(858) 488-4810    (858) 746-4113

Carmel Valley    La Mesa  |   Email    Facebook

San Diego Center For Speech Therapy, Myofunctional Therapy, Occupational Therapy, & Educational Services is a multidisciplinary center established to address a variety of patient needs. Our therapists are top in their respective fields, achieving the most advanced training around. We offer a variety of services for individuals of all ages including:

OUR SERVICES

Myofunctional Therapy

What is an Orofacial Myofunctional Disorder (OMD)?
Orofacial Myofunctional Disorders (OMD) involve behaviors and patterns created by inappropriate muscle function and incorrect habits involving the tongue, lips, jaw and face. Orofacial Myofunctional Therapy is used to correct improper function of the tongue and facial muscles used at rest and for chewing, swallowing, and speaking.  In a tongue thrust, the tongue pushes against or between the front or side teeth during swallowing and/or speaking, rather than lifting up to the roof of the mouth. There is also frequently a low forward resting posture of the tongue and open lips/mouth.  Just as the controlled forces of orthodontic appliances such as braces can move teeth, the abnormal functions and postures of the tongue and mouth can influence the development of the teeth, jaw, and face.

Why Be Concerned?
Abnormal functions and postures of the tongue, lips, and mouth can adversely influence dental growth, slow orthodontic treatment, and can undermine the stability of the orthodontic correction resulting in relapse. Habitual open-lip posture negatively affects the development of the dental arch and the growth patterns of the teeth. There is also a high correlation of speech problems in those individuals with OMD. When there is a combination of OMD and related speech errors, it is often difficult to correct the speech problem through traditional speech therapy alone. Individuals who exhibit OMD frequently have poor chewing/eating function. The temporomandibular joint may also be negatively affected when an OMD is present. Children and adults with incorrect chewing and swallowing patterns frequently chew their food with their lips open, usually taking large bites and swallowing without completely chewing the food. This behavior often leads to food particles around the mouth, noisy chewing and swallowing (smacking and gulping) and a messy eating area. It can also cause an upset stomach from swallowing too much air. Furthermore, a habitual open mouth posture can lead to increased incidence of upper respiratory illness and allergies.

What Causes Tongue Thrust & Forward Resting Postures of The Tongue?
Possible causes may include:

  • Improper oral habits: such as prolonged thumb or finger sucking, prolonged pacifier use, cheek/nail biting, tooth clenching/grinding
  • Restricted nasal airway: due to enlarged tonsils/adenoids, allergies, sinusitis, deviated septum, or any airway issues promoting open mouth posture and/or mouth breathing.
  • Structural or functional abnormalities such as a short lingual frenulum (tongue-tie), narrow palate, or a short upper lip.
  • Neurological or developmental abnormalities
  • Hereditary/genetic predisposition

How Effective Is Myofunctional Therapy?
Numerous studies have demonstrated the effectiveness of Orofacial Myofunctional Therapy in correcting improper oral habits, tongue postures, and tongue thrusting for chewing, swallowing, and speech.  In turn, research and clinical evidence shows that therapy assists in the orthodontic process of aligning the jaws and teeth and also helps in reducing orthodontic relapse.  For many orthodontic patients, therapy is crucial in achieving positive and stable orthodontic results and preventing any dental relapse.  Therapy is also effective in correcting any negative oral habits (such as thumb sucking, cheek biting, clenching and grinding) as well as treating TMJ and facial pain due to orofacial myofunctional issues. Therapy can also help in the enhancement one’s appearance and in the maintenance of optimum dental health for a lifetime of benefits.

Learn More About Myofunctional Therapy

Speech Therapy

Speech Therapy involves the evaluation and treatment for a variety of communication challenges including:

  • Speech Articulation difficulties including speech sound impairments, apraxia, motor planning and neurological impairments, speech clarity challenges, and general speaking skills
  • Receptive and Expressive Language issues including learning disabilities, dyslexia, auditory processing challenges, aphasia, post-stroke, TBI, and other neurological issues.
  • Accent Modification therapy
  • Voice Issues including hoarse voice, vocal fold nodules, and other voice issues
  • Stuttering and Speech Fluency
  • Social/pragmatics including therapy for autism, Asperger’s Syndrome, TBI, and other social skills challenges
  • Cognitive Impairments including help with organization and memory challenges
Occupational Therapy

The person who needs occupational therapy could be your father or mother facing changes because of aging. It could be your child, frustrated with being unable to do the seemingly simple things the other children at school can do. It could be you or your spouse coping with illness or the results of an accident. It could be anyone who, for whatever reason, can’t do the things in life they want or need to do. Occupational therapy is therapy based on performing the meaningful activities of daily life (self-care skills, education, work, or social interaction), especially to enable or enhance participation in such activities despite impairments or limitations in physical or mental functioning. Occupational therapy is for individuals of all ages-to improve skills that help them perform daily tasks at home and at school, at work and at play.

Occupational therapy practitioners are skilled professionals. Their education includes the study of human growth and development, with specific emphasis on the social, emotional and physical effects of illness and injury. They help individuals with illnesses, injuries, certain conditions or disabilities get on with their “occupations” of living.

Occupational therapy practitioners are unique in that they look at the whole picture when it comes to a person’s treatment- the individual’s abilities, the task to be performed, and the environment in which the task takes place.

Children
About one-third of occupational therapy practitioners work in school systems, pediatric hospitals, and health care facilities helping millions of children. This places OT practitioners on the frontlines of information about child health and wellness.

Within the school system, occupational therapy helps children facing physical, cognitive, or mental health challenges that affect their school performance, socialization, and health. School-based occupational therapy assessment and intervention focuses on certain areas:

  • Activities of daily living (caring for self-needs such as eating, dressing, and toilet habits)
  • Education (achieving in the learning environment)
  • Play (interacting with age-appropriate toys, games, equipment and activities)
  • Social participation (developing appropriate relationships and engaging in behavior that doesn’t interfere with learning or social relationships)
  • Work (developing interests and skills necessary for transition to community life after graduation)

Adults
Occupational therapists perform a variety of services for individual adults, such as rehabilitation therapy after a work injury or accident. Occupational therapists also work in consultation with employers and community based organizations on a number of fronts, from program and facility design to day-to-day operations. Occupational therapists serve as advisors to manufacturing and service companies in areas covering wellness, ergonomics, and rehabilitation. Community organizations, government agencies, even construction companies confer with occupational therapists to develop programs to meet the needs of specific populations in the area of community mobility, wellness, facility design, and universal accessibility.

Older Adults
Nearly one-third of occupational therapy practitioners work with older adults. They perform many types of activities, employing many types of therapies, with the overriding goal of helping older adults regain or maintain a level of independence that will allow them to age in place for as long as possible. Occupational therapy has been proven effective for seniors living with various medical conditions or recovering from surgery. In addition to working with individuals to increase strength or regain important life supporting skills, occupational therapists work throughout a community, counseling families, local governments, and community groups to ensure that each is doing what it can to help older adults maintain their independence. (information taken from the AOTA website)

Educational Support

At our office, we have Academic Specialists who offer educational support for individuals with learning challenges such as autism, ADHD, dyslexia, or other learning and neurological disabilities. We provide specialized academic support in the areas of reading, writing, and mathematics. For the adolescent or adult with learning challenges, an Academic Specialist can offer support not only in school-based learning, but with life and job skills.

Physical Therapy

As proud partners with Water and Sports Physical Therapy, Inc., we offer physical therapy at our Carmel Valley location as well as 7 other locations around San Diego. View the website: www.WaterandSportsPT.com for more information. We take nearly all insurances for our physical therapy services!

We also have Psychologists, Parent Coaches, Educational Advocates, Parent Support Groups, and Trainings located on-site!

We also offer various continuing education courses, presentations, and trainings for professional development and parent education. We are approved to offer dental continuing education units (CEUs) via the San Diego County Dental Society, and we present to a variety of dental/orthodontic offices throughout San Diego. We also go to schools to teach and train the school staff on various areas of speech, language, social, and myofunctional development. Topics for professional development and parent training that we offer include:

  • Social Skills Development and Programs
  • Ways To Enhance Language Skills
  • What Are Orofacial Myofunctional Disorders
  • Myofunctional Therapy and Sleep-Disordered Breathing
  • Myofunctional Therapy for the Pediatric Dentist and Orthodontist
  • The Role of The Frenum In The Development of The Mouth
  • Myofunctional Therapy in the Treatment of Open Bites
  • Sucking Habits
  • Temporomandibular Disorders, Bruxism, and the Role of the Myofunctional Therapist
  • Sensory Processing Disorders

Please contact us for a schedule of courses or to request for us to come to your office, school, or other location.

OUR LOCATIONS

We have 2 locations in San Diego: Carmel Valley (just off of Del Mar Heights Road) and La Mesa. Our Carmel Valley office is the hub of our multidisciplinary center. Our satellite office in La Mesa focuses solely on Myofunctional Therapy and Speech Therapy.

Carmel Valley

12625 High Bluff Drive #105, San Diego, CA 92130, USA

Carmel Valley Office

12625 High Bluff Drive Suite #105
San Diego, CA 92130

Phone: 858-488-4810 / Fax 858-746-4113
Email: Info@SanDiegoCenterForSpeechTherapy.com

La Mesa

7339 El Cajon Boulevard Suite D, La Mesa, CA 91942, USA

La Mesa Office

7339 El Cajon Blvd. Suite D
La Mesa, CA 91942

Phone: 858-488-4810 / Fax 858-746-4113
Email: Info@SanDiegoCenterForSpeechTherapy.com

icon_formsAre you new to our practice?

Please fill out our New Patient Information Form!

IMPORTANT: This form will take you about 15-20 minutes to complete, and you must complete it in its entirety, all at one time, before you hit submit. Please allow yourself adequate time to complete this form. Also, we must receive this form at least one day before your first evaluation/session is scheduled, and sooner is preferred. We thank you for your thoroughness in answering these questions in order to enable us to provide you and your child with the best treatment possible.

OUR STAFF

Speech-Language Pathologists

Nicole Goldfarb

M.A., CCC-SLP, COM

Kris Schneider

M.S. CCC-SLP, COM

Anne Meridien

M.A., CCC-SLP

Kimberly Robertson

M.A., CCC-SLP

Janna Cambra

M.S., CCC-SLP

Marci Greim

M.A., CCC-SLP

Amy Morse

M.S. CCC-SLP

Myofunctional Therapists

Nicole Goldfarb

M.A., CCC-SLP, COM

Kris Schneider

M.S. CCC-SLP, COM

Katha Phair

B.A., COM

Occupational Therapists

Zuzanna Dabek

MSOT, OTR/L

Emily Dodge

MSOT, OTR/L

Physical Therapists
Educational / Academic Specialists
SDCST Office Staff

Julia Benedetti

SDCST Lead Office Manager

Kristine Tran

Carmel Valley Office Manager

Helen Ascuitto

Regional Director


We have teamed up with the following specialists, and they offer their services on-site at our Carmel Valley office. Please contact them directly for more information about their services.

Dyslexia Specialists

Christine Wyeth

M.A., L.E.P.

Psychologists
Pediatricians (Developmental/Behavioral)
ADHD Specialists & Parent Coaches

Roya Kravetz

ACC, CMC, CPE

Special Education Advocates

  (858) 488-4810      (858) 746-4113

Copyright 2015© San Diego Center For Speech Therapy | All Rights Reserved