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Apraxia of Speech

 

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What Is Apraxia of Speech?

Sometimes the challenge with speech isn’t muscle weakness — it’s about the brain’s ability to plan and coordinate the movement needed to speak. That’s exactly what happens in apraxia of speech (sometimes called childhood apraxia of speech or CAS when it starts early). In plain terms: your child knows the word they want — but their brain and mouth aren’t quite synced to get it out smoothly.

Why It Matters

Apraxia can impact multiple parts of communication development:

  • Words may sound different every time, even if they’re trying the same word.

  • Movements might seem laboured or “searching” — e.g., lip/tongue/jaw groping for the right position.

  • Stress, rhythm or “flow” of speech may feel off — sound length, pauses, intonation might vary.

  • Because communication is harder, children may feel frustrated or avoid speaking, which affects their confidence and social engagement.

 

What It Looks Like

We know that apraxia demands a focused, skilled, and compassionate approach, because each child’s brain‐mouth connection is unique. At FirstRowe, our pathway includes:

Evaluation & Planning: We assess how your child moves their lips/tongue/jaw, how they respond when trying words, and how planning/coordination is working.

Goals & Strategy: Together we design a therapy plan built around repetition, coordination, practice — and always in ways that feel familiar and motivating to your child.

Hands-On Therapy: Sessions focus on helping your child map sound → movement → word, using multi-sensory cues (visual, tactile, auditory).

Parent/Caregiver Coaching: Real progress happens at home – so we show you how to carry the strategy into daily routines.

Tracking Skill Generalization: We don’t stop with practice in the clinic. We monitor how skills transfer to conversation, play, school, and daily life.

Is It Time to Get Started?

If you’ve noticed things like:

  • Your child knows what they want to say but it comes out differently each time.

  • They struggle more with longer words, or sentences more than single words.

  • They appear frustrated when speaking, or avoid talking altogether.

  • They understand well, but their speech clarity doesn’t match their ideas.
    Then it’s worth having a free 15-minute consultation with us. Early & targeted support can make a big difference.

Step 1: Screening / Consultation

Free 15-minute consultation — We hear your concerns, ask a few questions, and decide if a detailed assessment is the next step

Step 2: Comprehensive assessment

Multi-layered evaluation of speech planning, articulation, oral-motor coordination, and how your child uses speech in daily life.

Step 3: Customized therapy & home plan

Together we decide on frequency, strategies, and how you’re involved at home

Step 4: Home Practice & Tracking

We give you tools, visuals, and games to keep progress going at home

Step 5: Regular review & generalization

We make sure gains carry into real life: conversation, school, play, making friends.

Ready to take the next step?

Click the button below and schedule your free 15-minute consultation. Let’s talk about your child, your goals, and how FirstRowe’s specialist support in apraxia of speech can help get them moving forward confidently.

Speech therapist helping child with Apraxia of Speech articulation exercises

When your child knows what to say,

but their mouth can’t quite follow along.

Child practicing social communication skills with speech therapist in Brooklyn

Brooklyn

2844 Ocean Parkway, Suite 3

Brooklyn, NY 11235

New Jersey

440 West, Suite #319

Fort Lee, NJ 07024

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Milestone Checklist (0–5 Years)

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