Ear, Nose & Throat Pediatric ENT Disorders Types of Speech Therapy Different speech therapy approaches and techniques are used for various issues By Kristin Hayes, RN Kristin Hayes, RN Facebook Twitter Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children. Learn about our editorial process Updated on September 02, 2022 Medically reviewed by John Carew, MD Medically reviewed by John Carew, MD LinkedIn Twitter John Carew, MD, is board-certified in otolaryngology-head and neck surgery. He is an adjunct assistant professor at Mount Sinai Medical Center and NYU Medical Center. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents List of Types For Late Talkers For Apraxia For Stuttering For Aphasia For Swallowing Frequently Asked Questions Speech therapy is not one thing. There are different types of speech therapy, each of which involves approaches and techniques that are specific to the issue that needs addressing. That could be related to speech itself—e.g., therapy for people who stutter—or it could relate to problems with memory swallowing, and more. A speech-language pathologist (SLP), often just called a speech therapist, will perform assessments to determine which type(s) of speech therapy is right for you. This article reviews the different types of speech therapy and the various disorders each one can be used to treat. FatCamera / Getty Images What to Expect From Speech Therapy Types of Speech Therapy Used by Speech Therapists A speech-language pathologist can use different types of speech therapy to help people with problems related to: Fluency (e.g., stuttering, and cluttering)Speech (e.g., articulation)Language (e.g., ability; comprehension of spoken and written language)Cognition (e.g., attention, memory, ability to solve problems)Voice (e.g., characteristics of vocal tone)Swallowing (e.g., stroke, congenital disorders) In addition to different speech therapy techniques, SLPs may also provide auditory habilitation & auditory rehabilitation for people with hearing problems or disorders. Some SLPs specialize in other services including professional voice development, accent or dialect modification, transgender voice therapy, business communication modification, and voice hygiene. Speech Therapy for Late Talkers A common speech therapy method is used to help children who have reached the expected age for speech development but have not started talking. If your infant or toddler should be talking by now but isn't, they may be referred to a speech therapist. The therapist will likely try different things to encourage your child to talk, including playing with him. Sometimes, withholding a favorite toy until a child asks for it motivates small children to talk, but this depends on the circumstance. For some children, other types of communication, such as sign language or picture cards, might be introduced. Speech therapists may also refer your child for further evaluation, such as hearing tests if necessary. Types of Speech Therapy for Toddlers Speech Therapy for Kids With Apraxia Certain speech therapy techniques are helpful for kids with apraxia. Children with apraxia have difficulty saying certain syllables or making certain sounds. Your child knows what they want to say, but it doesn't seem to come out right. Speech therapists are qualified to evaluate children for apraxia by using several tests, including: Oral-motor assessment to check for muscle weakness in the jaw, lips, or tongue Melody of speech assessment during which the therapist listens to see if they can appropriately stress certain syllables and use pitch and pauses at the appropriate place in a sentence Speech sound assessment further determines how well the child can pronounce sounds, including vowels, consonants, and sound combinations. This includes determining how well others are able to understand the child's conversational speech If your child is diagnosed with apraxia, they will probably need speech therapy on a one-on-one basis several times per week. This therapy will likely consist of intensively practicing their speech. The therapist will try to help your child understand auditory feedback as well as visual or tactile cues. One way a therapist might do this is to have your child look at themselves in a mirror while speaking, or record them speaking and then playing it back. Many children enjoy this. Since successful treatment for apraxia involves a lot of time and commitment, your therapist may give you assignments to practice with your child at home. Types of Speech Therapy for Kids With Autism Speech Therapy for Stuttering Speech therapy techniques can be applied to help treat stuttering. Stuttering is a problem that typically develops during childhood but can develop during adulthood as well. Stuttering is usually considered a type of behavioral problem. Speech therapists will try to teach your child who stutters behavioral modification techniques that in turn may help control their stuttering. A common method that may be used on your child is to teach them to control the rate of speech since speaking too quickly can make stuttering worse for some people. Practicing speech in a slower, more fluent manner can be helpful. It can also be helpful to monitor breathing. Even after treatment, people who stutter may require follow-up sessions with their speech therapist to keep the problem from recurring. Speech Therapy to Improve Articulation When Speaking Speech Therapy for Aphasia Some speech therapy methods help people with aphasia. Speech therapy assessments can also help determine if someone has the condition. Aphasia is a condition that causes difficulty speaking as a result of some sort of damage to the brain. The condition can also consist of difficulty listening, reading, and writing. Aphasia happens to many adults after they have experienced a stroke. Speech therapists play a crucial role in diagnosing aphasia by evaluating an individual's ability to understand others, express themselves, and even swallow. There are many different things a speech therapist might do to help a person with aphasia, including: Drills to improve specific language skillsGroup therapy to improve conversational skillsGestures and writing to augment their communication skills Speech Therapy for MS Speech Problems Speech Therapy for Swallowing Difficulty Speech therapy techniques can also be used to help people who are not able to swallow when they eat or drink. Your child may experience difficulty swallowing for a variety of reasons. A speech therapist may help your child with swallowing difficulty by assisting them with exercises to make her mouth strong, increase tongue movement, and improve chewing. A speech therapist may also make recommendations about the consistency of food. For infants, a speech therapist may assist in coordinating her suck-swallow-breath pattern. As previously mentioned these are only some of the things that a speech therapist might do. There are many other conditions and methods used to evaluate those in need. Can Speech Therapy Help With Swallowing Problems? Summary There are different types of speech therapy that can be used to treat various disorders affecting speech, hearing, and swallowing. Children and adults with speech delays, apraxia, swallowing problems, and certain medical conditions may benefit from working with a speech therapist. Frequently Asked Questions What does a speech therapist do? A speech therapist evaluates, diagnoses, and treats speech issues and communication problems, as well as swallowing disorders. They provide various services, from teaching articulation and clear speaking to helping strengthen muscles used to talk and swallow. What are the four types of articulation disorders? The four types of articulation disorders are substitution, omission, distortion, and addition. Speech-language pathologists use the acronym SODA to remember them. Speech Therapy for Landau-Kleffner Syndrome 4 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Childhood Apraxia of Speech: Treatment. Asha.org. Chang S, Synnestvedt A, Ostuni J, Ludlow C. Similarities in speech and white matter characteristics in idiopathic developmental stuttering and adult-onset stuttering. J Neurolinguistics. 2010;23(5):455-469. doi:10.1016/j.jneuroling.2008.11.004 Stuttering. Asha.org. American Psychological Association. APA Dictionary of Psychology - Definition of Articulation Disorder. Additional Reading Scope of Practice in Speech-Language Pathology. American Speech-Language-Hearing Association website. Childhood Apraxia of Speech. American Speech-Language-Hearing Association website. Feeding and Swallowing Disorders (Dysphagia) in Children. American Speech-Language-Hearing Association website. By Kristin Hayes, RN Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit