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Myofunctional Therapy

Building the foundation for better breathing, eating, speaking, and oral development.

Orofacial myofunctional therapy focuses on how the muscles of the mouth and face work together for everyday functions like breathing, resting, chewing, swallowing, and speaking. When these patterns aren't developing or functioning as expected, they may be considered an orofacial myofunctional disorder (OMD). Myofunctional therapy helps identify and address these patterns while supporting healthy oral function and development.

What Can Cause an OMD?

There isn't one single cause. Orofacial myofunctional differences can develop alongside a variety of structural, functional, environmental, and habitual factors, including:

  • Chronic mouth breathing or difficulty breathing through the nose

  • Enlarged tonsils or adenoids, congestion, or allergies Low or forward tongue resting posture

  • Difficulty maintaining closed lips at rest

  • Restricted tongue movement

  • Prolonged pacifier, thumb/finger sucking, or other oral habits

  • Dental or orthodontic differences that affect oral function

Because there can be many contributing factors, we look beyond the symptoms to understand why a pattern may be occurring and collaborate with other providers when needed.

Signs to Look For

Your child may benefit from a myofunctional evaluation if you notice:

  • Open-mouth posture or difficulty keeping the lips comfortably closed Low or forward tongue posture at rest

  • Mouth breathing or difficulty consistently breathing through the nose

  • Persistent drooling beyond expected developmental stages

  • Tongue thrust during swallowing, eating, or drinking

  • Messy or inefficient eating beyond age-expected timelines

  • Dental or orthodontic concerns, such as an open bite, overbite, or narrow palate

  • Persistent speech sound difficulties, particularly sounds such as /s/, /z/, /sh/, /ch/, or /j/

  • Limited tongue movement or difficulty coordinating oral movements

  • Snoring, restless sleep, or other concerns related to nighttime breathing

Why Does It Matter?

The way the tongue, lips, jaw, and facial muscles function at rest and during movement can influence breathing, swallowing, speech, feeding, and oral development. Myofunctional therapy may focus on helping your child:

Breathe: Support consistent nasal breathing and appropriate oral rest posture.

Rest: Develop a functional resting position of the tongue, lips, and jaw.

Swallow: Establish more mature and efficient swallowing patterns while reducing tongue thrust.

Eat: Improve oral awareness, chewing, bolus control, and coordination when feeding concerns are present.

Speak: Address oral patterns that may be contributing to persistent speech sound errors.

Grow Support: an oral environment that allows for healthy dental and orofacial growth and development.

A Whole-Child Approach

Myofunctional concerns don't always exist in isolation. Depending on what we find, we may collaborate with your child's pediatrician, ENT, dentist, orthodontist, allergist, sleep specialist, or other members of their care team. Our goal isn't simply to teach exercises—it's to understand the patterns affecting your child's function and help build a stronger foundation for breathing, eating, swallowing, and communicating.


Speech Therapy

Helping children become confident, clear, and functional communicators.

Speech therapy supports children who have difficulty producing sounds clearly, coordinating the movements needed for speech, or speaking fluently and effectively.

Every child's communication develops differently. We look beyond individual speech sounds to understand how your child is producing speech, what may be contributing to their difficulties, and how those challenges affect everyday communication.

What Can Cause Speech Difficulties?

Speech difficulties don't always have one clear cause. They may be related to developmental, motor, structural, sensory, or functional factors, including:

  • Differences in speech sound development

  • Difficulty coordinating or planning the movements needed for speech

  • Oral motor or myofunctional differences

  • Restricted tongue movement

  • Dental or orthodontic differences

  • Structural differences of the mouth, palate, or face

  • Hearing difficulties or history of frequent ear infections

  • Neurological or developmental differences

  • Differences in fluency, rate, or rhythm of speech

Sometimes the cause isn't known. Our goal is to understand your child's individual communication profile and determine the most appropriate path forward.

Signs to Look For

Your child may benefit from a speech evaluation if you notice:

  • Difficulty being understood by family, teachers, peers, or unfamiliar listeners

  • Speech sound errors that persist beyond expected developmental ages

  • Difficulty producing certain sounds, such as /r/, /s/, /l/, /th/, /sh/, /ch/, or /j/

  • Sound substitutions or patterns, such as saying "tat" for "cat" or "wabbit" for "rabbit"

  • Unusual tongue or jaw movements when producing speech

  • Inconsistent speech errors, where the same word may sound different each time

  • Difficulty sequencing sounds or syllables in longer words

  • Stuttering or disruptions in the flow of speech

  • Frustration when others don't understand what your child is saying

  • Avoiding certain words or speaking situations because communication feels difficult

Why Does It Matter?

Clear, effective communication supports a child's ability to connect with others, participate in school, express their needs, build relationships, and develop confidence.

Speech therapy may focus on helping your child:

Produce: Learn accurate placement and movement for developmentally appropriate speech sounds.

Coordinate: Improve the timing, sequencing, and coordination of the lips, tongue, jaw, and breath for speech.

Generalize: Carry new speech skills from structured practice into everyday conversation.

Communicate: Increase overall speech intelligibility so others can more easily understand your child.

Speak Fluently: Support comfortable, effective communication when stuttering or other fluency differences are present.

Build Confidence: Help your child feel successful communicating across home, school, and social environments.

A Whole-Child Approach

Speech doesn't happen in isolation. The way a child breathes, rests their tongue, moves their mouth, hears, eats, and develops structurally can sometimes influence how speech sounds are produced.

When appropriate, we look beyond the speech error itself to determine whether other factors may be contributing. We may collaborate with your child's pediatrician, ENT, dentist, orthodontist, audiologist, occupational therapist, school team, or other providers to support the whole child.

Our goal isn't simply to practice sounds—it's to help your child develop the skills they need to become a clearer, more confident, and more functional communicator.

The Echo Project →


Feeding Therapy

Helping children develop the skills and confidence to eat safely, comfortably, and successfully.

Feeding is about much more than simply getting a child to eat. Successful eating requires the coordination of oral motor skills, sensory processing, chewing, swallowing, breathing, and positive experiences with food.

Feeding therapy helps us understand why eating may be difficult for your child and builds the underlying skills needed to make mealtimes safer, more comfortable, and less stressful for the whole family.

What Can Cause Feeding Difficulties?

Feeding difficulties rarely have one single cause. A child's eating patterns may be influenced by developmental, oral motor, sensory, structural, medical, or environmental factors, including:

  • Delayed or inefficient chewing skills

  • Difficulty moving and controlling food within the mouth

  • Oral motor weakness or coordination differences

  • Sensory sensitivities to tastes, textures, smells, temperatures, or appearances

  • Limited exposure to a variety of foods or textures

  • Difficulty transitioning between feeding stages

  • Restricted tongue movement or other structural differences

  • Difficulty coordinating breathing, chewing, and swallowing

  • Negative or stressful experiences surrounding food

  • Medical, gastrointestinal, developmental, or airway-related concerns

Our goal is to look beyond "picky eating" and understand what may be making eating challenging for your child.

Signs to Look For

Your child may benefit from a feeding evaluation if you notice:

  • Very limited food variety or a diet that continues to become more restricted

  • Strong reactions to new foods or certain textures, smells, or appearances

  • Difficulty chewing or progressing to age-appropriate food textures

  • Difficulty moving food from side to side or using the tongue efficiently

  • Food pocketing, overstuffing, or significant food remaining in the mouth after swallowing

  • Drooling or poor management of saliva, food, or liquids

  • Messy or inefficient eating beyond expected developmental stages

  • Open-mouth chewing or unusual tongue and jaw movements during eating

  • Frequent gagging with foods or textures

  • Meals that regularly take a very long time or require significant caregiver assistance

  • Stress, frustration, or avoidance around mealtimes

  • Difficulty advancing feeding skills as your child grows

Why Does It Matter?

Eating is a complex developmental skill. When one part of the feeding system isn't working efficiently, children may compensate in ways that make eating more difficult, tiring, or stressful.

Feeding therapy may focus on helping your child:

Chew: Develop coordinated, age-appropriate chewing patterns and jaw movements.

Move: Improve tongue movement, lateralization, oral awareness, and control of food within the mouth.

Swallow: Support efficient oral preparation and functional swallowing patterns.

Explore: Build comfort interacting with unfamiliar foods through gradual, positive experiences.

Expand: Increase acceptance of different foods, flavors, textures, and presentations without pressure.

Participate: Build the skills and confidence needed to participate more successfully in family mealtimes.

A Whole-Child Approach

Feeding difficulties aren't always just about the food. We consider the interaction between your child's oral motor skills, sensory system, breathing, oral structures, development, and mealtime environment to understand the bigger picture.

When appropriate, we may collaborate with your child's pediatrician, GI specialist, ENT, dentist, orthodontist, dietitian, occupational therapist, lactation consultant, or other members of their care team.

Our goal isn't to force children to eat or simply increase the number of foods on their plate. It's to understand why eating is difficult, develop the skills needed for successful feeding, and help children build a more positive and confident relationship with food.


Lactation Support

Supporting you and your baby in building a feeding relationship that works for your family

Feeding a baby is a relationship between two people, which is why our lactation care considers both parent and baby. Whether you're preparing for breastfeeding, navigating challenges after birth, pumping, bottle feeding, or transitioning your feeding plan, support is individualized to your family's needs and goals.

Our lactation services look beyond the latch to understand what may be making feeding difficult and how we can help both you and your baby feed more comfortably and effectively.

What Can Make Feeding Difficult?

Breast and bottle feeding are complex skills. Challenges may be related to maternal, infant, structural, medical, or functional factors, including:

  • Difficulty achieving or maintaining a comfortable latch

  • Positioning difficulties

  • Nipple or breast pain

  • Concerns with milk supply

  • Difficulty with milk transfer

  • Pumping or flange-fit concerns

  • Infant oral motor or sucking difficulties

  • Restricted tongue movement or other oral structural differences

  • Difficulty coordinating sucking, swallowing, and breathing

  • Bottle refusal or difficulty transitioning between breast and bottle

  • Sleepiness, fussiness, or fatigue during feeds

  • Feeding changes during the return-to-work or weaning process

Sometimes several factors are occurring at once. Our goal is to understand the whole feeding relationship—not simply one symptom.

Signs You May Benefit From Lactation Support

Consider scheduling a lactation consultation if you are experiencing:

  • Painful or uncomfortable feeding

  • Difficulty latching or staying latched

  • Bottle refusal or difficulty bottle feeding

  • Concerns about milk supply or milk transfer

  • Very long, frequent, or inefficient feeds

  • A baby who frequently falls asleep or tires during feeding

  • Concerns about tongue movement, sucking, or oral function

  • Clicking, leaking, coughing, or difficulty coordinating during feeds

  •  Concerns about feeding efficiency or weight gain

  • Difficulty transitioning between breast and bottle

  • Questions about pumping, flange fit, or returning to work

  • A desire for guidance, reassurance, or a feeding plan that better fits your family

You don't need to be experiencing a major feeding problem to seek support. Lactation care can also be helpful during pregnancy or before feeding challenges begin.

How Can Lactation Support Help?

Lactation care is individualized to your feeding goals and may help you and your baby:

Latch: Find comfortable positioning and support an effective, functional latch.

Transfer: Assess how your baby sucks, swallows, and transfers milk during feeding.

Feed: Support breastfeeding, pumping, bottle feeding, combination feeding, and transitions between feeding methods.

Produce: Address questions or concerns related to milk production and supply.

Pump: Improve pumping comfort and efficiency through individualized education, including flange-fit support.

Plan: Develop realistic strategies for feeding transitions, returning to work, introducing bottles, weaning, or other changes.

Support From Pregnancy Through Weaning

Lactation support can begin before your baby arrives and continue throughout your feeding journey.

Services may include:

  • Prenatal lactation consultations

  • Initial postpartum lactation consultations

  • Lactation follow-up visits

  • Breastfeeding and latch support

  • Pumping and flange-fit support

  • Bottle feeding consultations

  • Returning-to-work planning

  • Combination feeding support

  • Weaning and feeding-transition guidance

A Dyadic & Whole-Body Approach

Feeding involves both parent and baby, so our lactation consultations consider the needs of the entire dyad.

For baby, this may include observing oral structures, tongue and jaw movement, sucking patterns, breathing, positioning, and feeding coordination. For the lactating parent, we consider comfort, positioning, milk production, pumping, feeding goals, and overall feeding experience.

When additional support is needed, we may collaborate with your family's pediatrician, OB/GYN or midwife, dentist, ENT, feeding therapist, occupational therapist, or other members of your care team.

Our goal isn't to tell you what feeding should look like. It's to help you understand what's happening, address barriers to successful feeding, and create a plan that feels comfortable, sustainable, and right for you and your baby.

Let’s Work Together!

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