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Frequently Asked Questions

  • Who do you work with?
    All ages! Specific areas are: -Children with speech, language, oral motor, &/or feeding disorders ages 0-18 -Children & Adults with orofacial myofunctional disorders ages 5+
  • Where do you work with your clients?
    Our team is licensed in MD, DC, & VA. For your convenience, we offer multiple options depending on your schedule. We can come to your home, your child’s school or daycare, at the dentist or orthodontist’s office, and online via teletherapy.
  • I'm worried I need/my child needs an Evaluation. What do I do?
    Please contact us and share your concerns! We will provide an Initial Consultation at no cost and help you determine next steps.
  • How will I be billed?
    Gladstone Speech accepts credit card payments. You will receive a credit card authorization form with your initial paperwork. Payment is due at time of service.
  • Do you take health insurance?
    We are out-of-network with all insurance companies. For all services rendered, we complete superbills with appropriate coding for your records and for you to submit to insurance. It is highly recommended that you call your health insurance company before your evaluation and/or treatment to determine if you can get reimbursed. We can also provide any insurance-specific statements such as progress reports billed at the consultation rate.
  • Do you work with other health professionals?
    All the time! We at Gladstone Speech value consistent communication with you/your family members, and all related professionals pertinent to the areas of need. Professionals include, but are not limited to: Teachers Occupational Therapists Physical Therapists Neuropsychiatrists/Psychologists Dentists and Orthodontists ENTs (Ear, Nose, and Throat Doctors) Pediatricians Oral/Maxillofacial Surgeons
  • Ankyloglossia
    A.K.A. tongue tie, is a condition present at birth that restricts the tongue’s range of motion. With tongue-tie, an unusually short, thick or tight band of tissue (lingual frenulum) tethers the bottom of the tongue’s tip to the floor of the mouth, so it may interfere with breast-feeding. Someone who has tongue-tie might have difficulty sticking out his or her tongue. Tongue-tie can also affect the way a child eats, speaks and swallows.
  • Apraxia
    Apraxia is a motor disorder caused by damage to the brain (specifically the posterior parietal cortex) in which the individual has difficulty with the motor planning to perform tasks or movements when asked, provided that the request or command is understood and the individual is willing to perform the task.
  • Expressive Language Disorder
    Children with expressive language disorder (also referred to as expressive language impairment) have difficulty expressing themselves through speech, writing or gesture.
  • Frenulum
    Your frenulum is a small fold or ridge of tissue that supports or checks the motion of the part to which it is attached, in particular a fold of skin beneath the tongue, or between the lip and the gum.
  • TMJ Disorder (TMD)
    Problems associated with the hinge and muscles in the lower jaw. Popping, .clicking and sever pain can be symptoms of TMD/TMJ.
  • Tongue Thrust
    Also called reverse swallow or immature swallow, is the common name of orofacial muscular imbalance, a human behavioral pattern in which the tongue protrudes through the anterior incisors during swallowing, during speech, and while the tongue is at rest.
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