You should reach out to a speech therapist if you are having any of the following concerns for your child:
  • 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


Speech delays, also known as alalia, 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.


A developmental delay occurs when a child has not gained the appropriate developmental skills expected of him or her, compared to other children of the same age. These delays may occur in the areas of motor function, speech and language, cognition, and social skills.

Some examples of developmental delays are:

  • Autism Spectrum Disorder,
  • Cerebral Palsy,
  • Down Syndrome,
  • Genetic Disorders,
  • Intellectual Disorders.


Articulation disorders occur when a child experiences difficulty producing specific sounds. Many times, articulation disorders can be masked by mumbling. However, parents often realize that they are having trouble understanding what their child is saying.


  • Picky eating
  • Slow Eating, Grazing throughout the day
  • Pocketing food in the cheeks like a chipmunk
  • Difficulty transitioning to solid foods
  • Trouble gaining weight
  • Choking or Gagging on Food
  • Spitting out food


  • Milk dribbling when drinking from a bottle
  • Painful latch when nursing
  • Reflux
  • Colicky symptoms
  • Difficulty with transition to solid food
  • Poor weight gain
  • Lots of spit up


Tongue ties, also called Ankyloglossia, are a condition present in up to one-third of children at birth and restrict the tongue’s range of motion. Tongue ties occur when an unusually strong band of tissue tethers the tongue to the floor of the mouth, and this can interfere with breastfeeding, eating, swallowing and speaking in children.


Lip ties occur when the tissue connecting the upper lip to the gums is too tight, too thick, or both, potentially causing issues with lip mobility.



Common signs:

  • Notched tongue baby, or heart shaped tongue baby
  • Difficulty sticking out tongue beyond teeth
  • Difficulty lifting tongue or moving it from side to side
  • Tongue tie in newborns and infants often cause breastfeeding issues
  • Tongue tie in toddlers often causes issues with eating, swallowing, speaking, and brushing teeth
  • Can be seen in adults if tongue tie did not cause childhood issues


  • Usually found in newborns and infants
  • Often causes breastfeeding issues
  • Common signs of lip tie:
    • Newborn won’t latch
    • Baby experiencing gas or colic
    • Slow or low weight gain
    • Baby fatigued when nursing begins
    • Can trap milk, causing dental decay


Although tongue ties and lip ties can be difficult to directly and visually identify for parents, there are many common symptoms of the conditions. Some of the primary ones are:

  • Difficulty breastfeeding
  • Nipple pain breastfeeding
  • Damage to breast due to breastfeeding issues
  • Difficulty feeding
  • Trouble with speech
  • Trouble with sleep
  • Mouth breathing
  • Acid reflux

Often, many of these symptoms can present together and make basic life functions very challenging for the child and family.


At Talk About Therapy we want you to know you are not alone.


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.


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.


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.


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.


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


Some signs of sensory processing difficulties are:

  • Overly sensitive or under reactive to sight, sounds, movement, or touch.
  • Can’t get “enough” sensory input: moving, bouncing, squeezing, or mouthing.
  • Difficulty with behavioral and/or emotional regulation. Easily overwhelmed (may result in overexcitement, meltdowns or shutting down.)
  • Has poor muscle tone, fatigues easily, leans on people, or slumps in a chair. Uses an inappropriate amount of force when handling objects, coloring, writing, or interacting with siblings or pets
  • Is clumsy, falls frequently, bumps into furniture or people, and has trouble judging position of body in relation to surrounding space.
  • Has difficulty learning new motor tasks; experiences frustration when attempting to follow instructions or sequence steps for an activity.
  • Avoids playground activities, physical education class, and/or sports
  • Difficulty learning how to play or get along with other children
  • Difficulty with everyday activities like eating, sleeping, brushing teeth or getting dressed
  • Problems learning to color, cut, draw or write
  • Difficulty transitioning from one activity or place to another
  • Challenges in school, including attention, organizational perception and listening skills.


Children should be presented with a spoon at 9-12 months to begin exploration during mealtimes and play.


Potty training can begin as early as 18 months. However, you should watch your child’s cues (such as verbal or non-verbal communication that their diaper is wet or soiled) and ability to stay dry during the day.


By the time your child enters kindergarten, he/she should begin to copy his/her own name.

We can help!

If you are experiencing or observing one or more of any of these breastfeeding issues 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.

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Social Reviews

Talk About Therapy - Pediatric Therapy IconTalk About Therapy - Pediatric Therapy

2323 Cumberland Parkway Southeast Suite 104, Atlanta

5.0 55 reviews

  • Avatar Joy Durham ★★★★★ 3 months ago
    Our daughter struggled with solids for months after we first introduced them, and we felt desperate for help. I took her to a major children's hospital here in Atlanta and saw no improvement. Finally, I found Niti online and brought … More my daughter in. Before Niti even looked into my daughter's mouth she could tell there was a tongue tie, but she soon discovered a tongue AND lip tie and referred us to a dentist for a release. We are now a month post-op, and my daughter is making new sounds and eating all kids of new foods without struggling. Thank you to everyone at Talk About Therapy! We will always feel so thankful we found you.
  • Avatar Angel Barzey ★★★★★ 6 months ago
    My son has been receiving speech therapy with Bianca for over 6 months now and I can’t say enough how WONDERFUL she is. With my son it can take awhile to adjust to new surroundings, but when he started with Bianca she was so patient with … More him. My son looks forward to going to speech therapy every week, and enjoys his time with Bianca. I’ve also seen a lot of progress in his speech, for example, before he started my son was only able to point to ask for what he wants, now he comes up to us to ask for what he wants. I would absolutely recommend anyone looking for a great place for their kids, this is the place to go. Not only is Bianca amazing, but everyone there is great and so helpful with anything you need in the process.
  • Avatar Alexis DeLucia ★★★★★ 7 months ago
    I have been bringing my son here since late August and have absolutely loved our experience so far! Leah is amazing with him and always makes sure to keep things fun and educational at the same time. She does a phenomenal job and has already … More improved his speech a ton. My son gets so excited to come here every week to see everyone! Niti has done a wonderful job of making sure this is a safe, fun, educational and happy place filled with wonderful therapists. I highly recommend them to everybody!
  • Avatar Nancy Cabrera ★★★★★ 6 months ago
    We love seeing ms bianca for speech and feeding therapy! She’s really sweet with kids and is really professional. Answers all your questions and provides you with all the resources you need . Would definitely recommend her .
  • Avatar Claudia Johnson ★★★★★ 6 months ago
    I’m long overdue for my review of all the staff at Talk About Therapy. I just want to say how amazing they are. My daughter has been receiving speech therapy from here since March of last year, and she absolutely loves it. She lights up … More as soon as she sees Ms. Rachel every session. I can’t say enough great things about Ms. Rachel and how she has connected with my daughter. I’m soooo thankful. The owner Niti is amazing as well. She is so knowledgeable and thorough. She was able to help me with my son, whenever no one else could seem to figure it out. Now both of my children have had their tongue ties corrected. Thanks to Niti. I’m so grateful for all the staff at Talk About Therapy. Thank you guys for everything you do. We appreciate you!!!
  • Avatar Annai Sandoval ★★★★★ 7 months ago
    I love coming here my kids love therapist they have. Very kid friendly
  • Avatar Sapphire Haughton ★★★★★ 7 months ago
    My son had issues speaking from 2 years old. My husband and I took him to Talk About Therapy when he was 3, where we met Rachel. He immediately loved her and so did we. On the first visit, she diagnosed our son with a lip and tongue tie. … More This was something that his dentist had missed for years. She made us feel like family. The staff here is amazing. Niti is the owner and speech language pathologist and she goes out of her way to speak every time we are there. She knows our son by name. We love it here. My son is about to be 5 years old and talking our heads off. The amount of care and love these therapists put forth is beyond admirable. I suffer from anxiety. So this process was extremely difficult for me. Both Niti and Rachel have been a Godsend. Thank you for helping us get through this. And for always being a call or text away. They are always accommodating and the best with children. Definitely recommend for any parents whose little ones are having speech issues.
  • Avatar Tunisia Staten ★★★★★ 10 months ago
    Ms Rachel is an amazing therapist. My 4 year old daughter enjoys going to Talk About Therapy because Ms. Rachel makes the sessions fun, entertaining and engaging. She has mastered incorporating play with speech practice, which makes my … More daughter look forward to her weekly visits at Talk About Therapy!
  • Avatar Chanel smith ★★★★★ 10 months ago
    First off, Ms. Leah and Ms. Ashley are AMAZING! My child can be difficult to work with when his anxiety starts to sink in but that doesn’t matter when it comes to these two phenomenal women, they are up for the challenge! I’m so glad I … More chose Talk About Therapy and I am forever grateful for Ms.Leah and Ms. Ashley. ♥️
  • Avatar Holly Long ★★★★★ 10 months ago
    We’ve been going to Talk About Therapy since the beginning of June 2021, and we absolutely LOVE it!! Everyone there is wonderful. Niti made sure we got approved through insurance as fast as possible, Bianca is a WONDERFUL speech language … More therapist, and my son has had such a connection with her. He’s learned so much, and his therapy is very intense and repetitive so we have to go slow and steady with him, but he looks forward to going twice a week and has never been even slightly upset at the idea of seeing everyone. Everyone is warm and welcoming, and I truly don’t know where I would be without them.
  • Avatar Juliana Gomez ★★★★★ 10 months ago
    Talk about therapy was amazing, Ms. Bianca is very knowledgeable and was able to guide me and provide for us all the resources we needed to successfully get my little one through feeding therapy. 10/10 recommend. Thank you! 😘
  • Avatar Mary Claire Smith ★★★★★ 10 months ago
    We absolutely love TAT! We have used them for their speech and feeding therapies! My son gets so excited to see Ms. Leah every week! Highly recommend them!
  • Avatar Yasiri Alanis ★★★★★ 11 months ago
    My son absolutely loves Ms. Rachel. He enjoys coming to therapy every Monday. We have seen a lot of improvement even though we are able to come once a week. Thank you Ms. Rachel for your dedication.
  • Avatar Desiree Marie ★★★★★ a year ago
    We were recommended to Talk About Therapy by our pediatrician and we absolutely loved them. Niti was extremely patient, professional, and understanding. Ms. Rachel was absolutely amazing with my child. Even when we moved 45 minutes away, … More we kept going due to the professionalism, care, and kindness Talk About Therapy possesses. Would absolutely recommend them!!
  • Avatar RaQuita Weathers ★★★★★ 11 months ago
    My son has been receiving service here with Niti and Rachel for over a year now and we are happy with our choice to choose Talk About Therapy for his speech therapy. With Rachel as his primary care provider, my son is happy to come to appointments … More and he’s learning so much from each session. We have seen a major improvement in his development since Niti starting seeing us last summer. We would em highly recommend this business for any parents looking for quality care service.
  • Avatar Shakita Thomas ★★★★★ 11 months ago
    I have one word that describes Talk About Therapy- Speech Therapy and it’s AMAZING ! My son have been getting services here for 7 Months with Rachel and I have seen a big change in his speech. From one word to making sentences. It’s just … More mind blowing ! And let’s not forget my son lovessssssss Ms. Rachel ! She is literally the best ! So professional, patient and caring ! I love the way she is with him and she’s always on top of things. I just want to say thank you Rachel and Niti for everything that you do for my son ! I highly recommend them !
  • Avatar B ★★★★★ 11 months ago
    Me. Rachel is great! Super patient with my daughter and she works with my late schedule. Highly recommend this company.
  • Avatar Erin M ★★★★★ a year ago
    We used Talk About Therapy for our two year old in early 2021 and saw amazing progress! He actually ended up “testing out of” speech therapy which is what every parent wants to hear. The owner was very professional and responsive to our … More needs. We would recommend this company without hesitation.
  • Avatar Melodie Keheley ★★★★★ a year ago
    Niti is wonderful! She help me and my son out when he had his tongue tie done . It was hard to do the exercises with him being an older baby trying to get in his mouth but she showed me ways to get it done without a fight. Thank you again … More Niti for the help!!! 🥰
  • Avatar Dashonique Fitzgerald ★★★★★ a year ago
    My daughter was showing early developmental delays at her 12 month wellness checkup. Her pediatrician referred us to Talk About Therapy. I was very nervous and worried about my baby. The owner Niti was very professional and helpful. She … More educated me as a parent as well. My daughter has been in speech therapy for 6 months now and she is saying a lot more words now and is much better with communicating. Developmentally she is far more advanced than she was at her 12 month wellness checkup. She also just started with a new therapist Bianca. I was very nervous for my daughter to have therapy with anyone else but Niti. I had gotten comfortable with Niti, and so did my daughter, but the new therapist Bianca is amazing with my daughter. Whenever I need to reschedule or have any questions Niti and Bianca are always available. Talk About Therapy goes above and beyond. They have helped my daughter tremendously and eased my anxieties and concerns as a parent with her speech development.
  • Avatar Britney Drometer ★★★★★ a year ago
    I’m really glad that we were referred to Niti for my infant daughter’s speech therapy. She was super helpful and accommodating. The exercises she gave us for our daughter made a huge difference and you could definitely tell that it helped … More her with feeding. I would recommend her to friends and see her again should our daughter or future children have any speech related issues. Thanks again Niti!
  • Avatar jamila bivens ★★★★★ a year ago
    I made the best decision by picking Niti as my son’s therapist. She’s pleasant and patient. She detected the cause of his feeding problem (tongue tie) and we got it fixed. He was finished with therapy within the three months he was given. … More We’d seen progress every week and immediately after his reverse. My son no longer needs a feeding tube thanks to her. If any parent is looking a speech therapist, I highly recommend.
  • Avatar Nicole Marie ★★★★★ a year ago
    I was referred to talk about therapy by my sons pediatrician. My son has worked with Niti and Rachel. Both are fantastic and really took the time to address my questions and concerns. My son loved going to his sessions and hated leaving. … More I highly recommend talk about therapy to anyone who may have concerns about their kids speech.
  • Avatar Whitney Brand ★★★★★ a year ago
    Niti is fantastic! My infant some began seeing her for feeding therapy prior to having his posterior tongue tie revised and post-revision. She did wonders with my son! She is very knowledgeable and patient (which is key when working with … More babies) and she fantastic at following up and checking in with us. I would HIGHLY recommend her to anyone dealing with the same issues.
  • Avatar Sarah B ★★★★★ a year ago
    We loved Niti! She helped us with my 7 month old’s rough transition to solids. She was patient and helped both with my daughter’s feeding skills and my comfort as a parent. In 2 months we went from her almost total rejection of solids to … More eating everything we eat (prepared safely for a baby, of course!). Definitely recommend Talk About Therapy!
  • Avatar Linnea Veazey ★★★★★ a year ago
    Niti is very knowledgeable and has been so easy to work with. She identified my son's tongue and lip tie, and helped us find the appropriate provider to get them released. I am an SLP myself, but I don't have any experience with … More oral motor function pre and post tongue/lip tie releases. We were definitely in good hands with Niti as she is a wealth of knowledge in this area!
  • Avatar Rachel Sandifer ★★★★★ a year ago
    My child made so much progress in six months working with Niti. She is incredibly engaging, consistent, and gave us so many tips and tools to use at home. Highly recommend!
  • Avatar Ashley Carlson ★★★★★ a year ago
    Niti has been amazing for my son! She was so helpful with exercises pre and post revision of my sons lip and tongue tie. She is patient, kind, and great with babies. She is also very responsive to any questions or concerns you have via … More email, phone, or text. I cannot recommend her enough!!!

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