We Have Moved to Herndon

Small Talk Speech Therapy, Herndon VA

We’ve Moved!  Small Talk is excited to show you our new digs.  We have moved to a new location in Herndon, VA (just a few minutes away from our old office in Reston). The new space is conveniently located just a few hundred yards away from Fairfax County Parkway and VA 267 Toll Road.

441 D Carlisle Dr.
Suite 102
Herndon VA, 20170



Small Talk now provides Rapid Prompting Method (RPM)

Small Talk - RPM Letterboard

Now Certified in Rapid Prompting Method (RPM)

I am delighted to say that recently became certified in Rapid Prompting Method (RPM). RPM is a means for improving academic success and communication for persons with autism and similar disorders. RPM uses prompting to initiate a student’s independent response, without physical support. In addition to teaching letter-chart pointing, RPM also utilizes stencils and other drawing exercises to lead to independent handwriting*.
I have found it to be an extremely effective method for some of my patients in the Northern Virginia area. Rapid Prompting Method is used to teach academics, and communication is also taught in the process. Despite behaviors, the academic focus of every RPM lesson is designed to activate the reasoning part of the brain so that the student becomes distracted by and engaged in learning. Contact me if you are interested in learning more. I would be happy to discuss whether or not Rapid Prompting Method is right for your child.

*Source Soma Mukhopadhyay
If you would like to learn more on RPM or would like to schedule an appointment for an evaluation, consultation, or therapy, please contact Marci at Small Talk LLC at (703) 909-9338.

Help Deciphering Common Speech Language and Feeding Disorders

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Common Speech Disorders, Language Disorders, and Feeding Disorders

Your teacher or doctor may have expressed concern that your child could have a problem with certain speech or language skills.  That can be tough to hear and sometimes confusing.  Here are a list of common terms and speech, language and feeding disorders which might help you understand and identify what treatment is needed for your son or daughter.

Some common speech, language and feeding disorders include:

  • Articulation disorders: difficulties producing sounds in syllables or saying words incorrectly to the point that listeners can’t understand what’s being said.
  • Fluency disorders: problems such as stuttering, in which the flow of speech is interrupted by abnormal stoppages, partial-word repetitions (“b-b-boy”), or prolonging sounds and syllables (sssssnake).
  • Resonance or voice disorders: problems with the pitch, volume, or quality of the voice that distract listeners from what’s being said. These types of disorders may also cause pain or discomfort for a child when speaking.
  • Cognitive-communication disorders: difficulty with communication skills that involve memory, attention, perception, organization, regulation, and problem solving.
  • Receptive disorders: difficulties understanding or processing language.
    Expressive disorders: difficulty putting words together, limited vocabulary, or inability to use language in a socially appropriate way.
  • Dysphagia/oral feeding disorders are disorders in the way someone eats or drinks, including problems with chewing, swallowing, coughing, gagging, and refusing foods.

How RPM Helps Children w/ Autism

looking to learn more about RPM? Check out this video which discusses how Alec was able to communicate again using RPM.

“Rapid Prompting Method” helps boy with autism communicate

From Fox 6 Wisconsin

The parents of a Waukesha boy with autism say they “lost him” when he was a toddler and the autism took hold. Unable to speak, his parents wondered what, if anything was going on inside their little boy’s brain. Through a unique form of therapy, little Alec Grenfell’s parents were finally able to get their son back.
Alec Grenfell has autism — a condition that for many years, hid the brilliance inside his brain. “People with autism have information in their minds, but they don’t have the processing and the links to get it out of their mouth,” Alec’s speech pathologist, Jackie Dorshorst said. Alec, the second child born to Craig and Carrie Grenfell of Waukesha, seemed a happy and healthy toddler. Then, for reasons they’ll never know, they lost him. “He went from being a normally-developing 18-month-old kid to being gone. We liken that to your kid being kidnapped in the middle of the night,” Alec’s father, Craig Grenfell said. Alec did not speak, and didn’t respond well when others spoke to him. “This is a kid they didn’t know what to do with anymore because he’d scream, scream, scream — anything they tried to do,” Jackie Dorshorst said.

Alec’s parents didn’t know what to do either. Alec had skills — as maddening as they could be: drawing the same thing over and over again — a picture from the “Home Alone” DVD box and elaborate drawings on the driveway — but for Alec, words would not come. What was happening inside the little boy’s mind was a mystery. “We didn’t know if he knew it was his birthday,” Alec’s mother, Carrie Grenwell said.

Desperate, Alec’s parents took him and his speech pathologist, Jackie Dorshorst to meet with a Texas woman named “Soma Mukhopadhyay” in 2008. Soma had developed a teaching method used to treat her own son’s autism. The approach involves using a sheet of paper, and teaching those with autism to spell out what they are trying to say, by pointing at the corresponding letters. Dorshorst learned the approach, called “Rapid Prompting Method” and used it to teach Alec, and it’s a system that clearly works for him. The boy, once thought to be void of critical thinking actually has a whole lot going on in his brain. There is a writer inside who crawls out — letter by sometimes painful letter. “He’s a very spiritual kid. He wants to help others. He’s said his goal is to be a beacon of light for kids with autism. He wants to show what this method can do and that these kids have a lot going on,” Alec’s dad said.

Alec’s parents are ecstatic to learn the son who was thought lost for years is now back — and his future is better than they could have imagined. “Sometimes I can’t see what I’m writing because I’m crying so hard, but yes, he’s here with us now,” Alec’s mother said. Alec’s parents wanted to share Alec’s story because of what Rapid Prompting Method, or RPM has meant to him and to them.

View Full RPM Video Here >

Small Talk LLC offers Rapid Prompting Method (RPM). We are one of only a handful of therapists in the Northern Virginia area to be Certified in Rapid Prompting Method (RPM)

For more information please fill out a request for an evaluation.

Area’s Served

Serving Northern Virginia & Washington D.C. Area Including:

For over 15 years Small Talk LLC has served families in the Northern Virginia and Washington Metro area with Pediatric Speech-Language Therapy Services. Our clients come from all over including:

– Reston
– Herndon
– Chantilly
– McLean
– Falls Church
– Sterling
– Fairfax
– Vienna
– Great Falls
– Centerville
– Northern Virginia
– Tyson’s Corner
– Loudon County

American Speech Language Hearing Association Member