My client base is primarily comprised of adults who have survived strokes and brain trauma, or those suffering from neurodegenerative diseases such as Parkinsons and all types of dementia, as well as head and neck cancer. Individuals with other impairments are also seen. A general outline of services is listed, although is not limited to the following: *Swallowing disorders (dysphagia) are diagnosed and intervention is provided to: determine the safest diet level through guarded trials and diet adjustment, create home exercises to regain function, train and educate the client and caregivers in safe swallow practices/strategies and meal preparation, with the overall goal of reducing aspiration risk with the least restrictive diet. *Speech, language, and voice disorders are evaluated and treatment is given for dysarthria, apraxia, expressive and receptive aphasia, and voice difficulties due to neurologic involvement or head and neck surgery. Reading and writing deficits are also targeted for intervention, and augmentative and alternative communication devices created or recommended (low or high tech) for nonverbal patients, as well as training in use of voice prosthesis if appropriate. *Cognitive impairments including memory loss, problem solving/ reasoning, planning, orientation, and thought organization are evaluated and treatment is provided. Adaptive and environmental aids are created and patients and caregivers are trained in their use, such as memory books for those with Alzheimer's or other neurologic difficulties. *Hearing and visual impairments are addressed either in isolation or in conjunction with other deficits and patients and caregivers are assisted in obtaining and utilizing adaptive aids such as amplification devices, phones with special features, large print materials, or referrals are made to appropriate community resources. My treatment focuses on an individual's functional needs and abilities. Sessions are tailored to promote the best quality of life with the most realistic and attainable goals. I am compassionate and caring while having the flexibiltiy to adjust my intervention to address special issues as they arise. Counseling is provided for emotional adjustment to disability as needed using an intuitive and trusting approach. My goal with patients is to have them participate in their lives at the highest level possible with optimal success.

From laughter heard on the playground to words spoken at a business meeting, Sound Speech and Hearing Clinic's team of dedicated professionals in San Francisco aims to make every communication moment a success. Our doctors of audiology and speech language pathologists, located in the Potrero Neighborhood of San Francisco, are specialists in speech, language, hearing, hearing aids, voice, and auditory processing assessment and treatment for children and adults. Speech: Our speech language pathologists, located in the Potrero Neighborhood of San Francisco perform comprehensive evaluation and treatment of speech, language, stuttering, listening, auditory processing and voice disorders. Hearing: Our doctors of audiology located in the Potrero Neighborhood of San Francisco perform hearing tests and audiologic evaluations to diagnose a variety of hearing related disorders including conductive, sensorineural and mixed hearing loss; auditory neuropathy spectrum disorder/dys-synchrony; atresia/microtia; Central Auditory Processing Issues disorders; unilateral hearing loss; deafness; tinnitus. Auditory Processing: Our doctors of audiology and speech language pathologists, located in the Potrero Neighborhood of San Francisco, work together to diagnose and treat Central Auditory Processing Issues disorder. Contact Contact Sound Speech and Hearing Clinic's doctors of audiology and speech language pathologists to schedule an appointment for assessment or treatment of speech, language, hearing, hearing aids, listening, voice and/or Central Auditory Processing Issues disorder. Hearing Instruments Hearing aids are smarter, faster and cooler than ever. Our doctors of audiology are trained to find, select and fit premium hearing aid products by Oticon, Phonak and Starkey. Sound brings together speech, language and hearing services seamlessly into one office. Services offered include

Language Essentials is an excellent choice for professional speech-language pathology and occupational therapy. Our licensed therapists serve the Tri-Valley and the greater East Bay at our offices in San Ramon, Livermore and Tracy. We offer specialized services for many communication, motor and sensory needs including: Pediatric Services: Articulation and phonological delays/disorders including Childhood Apraxia of Speech (CAS) Receptive and/or expressive language delays and disorders Pragmatic language disorders (social skills) Oral-Myofunctional swallowing disorders (Tongue Thrust) Dyslexia Pediatric feeding disorders Cochlear implant Autism Spectrum Disorder therapy for non-verbal and verbal language skills Augmentative and Alternative Communications (AAC) Occupational Therapy Adult Services: Receptive and/or expressive language disorders (Aphasia, Head Injury, etc.) Pragmatic language Dyslexia Articulation disorders Voice disorders Swallowing disorders (Dysphagia) Accent Modification Augmentative and Alternative Communications (AAC) Language Essentials also provides: Full evaluations for speech, language, reading skills, motor skills and sensory needs. Written progress reports and reevaluations to monitor progress. If you leave a message, please include a way to contact you. We are not able to reply to your messages on this forum.

Language Essentials is an excellent choice for professional speech-language pathology and occupational therapy. Our licensed therapists serve the Tri-Valley and the greater East Bay at our offices in San Ramon, Livermore and Tracy. We offer specialized services for many communication, motor and sensory needs including: Pediatric Services: Articulation and phonological delays/disorders including Childhood Apraxia of Speech (CAS) Receptive and/or expressive language delays and disorders Pragmatic language disorders (social skills) Oral-Myofunctional swallowing disorders (Tongue Thrust) Dyslexia Pediatric feeding disorders Cochlear implant Autism Spectrum Disorder therapy for non-verbal and verbal language skills Augmentative and Alternative Communications (AAC) Occupational Therapy Adult Services: Receptive and/or expressive language disorders (Aphasia, Head Injury, etc.) Pragmatic language Dyslexia Articulation disorders Voice disorders Swallowing disorders (Dysphagia) Accent Modification Augmentative and Alternative Communications (AAC) Language Essentials also provides: Full evaluations for speech, language, reading skills, motor skills and sensory needs. Written progress reports and reevaluations to monitor progress. If you leave a message, please include a way to contact you. We are not able to reply to your messages on this forum.

Peninsula Associates is a private practice which specializes in speech, language and learning services. We have provided consultation, assessment and treatment to clients of all ages since 1978. While our practice has grown in size and reputation over the years, our goals have remained the same: To provide the highest quality speech-language-learning services to our clients, colleagues and community. To maintain a positive, nurturing work setting for our speech-language pathologists and learning specialists. A variety of unique programs have been developed for individuals and groups who have special needs as well as for clients who simply want to enhance their communicative effectiveness. Peninsula Associates' 20 speech-language pathologists are licensed by the state of California and certified by the American Speech-Language-Hearing Association. Many are also credentialed by the California Department of Education.