Below are some common questions according to aomt.com and asha.com. Please reach us at info@myofunctionalspot.com if you cannot find an answer to your question.
Orofacial Myofunctional Therapy is neurological re-education exercises to assist the normalization of the developing, or developed, craniofacial structures and function.It is related to the study, research, prevention, evaluation, diagnosis and treatment of functional and structural alterations in the region of the mouth (oro), face (facial) and regions of the neck (oropharyngeal area).
In the United States, Licensed Speech Pathologists take a leading role where in other countries another profession such as physical therapy or dental hygiene may have a more prominent role. It’s a truly interdisciplinary therapy, with several professions contributing, each according to their own scope of practice. It is incumbent upon the professional to complete additional training in Orofacial Myofunctional Therapy and to abide to local laws in the country in which they reside.
Myofunctional Spot is a small, boutique clinic that focuses on a holistic approach and addresses the root cause of oral dysfunction, improving wellness and preventing further dysfunction. We invest so much into the individuals and families that we treat and they become like family to us. We limit the number of clients that we enroll in therapy so that we can focus 100% of our time and energy into each specific case. We know that choosing a provider and pursuing therapy is a big decision and we are here to help you every step of the way. By collaborating with a network of highly skilled providers, we are dedicated to providing you and your family with the highest level of care.
As Licensed Speech Pathologists (SLPs), who specialize in Myofunctional Disorders and Orofacial Myology, we know that our rates are higher than non-SLP providers. In this highly specialized area within the field of Speech Pathology, you truly get what you pay for and choosing the right clinician to guide you through the process is the most important decision that you will make. There is a ton of misinformation out there regarding OMD's and Myofunctional Therapy and there are many unlicensed and unqualified providers who offer "myofunctional services" after taking a week long "certification course". These non-SLP providers are not licensed or qualified to address the full scope of clinical concerns that must be factored into any Orofacial Myofunctional Treatment Plan.
Speech pathologists collaborate seamlessly with other healthcare professionals, creating an integrated and multidisciplinary approach to patient care. This collaboration enhances the effectiveness of orofacial myofunctional therapy, especially when addressing complex cases that may involve various aspects of oral and facial function, swallowing, feeding, and speech.
Speech pathologists (SLPs) are highly trained professionals with a deep understanding of oral and facial muscle function. Their specialized knowledge allows them to assess and address a wide range of issues related to speech, swallowing, and oral function. Most SLPs are NOT specialized in OMDs - do your research and find the few that have chosen to dedicate their careers to the field of Orofacial Myofunctional Disorders.
Speech Pathologists undergo extensive education and training, and are required to hold and maintain a minimum of a Master's Degree in the field. They are also required to acquire continuing education in order to maintain and hold state licensure in every state that they practice in. This educational foundation ensures that they are well-versed in the latest research, techniques, and evidence-based practices related to Myofunctional Therapy.
The field of speech pathology is dynamic, with ongoing research and advancements. In order to maintain their professional licensing and credentials, Speech Pathologists must engage in continual professional development to stay abreast of the latest developments/research, ensuring that patients receive the most current and effective myofunctional therapy interventions. When it comes to optimizing oral function and addressing Myofunctional Disorders, choosing the right Speech Pathologist ensures a level of expertise, comprehensive care, and patient-centered focus that is unparalleled. Myofunctional Therapy is truly an investment in your health, it critical to invest your time and money wisely.
All Myofunctional Spot clinicians are ASHA Certified and Licensed Speech Language Pathologist, but we are mothers first and foremost. Having children who have been on the Tongue Tie/Frenectomy/Myofunctional Therapy journey we understand the financial investment and commitment required for this type of specialized treatment. We have also experienced first hand how life changing Myofunctional Therapy can be and we want everyone to have access to it.
In an effort to meet the needs of our valued clients, we offer many different Packages and Payment Plans so that your main focus can be on treatment goals.
The main problems related to OMDs are alterations in breathing, sucking, chewing, swallowing and speech, as well the position of the lips, tongue (including what is known as oral rest posture), and cheeks. There are numerous presentations of OMDs that range across a person's lifespan. Many of the symptoms of OMDs are extremely "common", but that doesn't make them normal or something to accept. When it comes to your health, and the health of those closest to you, you should not simply be surviving....you should be thriving.
Difficulties of sucking in infants may occur due to: lack of sucking reflexes which decrease the suction force, frenulum restriction, lack of coordination between the actions of sucking, swallowing and breathing; improper positioning of the mother and /or the baby; absence of sealing (closing) of the lips around the breast nipple, and inadequate movement of tongue and jaw during breast feeding. Some infants have oral restrictions (tongue, lip or cheek ties) that inhibit proper movement, range of motion and function, affecting their ability to maintain a deep latch and breastfeed efficiently.
Feeding a child stimulates the orofacial muscles and this promotes the growth of the face. In the same way, proper suction and chewing prevents dental alterations and difficulties when structures such as the lips and tongue are moving. This is fundamental in the production of speech sounds.
The preference for soft foods may be related to the reduction of the strength of the muscles of mastication (chewing) and also because of enlarged tonsils. Some children prefer foods with such consistency, as they would not need to chew much or at all. Feeding early on with different consistencies may stimulate the strength of the orofacial muscles and enhance harmonious development of the face.
A lisp is a distortion of speech, characterized by placing the tongue between the front teeth during the production of the sounds /s/ and /z/. Other speech sounds are also dentalized such as /t/, /d/ and /n/. Oftentimes children (and adults) who have a lisp, also have a Tongue Thrust (or reverse swallow) that can cause an anterior open bite malocclusion. These are all signs of an Orofacial Myofunctional Disorder and should be further assessed.
An open bite corresponds to a problem of occlusion caused by multiple factors. Harmful habits (such as finger sucking or pacifier use) as well as the presence of functional disorders (such as mouth breathing and improper position of the tongue during swallowing and /or speech, tongue thrust/reverse swallow).
Orthodontic and Orofacial Myofunctional Therapy can be closely related with each directly impacting the other. Each case must be analyzed and discussed by the professionals involved. Treatment may be indicated before, during, and or after orthodontics.
Orofacial Myofunctional Therapy specialists promote a balance of the muscle and orofacial functions, improving the oral rest posture of the tongue and thus the stability of these cases treated by orthodontists by helping diminish orthodontic relapse after the removal of braces. If there are OMD's affecting the lingual rest posture, and it is affecting facial or dental structures, it is always important to work on muscle function before proceeding with Orthodontry. If you attempt to correct occlusion without addressing the lingual functional concern, you will likely experience Orthodontic Relapse.
Obstructive Sleep Apnea Syndrome is defined as an obstruction of the airflow channel during sleep.
Individuals who snore and present with Obstructive Sleep Apnea should be treated by a multidisciplinary team including a sleep specialist. In this team, the Speech Pathologist/Orofacial Myofunctional Specialist may help by directing and performing specific exercises to strengthen the muscles of the mouth and throat and exercises that may help, if indicated, in improving oral rest posture.
The most common causes of mouth breathing are: allergic rhinitis, sinusitis, bronchitis, enlarged adenoids; enlarged tonsils; weakness or low tone of facial muscles that may lead to open mouth rest posture, habits such as thumb sucking, tumors in the region of the nose, enlarged turbinates, and nose fractures, amongst others..
Mouth breathing leads to chewing food with lips apart, which becomes faster, noisier and less efficient than with lips closed. This can lead to greater digestive problems and potential for choking due to the poor coordination between breathing, chewing, and an increase in the swallowing of air. It’s hard to breathe through the mouth when the mouth is full, thus an individual will need to choose whether to chew or to breathe. In the process of swallowing, one may also notice changes such as: anterior projection of the tongue, aerophagia, excessive noise, contraction of muscles that wrap around the mouth and movements of the head. There may also be excessive production of saliva, inability to manage oral secretions and an anterior lisp: which is a distortion of speech characterized by placing the tongue between the front teeth during sound production of /s/ and /z/.
Tongue-tie is a popular term used to characterize a common condition that often goes undetected. Everyone has lingual freums, however some remain very thick and short, restricting proper movement of the tongue for sufficient feeding. When an infant is born with tongue-tie, it is important to research other family members, since this often has a genetic influence.
A Speech Pathologist who specializes in Orofacial Myofunctional Therapy should be well suited to identify red flags warranting further assessment for a tongue tie. Assessing for tongue tie is not as simple as "looking" inside a persons mouth or visualization of a frenum. In order to properly assess for oral restrictions, a provider must put on gloves and know how to manually manipulate the oral musculature to assess for function. Dentists and ENT's who specialize in tongue tie often make the formal diagnosis. However, most Dentists, ENTs and Pediatricians are not trained or skilled in assessing for tongue tie. It is so important to have your SLP connect you with a tongue tie "savvy" provider for proper assessment and remediation. In the case of infants, a speech therapist may also be involved in helping to identify an functional oral restriction. Unfortunately, many patients are often misguided when seeking assessment and oral restrictions remain unidentified.
When the tongue cannot perform all the necessary movements and thus jeopardizes the way of sucking, swallowing, chewing or talking, a small surgery or frenectomy in the tongue is indicated. It is a simple and safe procedure, typically done without anesthesia, only topical numbing agents.
In infants, surgery is usually indicated when the lingual frenulum restricts the tongue’s movement and compromises breastfeeding. In older children and adults, the indication is made when the tongue is visibly restricted, is unable to adequately reach the palate, or when possible distortions in speech are caused by limitation of the elevation of the tongue tip (especially in producing the sound of the “L” and “R”) that could not be corrected in speech therapy. A speech therapist or lactation consultant may also be indicated for consultation.
Many people with tongue-tie suffer the consequences without knowing the cause. There are infants who have changes in the feeding cycle, causing stress for the infant and for the mother; there are also children with difficulties in chewing, children and adults with speech problems affecting communication, social relationships and professional development. With the chronic oral rest posture of the tongue in the floor of the mouth, many Orofacial Myofunctional Disorders (OMDs) may result such as migraines or disordered sleep and breathing.
There can be numerous causes for orofacial myofunctional disorder. Usually theres a combination of factors that may include:
Orofacial Myofunctional Therapy has helped thousands of individuals, in dozens of countries, for over 30 years. There are many factors that contribute to the success of the therapy program. It is truly a team effort. Effective communication and cooperation between therapist and the dental and medical communities is essential. In addition, successful orofacial myofunctional therapy depends on the patient's comittment, dedicated cooperation and self-discipline to follow-through with therapy assignments. Parental involvement and encouragement are also important and necessary for children undergoing therapy to ensure optimum results.
My services incorporate Speech, Feeding and Myofunctional Therapy in people of all ages ranging from birth to adults along with patient and parent coaching/education.
MYOFUNCTIONAL THERAPY (ages 5+)
TINY MYO EARLY INTERVENTION (ages 1-5+)
INFANT FEEDING/LACTATION SERVICES (birth - 12 mos)
FLUENCY/STUTTERING THERAPY (ages 3 - adults)
VOICE THERAPY (ages 8 - adults))
We offer 1-1 coaching sessions for parents or caregivers who are seeking professional advice, support, and resources related to myofunctional, oral motor, feeding, breathing, language, and speech development. For these educational sessions, a full evaluation is not required.
SELF PACED "MYO TO GO" & "TINY MYO TO GO" PROGRAMS
For the busy professional and families who want to begin working on their myofunctional skills but aren't ready to commit to the weekly sessions, we offer Self-Paced Versions of TINY MYO TO GO (ages 1-5+) & MYO TO GO (ages 6-adult) for home based guidance. Contact me for more information
Yes, we absolutely do. We provide Telehealth services to clients in Florida and California. At Myofunctional Spot, all Assessment & Treatment sessions are held conveniently via Teletherapy sessions. We are able to group teleconference with your physicians as well. When working with clients outside of our licensing areas, the sessions are provided on a consultative/coaching basis and are not eligible for reimbursement.
One of the many benefits to Teletherapy is the ability to schedule sessions outside of regular working hours, even on weekends. In working with many busy professionals and families, the flexibility of Teletherapy has proven to be a key element in consistency and better outcomes for our clients of all ages.
Each week we serve many clients via telehealth and are successful in achieving our therapy goals in person or online. While we mostly see infants and babies in the office, all of our Assessment and Therapy services are offered 100% live via telehealth through our HIPAA compliant platform. Sometimes, we do a hybrid program and combine both types of sessions throughout the therapy process. For our local clients, we do offer In-Person Assessments in our Wellness Clinic which is located in Cooper City/Davie area.
Scheduling is based on my availability, and is considered on a case by case basis.
We also offer In-Person Evaluations/Assessments in person upon request. Our Clinic is located in Plantation/Davie. We also offer In Home Assessment and Therapy for local clients ages 4 and under.
Scheduling is based on my availability, and is considered on a case by case basis.
Children of all ages can greatly benefit from Myofunctional Therapy. Depending on the age of the client, the approach is often different. For babies under the age of one, the focus is typically on Lactation/Bottle Feeding, along with introducing solids.
For toddlers and small children between the ages of 1-5+, the focus of Myofunctional Therapy is primarily focused on eliminating parafunctional habits like thumb sucking, strengthening the oral muscles, improving range of motion to improve speech sound production and laying the foundations for proper oral posture, nasal breathing, jaw development etc.
Our “Tiny Myo” Program for kiddos ages 1 to 5+ typically begins with 12 sessions, but more sessions may be needed. This program is wonderful for bringing awareness to Speech and Oral Motor Development, Feeding Development and all Myofunctional concerns. Providing parents with the tools and strategies to continue working on therapy goals even after the sessions are complete. This program will address all concerns identified during the myofunctional assessment.
The earlier myofunctional intervention begins, the BETTER! Even siblings can join in!
A thorough assessment is required in order to:
The fee for a Myofunctional Assessment for ages 5+ is $595 and includes a Comprehensive Evaluation Report which is formal detailed narrative report including clinical impressions, recommendations, prognosis, additional referrals, therapeutic goals and much more.
The fee for a Tiny Myo Assessment for ages 1-4+ is $450 and includes a Comprehensive Evaluation Report which is formal detailed narrative report including clinical impressions, recommendations, prognosis, additional referrals, therapeutic goals and much more.
Please visit our Assessment page for additional assessment options.
**An assessment is not required for Private Coaching Sessions.
All Myofunctional Spot clinicians are Licensed Speech Pathologists who specialize in Myofunctional Therapy, Feeding and Tongue Tie. My partner and I have a combined 40+ years of clinical experience. To learn more about me click here.
We offer all services in our Clinic which is located in South Florida. We also offer In Home services for children under the age of 4, who live locally in Broward County.
No need to leave the comfort of your own home! At Myofunctional Spot, we also offer a Telehealth Service Delivery Model to provide virtual Myofunctional Therapy to patients of all ages. All sessions are done via Teletherapy using Simple Practice (HIPAA Compliant Medical Service Delivery Platform).
Telehealth is a highly effective, convenient way of accessing services regardless of where a patient is located. Our therapists have the experience and creativity necessary to make sure virtual sessions are just as engaging and effective as those done in person!
Our Telehealth Service Delivery Model targets a wide range of skills, including but not limited to.....
Telehealth sessions also allow us to get a better sense of your child’s home environment and provide recommendations for exercises and equipment that can be easily used at home to help your child meet their therapeutic goals.
In addition to providing one-on-one services with parents and/or directly with little ones, we also offer training sessions with nannies and other caretakers to provide your child with the most comprehensive care possible.
Please be advised: due to licensing restrictions, any Telehealth sessions with participants outside of the state of Florida or California are considered parent coaching and therefore not eligible for insurance reimbursement.
LET US MEET YOU AND YOUR CHILD EXACTLY WHERE YOU ARE!
Entering into a Myofunctional Therapy Program is not to be taken lightly and no treatment plan is identical.. Length of treatment is determined on a case by case basis. Orofacial myofunctional disorders can be caused by various structural, functional or habitual reasons. Habitual causes are easier and quicker to resolve (such as eliminating oral habits) than those that also have a structural component or that have developed into functional eating/swallowing/breathing disorders (such as oral restrictions/tongue tie, reverse swallow or sleep apnea).
Orofacial myofunctional treatment does not offer a quick fix, however with consistency and dedication, it can be highly effective at normalizing orofacial dysfunction and the results can absolutely be life changing. The best results are obtained when the exercises are done daily. Therapy generally lasts between 3 and 9+ months, depending on each case. The program can be modified to fit your schedule. Appointments range from weekly to monthly.
MYOFUNCTIONAL TREATMENT typically consists of THREE Phases of Treatment. Everyone progresses through the phases at different rates. There are numerous factors that determine each individual's length of treatment, thus determining the overall cost. Several factors are in your control such as compliance and consistency in the program. Other factors are out of our control such as the severity of your overall dysfunction and the responsiveness of your orofacial muscles, a person's cognition, structural issues to address during therapy and more.
Phase 1 consists strengthening and developing new muscle movements. Frenectomy Procedures occur during Phase 1 if warranted. Phase 1 typically lasts 4-6 weeks and consists of weekly therapy sessions.
Phase 2 is all about achieving Neuroplasticity - this is the most Intensive Phase and can take 8-12+ sessions to achieve and consists of weekly therapy sessions. Some patients can work through Phase 2 quicker than others.
Phase 3 involves Generalization, Habituation and Retention of all muscle patterns. It can take 2-6+ months, but therapy is at a reduced frequency ("check in" visits about every 4-6 weeks).
This type of therapy requires you to show up every day and do your best, otherwise you will not get your money's worth and your symptoms or conditions will likely recur. You must be actively ready to begin the change in yourself or your child. This is a health and lifestyle choice because you will be doing exercises everyday, and bringing new awareness to dysfunctional oral patterns that you have had your entire life. The most important changes are the changes that happen at home in between sessions and it is my goal to support you in incorporating gradual changes and using research-based techniques to help you and your child reach your goals.
I will be in your life for an intensive bit and will show you how to sustain everything you will learn so you can thrive long after your Myofunctional Therapy is complete. Lastly, parents of younger children are my copilot and MUST learn and practice the exercises on themselves and on their children in order to lead their child through incorporating the Home Program part of the treatment plan for optimal results.
It depends on how many Orofacial Myofunctional Disorders (OMDs) the patient presents with and the severity of symptoms and needs. Treatment sessions are offered in the form of weekly sessions and we do offer discounted session packages. Please read about our Treatment Programs for more info. All Myofunctional Therapy Programs begin with an Initial Assessment, and consist of three Phases of Treatment. Everyone progresses through these phases at different rates. For Pre and Post Frenectomy, a minimum of 12 sessions is always recommended, regardless of age.
Orofacial Myofunctional Therapy (OMT) is a specialized form of therapy that focuses on correcting improper oral muscle movements and postures to improve overall oral and facial function. At the core of this therapy is the concept of Neuroplasticity, which refers to the brain's ability to adapt and form new neural connections throughout life. Through consistent and repetitive practice, the brain can learn new habits and behaviors, including improved oral motor control, mouth posture, swallow patterns, and breathing patterns.
MYOFUNCTIONAL TREATMENT typically consists of THREE Phases of Treatment. Everyone progresses through the phases at different rates. There are numerous factors that determine each individual's length of treatment, thus determining the overall cost. Several factors are in your control such as compliance and consistency in the program. Other factors are out of our control such as the severity of your overall dysfunction and the responsiveness of your orofacial muscles, a person's cognition, structural issues to address during therapy and more.
Phase 1 consists strengthening and developing new muscle movements. Frenectomy Procedures occur during Phase 1 if warranted. Phase 1 typically lasts 4-6 weeks and consists of weekly therapy sessions.
Phase 2 is all about achieving Neuroplasticity - this is the most Intensive Phase and can take 8-12+ sessions to achieve and consists of weekly therapy sessions. Some patients can work through Phase 2 quicker than others.
Phase 3 involves Generalization, Habituation and Retention of all muscle patterns. It can take 2-6+ months, but therapy is at a reduced frequency ("check in" visits about every 4-6 weeks).
Myofunctional Therapy Appointments are 30 minutes weekly, and each client works through the three phases depending on one's needs and rate of progress.
Treatment Sessions are typically $225/session and length of total treatment can range from 1-6+ months depending on a variety of factors such as age and severity. Pre-purchasing a discounted therapy package can reduce the session rate to $150-200/session, depending on the package. Increased compliance in the program correlates with less overall length of treatment. Once I have assessed your imaging and baseline orofacial function, I will provide you with the approximate length of recommended treatment and why Myofunctional Therapy is needed in your case.
Following the Assessment, you will receive a Comprehensive Evaluation Report (optional cost) containing my clinical impressions, treatment plan recommendations, program cost, suggested referrals, along with educational resources and recommended reading. You will walk away with a wealth of knowledge, feeling more empowered
Therapy typically begins one week after the assessment, to allow me time to develop your Individual Treatment Plan and mail you your comprehensive Myofunctional Toolkit containing all of the therapeutic tools that I feel will be helpful in achieving your clinical goals. We do offer alternative payment plans and Interest Free Financing through Care Credit, please contact me for more information.
The field is growing rapidly, but insurance in general has not caught up. In most cases, it is an out-of pocket expense and for this reason, I do not accept insurance and I am considered an "out of network fee for service" provider. I also do offer Interest Free Financing with Care Credit and I have received payment from HSA (Health Savings) Accounts. With that in mind, we have implemented a variety of ways to help you fit it into your budget (see above), so you or your loved one can get the treatment needed.
Most Orofacial Myofunctional Therapists are not in network with any insurance company largely because Myofunctional Therapy it is an emerging field and most insurance companies are not aware of it. Working with a Licensed Speech Pathologist who specializes in Myofunctional Therapy may increase your likelihood of getting reimbursed as SLP’s are the only licensed providers in the US who have Myofunctional Therapy in our scope of practice. Speech Therapists are also able to work on things such as Articulation, Oral Motor, Feeding & Swallowing as part of our treatment. Other non-SLP providers are able to offer myofunctional treatment, however they will notbe able to treat those things.
I recommend that you speak with your insurer to get clarity on what they will cover. Please note that Myofunctional Therapy is billed UNDER MEDICAL, NOT DENTAL Insurance.
Due to time constraints I do not communicate directly with any Insurance companies, however as a courtesy I can provide you with a Superbill upon request which might help you get reimbursed. This is done once one is an active patient in treatment with me and has completed a treatment plan phase. If you are seeing other doctors for additional conditions, receiving an official diagnosis for anything that relates to the orofacial or pharyngeal muscles (Sleep Apnea, TMJD, Dysphagia, Ankyloglossia (tongue tie), Asthma, Tonsillitis, Rhinitis, Bell's Palsy etc) may help prove medical need for Myofunctional Therapy and increase your chances of reimbursement.
Clients receiving consultative services (such as Tiny Myo) or parent coaching, will not receive a superbill and are not eligible for reimbursement, however we can provide superbills to all other clients upon request. Due to licensing, clients receiving services outside of Florida or California, will be considered consultation/coaching and therefore not eligible for superbills.
Since my practice is privately-owned and does not accept insurance, I am able to treat children with or without a medical diagnosis.
Yes! If you and your child are undergoing Frenectomy together, you will receive a discount. We treat various combinations of families together. Treating families together is very successful (and fun!). For small children, parents are my co-pilots in helping to learn and implement the treatment strategies! Treatment approach, exercises and therapeutic tools utilized vary greatly depending on the age of the patient.
We understand that you may have more than one child or family member who can benefit from Myofunctional Therapy. Many of the underlying contributing factors (such as a tongue tie) tend to run in families. This is why we offer small group family sessions!
Combined therapy sessions will be 45-60+ minutes in length depending on how many additional siblings/family members are added.
Please note that a 3.5% processing fee will be added to each transaction.
FAMILY GROUP THEAPY DISCOUNT
Replacement/Lost/Additional Myofunctional Toolkits - $400
Yes, we are Speech Pathologist Clinicians, but we are mothers first and foremost. Having children who have been on the Tongue Tie/Frenectomy/Myofunctional Therapy journey we understand the financial investment and commitment required for this type of specialized treatment. We have also experienced first hand how life changing Myofunctional Therapy can be and we want everyone to have access to it.
As Licensed Speech Pathologists, who specialize in Myofunctional Disorders, we know that our rates are higher than non-SLP providers. In this highly specialized area within the field of Speech Pathology, you truly get what you pay for and choosing the right clinician to guide you through the process is the most important decision that you will make.
Myofunctional Spot is a small, boutique, concierge clinic that focuses on a holistic approach. We invest so much into the indivduals and families that we treat and they become like family to us. We only accept a small number of clients each quarter so that we can focus 100% of our time and energy into each specific case. We know that choosing a provider and pursuing therapy is a big decision and we are here to help you every step of the way. By collaborating with a network of highly skilled providers, we are dedicated to providing you and your family with the highest level of care.
In an effort to meet the needs of our valued clients, we offer many different Packages and Payment Plans so that your main focus can be on treatment goals.
In many cases, referrals to other medical health professionals are required for further evaluation and treatment of related underlying structural concerns and will be made based on your child’s needs. This will be determined during your Initial Assessment, or throughout the course of your treatment.
Yes I work with many Professional Singers who are in the process of releasing an Oral Restriction or who are recovering from other Vocal Surgeries. It takes special care and experience when releasing individuals who rely on their voice as their Instrument and career.
The short answer is YES, a tongue tie can impact a person's ability to speak fluently. Regarding fluency, a person may exhibit dysfluent speech (stuttering) "because of the way the patient has to work harder to produce sounds and words with a tongue tie" (Baxter et al., 2018).
For the longer answer, Click here to learn how Tongue Tie/Oral Restrictions affect Fluency/Stuttering and how Myofunctional Therapy can help improve Fluency.
As clinicians, our clients are scheduled in 30-minute increments throughout the day. Our time is valuable, and we want to be able to best use our time to help our clients. When a client arrives late to a session, cancels with less than 24-hours written notice (text or email) or fails to show up for their scheduled therapy time, it takes away valuable clinical time that could have been provided to another client.
Arriving promptly for the scheduled Telehealth appointment is required. You will be charged the full amount for the scheduled session, regardless of your arrival time. If you arrive more than 10 minutes late for your appointment it is important to understand that you can still be seen but only for the remainder of your scheduled session and the fee remains the same. Partial credits will not be provided. Sometimes certain situations and emergencies can occur and cause the clinician to be tardy. If the clinician is tardy, you will receive a makeup of the time that was not provided.
Therapy sessions are typically booked in 30 minute slots with 1:1 therapy time for 25 minutes, and the remaining time for administrative work related directly to your case including but not limited to such as documentation, planning, clinical notes, scheduling and communication with parents or other providers regarding your case, etc. Sibling therapy sessions are typically booked in 45-60 minute slots with 1:1 therapy time for approximately 20 minutes per child (or both together for 40-minutes), and the remaining time for administrative work related directly to your case including but not limited to such as documentation, planning, clinical notes, scheduling and communication with parents or other providers regarding your case, etc. Please be aware that we must strictly adhere to our session time so that we do not impact the schedule of clients before or after. Please also understand that in working with kids, we have to prepare and allow for unexpected events that may impact our ability to provide the full session time (bathroom breaks, etc). We appreciate your flexibility and assistance in adhering to our session policies.
We kindly ask that you provide 24-hours notice for any missed sessions so that we have ample time to fill your therapy spot. As moms ourselves, we understand that emergencies do happen that may occasionally prevent you from providing 24-hours written notice. For that reason, we do provide each client with forgiveness for one cancellation/no show.
Any additional cancellations/no shows will be billed to the client as a $95 cancellation fee. If the cancellations/no shows become excessive, we will not be able to reschedule the missed session.
When provided with 24-hours advance notice in writing (text or email), we would be happy to reschedule your missed session.
Myofunctional Spot often has a waitlist of clients who are anxiously waiting to begin therapy, and our clinical time is very valuable. Unfortunately, we are not able to hold unused open session time, as this takes away our ability to help another client in need of our services. If a client has more than two "late cancellations" (less than 24 hours before session without written notice) or more than two "no shows", they will be moved to the waitlist and their therapy time will be given to another client. If a client is moved to the waitlist, any remaining paid sessions will be good for 1 year from the date of their assessment - refunds will not be provided. Therapy may be resumed when the client is able to commit to more consistent attendance (based on clinician availability).
If you have additional questions that have not been answered here, I am happy to chat with you. I provide complimentary 10 minute phone consultations to learn more about potential patients and evaluate if they are a good fit for evaluative and therapeutic services.
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