Pediatric
Articulation & Speech Sound Therapy
When a child's speech is hard to understand, it affects confidence, friendships, and learning. We provide evidence-based, child-centered therapy designed to target all speech sound disorders with measurable results.
Every child develops speech sounds at their own pace — but some sounds take longer to master, and some children need direct support to produce them clearly. When intelligibility is a concern, early evaluation and therapy can prevent frustration, social withdrawal, and academic impact.
We treat the full range of speech sound disorders, including:
- Articulation errors — /th/, /ch/, /sh/, /j/, /r/ distortion, /l/
- Phonological patterns — consistent substitutions or omissions
- Childhood apraxia of speech (CAS) — motor planning for speech
- Tongue thrust — forward tongue posture affecting speech and dentition
PROMPT is one of several tools — not a default. We pair it with traditional auditory and visual cueing and individualized home practice.
The PROMPT approach
Chelsea is trained in PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) — a hands-on, tactile-kinesthetic approach that uses gentle touch cues on the face to help children feel how sounds are made. For many children, especially those with childhood apraxia of speech or persistent articulation errors, PROMPT can accelerate progress significantly. To maximize these results, Chelsea provides specialized training for clinical staff and parents so these cues can be used consistently across therapy sessions and daily routines at home.
How long will therapy take?
A common milestone parents can expect: sounds addressed in therapy generalize to conversation over weeks of daily home practice — not after a single session.
It depends on the number and type of sounds targeted, the child's age, and how consistently home practice is completed. Some children graduate in a few months; others need longer. We'll give you a realistic estimate after the evaluation and update you regularly on progress.
An evaluation tells us which sounds to target first.
We identify which sounds are in error, which patterns are present, and which are developmentally appropriate to work on — then build therapy around your child's interests.
- Consultation — by phone
- Play-based sessions — materials built around your child
- Home practice — carryover into daily conversation
Signs Articulation and Speech Sound Disorders therapy may help
- Family members frequently ask the child to repeat themselves
- Strangers have trouble understanding your child
- Specific sounds are consistently misproduced (e.g., wabbit for rabbit)
- Persistent articulation errors or reduced intelligibility
- Frustration when not understood
- A pediatrician or teacher has suggested an evaluation
How ReImagine treats articulation and speech sound disorders
After a comprehensive speech sound evaluation, we identify which sounds are in error, which patterns are present, and which sounds are developmentally appropriate to target. Therapy uses evidence-based approaches with materials built around the child's interests. Parents receive home practice activities so progress carries over into daily conversation.