• Language Therapy communicates wants and needs, facilitating vocabulary, teaching grammar, telling stories, using social language, facilitating listening skills, and improving reading and writing skills. These problems may have started during childhood, after an illness or injury, or alongside medical conditions. The natural aging process may also cause changes in an individual’s communication skills.

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• Cognitive Therapy improves attention, concentration, short and long-term memory, organization, reasoning, problem-solving, mental flexibility, and reading, writing skills, etc. Cognitive communication disorder refers to difficulties in language and communication that are caused by problems in cognition. This includes concentration, word retrieval, memory, orientation, and executive functioning skills. During therapy, our speech-language pathologists (SLP) can design a treatment plan that aims to improve attention, concentration, short- and long-term memory, organization, reasoning, problem-solving, mental flexibility, reading and writing skills, and social communication.
• Articulation Therapy improving enunciation/pronunciation. Articulation refers to the process of producing a sound, syllable, or word by using one’s lips, tongue, teeth, jaw, and palate to control airflow. Problems with articulation involve substitution, omission, distortion, and addition of sounds. Through therapy, an SLP can help an individual improve enunciation and pronunciation. Treatment is broken down into seven levels: isolation, syllable, word, phrase, sentence, reading, and conversation.
• Accent Modification Therapy decreasing foreign accent. Our accent reduction/modification therapy focuses on improving clarity and efficiency of communication. Our bilingual speech-language therapists work with individuals to improve their intelligibility so that one’s speech is easier to understand and does not cause distraction. This can be done through a program designed to develop pronunciation and syntactic and intonation skills.

• Fluency Therapy– helping those who stutter, clutter, etc. Stuttering is one of the most common communication disorders that involve disruptions in the way one speaks. These disruptions or disfluencies include repetitions (repeating parts of words), stretching out sounds or prolongations, and difficulty in physically getting words out (different than word-finding) or blocks. Stuttering is developmental, which means the condition often begins in childhood. Read more about our stuttering, stammering, and fluency speech therapy.
• Voice Therapy improves breath supply, volume, pitch, or decreasing nasality. Aside from reducing hoarseness and treating vocal fold lesions, voice therapy aims to improve vocal behavior and eliminate harmful vocal habits. It has also been shown to help lower volume, energy, and slow down the rapid rate of speech for those diagnosed with Parkinson’s disease. Our SLPs work with individuals who want to improve breath supply, volume, pitch, and decrease nasality. Find out more about our voice therapy services.
• Swallowing Therapy helps clients better manage to chew and swallow liquids through solids. Feeding or swallowing difficulties in adults are often due to muscle degeneration, medical conditions, or an injury. It is often characterized by sneezing or eye-watering, gurgly sounds, coughing when eating or drinking, and recurrent chest infections. In many cases, leaving the condition unaddressed can lead to malnutrition, dehydration, and infections. At Manhattan Letters, our SLPs help individuals better manage chewing and swallowing of different types of foods, from liquids to solids.