An articulation disorder (a.k.a. speech sound disorder) occurs when mistakes or mispronunciations of sounds continue past a developmentally appropriate age (www.talkingchild.com). These errors are characterized by omissions, substitutions and distortions of individual speech sounds. When patterns of speech sound errors manifest this is referred to as a disorder of phonological processes. Our therapists are experienced in the differential diagnosis between disorders of articulation and phonological processes, therefore our treatment is informed as such. We utilize a hierarchal approach to teach the manner, place, and voice of individual speech sounds. Therapy is conducted with a bottom up approach training sounds in isolation before moving on to teaching sounds in syllables, every position of a word, sentences, then spontaneous conversation until generalized. As with all of our therapy approaches we value parental involvement and collaboration.