Every VoiceDeserves to BeHeard Clearly.
Trained hands guide mouths, tongues, and breath into forming the words that have been locked inside — one phoneme at a time.
"Something feels off — but maybe I'm overreacting?"
You're not overreacting. Speech development follows a real timeline. Here's what to watch for at each stage — and when to trust that instinct.
- Fewer than 50 words by 24 months
- Not combining two words ("more milk", "daddy go")
- Hard to understand even for family members
- Loses words they once had
- Strangers understand less than 75% of speech
- Leaves off sounds at the beginning or end of words
- Stutters or repeats sounds frequently
- Avoids talking in new situations
- Reading aloud is labored or avoided
- Difficulty following multi-step directions
- Peers are harder to understand than adults
- Frustration or withdrawal during conversation
- Word-finding pauses mid-sentence
- Slurred or effortful speech
- Difficulty reading aloud or writing
- Avoiding phone calls, meetings, or social events
If you've replayed a recording of your child speaking more than ten times hoping to hear progress — that's not anxiety, that's data. A free screening takes 20 minutes and gives you a clear answer either way.
"What actually happens in an evaluation?"
A diagnostic evaluation is a 45-minute conversation, observation, and structured assessment. Here's the exact sequence, minute by minute.
Intake conversation
You describe what you've noticed. We listen without a checklist in hand. No judgment, no rushing.
Structured observation
For children: play-based tasks that look like games. For adults: natural conversation tasks like describing a picture.
Articulation & language sampling
We document specific sounds, patterns, and fluency markers — not to label, but to understand exactly where to focus.
Oral-motor examination
A brief look at tongue placement, lip strength, and breath support. This is where the "trained hands" part comes in.
Findings & next steps
You leave with a clear picture: what we found, what it means, and a specific recommendation — not a vague "let's wait and see."
Member ID, group number, and primary care provider name. That's all we need to verify your benefits before you arrive.
"Is it going to feel like homework or healing?"
Sessions are calibrated to the person in the chair — not a protocol. Here's what a typical week looks like for each age group.
Young children (2–5)
2× per week · 30 min- Play-based sound games with picture cards
- Mirror exercises for tongue placement
- Parent coaching for home practice (5 min/day)
School-age (6–12)
1× per week · 45 min- Articulation drills embedded in storytelling
- Fluency techniques for stuttering patterns
- Confidence-building conversation practice
Adults & stroke recovery
2–3× per week · 60 min- Word retrieval exercises starting from high-frequency words
- Breath support and voice projection techniques
- Real-world practice: ordering coffee, phone calls, meetings
"Who is actually in the room with us?"
Dr. Sofia Reyes
I started working with children because I was one who couldn't say the word "specific" until I was nine. I know what it feels like to have the thought ready and the sound wrong.
Today I work with toddlers, school-age children, and adults navigating stroke recovery or voice disorders. Every session is built around one question: what does this particular person need to feel confident speaking?
My son said his teacher's name clearly for the first time at his fifth birthday party. I had to leave the room to cry. Six months earlier he couldn't say the first sound.
I was avoiding ordering at restaurants because my speech after the stroke embarrassed me. Now I've been back to work for three months. Dr. Reyes never made me feel broken.
"What's the first step — and what does it cost me?"
The first step is a free 20-minute phone screening. No commitment, no paperwork yet — just a conversation to understand what you're seeing and whether evaluation makes sense.
Schedule a Free Screening
Three fields. We'll call or email within one business day to confirm a time.
The free screening includes:
- 20-minute phone or video call
- Review of your specific observations
- Honest opinion: evaluation needed or not
- Insurance pre-check if you want it
- No paperwork until you decide to proceed
A one-page checklist developed from ASHA developmental norms. Print it, check it, bring it to any appointment.