Speech Therapy


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Care First Rehab has provided high quality, professional speech and language therapy for children and adults for almost 8 years. We provide speech therapy services at our clinic in Cary, NC or in-home to patients living in Wake and Durham County. Our trained therapists have the tools and expertise to build speech treatment plans that will meet your specific needs and address your areas of concern. Designed to produce results, we work to provide measurable results through gradual, positive changes in the areas of speech that you currently struggle with.

We have a variety of Speech Language Pathologists with extensive experience and knowledge in a wide variety of communication disorders. Speech and language therapy includes the treatment of articulation delays, language delays, fluency (stuttering) and voice disorders. We provide speech therapy services to treat the following delayed speech and language disorders:

  • Apraxia
  • Feeding Therapy
  • Stroke
  • Dysarthria
  • Vocal Cord Issues
  • Vocal Fold Issues
  • Aphasia
  • Articulation & Phonological Disorders
  • Stuttering
  • Autism
  • Cleft Lip & Palate

Contact us for an evaluation if you notice any of the following behaviors:

  • Inability to communicate effectively in social settings
  • Slow or stagnant speech development
  • Sudden decrease of expressive speech skills
  • Limited vocabulary when compared to others in same age group
  • Speech that is not understood by family members and/or strangers
  • Lacks interest in communicating and/or gets frustrated when attempting to communicate
  • Stuttering that fosters a sense of embarrassment and/or difficulty with peers
  • Difficulty with sucking, chewing, and/or swallowing
  • Excessive drooling
  • Consistently hoarse voice
  • Not speaking clearly by age 3

Feeding Therapy

Feeding therapy can help infants and children with:

  • Reduced or limited intake
  • Food refusal and food selectivity by type and/or texture
  • Oral motor deficits
  • Delayed feeding development
  • Food or swallowing phobias

Why is it important? Feeding therapy can prevent and eliminate nutritional concerns, growth concerns (including failure to thrive), unsafe swallowing which may lead to aspiration, pneumonia, and future poor eating habits/attitudes.

Feeding therapy can help with:

  • Independently eating a wide array of textures
  • Demonstrating safe chewing/swallowing
  • Increasing intake
  • Decreasing negative mealtime behaviors

Frequently Asked Questions

What is Speech Therapy?

Speech therapy is the assessment and treatment of communication problems and speech disorders. It is performed by speech-language pathologists (SLPs), which are often referred to as speech therapists. Speech therapy techniques are used to improve communication. There are 4 main areas for children: speech sound disorders, language skill delays, stuttering, social communication skills. For adults, the focus is mainly on people with swallowing difficulties, aphasia, stuttering, and dysarthria.

When should a child see a speech therapist?

When a child is between 3-12 months they should be babbling, making gestures, and playing with other people. At 18-24 months a child should use 50 – 100 words and speak in phrases. At 3 years of age, they should be speaking in simple sentences and answering simple questions. At 4 years of age, they should talk about experiences with their speech being easily understandable. If this is not the case for your child then it is advisable that you take them to a speech therapist. The sooner you identify any potential problems, the more successful you will be.

How long does a speech therapy session last?

A speech therapy session usually lasts from 30-45 minutes. If you are receiving a formal evaluation or assessment, however, that particular session may take 45-90 minutes, depending on the extent of the testing that is being done.

Do I need a physician’s referral/prescription to attend speech therapy?

No, patients can generally access speech therapy services directly without a doctor’s referral. Medicare & Medicaid patients will need a doctor’s prescription. It is the responsibility of the patient/guardian to verify insurance coverage prior to scheduling their first speech therapy appointment or can pay out-of-pocket for the services.

Will my insurance cover speech therapy? How much does it cost?

Although most insurance companies do cover speech therapy, what exactly they cover specifically can vary greatly. Please review our billing and insurance participation section on our website, and if you have additional questions regarding your specific insurance, please contact our office.