Apraxia/Dyspraxia of Speech and Verbal Apraxia/Dyspraxia are terms used to describe a speech disorder characterized by difficulty combining the movements necessary to produce speech. There is typically no difficulty with the actual muscles themselves although the condition can co-occur with Dysarthria (weak, spastic or ineffective oral musculature). The child typically knows what he wants to say and can move his muscles with no difficulty but has difficulty coordinating the movements.  Children can exhibit characteristics of apraxia alone or combined with other disorders.

It is difficult to diagnose apraxia before a child begins to talk. Once the child does begin to talk, their speech is characterized by inconsistent errors or a lack of a pattern in their errors. For example, they may attempt to imitate words but the words sound different each time they try. We also tend to see lots of difficulties with the production of vowel sounds. In some children, we see groping behaviors as if the child is struggling to find the "right place" to put his articulators to say words.  

While there is a wide range of severity, children typically have the best outcome when intensive, consistent therapy starts as early as possible. Here at Let's Talk we offer a multi faceted approach to the treatment of apraxia which includes our own "ABC" Program in combination with therapy strategies used in PROMPT, Nancy Kaufman's praxis approach, Beckman's oral motor approach, Sarah Johnson Rosenfield's horn hierarchy program, and many years of hands on experience that have proven to be very successful.


Tracy Vail, Speech Language Pathologist, Autism Consultant
Tracy Vail
Co-Owner / Speech/Language Pathologist/Autism Consultant
Tanya McDowell
Tanya McDowell
Co-Owner / Speech/Language Pathologist
Erin Maher
Erin Maher
Speech/Language Pathologist
Ashley Petrilyak at Let's Talk
Ashley Petrilyak
Speech/Language Pathologist
Jean Jarrett, MS, CCC/SLP
Jean Jarrett
Speech/Language Pathologist

Featured Blog Posts

No More, More
By Tracy Vail, MS, CCC-SLP, Autism Consultant and Heather Forbes, MA, CCC-SLP, BCBA There is currently a great deal of debate in the field of speech-language pathology about the kinds of words that should be taught first to nonverbal (or minimally verbal) individuals with communication impairments...


"Let's Talk is a great service.  The therapists work and cooperate with the parents/nannies by sharing tips, including us in the therapy so that we can help the child.  The child has had a great time at Let's Talk, he even...

Follow Let's Talk on Facebook!

Great News! Let's Talk has joined Facebook. Take a minute to become a Fan and keep up with all the great things going on at Let's Talk!!

Let's Talk's Facebook Page