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- Nicole
- Passalacqua
- 64 E 86th Street, Suite 1B
New York
New York
10028
United States - Private Practice
New York
New York
10028
United States
I utilize evidence-based, motor-based treatment approaches for Childhood Apraxia of Speech (CAS), including Dynamic Temporal and Tactile Cueing (DTTC), guided by the principles of motor learning. My therapy is specifically designed to help children develop more accurate, efficient, and functional speech movements. For children with CAS, I develop individualized target word lists that reflect the child’s current phonetic inventory and focus on speech movement patterns that are particularly challenging. During therapy sessions, these targets are practiced using a structured, multisensory cueing hierarchy, incorporating visual, tactile, and auditory cues to support accurate motor planning and execution. Through repetitive and carefully structured practice, therapy aims to strengthen the child’s motor speech system and promote improved speech intelligibility and functional communication.
Parent involvement is a critical component of successful therapy for children with motor-speech disorders. I work closely with caregivers to ensure they understand their child’s treatment goals and target words so that meaningful home practice can occur between sessions. Research indicates that consistent home practice can significantly enhance therapy outcomes. Even short periods of structured practice (e.g., 5-10 minutes per day) can support motor learning and help children make faster progress toward intelligible speech.
Speech and language are distinct domains, but closely related systems. Children with CAS often have strong language skills, but motor planning difficulties may limit their ability to express what they know verbally. Augmentative and Alternative Communication (AAC) can be used to develop expressive language skills and allow for the child to functionally communicate. AAC allows children to express their wants, needs, and ideas while motor speech skills are developing. When appropriate, AAC can be incorporated to support language development and reduce communication frustration while motor speech skills continue to be directly targeted in therapy.
