You can find this example familiar for your concern: My 2 and a half year old son, Evan, does not speak at all. He doesn't answer when I call his name. He turns the pages of a book, but he doesn't pay attention when I read him. He shows me what he wants, but he doesn't use words. He doesn't do what I ask him to do. He gets angry when I don't understand. This is normal? Do you just need more time to catch up?

Signs of a language disorder: Does not smile or interact with others (birth - 3 months) Does not babble (4–7 months) Few sounds (7 to 12 months) Do not use gestures (eg, Shake, point) ( 7–12 months) Do not understand what others say (7 months to 2 years) Just say a few words (12-18 months) Do not gather words to form sentences (1½ - 3 years) Have trouble playing and talking with other children (2–3 years) Has problems with early reading and writing skills, for example, Signs of a speech and sound disorder: Says p, b, m, hyw incorrectly in words (1–2 years) Says k, g , f, t, dyn incorrectly in words (2–3 years) Produces a discourse that is not clear, even to familiar people (2–3 years)

Signs of stuttering (dissipation):

Struggles to say sounds or words (2½ to 3 years) Repeat the first sounds of the words: "b-b-b-ball" for "ball" (2½ - 3 years) He pauses a lot while he talks (2½ - 3 years) Stretches sound: "f-f-f-f-farm" for "farm" (2½ - 3 years)

SOURCE: http://www.asha.org/public/Early-Detection-of-Speech-Language-and-Hearing-Disorders/ If you want Express Communication Therapy can schedule a complementary Speech and language Screening at no cost, contact us and we will be glad to assist you.

No. Children around the world learn more than one language without developing speech or language problems. Bilingual children develop language skills just like other children. Every bilingual child is unique. The development of skills in two languages ​​depends on the quality and amount of experience the child has using both languages. The following are some basic guidelines:

Like other children, most bilingual children speak their first words when they turn 1 year old (for example, "mom" or "dad"). At 2 years, most bilingual children can use two-word phrases (for example, "my ball" or "no juice"). These are the same milestones in language development that are observed in children who learn only one language.

From time to time, children can mix grammar rules, or they can use words from both languages ​​in the same sentence. This is a normal part of bilingual language development.

When a second language is introduced, some children may not speak much for a while. This "period of silence" can sometimes last several months. Again, this is normal and will disappear.

SOURCE: http://www.asha.org/public/speech/development/BilingualChildren/#problems

After completing the evaluation, a therapist from the express communication therapy will determine in which language the child is dominant and the therapy could be carried out in that language.

Express Communication Therapy is treating clients at their naturalistic environment such as daycares, Head Starts, pre-schools, ABA centers, and homes and we are providing teletherapy services at the comfort of your home.

Yes, it is the patient’s responsibility to call and confirm their insurance coverage prior to the appointment.