Articulation, Language, Literacy, and Cognitive Deficits

  • I offer provision of services to enhance and maintain skills being learned at school teaching building blocks for success or fill in the developmental gaps that may be affecting academic functioning, based on consultation with educational personnel with those of all ages. Children may not have had needs addressed in the areas of articulation, expressive or recep[tive language development approved for service at school. Some were evaluated but not approved to obtain early intervention services or speech-language therapy in the city schools. Other families have opted out of receiving special education services at school but want this privately.

SPEAK OUT! therapy to assist those with Parkinson’s Disease and related disorders to facilitate the development of a life with intent (awareness and mindfulness) as well as both improve, maintain the strength of muscles used for speech and swallowing. SPEAK OUT! typically consists of twelve speech therapy sessions. Together, the patient and their speech-language pathologist complete speech, voice, and cognitive exercises using a specialized workbook that Parkinson Voice Project provides to every person with Parkinson’s who is enrolled in the program. Consider the following questions and see if you feel that this approach could be beneficial to assist you at this time in the area of speech, language and feeding

*Based on the work of Daniel Boone  and developed by those at 

I am a NYS Department of Health Approved Evaluator and Ongoing Speech-Language and Feeding Therapy. You can find out more detailed information about the program at :

Social Communication Disorders

I provide intervention to children who may have not developed basic social skills. Children who exhibit Autism Spectrum Disorders may demonstrate signs and symptoms of social communication challenges AND these skills may not develop at the same rate in each child. The impact of cultural and life experience cannot be ruled out. The skills of social communication are targeted in treatment.

Autism Spectrum Disorders:

According to the American Speech Language and Hearing Association “The core features of ASD [PDF] include (a) impairments in social communication, language, and related cognitive skills and behavioral and emotional regulation and (b) the presence of restricted, repetitive behaviors. These core features are significantly influenced by an individual’s developmental level of language acquisition (e.g., pre-symbolic, emerging language, and conversational language) and the level of severity of the disorder. In addition to these core features, sensory and feeding issues can also be present.”

Feeding Disorders in Children

Do you have a child who has challenges with feeding? According to the American Speech-Language and Hearing Association the following signs and symptoms may include the following signs and symptoms. Recognizing that feeding is a multi-faceted activity my work might will include that of a family interview to determine the severity of the disorder, discussion about any medical factors and consultation with your child’s doctor.

  • Back arching.
  • Breathing difficulties when feeding that might be signaled by
    • increased respiratory rate;changes in normal heart rate (bradycardia or tachycardia);skin color change such as turning blue around the lips, nose and fingers/toes (cyanosis);temporary cessation of breathing (apnea);frequent stopping due to uncoordinated suck-swallow-breathe pattern; anddesaturation (decreasing oxygen saturation levels).
  • Coughing and/or choking during or after swallowing.
  • Crying during mealtimes.
  • Decreased responsiveness during feeding.
  • Difficulty chewing foods that are texturally appropriate for age (may spit out or swallow partially chewed food).
  • Difficulty initiating swallowing.
  • Difficulty managing secretions (including non-teething-related drooling of saliva).
  • Disengagement/refusal shown by facial grimacing, facial flushing, finger splaying, or head turning away from food source.
  • Frequent congestion, particularly after meals.
  • Frequent respiratory illnesses.
  • Gagging.
  • Loss of food/liquid from the mouth when eating.
  • Noisy or wet vocal quality during and after eating.
  • Taking longer to finish meals or snacks (longer than 30 minutes).
  • Refusing foods of certain textures or types.
  • Taking only small amounts of food, overpacking the mouth, and/or pocketing foods.
  • Vomiting (more than typical “spit-up” for infants)

With an understanding that travel to an office may not be practical for some who seek my help, I offer the opportunity for home visits and flexible hours within Manhattan, New York.  Frequently I am asked  “what can I do at home?  I am here to help you figure out that answers through the provision of initial evaluations, ongoing therapy and training. I participate with some insurance carriers and accept private pay

Feel free to reach out and contact me, if i can be of help. On my contact link, please send me a message

Robin Sue Kahn, MS, CCC/SLP

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