Category Archives: Speech Therapy

School Therapy vs. Clinical Therapy: Is One Better?

School is often the first place that a deficit can be identified. A child struggles with a task and their teacher might suggest in-school therapy. Therapy offered through the school is typically performed by a therapist employed by the school or by a contracted therapist from an outside clinic. These sessions assist kids working on occupations that help complete school-related tasks. An occupational therapist might help a child with handwriting for example. Or, a speech therapist may assist a child in better communicating so that they can effectively participate in class. School therapy is vital to helping a child adjust in their learning environment, but it can be further enhanced by additional clinical therapy.


Clinical therapy refers to therapy outside of the school setting. Here, circumstances allow for longer sessions that can increase progress even more. Also, aside from additional time, therapists in a clinical setting are able to go beyond school-related tasks and work with the child on a more holistic range of occupations that help in all aspects of life, not just at school. In the clinic setting, foundational issues can be addressed that may be impacting a child’s participation or skills in both the school or community environments. The clinic setting, with its equipment and activities, helps with sensory processing by increasing attention span in the classroom. Kids can get the chance to work on core strength, to be able to sit upright in their chairs for longer periods of time. During clinic therapy, therapists are able to get to the root of the problem. In the school setting, a child can be provided with strategies that can help short term until increased skills are developed.


So, to answer our initial question, is one type of therapy better than the other? You might be surprised that the answer is “no”! Both types of therapy are crucial to your child’s success and offer their own unique benefits. Participating both school and clinical therapy maximizes treatment time for your child and allows time to work on increasing function at home and at school. Both are essential to most effectively achieving outcomes.

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What Is Infant Feeding Therapy?

What is infant feeding therapy? It may seem obvious, but you may not have realized that it can be helped through speech therapy services.

At Pediatric Advanced Therapy, our Director of Speech Therapy, Joslin Davis, is highly qualified to treat a variety of infant feeding problems. If your child is exhibiting any of the following behaviors, it could be worth a visit with your doctor to talk about a referral for:

  • Failure to progress with any feeding skills
    • Sucking – bottle feeding, nursing
    • Spoon-feeding
    • Chewing
    • Biting
    • Drinking from an open cup
    • Drinking from a straw/sippy cup
  • Excessive fatigue during a bottle feeding/nursing (may appear as falling asleep or jaw/lip/tongue tremor)
  • Exceptionally long time to complete a feeding- greater than 20 minutes
  • Exceptionally fast bottle feedings/nursing or frequent feedings (for example: feeds less than every 2 hours)
  • Caregiver experiences increased anxiety or distress when feeding infant
  • Pain when nursing due to poor suck
  • Weight loss
  • Poor weight gain/failure to thrive
  • Disinterest in feeding
  • Refusing or avoiding certain food textures
  • Swallowing solid food whole
  • Pocketing food in cheeks
  • Loss of food or liquid from lips while eating/drinking
  • Signs of discomfort while feeding
  • Coughing/choking during or after eating/drinking
  • Gagging/vomiting during or after eating/drinking
  • Tongue tie/lip tie

About the Speech Therapy Director: Joslin Davis is ASHA certified and has feeding experience with all ages, including newborns and infants. She has attended feeding courses and has received training in the following treatment techniques: medical and behavioral feeding (e.g. CAN-EAT), sensory based feeding (e.g. food chaining, SOS), complex feeding disorders, and oral motor feeding approaches (e.g. Beckman, TalkTools, Oral Placement Therapy, Oral Placement Therapy for Down Syndrome). She has also received training in myofascial release and identification of tongue tie/lip tie. She has collaborated with physical therapy to help infant feeding patients with torticollis, plagiocephaly or other neurological deficits.

Three Locations:

  • 134 Infield Court Mooresville, NC
  • 129 Woodson Street Salisbury, NC
  • COMING MAY 2017: 2520 Whitehall Park Drive Suite 350 Charlotte, NC 28273

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Consistency is Key in Pediatric Therapy

When your child is in need of occupational therapy, physical therapy, or speech therapy, therapists will spend time creating a plan specific to him/her. Therefore, it is essential for your child to attend each session to reap the maximum benefit. Consistency is key! Here are some tips to getting the most out of treatment for your child:

  • Don’t be late: Lateness cuts into treatment time. When you are running late, your child’s therapist is forced to cut out activities, making hard decisions on which treatment activities are more important. The catch is, they are all important activities!
  • Practice makes perfect: To learn a new skill or overcome a challenge, repetition is key. If you miss out on a session, your child gets less practice.
  • Take steps forward, not backward: Everyone gets sick sometimes! But, too many missed sessions can delay progress or even sabotage skills that have already been learned.
  • Consistency can mean quicker progress: Attending therapy sessions can mean extra time in the car or time away from home. Just remember that this time is worth it! The more you commit to your child’s care plan, the quicker they will see progress.  

If you would like to schedule a free 30-minute screening for a new patient or an appointment for an established patient, please call 704-799-6824.

Pediatric Advanced Therapy aims to provide the highest quality of care to all patients. In the interest of all of our patients, all cancellations require 24 hour notice to avoid a cancellation fee. In the event that the therapist needs to cancel, we will reschedule your child with another therapist for continuity of treatment.

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