Evaluations, Consultations, and Direct Services for Articulation Difficulties

Children who have difficulty speaking clearly and using the sounds expected for their age may present with a Speech Sound Disorder (SSD)—the technical term used to describe a variety of articulation difficulties. Your child may struggle with one or two specific sounds (e.g., they may have a 'slushy' S) or with many different sounds (e.g., they may say 'tea' instead of 'key,' 'wain' instead of 'rain,' and 'sue' instead of 'shoe'). Sometimes, your child may be able to produce a sound when asked but has difficulty using that sound consistently in conversation (e.g., your child may be able to make an 's' sound but repeatedly says 'top' instead of 'stop' and 'cool' instead of 'school'). These challenges can make it hard for others to understand what your child is trying to say and can be frustrating for both you and your child. Fortunately, with the right support and practice, many children can improve their speech and learn to say words correctly.

What causes Speech Sound Disorders?

Speech Sound Disorders may be associated with hearing difficulties or a genetic condition, but most of the time, the cause is unknown. Contrary to popular belief, tongue-ties do not cause articulation difficulties for the vast majority of people. Articulation difficulties are more often related to how the brain processes speech sounds or how the child moves their tongue, lips, and mouth together, rather than the physical presence of a tongue tie.

When should I get help for my child?

For younger children, a general rule of thumb is that parents should understand most of what their child says by age 3, and other adults should understand by age 4. An evaluation is recommended if:

  • Close family members regularly have trouble understanding what your child says
  • You often serve as a “translator” for your child after age 3
  • You or your child become frustrated due to regular communication breakdowns

For older children, nearly all of the consonant sounds in English should be acquired by age 5 (Crowe & McLeod, 2020). If your school-age child continues to have difficulty speaking clearly or using sounds other than "TH," an evaluation is recommended.

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Other Services We Offer

Latitude offers evaluations, consultations, and direct services in English, Russian, and Spanish.

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Foundational Communication Skills (Ages 0-8)

Early childhood is a critical time in your child's development. Let's create a strong foundation together to help your child excel!

  • First words and more words
  • Play development
  • Following directions
  • Using sentences
  • Communicating through sign-language and technology
  • Building confidence
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Articulation Difficulties

Whether you have a young child or a teenager, it is never too late to get help with articulation! Many of our clients find us after years of ineffective therapy and are finally able to graduate from Speech.
  • Errors on many speech sounds
  • Errors on select sounds, such as "S", "SH", and "R"
  • Speaking clearly & being understood
  • Building confidence

Learn More About Speech Sound Production

Flexible Speech Therapy Solutions

With our innovative and evidenced-based methods, we strive to provide you with the highest quality personalized care that you deserve. We offer a combination of flexible options to fit your family’s busy schedule.

In Home Speech Services

Currently available for those located in the North Shore of Massachusetts:
Mobile speech therapy services conveniently provided in home, daycare, or school settings. This approach works best for direct therapy with toddlers and preschoolers, and older clients who need hands on help with placement for speech production
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Hybrid Speech Therapy Services

The perfect mix for geographically distant clients who prefer online services and benefit from in-person check-ins.

A hybrid approach is recommended for clients who generally do well with online therapy but need periodic hands-on guidance for articulatory placement.

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What Our Clients are Saying

Eva M.
Latitude Speech Therapy has been such a wonderful fit for my ten year old daughter. Dianna Brenner-Miller has truly transformed the way my daughter views her articulation disorder. Dianna’s warmth, enthusiasm, encouragement and creative approach has given her the tools to believe in herself and has given her newfound confidence and strengthened her overall self-esteem. My husband and I are amazed by all of her progress over the past 6 months of working with Diana and have certainly recognized significant improvements in her speech. Diana gives wonderful feedback and communication and she is always flexible and understanding. We feel so fortunate that our paths have crossed and look forward to seeing our daughters continued growth and progress with Diana!
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JD B.
Simply stated, you will be hard-pressed to find another speech therapist with more knowledge, patience, compassion, empathy and respect for both you and your child. Our 12-year old son has been receiving speech therapy since the age of 2. We found Diana after an exhaustive search because we knew our son was not progressing in a timely fashion with his old speech therapist. In just six months she has brought out a new side of him. Diana works hard, going above and beyond to find ways to have him engage in the sessions and to connect with her instructions. He is much more confident, and his "R" sound is really coming together. Progress is Power and Diana Rocks! You will be so happy you read this review and then chose to work with her.
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Steve A.
Diana is a superb multi-lingual speech pathologist and consummate professional who has provided speech therapy in Russian to our son since he was a young toddler diagnosed with a speech disability. Diana is extremely bright, knowledgeable, up to date with current bilingual and other research studies, and Diana is very talented, insightful and caring. During Covid and when we are out of state, Diana offers remote sessions, she is able to keep our son engaged and focused despite his attention deficits and impulsivity, she provides play-homework that is specific for his needs and development, and Diana is very accommodating when we have schedule conflicts. Diana also has been very responsive and a great support and advocate to help our son qualify for IEP and other school programs, and her services have been invaluable to help prepare our son for his very successful Kindergarten experience. We cannot recommend Diana highly enough, and we feel blessed and very fortunate that we found Diana to help enrich our son’s life and empower his critical early development, and for his continuing successful development in the coming years.
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