Speech Therapy Services

Areas of Intervention


Articulation is a product of speech sounds created by movements of lips, tongue and jaw, as well as the vocal cords. An articulation disorder is mispronunciation of speech sounds, such as sound substitutions, omissions, distortions (ex. lisps), and additions. This can affect a child's overall speech clarity.

Social Communication

Social communication refers to the verbal and non-verbal skills, social interaction, pragmatics and social cognition skills needed for effective communication in variety of social contexts. Social communication skills include the ability to vary speech style, take the perspective of other, understand and appropriate use the rules for verbal and non-verbal communication as well as using the structural aspects of language (ex. vocabulary, syntax, phonology) to accomplish these goals. Social communication disorder may be a distinct diagnosis or may co-occur with other conditions, such as intellectual disability, developmental disabilities, learning disabilities, language disorders, ADHD, traumatic brain injury (TBI), Autism Spectrum Disorder (ASD), etc.

Oral-Motor Disorders

Oral-motor skills refer to our ability to control our lips, tongue and jaw muscles which we require to talk, eat, sipping from a straw, etc. Some oral-motor disorders have a neurological component. For example, a child diagnosed with "Childhood Apraxia of Speech (CAS)" will have trouble moving and coordinating different parts of their mouths in order to form words. 


Receptive language skills refer to the ability to understand and comprehend spoken language. Expressive language skills refer to the the words we use to share ideas and express ourselves. Children with language delays or disorders may have difficulty with the following:

  • Following directions

  • Identifying objects and pictures

  • Answering questions

  • Reading comprehension

  • Understanding a story

  • Using gestures/vocabulary 

  • Making comments/Asking questions

Receptive and expressive language disorders may be developmental or acquired as a result of brain injury.

Reading and Writing

Literacy skills are the ability to read and write or use language proficiently. Children learn essential skills before they can be able to read and write. These skills include but aren’t limited to: book awareness, phonological awareness, letter-sound correspondence, decoding (sounding words out) and sight word recognition. These skills pave the way for children’s ability to read and write (learn in general). If a child takes longer than expected to learn these skills, he/she may be said to be experiencing a literacy delays/disorders (ex. dyslexia, dysorthographia, etc.). A learning disability is diagnosed by a psychologist following a comprehensive psychoeducational assessment. Speech-Language Pathologists can identify your child's areas of difficulty and provide evidence-based intervention and strategies to improve and remediate a child's literacy skills. Working with your child's school team is important to ensure carryover and generalization.

Selective Mutism



Stuttering affects the fluency or the "flow" of our speech. It typically begins during childhood and can persist throughout a person's life. People who stutter may get stuck on certains words or sounds. They may feel tense or uncomfortable, and may change words to avoid stuttering. Disfluencies can include:

  • Repetitions of sounds, words or sentences

  • Blocks or stops

  • Prolongation of sounds

Autism (ASD)

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication and social interaction and the presence of restricted, repetitive behaviors. Children diagnosed with ASD may present with the following difficulties:

  • Joint attention

  • Social interaction

  • Turn taking

  • Verbal and non-verbal skills (gestures, eye contact, facial expressions, emotions)

  • Changes in routine

  • Sensitivity to sensory input



Questions? Give us a call at 613-986-4218

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We also help adults who suffer from acquired communication disorders

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Please contact us at info@keytospeech.ca or call us at 613-986-4218 for more information on our services and fees. 

Due to COVID-19, we are currently only accepting Credit Card or Visa Debit Card payments.

A receipt will be provided following each visit for insurance purposes.

We require 24 hours notice for all cancellations. If less than 24 hours notice is provided, or if an appointment is missed, the full session fee will be billed. 

Travel fees apply for in-home, daycare, private school and/or workplace visits.

*Currently unavailable due to COVID-19