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Our Services


Confidence building for the child (and parent) is a critical element in the therapeutic process.
– Pamela Talbot M.Ed, CCC-SLP, C.E.D, LSLS-AVT
Session Types:
Concerns with communication? We provide screenings to determine if treatment is necessary.
Our comprehensive evaluations include and in-depth personal and medical history review, present levels of functioning in speech and language, an oral motor assessment, and more. A speech language evaluation identifies a person's communication strenghts and weakness, dertimines the presence of a speech or language disorder, and guides therapy planning. We provide you with a summary of your evaluation in take the time to discuss the results and recommendations." please change to : We provide you with an in-depth evaluation report. We fully discuss the results and recommendations with you.
Therapy sessions that are in a 1-to-1 setting and individualized to target goals.
C2C consultations address challenges within families, assisting siblings in managing concerns and assistance related to elder care.
Communication challenges we treat:
Some children have problems with receptive language, or understanding. They may have trouble:understanding what people mean when they use gestures, like shrugging or nodding; following directions; answering questions; pointing to objects and pictures; and/or knowing how to take turns when talking with others. Some children have problems with expressive language, or talking. They may have trouble:asking questions; naming objects; using gestures;putting words together into sentences; learning songs and rhymes; and using correct pronouns, like "he" or "they."
Source: American Speech and Hearing Association (ASHA)
Feeding disorders are problems with a range of eating activities that may or may not include problems with swallowing. Pediatric feeding disorder (PFD) is “impaired oral intake that is not age-appropriate and is associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction” (Goday et al., 2019). PFD may be associated with oral sensory function (Goday et al., 2019) and can be characterized by one or more of the following behaviors (Arvedson, 2008):refusing age-appropriate or developmentally appropriate foods or liquidsaccepting a restricted variety or quantity of foods or liquidsdisplaying disruptive or inappropriate mealtime behaviors for developmental levelsfailing to master self-feeding skills expected for developmental levelsfailing to use developmentally appropriate feeding devices and utensilsexperiencing less than optimal growthSpeech-language pathologists (SLPs) are the preferred providers of dysphagia services and are integral members of an interprofessional team to diagnose and manage feeding and swallowing disorders.
Source: ASHA
Dysphagia can occur in one or more of the four phases of swallowing and can result in aspiration—the passage of food, liquid, or saliva into the trachea—and retrograde flow of food into the nasal cavity.The long-term consequences of feeding and swallowing disorders can includefood aversion;oral aversion;aspiration pneumonia and/or compromised pulmonary status;undernutrition or malnutrition;dehydration;gastrointestinal complications, such as motility disorders, constipation, and diarrhea;poor weight gain and/or undernutrition;rumination disorder (unintentional and reflexive regurgitation of undigested food that may involve re-chewing and re-swallowing of the food);an ongoing need for enteral (gastrointestinal) or parenteral (intravenous) nutrition;psychosocial effects on the child and their family; andfeeding and swallowing problems that persist into adulthood, including the risk for choking, malnutrition, or undernutrition.
Source: ASHA
There are many reasons why you might have a speech or language problem. Some problems start in childhood. Others happen after an illness or injury. Speech-language pathologists, or SLPs, can help.Speech DisordersApraxiaDysarthriaStutteringLanguage DisordersAphasiaMedical ConditionsDementiaLaryngeal CancerOral CancerRight Hemisphere DisorderTraumatic Brain InjuryCommunication OptionsAACSpeech for People With Tracheostomies or VentilatorsElective ServicesAccent ModificationVoice and Communication Change for Transgender People
Source: ASHA
A voice disorder occurs when voice quality, pitch, and loudness differ or are inappropriate for an individual’s age, gender, cultural background, or geographic location.
Source: ASHA
Dysphagia is a swallowing disorder involving the oral cavity, pharynx, esophagus, or gastroesophageal junction. Consequences of dysphagia include malnutrition and dehydration, aspiration pneumonia, compromised general health, chronic lung disease, choking, and even death. Adults with dysphagia may also experience disinterest, reduced enjoyment, embarrassment, and/or isolation related to eating or drinking.
Source: ASHA
Therapeutic Settings:
Communicate to Connects office, located at the charming Water Street Market in New Paltz, offers a welcoming and vibrant space for individuals and families. Our office is thoughtfully equipped with a variety of toys to keep children engaged and focused during their sessions. Caregivers and adult clients can enjoy the surrounding area, which boasts unique shops, cozy cafes, and access to the scenic Rail Trail.Whether strolling through the market, grabbing a coffee, or enjoying the peaceful trail, everyone can make the most of their visit. At Communicate to Connect, we provide a nurturing environment for all while offering convenience for caregivers and spouses.
At Communicate to Connect, our speech-language pathologists offer the flexibility of conducting sessions in a client’s home, providing a familiar and comfortable environment for learning and growth. Home-based sessions allow therapists to tailor strategies to the client’s everyday surroundings, enhancing the relevance and effectiveness of interventions. Clients feel more at ease in their own space, promoting engagement and reducing anxiety.Additionally, parents/caregivers and spouses can observe and participate, gaining valuable insights and techniques to support communication goals throughout daily routines. This personalized, immersive approach fosters consistency, collaboration, and lasting progress, making home-based therapy a powerful option for achieving speech and language milestones.
Conducting speech therapy in public spaces such as libraries, playgrounds, or community centers provides a dynamic and functional environment for enhancing communication skills.These settings naturally encourage interaction, helping clients practice real-world social scenarios and generalize skills in a variety of contexts. Public spaces offer opportunities to work on pragmatic language, social etiquette, and conversation in a meaningful way. They also create a less clinical, more engaging atmosphere, reducing anxiety for some clients.Additionally, these locations promote family and community involvement, fostering collaboration and support networks that reinforce therapy goals beyond the session.
Communicate to Connect’s speech-language pathologists provide the convenience of conducting therapy sessions in a student’s school or daycare. This setting allows therapy to integrate seamlessly into the student’s daily routine, minimizing transitions and maximizing their comfort in a familiar environment. School-based sessions foster collaboration with teachers and caregivers, ensuring a consistent approach to addressing communication goals.Students benefit from practicing skills in real-world social and academic contexts, enhancing generalization to peer interactions and classroom activities. Additionally, therapists can tailor strategies to the specific demands of the school environment, promoting success in both communication and learning outcomes for the student.
Virtual or remote speech therapy has expanded access to care for those in remote areas, untenable circumstances, or those who encounter barriers to attending in-person therapy.Families or spouses can also be included in the sessions, creating an opportunity for therapists to collaborate with them and offer in the moment guidance and examples. This gives clients a comprehensive system of support in the comfort of their own home.
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