Speech & Language Therapy / Evaluation

Comprehensive Speech & Language Evaluation

A comprehensive speech and language evaluation is the cornerstone of a successful therapeutic program.  It should encompass both formal and informal assessment,  including observation, parent report, a play assessment and a language analysis.  This assessment can be used to justify insurance coverage, maintain current program mandates or justify an increase in current mandated services and track improvement over time.

A typical assessment will take anywhere from 1-3 hours and may span across more than 1 day.  It is usually easier if the parents are not present for the formal testing portion.  You should receive the formal write-up within 2 weeks.  I usually have the parents read it over first and discuss the findings before it is considered “official”.

Speech & Language Services

Nicole Working
I have been a pediatric speech language pathologist for almost 20 years. I entered the field because I knew I wanted to work with students with special needs. I completed both my undergraduate and graduate studies in speech language pathology and the program was intense (it still is!).
Upon graduation, my interests gravitated towards children on the autism spectrum as well as children diagnosed with motor speech challenges (more often than not, these conditions also present themselves co-morbidly). Those first few years of treating, I observed other SLP’s and related service providers and co-treated frequently. I took a ton of workshops; I was a sponge. I was also working very hard to figure out what worked best in my sessions. The challenge was that each day was always a little different. Depending on the sensory challenges, medication, alternative medication, alternative treatment approaches, I had to adjust. This was scary in the beginning. I also learned fairly quickly that children need to be pushed out of their comfort zone with speech and language to learn and retain information. Now, not every student responded kindly to be being pushed and I got hurt, a lot. Scratched, bit, toys thrown at my head, eyes, chairs thrown. I began to learn the “signs” unique to each student, as to when they had had ENOUGH! And I learned the brilliance behind quick, sensory smart breaks.

In a relatively short period, I had defined my therapeutic style and “leaned in” to my therapeutic niche and I was ready to make my mark in the field. I left my first job at NYC’s DOE and opened my own practice. I think, in hindsight, I was too young to be worried. All I had was me to take care of and I could live on noodles if I had to. I also began to supervise and teach on the graduate level—and I became very passionate about giving back to the field. It felt good to help up and coming SLP’s and at the same time, help clients as well. This definitely was a win-win for me and I continue to work at the graduate level today.

Contact me!

Please introduce yourself and send me your comments, questions, concerns.