Google review, Brooklyn LettersBrooklyn Letters

1139 Prospect Avenue, Brooklyn

4.9 56 reviews

  • Google review, Brooklyn Letters Emily Matles ★★★★★ a week ago
    We would highly recommend Ally! Our son always asks about her, so very thankful to Brooklyn Letters for introducing us.
    ~ Emily, mom of Brooklyn 2 year old
  • Google review, Brooklyn Letters T Ainsley ★★★★★ 5 months ago
    I cannot express how grateful and rewarding my experience with Brooklyn Letters has been. Her tutor Ms. Daria is so knowledgeable, amazing, kind and awesome. My daughter has made so much progress in Literacy and Math and it's all … More thanks to Ms. Daria. I know my daughter is sad that she can no longer work with Ms. Daria, as she looked forward to their sessions every week. Thank you again!
  • Google review, Brooklyn Letters Natalie Levon ★★★★★ 4 months ago
    Nicole has been an amazing therapist!! She played a tremendous role in our daughter’s speech progress and overall development. She has come such a long way and we are so happy with the therapy she received!
  • Google review, Brooklyn Letters Colin Peters ★★★★★ 6 months ago
    We could not be happier with the services Valerie provided! She is very thoughtful and knowledgeable and provided significant guidance to support our daughter's speech development outside of our scheduled sessions. She established … More a great working relationship with her, and she will definitely be missed! Your business model is amazing and it was an absolute pleasure working with Valerie. I've referred your organization and Valerie to the Executive Director of our daughter's school and friends/colleagues who are in need of speech therapy services.
  • Google review, Brooklyn Letters Lil Amatore ★★★★★ 7 months ago
    Christina was absolutely wonderful. She went out of her way to win my son over and it worked. He looked forward to her visits and his speech improved so much under her care. She was super flexible and it’s clear she truly cares. We adore … More Christina and we’re going to miss her. Almost sad he improved so much! She’s simply amazing and we can’t say enough how great she is. I would recommend her services to anyone and everyone, without hesitation. Thank you so much for connecting us with her!
  • Google review, Brooklyn Letters Heather Liljengren ★★★★★ a year ago
    We cannot say enough good things about Effie, the ASL teacher, who was so engaged and effective with our 2 year old daughter from the very first session! Effie gladly included our whole family in the sessions! Her expertise and fantastic … More personality gave our daughter a way to communicate that she was so desperately seeking. The coordinators at Brooklyn Letters were so helpful and communicative…I would highly recommend their services!
  • Google review, Brooklyn Letters Brigid Bower ★★★★★ 11 months ago
    Samantha Dalmas was fantastic! We saw her for a feeding therapy evaluation and while she doesn’t think my daughter needs more feeding therapy sessions at this time, but she gave me lots of tips to try. If my daughter's doctors want … More to see more progress at her next appointment, I wouldn’t hesitate to reach out to Samantha again.
  • Google review, Brooklyn Letters Duygu Başaran ★★★★★ 11 months ago
    Brooklyn Letters was recommended to me through a friend's speech therapist friend in NJ. The articulation evaluation for my daughter went well. We were pleased with Kristin's services.
  • Google review, Brooklyn Letters Kelley Peters-Patel ★★★★★ a year ago
    Melissa was wonderful. Our daughter warmed to her immediately and by the time she left, had already started "practicing" some of the techniques Melissa had shown her. I will not hesitate at all to reach out to Melissa again, should … More the need arise.
  • Google review, Brooklyn Letters R Elmore ★★★★★ a year ago
    Aileen was INCREDIBLY helpful to us, both in assessing possible origins of my grandson's food aversions, as well as informing us of various available interventions to consider.
    I can’t thank you and Brooklyn Letters enough for connecting
    … More us with Aileen. In all our feeding therapy journey we have not gotten anything near the kind of benefit that we did from her. Her knowledge, professionalism, and responsiveness have put us on the path of progress with my grandson and has also made us feel genuinely well cared for.
  • Google review, Brooklyn Letters Christine Weiher ★★★★★ 2 years ago
    We were amazed with Allison! She met my son at 2 1/2 years old, not speaking much at all, and over a computer, and she was able to develop a bond and friendship, so much so that he would look forward to his weekly computer time with Allison. … More I was not sure how the speech therapy would go- but we are so happy that we tried it out and continued. It allowed my son to gain confidence in his speech, make a new friend :), and also give him the skills and a bit of understanding of how to shape his mouth or where to place his tongue to make the proper sounds. We were extremely happy with Allison- she was fantastic to work with.
  • Google review, Brooklyn Letters Andrea Saffady ★★★★★ 2 years ago
    My sessions with Karen have been extremely helpful. My speech has improved tremendously. In fact, I just finished 2 hours of conducting interviews with a consulting client via MS Teams and I have an upcoming conference call. Both my … More neurologist and neurosurgeon remarked about how good my speech is. Much of the day it is perfect, although I still have some rough spots when I get tired or speak too quickly. One of my granddaughters is a speech pathology student at Ithaca College. She sat in on 2 sessions while she was home for winter break, and she was very impressed with Karen.
  • Google review, Brooklyn Letters Jacob B ★★★★★ 4 years ago
    We were delighted with Christie. First, and most importantly, our son made great strides under her guidance. So great, that we felt he no longer needed help! She was incredibly patient and kind with him and our son really responded to … More her. Christie was also great with me and my wife. She provided thorough and informative updates on our son's progress and which exercises she was using with him, so we could reinforce what she was teaching him. All in all, we had a fabulous experience with Christie and would highly recommend her.
  • Google review, Brooklyn Letters Jessica C ★★★★★ a year ago
    Theo was wonderful and his work with my son has produced some progress. I am grateful for the services Theo provided.
  • Google review, Brooklyn Letters Melissa Stevens ★★★★★ 2 years ago
    Highly recommend Jill. She is a total pleasure to work with. After a few months working with Jill, my son is reading above grade level and LOVES to read. Mission accomplished!
  • Google review, Brooklyn Letters Demet Evren ★★★★★ 2 years ago
    Paige was great and we had been really happy with her. I would highly recommend her! I recommend Brooklyn Letters to whomever asks for a speech therapist.
  • Google review, Brooklyn Letters Jeizel Rosenthal ★★★★★ 2 years ago
    Isabel was WONDERFUL and our son absolutely adored her, and he is making great progress with his reading and writing.
  • Google review, Brooklyn Letters Lesley Duval ★★★★★ 3 years ago
    Theo was fantastic with our 4yo son. We were very worried that his progress would fall off when we had to switch to remote sessions, but Theo kept our son happy and engaged through the screen. Highly highly recommend!
  • Google review, Brooklyn Letters Samantha Packard ★★★★★ 3 years ago
    We've been working with Theo from Brooklyn Letters for close to 4 months now and the results are apparent; our daughter has vastly improved her speech in a relatively short amount of time. We make "Theo Day" a celebration … More in our house with pancakes for breakfast, and the enthusiasm is matched in the sessions. Theo is fun, patient, professional, and caring, and he gives us the tools to take the lessons beyond the session. Thank you Theo, and Brooklyn Letters, for helping our daughter express herself.
  • Google review, Brooklyn Letters Travis Ricca ★★★★★ 3 years ago
    I worked with Alina to enhance my pronunciation, tone, and pacing while communicating socially and in a work environment. She was great to work with and clear about goals and learning objectives. The improvement from day 1 has been tremendous! … More
  • Google review, Brooklyn Letters Enrico Bermudez ★★★★★ 3 years ago
    Cathy has been excellent with us and our son. We will sorely miss her. He has improved significantly with Cathy’s help. Cathy was a true partner with us, especially as we pursued additional help through our son’s school system.
  • Google review, Brooklyn Letters Kayne Elisabeth Wilk ★★★★★ 4 years ago
    We really loved working with Alina, she is so fantastic. Patient yet firm, and determined the best course of action very clearly and succintly for us. And it all transitioned so well to Zoom as well. I will definitely be back in touch for … More services for our other child after summer break!
  • Google review, Brooklyn Letters Jen S ★★★★★ 4 years ago
    Vera was amazing! My 11 yo daughter made progress so quickly and really looked forward to her sessions. She was kept motivated and engaged.
  • Google review, Brooklyn Letters susie tofte ★★★★★ 3 years ago
    The work that Allison P. did with our daughter over the years has been invaluable to us. Our daughter had such a good relationship with Allison, and it allowed them to work really well together - even remotely these past 6 months. This … More year, Allison went above and beyond by helping us throughout the neuropsych eval we did, trying to re-open our daughter's IEP at her school, and eventually landing her at our chosen school. She was in contact with our daughter's teachers, with the neuropsychologist, and made herself available as a reference to speak on behalf of our daughter's learning differences.
    Allison stopped by our house last week to give our daughter cupcakes and say goodbye, and I literally cried with appreciation for what an amazing speech therapist she has been. She has been our daughter's biggest champion. The new families that she will work with this year are lucky to have her.
  • Google review, Brooklyn Letters Alicia Perez-Katz ★★★★★ 4 years ago
    Sydney was great! Our son was sad to end his sessions with her, which says a lot. We appreciated her honest assessment of his skill level, and he now has materials to self monitor and practice. Thank you!
  • Google review, Brooklyn Letters Kristin Ames ★★★★★ 4 years ago
    Our experience with Theo was terrific. Theo was great with my son. He developed a positive relationship with him based on sincerity, respect, trust and a deep personal connection. In their lessons, Theo was encouraging, creative and kind. … More He helped our son understand how to differentiate the sounds he made when he spoke, and gave him great exercises to practice every week between lessons. Our son was sorry to have the lessons come to an end, but recognized that Theo had helped him as much as possible and it was time for him to stop. Theo explained to him (and us) how to keep working to get the last 5%, and encouraged him to keep working on the exercises on his own. I have recommended Theo to another parent who noticed my son's improvement and inquired for her own son.
    We are all grateful to have gotten to know Theo, and we greatly appreciate all the work he did to help our son.
  • Google review, Brooklyn Letters Aisha Holder ★★★★★ 4 years ago
    "I have nothing but wonderful things to say about Michelle Macroy-Higgins. We are extremely pleased with her work with our daughter. I was so grateful for my daughter to have a speech therapist who is a researcher (specialty in late … More talkers), graduate professor and practitioner. Her expertise was clearly evident in our conversations and work with our daughter. She was very responsive to my questions and often sent articles and other materials about language development that I found helpful. Thankfully, my daughter's speech improved tremendously. Michelle developed such a warm relationship with my daughter. My daughter was always excited to see Michelle and would greet her at the door with a big hug. Lastly, I would add that Michelle always demonstrated empathy with me as a mother who was initially worried about her daughter's language development. I could go on and on about how pleased we were with Michelle's work."
  • Google review, Brooklyn Letters Andrea Peartree ★★★★★ 4 years ago
    Theo is a wonderful Clinton Hill speech therapist. We were really pleased with him. Our son showed drastic improvement, not only in his speech but in his confidence.
  • Google review, Brooklyn Letters mario costa ★★★★★ 4 years ago
    Alexa has been an enthusiastic, reliable, well prepared and caring teacher for our 6 year old daughter. She has been able to improve and increase our daughter's confidence lesson by lesson with patience and competence; through varied … More and productive didactic practice. Alexa has engaged our daughter in several activities that always kept her motivated and eager to learn literacy. My wife and I, both of us are educators, feel so fortunate to have had the opportunity to observe Alexa's pedagogical skills. Alexa has had a big impact on our daughter literacy growth. Thank you Brooklyn Letters!
  • Google review, Brooklyn Letters Lily Alt ★★★★★ 4 years ago
    We were absolutely DELIGHTED with Marsha's services. She was wonderful. We found her to be kind, fun, engaging, very knowledgeable. She provided us with clear instructions and additional written handouts each week. She engaged our … More son with different techniques and toys, and showed us how to use her techniques when we were interacting with him. I actually just texted her on Saturday - Our son finally said "more" - one of the target words we had been working on with her. It was a total joy to hear, and I had to share it with her - she wrote back immediately to congratulate us. I am so appreciative of her expertise, and wish we could have seen her for longer. I recommended her to another family in our neighborhood who is looking for a speech therapist.

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Our Speech Language Pathologist Come to Your Long Island Home! | Best In-Person & Remote Private Pay Speech-Language Delay Therapy | Free Consultation and Meet & Greets With Our Staff

Our Speech Language Pathologist Come to Your Long Island Home! | Best In-Person & Remote Private Pay Speech-Language Delay Therapy | Free Consultation and Meet & Greets With Our Staff
Mineola Garden City Manhasset Great Neck Stewart Manor Floral Park Franklin Square West Hempstead Roslyn East Williston Carle Place Westbury Old Westbury Mineola Valley Stream Rockville Center Woodmere Inwood Long Beach Port Washington Glen Cove Oyster Bay Wantagh Seaford Massapequa Massapequa Park Bethpage Hicksville Syosset Jericho Plainview Woodbury Centereach Farmingville Selden Smithtown Hauppauge Sayville West Sayville Bluepoint Bayport Oakdale Bohemia Patchogue Medford Port Jefferson Port Jefferson Station Nesconset Setauket South Setauket St. James East Islip Hamptons, and more!!
We also travel to Hamptons (summer speech language therapy)
Our Speech-Language Pathologists and Therapists

We travel to you and we also offer remote services. Some of our speech-language pathologists are trained in the Orton Gillingham approach. Many of our speech-language pathologists are trained in literacy and offer support with decoding,
spelling and reading fluency services. Our speech-language pathologists and therapists work with babies, toddlers, school-age students, and adults with expertise in:

Our Speech-Language Pathologists and Therapists

We travel to you and we also offer remote services. Some of our speech-language pathologists are trained in the Orton Gillingham approach. Many of our speech-language pathologists are trained in literacy and offer support with decodingspelling and reading fluency services. Our speech-language pathologists and therapists work with babies, toddlers, school-age students, and adults with expertise in:


We are very happy with Paige and recommend her with enthusiasm!
We hired Paige to work with our six-year-old daughter and our three-year-old son on their speech impediments. Our son had a speech delay because he couldn’t make certain sounds; Paige helped him catch up to age level, and now he talks up a storm! Our daughter has a lisp, and Paige has helped her learn how to pronounce S properly and consciously correct herself.
Our kids love Paige and are always excited about her visits. Paige has a wonderful manner with the kids; she’s playful and funny and incorporates a lot of games and toys into her therapy. She provides detailed reports to us on our kids’ progress after each visit and concrete instructions on how to continue therapy between her visits.

-Sameer and Mandi

Soooo Happy We Found You!
After two awkward sessions with different speech therapists, who favored two different approaches, a quick search online led me to Brooklyn Letters and Craig, who promptly remedied my confusion about how to best treat my son's speech delay. On Craig’s recommendation, he's been seeing Lisa, Brooklyn Letters speech therapist, for two months now, and I wanted to share how we are dazzled by his progress. Lisa is so wonderful. At every session (in our home) I'm impressed by her patience, thoughtfulness, preparedness, and creativity. In fact, I often find myself drawn to the rug where she works with my son, so I can learn to better model phrases for him when Lisa's not around, not to mention her stellar assortment of toys and books: every session has its own unique theme. So, thanks Craig for sending her our way!

- Tanya (mom of JF, 2)

Just want to say, Craig and his team are amazing! Great listeners, smart, and sensitive, and respectful of children. We could not be happier with our daughter's progress and her new confidence. Of all the therapists/professionals we’ve met, both through EI and private, I trust the folks at Brooklyn Letters the most. I highly recommend Suzanne as a speech therapist. My daughter is very sensitive and prone to anxiety; Suzanne was both in tune with Rose’s emotions and skilled at keeping the sessions focused. To me, this is no small feat with a 3-year-old. Suzanne always came prepared with a game to play, a project (such as arts and crafts,
cooking) or a book, or a combination of these activities. She worked with Rose on a variety of language issues, as well as making choices, taking turns, listening. She used a visual (picture) schedule each time which seemed to help Rose feel more organized and in control. This was before Rose was in school, and it was with Suzanne that Rose learned to read a schedule. In addition, Suzanne was exceptional at communicating with us as parents. She actually listened to our concerns and addressed them head-on. We have had our share of therapists, and have found that this is not something you can take for granted. Suzanne is attentive, sympathetic, and dedicated, fun, kind, and knowledgeable. She challenges the child at the right level, not too easy, not too hard. I highly, highly recommend Suzanne.

- Margaret (Rose, 3, Harry, 13)

Nicole has been an amazing therapist!!
She played a tremendous role in our daughter's speech progress and overall development.
She has come such a long way and we are so happy.

- Natalie Levon
Check Out Other Testimonials!


When we set up an initial consultation and/or evaluation, we will assess your child’s speech and language skills and determine if there is a speech and language delay. Our analysis will target where your child is having difficulty with their speech and language development. Pinpointing the underlying difficulties is critical for effective treatment of speech and language conditions. In addition to language therapy, we provide speech therapy for all ages.

Read about Early Childhood Concepts.


Before a child speaks, he/she child relies on non-verbal communication, e.g. pointing, reaching, and handing an object to a parent. Babies and toddlers with communication delays- who are not ready to speak- first need help learning how to communicate non-verbally and some babies and toddlers need help with their social focus, called joint attention. Therapy focuses on increasing the frequency and improving the quality of the child’s communicative gestures and improving their focus during social games/activities.


Early expressive language development is characterized by the quantity and quality of the child’s vocabulary, and the manner in which a child combines words before speaking full sentences. Once the child is speaking in full sentences, his or her development is characterized in terms of how well the words are used to convey more complex ideas or thoughts.

Delays in early language development involve slower acquisition of sounds, words, combining words, less frequent social communicative attempts, and difficulty understanding cognitive or linguistic concepts (such as big vs. small, under vs next to, some vs all, or first vs. last). If a child is having significant expressive language issues compared to peers, he or she may have an expressive language disorder (also known as spoken language disorder) or an expressive language delay (for children 4 years and younger). 


While communication delays in some children may not point to an expressive language disorder, some toddlers with a limited vocabulary for their age and exhibit other symptoms may be at risk. In particular, studies suggest that mild comprehension for their age, a family history of language and learning issues, and using few gestures when communicating are indicators that a child could have continuing language delay. This may mean that a child is showing signs of a language disorder (expressive or expressive/receptive language) also known as a Developmental Language Disorder (DLD), or language impairment as research calls it.

Stages of babbling:

  • 0-2 Months: Crying and cooing
  • 3-4 Months: Simple speech sounds (goo).
  • 5 Months: Single-syllable speech sounds (ba, da, ma).
  • 6-7 Months : Reduplicated babbling – repeating the same syllable (ba-ba, na-na).
  • 8-9 Months: Variegated babbling – mixing different sounds (ba de da).
  • 10-11 Months: Jargon – complex babbling with simple words (baba da ma ball da).
  • 12 Months: Real words gradually take over.

By 1 year of age, most babies will:

  • Look for and be able to locate the source of a sound.
  • When you call their name, they usually respond.
  • Wave goodbye.
  • Look where you point when you say, 
  • Babble with intonation (voice rises and falls as if they speak).
  • Take turns “talking” to you, paying attention and listening when you speak, and then babbling when you stop. Say “da-da” to their father and “ma-ma” to their mother.
  • Say at least 1 word.
  • Make sounds while pointing to items they want that are out of reach.

By the age of two, most toddlers will:

  • Point to various body parts and common objects.
  • Point to common images in books.
  • Follow 1-step commands without a gesture, such as, “Put your cup on the table.”
  • Be able to say about 250 but cut off is 50 spontaneous words, and they are combing words Dadda Up
  • Say a few two-word phrases, such as “Daddy go,” “Doll mine,” and “All gone.”
  • Perhaps say 3-word sentences like “I want juice” or “You go bye-bye.”
Speech Language Delays (Early Childhood) - Evaluation and Treatment

Know more about late-talking in this interview with Dr. Michelle Macroy-Higgins, Ph.D., CCC-SLP, speech-language pathologist, associate professor in the Speech-Language Pathology and Audiology Program at Hunter College, New York, and author of Time to Talk: What You Need to Know About Your Child’s Speech and Language Development. She speaks with speech-language pathologist, learning specialist, and Long Island Letters CEO Craig Selinger about the signs and symptoms of late-talking and how to diagnose it in young children.

What is the relationship between language and learning disabilities

During this early stage of expressive language and speech and language development, toddlers also begin to acquire and develop their narrative skills. This is crucial as young children expand their use of language and communication by retelling or describing stories, experiences, or past events. Narrative development is directly correlated with a child’s success in school and academic achievement.

Typically developing children commonly acquire all grammatical morphemes by age four (see chart below). But for children struggling with the narrative language or coping with a language delay, parents may notice some missing aspects in their child’s language skills. At Long Island Letters, we work with students who struggle with narrative development.

Another condition is Social Communication Pragmatic Disorder (SCPD). Learn more about social communication pragmatic disorder, its symptoms, causes, and strategies parents can employ to support their child with this disorder.

Read about Early Childhood Developmental Milestones.

Speech Language Delays (Early Childhood) - Evaluation and Treatment


According to research, narrative development can play a significant role in determining a child’s later success in school and literacy. This is because the narration and relaying of a previous experience allows the child to communicate and use language that is beyond the present context or the “here and now.” This determines the child’s grasp of linguistic structure and the words chosen. But what exactly is narrative development? And how do you know your child’s progress is appropriate for his or her age?

A child’s narrative skills refer to his or her ability to use language in telling or communicating a story. As children develop their narrative skills, they learn to follow the rules of story-telling. This involves sequencing of events, organization, introducing characters, establishing the plot or main idea, and taking perspectives.

Narrative skills are first developed and introduced in very young children through storytelling or bedtime story sessions with their parents.

By listening to stories and being exposed to story-telling, children begin to understand and develop narrative structure. In most cases, children with speech and language problems or conditions struggle with comprehending and executing narratives. At Long Island Letters, we work with children who have narrative language difficulties.

Find out more about the Stages of Narrative Development.

Speech Language Delays (Early Childhood) - Evaluation and Treatment

What is Expressive Language Disorder?

Unlike speech sound disorders, which involve difficulties in producing spoken sounds, language disorders refer to problems using spoken language compared to peers. These expressive problems manifest in at least one of these areas: spoken vocabulary, complexity of what the child is saying (grammar), and social use of words (pragmatics). These issues become more apparent when children, older than 4 years of age, have difficulties telling stories and making friends.

Language Disorders are classified as two types:

Mixed Receptive-Expressive Language Disorder – Difficulty with comprehension or understanding the words or complexity of what the individual understands compared to peers and has an expressive language disorder.

Expressive Language Disorder – Receptively, the individual is age appropriate but there are significant issues expressing oneself compared to peers.

There is no such thing as just a receptive language disorder. If a child is misdiagnosed with this label, either the child has significant attentional difficulties, or the child’s expressive language skills were not thoroughly assessed. Speech-language pathologists are the best professionals to thoroughly assess expressive language skills.

Spoken or expressive language disorder is a lifelong condition and appears in early childhood. It is often developmental in nature but may also be caused by traumatic brain injury. An individual with expressive language disorder exhibits normal comprehension skills but has difficulty with written and/or verbal expression. This can impair academic achievement and make it more difficult to socialize in groups with peers.

What Are the Signs of Expressive Language Disorder?

In many cases, signs of an expressive language disorder may may be invisible to parents and teachers. Some signs and behaviors may not directly imply a language problem. According to research, one of the early signs of a language disorder in children is late talking. The Hanen Centre defines a late talker as a child between 18 and 30 months with a good understanding of language and typical development in other areas (hearing, vision, motor, and cognitive skills) but has a limited spoken vocabulary compared to peers for their age. However, late talking becomes a more serious concern for children who also exhibit other risk factors, such as:

  • Quiet or little babbling as an infant
  • Has a history of ear infections
  • Limited consonant sounds
  • Does not link pretend ideas and actions together during play
  • Does not imitate words or sounds
  • Uses mostly nouns and few verbs
  • Difficulty interacting or playing with peers
  • A family history of communication, learning, and academic difficulties
  • Mild comprehension delay for their age
  • Uses few gestures to communicate

Other signs of an expressive language disorder in children also include:

  • less developed vocabulary than their peers
  • often uses fillers like “um,” “uh,” and “huh”
  • having no problems with understanding, but struggle with speaking, asking questions, or answering
  • using short phrases or sentences or say the same words or phrases over and over;
  • struggling with telling stories
  • for toddlers, relying on using gestures
  • lacking intonation and modulation when talking
  • shying away from conversation and avoid social situations or group interactions
  • may say a lot but not make much sense

Signs of a child who needs expressive language therapy:

  • Difficulty naming items and objects.
  • Does not link words together or may use sentences that are shorter than those used by children of the same age.
  • Uses sentences that are not grammatically correct and, therefore, can sound immature.
  • May use jargon (made-up words) when talking.
  • Speaks in sentences that are ‘jumbled’ (i.e., words are in the wrong order, lots of stopping and starting, creating a lack of flow).
  • Can be misunderstood by unfamiliar people.
  • May have difficulty finding the correct words to use when describing something or having a conversation. The child may use techniques such as ‘circumlocution’ (talking around the word) or a word with a similar meaning to help them express themselves.
PBS.ORG, Average Number of Words Produced
  • At 15 months= 14 words
  • 18 months= 68 words
  • 23 months= 200 words
  • 24 months= 200 to 300 words                  (Dr Rhea Paul, Ph. D.)
  • 30 months= 570 words

Diagnosing Expressive Language Disorder

As with all speech or language disorders, it is always important to first ensure that there are no hearing issues affecting language development. A hearing assessment by an audiologist is necessary to rule out any issues with hearing (ears). Even undetected ear infections can interfere with acquiring language in younger children.

To get your child diagnosed with an expressive language disorder, a speech-language pathologist (SLP) must do a thorough evaluation. A comprehensive assessment must be conducted with the help of the child’s family and teachers. This evaluation process includes both informal and formal assessments. Formal evaluation comes in the form of standardized tests, while informal evaluation involves interviews, observations, checklists, and language samples.

While both types are essential in providing accurate diagnosis and appropriate treatment goals, it is the language sample that provides a clearer picture of the child’s language abilities and conversational skills. Through language sampling, an SLP is able to gain a better understanding of the child’s strengths and weaknesses with regards to key language areas. These areas include syntax or grammar, semantics or word meanings, morphology (suffixes and prefixes), and pragmatics or social skills. Our SLPs at Long Island Letters conduct language sampling in order to accurately diagnose and assess the needs of your child using the Systematic Analysis of Language Transcripts or SALT program. The typical expressive language development in young children, aged 12 months to 47 months onwards, is outlined in the Acquisition of Sentence Forms Within Brown’s Stages of Development. This framework is an invaluable tool used by SLPs in conducting a structural analysis of a language sample.

(Related: Find out more about language sampling in this article on the Structural Analysis of a Language Sample.)

During this phase, speech language pathologists will need to know the child’s:

  • full case history (including birth and medical records; history of language, speech, reading, or academic difficulties in the family; languages or dialects were spoken at home; and, the family’s and teacher’s own observations and concerns)
  • spoken language skills (phonology and phonological awareness, semantics, morphology, syntax, and pragmatics)
  • level of reading and writing (if the child is school-age)

  • Age 3 1/2: 4,200 words

  • Age 4: 5,600 words

  • Age 5: 9,600 words

How to Treat Expressive Language Disorders in Young Children

Once a diagnosis is made, the SLP will conduct further analysis and observations before creating an individualized program. However, it is important to remember that therapy will not offer a permanent “cure” for the disorder. Instead, SLPs can equip children with strategies and techniques to help them manage their condition. 

Therapy methods can vary, depending on the therapist and the child’s needs. Modeling target behavior is one technique where the therapist models and reinforces aspects of speech that need to be targeted, such as sounds, vocabulary, and grammatical structure.

Some areas that SLPs address are:

For preschoolers (ages 3 to 5):

  • enhancing phonological awareness through rhyming, blending, and segmenting spoken words
  • improving vocabulary and understanding of semantic relationships
  • increasing sentence types, length, and complexity
  • improving conversational skills
  • developing narrative skills
  • increasing language flexibility in different contexts
  • building and encouraging literacy skills


Speech Language Delays (Early Childhood) - Evaluation and Treatment
Susan M.
M.S., CCC-SLP, Speech Language Therapist
Speech Language Delays (Early Childhood) - Evaluation and Treatment
Ewa D.
M.A., CCC-SLP, Speech Language Pathologist
Speech Language Delays (Early Childhood) - Evaluation and Treatment
Carissa A.
M.A., CCC-SLP, TSSLD, Speech Language Pathologist
Speech Language Delays (Early Childhood) - Evaluation and Treatment
Jessica K.
M.A., CCC-SLP, TSHH, Speech Language Pathologist
Speech Language Delays (Early Childhood) - Evaluation and Treatment
M.S., CCC-SLP, TSSLD, Speech Language Pathologist
Speech Language Delays (Early Childhood) - Evaluation and Treatment
Nicole S.
M.A., CCC-SLP, TSSLD, Speech Language Pathologist
Master of Science, Certificate of Clinical Competence (CCC-SLP)

Call: (347) 394-3485,
Text: (917) 426-8880

Email: [email protected]
(we respond to email right away!) 

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