© 2019 by Risa Itani, MS CCC-SLP, LLC. 

      Child and Adolescent Services Provided

      Speech Disorders

      Do you find it difficult to understand the words your child is saying?  Children who have problems with how they say their words may have an Articulation Disorder or Phonological Disorderwhich affect the consonant and vowel sounds a child uses in his or her speech (e.g. they might say "wight" for "light," or "ca" for "car"). Another speech disorder called Apraxia also impacts speech sound production, but is considered a motor speech disorder as it largely affects muscle movement and coordination. Errors in Apraxic speech may frequently change, and distortions of sounds are common. Working directly with a Speech-Language Pathologist (SLP) and completing home programming can help your child communicate more effectively.

      Stuttering and Cluttering 

      Problems with fluency may be a result of Stuttering or Cluttering disorders. These disorders affect the overall flow and "smoothness" of speech. A child who stutters may repeat sounds at the beginning of words, or appear to get "stuck" getting a word out. They may also demonstrate avoidance and other secondary behaviors to avoid stuttering. A child who clutters may speak very quickly, making speech difficult for others to understand. Research shows that stuttering symptoms can be improved and/or managed with speech therapy.

      Language Disorders

      Do you find it difficult to understand the meaning of what your child is saying? Does he or she have a hard time putting sentences together or following directions? If your child has a language disorder, he or she may have difficulty expressing or understanding words. A child with Expressive Language Disorder may not know what words to use, or might put them in the wrong order. A child with Mixed Receptive-Expressive Language Disorder typically struggles both with expressing themselves and with understanding spoken language. Speech therapy will target your child's specific needs in these areas.

      Selective Mutism

      You may have noticed that your child speaks to people in the home, but doesn't talk to others in public or at school. Maybe your child will talk to you at home, but is silent around visitors who do not live in the household. These are just a few examples of what Selective Mutism may look like. Selective Mutism (SM) is a communication disorder that affects an individual's ability to talk in certain social situations. An SLP can work with you and your child to gradually increase comfort in talking with others and provide your family with the tools you need to improve communication.


      If you do not see the service you are looking for on this page, visit the Contact page to send an email. Risa may still be able to work with your child, or will refer you to an appropriate specialist as needed.