ATLANTA PEDIATRIC THERAPY
Expert in-clinic and teletherapy Evaluations and Treatment
We founded Talk About Therapy because we believe in and love providing intuitive, effective, and sustainable therapy to our patients and their families to improve their feeding and communication skills. We pride ourselves in treating our families like they are our own. Our philosophy is to help our patients and their families build a strong, functional foundation towards communication and feeding, and slowly build upon that foundation to create lasting results.
We offer clinic-based and teletherapy Early Intervention Speech and Language Therapy, Pediatric Occupational Therapy, Feeding Therapy, and Tongue-tie Therapy to families in the Metro Atlanta area, including: North Atlanta, Buckhead, East Cobb, Decatur, Sandy Springs, Smyrna, Vinings, Suwanee, Chamblee, Druid Hills, Tucker and Marietta, Georgia.
Our licensed therapists are here to support your child and family with the best individualized care through services like speech therapy for kids, speech therapy for toddlers, pediatric occupational therapy, tongue tie and lip tie intervention, , feeding therapy, and to guide you through challenging experiences such as breastfeeding problems, and knowing what to expect after tongue tie release.
ABOUT
Niti Shah M.Ed., CCC-SLP
Owner & Speech Language Pathologist
Niti Shah M.Ed., SLP-CCC, is the owner and founder of Talk About Therapy LLC. She is a speech-language pathologist credentialed by the board of the American Speech-Language-Hearing Association.
SERVICES
Speech Therapy
Speech therapy is an intervention service that focuses evaluation & treatment of improving a child's speech & abilities to understand & express language, including nonverbal language. It includes two components: 1) coordinating the mouth to produce sounds to form words & sentences and 2) understanding & expressing language.
Occupational Therapy
Occupational Therapy is an intervention service that focuses on evaluation and treatment to improve fine motor skills, gross motor skills, sensory processing, self-regulation, hand-writing skills, texture aversions, feeding skills, activities of daily life, and social skills. OT is able to promote functional outcomes in many areas of life.
Feeding Therapy
Pediatric feeding therapy can address many challenges that you face including but not limited to: breastfeeding issues, increasing oral intake, food aversions, strengthening the oral motor muscles, and moving from tube feeding to oral intake. Pediatric feeding therapy and feeding therapy for babies typically takes place during mealtime.
Tongue Tie & Lip Tie Therapy
Tongue ties occur when an unusually strong band of tissue tethers the tongue to the floor of the mouth, and can interfere with breastfeeding, eating, swallowing and speaking in children. We offer pre-intervention evaluation and guidance for tongue and lip ties and therapy post surgery
TESTIMONIALS
As a fellow Speech Pathologist I found her to be very knowledgeable and professional, but also personable. She offered options for virtual and in person sessions and worked her hardest to accommodate our busy schedule. Niti provided videos of exercises taught during sessions to reference as needed. She was patient when working with my son and genuinely invested in his progress. I would recommend Niti again and again!
My son would have 9-13 oz/day. He was admitted to CHOA Scottish Rite. The ENT, at CHOA, checked my son to see if he had a lip or tongue tie. The ENT specialist did not see a tie and advised me to continue follow up outpatient care with a speech therapist for my 3-month-old son.
After discharge, I reached out to Niti from Talk About Therapy. She opened up her schedule and was able to see us the day my son was discharged. In her initial evaluation, she was able to see both a lip/tongue tie. She educated my wife and I on how to find a solution to our son’s symptoms: difficulty bottle-feeding, gassy, not latching, reflux, clicking when eating and prolonged feeding time (resulted in 1-2 oz in an hour).
Niti has been helping our son for a last couple of weeks. He has gained a pound in just two weeks. Niti has ALWAYS answered our questions. Her techniques have worked for us. If it wasn’t for her, our son would probably be on a NG tube. She is such an amazing therapist and I highly recommend her.
Niti and Rachel are amazing! They are both caring, professional and so loving. I already see an improvement with my son’s speech, thanks to Rachel. My son adores Rachel!
Niti is very professional and you can tell she loves what she does! My daughter looks forward to speech every week and she has made a lot of progress in the short time that we have been working with Niti. My son is starting to open up now in his sessions as well. Would recommend to anyone looking for a quality speech therapist.
Niti has changed my entire family’s life for the better! We drove over an hour to take our kids to see her for pre and post op therapy when they had their tongue ties revised on the recommendation of a pediatric dentist who specialized in tongue ties. It was so worth it! She was extremely knowledgeable, professional and compassionate. I noticed a huge difference almost immediately but definitely by the end of 6 weeks the baby went from gagging so badly he hardly ate any solids to completely normal developmentally and happily gaining weight. I can’t say enough good things about her and would recommend anyone who was struggling with feeding their baby to go see her immediately!
FAQ’s
WHEN SHOULD I SEEK OUT A SPEECH THERAPIST?
- Speech Delays
- Developmental Delays
- Articulation Concerns
- Difficulty during mealtimes
- Difficulty with eating and swallowing
- Bottle-feeding and breastfeeding trouble
- If you believe your child might present with a tongue or lip tie
- Therapy Guidance following a Frenulectomy or Frenectomy tongue or lip procedure
WHAT ARE SPEECH DELAYS?
Speech delays refer to a delay in the development or use of speech mechanisms by young children. Speech delays can manifest in a child’s expression of language, a child’s understanding of language, or a child’s pronunciation of language.
HOW CAN A SPEECH THERAPIST HELP?
At Talk About Therapy we want you to know you are not alone.
- IF...
- Your newborn won’t latch,
- Your baby is fussy at the breast,
- Your baby is fussy while nursing,
- You feel nipple pain while breastfeeding,
- Your child has difficulty touching, smelling, or eating certain food textures,
- Your child does not eat or protests eating during mealtime,
- Your child is having difficulty communicating or being understood,
- Is having difficulty pronouncing speech sounds,
WHEN SHOULD I SEEK HELP/EVALUATION?
If you are concerned:
- If you have noticed one or more of any the behaviors discussed, contact us for a consultation or evaluation. For more detailed red flags you can look for in your infant or child, please click here.
- If you suspect a tongue or lip tie may be interfering with your child’s eating or weight gain, we can refer you to expert providers of intervention procedures such as a Frenulectomy or Frenectomy tongue procedure. Our trusted experts can provide you with the information you need to decide if this route is best for your child.
- If you suspect a tongue or lip tie could be interfering with your child’s ability to clearly communicate, we can help you decide whether or not a Frenulectomy or Frenectomy tongue procedure would be beneficial. We can also provide speech therapy for kids or speech therapy for toddlers to teach your child exercises and speaking strategies to compensate for the difference in their lip or tongue.
WHAT IS EARLY INTERVENTION AND WHY IS IT IMPORTANT?
Why early intervention and identification are crucial for your child’s progress and development:
- Whenever a child shows signs of difficulty communicating, understanding, or being understood, research recommends that the earlier a child is evaluated and receives services the better. The younger the child, the easier it is for their brain to learn and adapt to the techniques taught in therapy. To learn about communication milestones to look for in your child, click here.
- Difficulties involving swallowing and feeding could affect your child’s nutrition. We recommend seeking help as soon as you are aware of any concerns.
WHAT IS PEDIATRIC OCCUPATIONAL THERAPY?
For children and youth, occupations are activities that enable them to learn and develop life skills (school activities), be creative and/or derive enjoyment (play), and thrive (self-care and care for others). Play is the media most often used in the Occupational therapist’s treatment of children. It is a child’s “job” or “occupation” to play to develop physical coordination, emotional maturity, social skills to interact with other children, and self-confidence to try new experiences and explore new environments. Recommended interventions are based on a thorough understanding of typical development and the impact of disability, illness, and impairment on the individual child’s development, play, learning, and overall occupational performance.
HOW DO I KNOW IF MY CHILD NEEDS AN OCCUPATIONAL THERAPY EVALUATION?
An occupational therapy evaluation may be beneficial if your child:
- Seeks sensory input (e.g. increased need for physical play, toe-walking, difficulty understanding physical boundaries with peers or adults)
- Avoids sensory input (e.g. covers ears, avoids clothing textures, distressed when hands or body gets messy)
- Demonstrates difficulty completing two-handed tasks or difficulty manipulating small toys
- Has messy handwriting or demonstrates difficulty holding a crayon or pencil
- Demonstrates a decreased attention span, increased impulsivity, or difficulty sitting still
- Falls down often or frequently bumps into objects
- Requires increased time to complete simple tasks
- Demonstrates difficulty transitioning, inflexible thinking, or decreased frustration tolerance.
WHAT ARE ACTIVITIES OF DAILY LIFE (ADL’S)?
Activities of daily living (ADL) are tasks that we do every day. ADLs are most often actions that we take for granted, like playing with toys, brushing teeth, and dressing independently. However, many children have difficulties completing these activities. Occupational therapists determine the core problems that make the tasks difficult for the child.
- Feeding
- Grooming
- Dressing
- Toileting
- Sleep
- Social Participation
- School Skills
We can help!
If you are experiencing or observing one or more of the above, or feeding, swallowing, or communication difficulties in your child, please visit our services page to learn more about how our licensed experts can assist your child and family.