Private Speech and Language Therapy at Home
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Book group and clinical sessions!
Who We Are
Speech and Language Professionals
Ashley M. Pagelow MA CCC-SLP provides state-of-the-art diagnostic and speech-language services where each child’s individual differences-their unique gifts and challenges, are taken into account so the child makes the best progress possible. Ashley specializes in working with children from birth through adolescence. Ashley has expertise in providing therapy to children with a wide range of developmental delays including expressive and receptive language delays/disorders as well as autism spectrum disorders, articulation, apraxia, oral motor, myofunctional speech disorders, auditory processing delays, sensory processing disorders, cerebral palsy, learning disabilities, attention deficit/hyperactivity, cognitive delays and dysfluencies.
Expert Therapy
Specialties:
Trained in: -PROMPT -DTTC-Beckman Oral-Motor Program -Visualize and Verbalize -Floortime/DIR model -Horn and Bubble Programs -Myofunctional Speech Disorders-Augmentative and Alternative Communication Systems -Vital Links Therapeutic Listening -Sensory Integration -The Affective-Based Language Curriculum
Services
Comprehensive speech and language evaluations
Individual speech and language therapy
Group speech and language therapy when applicable
School consultations
Speech and language screenings
Does My Child Need Therapy?
Every child develops differently and at different rates. However, there are some very important skills that need to be developed in order for the child to grow and thrive as he/she continues to develop. These foundational skills are crucial for speech and language development and if not observed by certain ages we see this as a red flag that may indicate your child should be evaluated by a speech-language pathologist or a related specialist (early interventionist, psychologist, etc).
•Under 18 months
▫No big smiles or other warm, joyful expressions by 6 months
▫No back-and-forth sharing of sounds, smiles, or other facial expressions by 9 months or thereafter
▫No babbling by 12 months
▫Does not respond to his/her name by 12 months
▫No sharing/reciprocal interactions like pointing, sharing, reaching or waving by 12 months
▫No pointing at objects of interest by 14 months (pointing at a car driving by)
▫Does not understand simple common words like mama or milk
▫Is not using any words by 16 months
▫Does not imitate gross motor movements like clapping or stomping feet
•By 18 Months
▫Does not use at least 8-10 meaningful words
▫Does not follow simple commands like “come here” “stop” “don’t” “give me the __________” or “touch your nose”
▫Does not follow your pointing with his gaze
▫Is not playing “pretend” with items (talking on toy phone, feeding a doll)
▫Does not play in proximity to other children
•By Age Two
▫No two-word meaningful phrases (without imitating or repeating) by 24 months
▫Does not follow simple two step commands such as “Get the ball and put it on the table”
▫Speech is not at least 50% understandable
▫Cannot point to pictures of items in books when asked
•By Three Years
▫Is not using three and four word sentences
▫Speech is not at least 75% or more understandable
▫Child is leaving the beginnings or ends off of most words
▫Cannot accurately answer yes/no questions
▫Cannot answer simple “wh” questions like “who is that” or “where is the truck”
▫Does not play with other children
▫Is experiencing stuttering behavior for more than 6 months
•By Four to Five Years
▫Is not 90-100% understandable to strangers despite age appropriate articulation errors (may not be able to say /r, sh, ch, l, or th yet)
▫Is not consistently using 4+ word, complex sentences
▫Is not asking a variety of questions to gain information (who, what, where, why and when)
▫Is having difficulty with grammar or pronoun use
▫Cannot tell a simple story on topic
▫Cannot follow simple two step directions
▫Has difficulty answering simple who, what, where and why questions
▫Is not yet able to name a few letters, numbers, and rhyming words
•Overall Warning Signs
▫ANY loss of speech or babbling or social skills at ANY age
▫Never gestures or imitates
▫Does not appear to understand speech, or appears to be unable to hear
▫Never develops words beyond repeating others over and over
Professional Affiliation
