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

Vera B.
We are so happy with our experience receiving speech therapy services from Latitude Speech for our Russian-speaking 2 year old with a history of prematurity and significant speech delays. When we started working with Diana, our child was not talking at 2 years old, and by the time we completed weekly therapy a little over a year later, she was speaking in full sentences with a broad vocabulary. Diana’s approach is play-based and multi-modal, using spoken words, signs, and augmentative communication devices, focusing on specific sounds and words as well as language concepts, prioritizing the ability to communicate basic needs, and supporting and respecting our family’s bilingualism. She was actively involved in advocating for services and communicating with the public school system when our child was assessed for IEP services. We are so grateful for Diana’s expertise, thoughtfulness, creativity, commitment, patience, gentleness, and pure love for our child. It’s amazing to see our child come so far.
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