Teresa Goggin

Hello, the /r/ sound is one of the most complicated for individuals to produce. The age of acquisition for the /r/ sound is around 5-6 years of age. Articulation therapy with a certified speech-language pathologist could be a beneficial form of intervention to educate your son with the anatomic mechanisms involved with making the /r/ sound as well as mast practice trials.

I am so sorry that your speech-therapist said that after three months that was all he could do. Speech-therapy for voice disorders is meant to be person centered and holistic to help individuals in activities of daily living. I agree with the dx from ENT on spasmodic dysphonia, as you are also describing changes occurring in your wife's face as well. There are surgical, behavioral, and augmentative interventions that have been found helpful for people with spasmodic dysphonia.
Attached to this link is helpful information about spasmodic dysphonia and interventions that can be helpful: https://www.nidcd.nih.gov/sites/default/files/Documents/publications/SpasmodicDysphonia-508.pdf
Best of luck with everything!

I would first recommend consulting your PCP to make sure there isn't anything that requires medical intervention. In general, to speak loud, it is helpful to use diaphragmatic breathing to better support loudness. Here is an article with some exercises that could be helpful: https://umc.edu/Healthcare/ENT/Patient-Handouts/Adult/Speech-Language-Pathology/Voice/Diaphragmatic-Breathing.html#:~:text=For%20example%3A%20Inhale%20to%20a,an%20easy%20%E2%80%9CS%E2%80%9D%20sound.

Yes, your daughter will likely qualify for Early Intervention services, which are free, and will provide in home strategies to better assist overall development. Here is an article better explaining Early Intervention: https://www.asha.org/public/speech/early-intervention/

I would absolutely ask for a referral from your pediatrician for Early Intervention services. Early intervention is a free program for infants and toddlers ages 0-3 that works together with families to assist families with children experiencing delays in any form of development.

Hi yes, I would mention to your PCP that you have concerns involving your child's speech output. Some children experience delays in their speech/language and getting intervention the sooner, the better!

There are many forms of intervention that are helpful for people who stutter. I like to refer individuals to the stuttering foundation, as they provide a lot of great articles and support groups. Stuttering intervention is not a "one shoe fits all" but rather very individualized to every person who stutters. Here is the link to the Stuttering Foundation's page: https://www.stutteringhelp.org/adults

Yes, have your pediatrician send out a referral for one.

I would recommend seeking out a referral from your daughter's pediatrician for Early Intervention services. Here is an article about early intervention. https://www.asha.org/public/speech/early-intervention/

I would recommend seeking out an assessment from a certified speech-language pathologist so that they can get a better idea of where his breakdown in speech or language is.

Hello, I would seek a referral to an ENT and voice-based SLP. There are strategies that can be helpful to modulate perceptual pitch.

Puberphonia is typically a diagnosis associated with having a perceptually high pitched sounding voice, after going through puberty. If your child is experiences any abnormality in their speaking voice, I would recommend seeking out a referral to an ENT to better determine the etiology. After an ENT assessment, SLPs are typically recommended to assist in intervention based on the primary diagnosis, which has to be given from an ENT.