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Frequently Asked Questions

Contact Us
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Who do you work with?
We work with kids with speech and/or language delays and disorders as well as feeding disorders. We also treat both pediatric and adult orofacial myofunctional disorders (OMDs), including pre and post-op therapy and tongue and lip tie releases.
Where do you work with your clients?
We work with clients in Washington, DC, MD, VA, & NY.

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.

Do you take health insurance?
We are out-of-network with all insurance companies.

You can call your insurance company to see if they have out-of-network benefits and if you will get reimbursed. After having an initial phone consultation with us, we can provide specific codes for you to give to your insurance.

For services rendered, we complete itemized bills with the codes for your records and to submit to insurance. 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 GladstoneSpeech 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
  • Neuropsychiatrists/Psychologists
  • Dentists and Orthodontists
  • ENTs (Ear, Nose, and Throat Doctors)
  • Pediatricians
  • Oral/Maxillofacial Surgeons

Glossary

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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.
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Apraxia

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.
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Expressive Language Disorder
Children with expressive language disorder (also referred to as expressive language impairment) have difficulty expressing themselves through speech, writing or gesture.
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Frenulum
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.
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Malocclusion
A misalignment or incorrect relation between the teeth of the two dental arches when they approach each other as the jaws close.
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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.
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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.