Speech Concerns

Speech, Language & Communication


Successful and effective communication requires the ability to hear a message, understand the words used, formulate a response, retrieve the appropriate words for that message, and then motor plan and initiate a response in a socially appropriate manner. Breakdowns can occur in a variety of places during this very complex process.

Messages are conveyed verbally or nonverbally, and can also be conveyed using technology as a means of enhancing communication.


Do you find yourself saying any of the following?

  • My child is not talking yet, and I think he/she should be

  • My child is not using words to communicate in the same way as other children.

  • People have a hard time understanding what my child is saying.

  • My child doesn’t use (and/or seem to understand) as many words as other children his/her age.

  • My child is only using a few words.

  • My child is not combining words, mixes up the order of words (and/or) does not use the appropriate word endings.

  • My child is getting frustrated and/or throwing tantrums because he/she can’t communicate effectively.

  • I don’t think my child understands what I say.

  • My child’s teacher says he/she has difficulty following directions.

  • My child has difficulty or is not interested in interacting with others.

  • It takes a long time for my child to respond to directions or formulate an answer to my questions.

  • My child doesn’t speak fluently and frequently repeats sounds, syllables or whole words.

If so, it may be time to speak with a Speech and Language Pathologist.

At the Kioko Center, our pediatric therapists are highly specialized and work with children of all abilities. All of our speech and language pathologists (SLPs) are licensed and are members of ASHA, the American Speech-Language-Hearing Association. Our SLPs are compassionate, energetic, fun and experienced! We strive to provide the best possible services to our children, and their families, by performing thorough and personalized evaluations to develop individualized treatment plans to address each child’s specific needs.

We offer services covering many areas, including:


the correct production of sounds for intelligible speech

Expressive Language/Syntax:

the use of language to communicate (including vocabulary, word endings, word order, etc.)

Receptive Language:

the comprehension of spoken language

First Words:

the beginning of word use as a primary means of communication

Augmentative and Alternative Communication (AAC):

the use of other methods of communication to supplement or replace a lack of verbal language (e.g. Dynavox, picture symbols, iPad, etc.)

Social Skills and Pragmatics:

social interaction and play skills


the ability to use language to read, write and comprehend written language


prosody, pitch, volume, etc.


Childhood Apraxia of Speech