expert type icon EXPERT

Chelsey Goins

Speech-Language Pathologist

Dr. Chelsey Goins is a speech language pathologist practicing in Crossville, TN. Dr. Goins specializes in speech, language and swallowing disorders in patients. As a speech language pathologist, Dr. Goins evaluates, diagnoses and treats patients with communication and swallowing troubles. These conditions may be due to developmental delay, brain injury, hearing loss, autism, stroke or other diseases and injuries. Dr. Goins helps patients make sounds and improve their voices through various methods. Speech language pathologists also work with patients to strengthen muscles used to speak and swallow, and work with individuals and families to help cope with their conditions.
Chelsey Goins
  • Crossville, TN
  • Accepting new patients

Why is dada usually a child's first word?

The early developing consonants are usually /m,b,d,p/ and children beginning producing those consonants with vowel combinations when babbling. “Mama” or “dada,” normally get a READ MORE
The early developing consonants are usually /m,b,d,p/ and children beginning producing those consonants with vowel combinations when babbling. “Mama” or “dada,” normally get a big reaction from parents so they begin using that combination for attention.

Are speech disorders treated in children in foster care?

Yes, I have personally treated many children in foster care. Services vary depending on the state.

Why do I have trouble pronouncing certain letters?

The way you produce /s/ could be for a few different reasons. I would suggest getting a referral from your primary care physician for a speech evaluation and beginning therapy READ MORE
The way you produce /s/ could be for a few different reasons. I would suggest getting a referral from your primary care physician for a speech evaluation and beginning therapy to train a new technique.

When should you take your child to a speech pathologist?

Yes, you should inform his pediatrician and follow up with a speech language evaluation.

Can an adult see a speech pathologist?

I would absolutely encourage you to see a speech pathologist. My caseload varies from infants to my oldest patient being 103.

When should I worry about my child not talking?

I recommend to go ahead and get a speech-language evaluation. Early intervention is key!

Can speech therapy help with tongue-tie?

The lingual frenulum (tongue tie) can restrict the tongue’s movement for proper articulation for speech sounds. I recommend to have an ENT or your pediatrician check your son’s READ MORE
The lingual frenulum (tongue tie) can restrict the tongue’s movement for proper articulation for speech sounds. I recommend to have an ENT or your pediatrician check your son’s lingual frenulum and either get it surgically corrected or start speech therapy. Speech therapy will likely help him catch up once it is corrected.

After a stroke, my husband is unable to speak clearly. What should I do?

Yes, difficulty speaking can be common after a stroke. I would definitely recommend speech therapy as soon as possible.

My son is unable to pronounce certain words properly. How can we help him?

I would see a speech language pathologist to get an articulation assessment. /s/ and /v/ can be later developing sounds, but early intervention is key if he is having errors that READ MORE
I would see a speech language pathologist to get an articulation assessment. /s/ and /v/ can be later developing sounds, but early intervention is key if he is having errors that are not age appropriate.

My 6 year old has a speech problem. What do I do?

Take her to speech therapy. Early intervention is key!

How long should speech therapy be after a stroke?

Each patient has a different amount of speech therapy following a stroke depending on their individual needs. If the SLP you are seeing believes your grandfather could still benefit, READ MORE
Each patient has a different amount of speech therapy following a stroke depending on their individual needs. If the SLP you are seeing believes your grandfather could still benefit, I would strongly suggest continuing therapy.

Can speech therapy help my stutter?

I would definitely go to speech therapy. See a speech language pathologist who has experience treating stuttering to learn different compensatory strategies to help your speech READ MORE
I would definitely go to speech therapy. See a speech language pathologist who has experience treating stuttering to learn different compensatory strategies to help your speech be more fluent.

How can I tell if my baby has speech problems?

At 2 years old, she should have 2-word combinations and a stranger should be able to understand about half of what she says. If she is not meeting communication milestones, early READ MORE
At 2 years old, she should have 2-word combinations and a stranger should be able to understand about half of what she says. If she is not meeting communication milestones, early intervention is key! Speech therapy could be a big help!

What causes children to have a delayed speech?

Each child is different and develops at his or her own pace. If your son is not meeting communication milestones, I would recommend seeing a specialist for an evaluation.

How is speech delay treated in speech therapy?

A speech language pathologist would establish a functional communication system with your son to help request his wants/needs whether verbally or nonverbally through an augmentative READ MORE
A speech language pathologist would establish a functional communication system with your son to help request his wants/needs whether verbally or nonverbally through an augmentative alternative communication system. I would recommend looking into a therapist that is PECS certified.

Should I be worried about my speech impairment?

A speech language pathologist could help you slow your rate of speech with breathing coordination strategies and pausing techniques.

What are some common language problems for children?

If you are concerned, I would speak with your pediatrician and request a referral for a speech/language evaluation.

Can a speech pathologist help me with slurred words?

A speech language pathologist could teach you compensatory strategies to help this.

How long does a speech therapy session last?

The first evaluation is normally longer than the following treatments, but it really depends on the therapist you are seeing and the age of your daughter. My evaluations normally READ MORE
The first evaluation is normally longer than the following treatments, but it really depends on the therapist you are seeing and the age of your daughter. My evaluations normally last an hour and then I typically do 30-minute treatment sessions.

My son is 3-years-old and isn't talking. What should I do?

I recommend you have formal testing done by a speech language pathologist. Early intervention is key! There could be underlying issues or he could just be a late talker. You need READ MORE
I recommend you have formal testing done by a speech language pathologist. Early intervention is key! There could be underlying issues or he could just be a late talker. You need an assessment to begin the process.