Our goal at Early Start Therapy is to keep parents informed at every point in their child’s care. For this reason, we have prepared a brief overview of what you can expect from the services we will provide:




Therapy sessions will look similar to the evaluation in that they will look and feel like play. During the first session after your child’s initial evaluation, their therapist will go over the evaluation report and goals in case you have any questions. Your child's therapist will then review the session’s objectives and provide strategies that will help to develop your child’s skills and your knowledge of how to encourage those skills outside of the session.


The therapist will follow a child-led approach in order to find what best motivates your child. The therapist will strive to engage your child while incorporating evidence-based practices and their clinical expertise in the session. While your child is playing the clinician will be working to support all areas of concern. We encourage parents and family members to join the session and practice strategies with your therapist in order to carry over strategies in the home.

Areas Assessed During Your Child's First Appointment




Your child’s therapist will assess your child’s attention skills in terms of how well they are able to maintain focus on and transition from activities, based on what is expected for a child their age.




Your child’s therapist will conduct an informal hearing screening by identifying how well your child responds to various sounds in the environment. We may refer your child for formal testing or screening if there are concerns with how well they respond to informal screening, or if they there are any risk factors for hearing difficulties (e.g. a history of ear infections).




Assessing your child's language involves looking at the way they are developing a system of words and symbols, to include body language, facial expressions, and gestures, to communicate meaning during daily interactions with people in a variety of environments. 

Your child’s therapist will assess their receptive language skills; i.e. how well they understand age appropriate words and their meanings, various concepts, and grammar, as well as their expressive language skills; i.e. how well they use age-appropriate words, concepts and grammar to get their needs met, to express themselves, and to participate in social situations.

If your child is not yet verbal or has a limited understanding of language, either due to a developmental delay or disability, the therapist will assess their functional use and understanding of words that they encounter on a daily basis.



Oral Mechanism

Your child’s therapist will conduct an informal assessment of your child’s oral mechanism, i.e.  the structures of their mouth (e.g. jaw, tongue, cheek, lips) in terms of overall strength, stability, mobility, range of motion, and differentiation, as well as the overall symmetry of their face.

During the assessment, your child’s therapist reviews the posture of their body and torso, their head and neck, their mouth, lips, and tongue, as well as their ability to perform non-speech oral motor tasks such as tongue tip elevation, lateralization, depression, lip protrusion and retraction. Information gathered from this assessment provides information about how well your child is able to coordinate their oral structures in order to produce speech sounds and words and to perform tasks such as eating.




Your child’s therapist will assess the way your child interacts with age-appropriate toys, as well as the way they interact with you and others, based on what is expected for a child their age.




Assessing your child's speech involves looking at the manner in which they produce words in order to communicate. Speech is comprised of the following areas:



Articulation and Phonology

Articulation refers to a child's ability to coordinate their oral structures to produce and sequence speech sounds, while Phonology refers to a child's ability to process the rules governing the speech sound system of their native language.

Your child’s therapist may assess your child’s production of speech sounds formally or informally, depending on whether this is an area of concern.




Fluency refers to the rhythm or forward flow of speech and represents the smoothness with which sounds, syllables, words, and phrases are produced during speaking tasks.

Your child’s therapist may assess this area formally or informally, depending on whether this is an area of concern.




Voice is the production of sound using air from the lungs and larynx (voice box). Your child’s therapist will assess your child’s voice by looking at parameters such as pitch, voice quality, and resonance.

Coming Soon!

We offer the services listed below for children and their families within the natural environment as well as at our clinic. Click on the links below to download brochures for the following services:


Feeding Therapy

There are many different reasons why your child could reject foods or have a limited diet. Our intervention focuses on identifying as many of those reasons as possible so that we can develop a plan that helps to make mealtimes more fun for your entire family.



Speech Therapy for

      Communication Disorders

     Delayed Expressive Language

     Delayed Speech Sounds

     Fluency Disorders


No matter the reason why your child needs or will benefit from speech therapy, our focus is always on promoting their ability to communicate effectively and without frustration in all environments they find themselves in.



Therapeutic Groups

Our therapeutic groups focus on teaching age appropriate developmental skills in a fun, natural environment. They are designed to help children to learn specific skills with the one-on-one support of our therapists and to help them practice using these skills where they need them the most – during daily interactions with their peers and in the community. We encourage parent involvement and participation during every session and provide individual strategies for practice at home and in the community after each session.

Each session is facilitated by a lead therapist and at least one other therapist, and involves evidence-based group and individualized therapeutic activities; all so that each child has the support they need to participate, and parents have the support they need to practice with them outside of therapy time.



Therapeutic Learning Programs

Our year-round therapeutic learning programs are designed to provide natural learning opportunities for preschoolers to build relationships with their peers while laying the foundation for their pre-academic skills. Click here to submit an enrollment application.  

Coming Soon!

2445 Army Navy Dr. Suite 305, Arlington VA 22206

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