Finding your voice matters. Whether you're three or ninety-three, struggling to express yourself or be understood can feel isolating and frustrating.

At Milestones Matter, we believe everyone deserves to communicate confidently and connect meaningfully with the world around them.

We realize that no two people are the same and as such tailor our therapy to meet the specific needs of our clients. Whether you are are embarking on a brand new journey to getting your communication, voice or swallowing needs met, or if you have a long history of speech services, we are here to co-create a treatment plan with you.

Personalized Speech Therapy That Fits Your Journey

We realize that no two people are the same, and as such, we tailor our therapy to meet the specific needs of our clients. Whether you are embarking on a brand new journey to getting your communication, voice, or swallowing needs met, or if you have a long history of speech services, we are here to co-create a treatment plan with you.

Our approach is collaborative, compassionate, and driven by your unique goals. We don't believe in one-size-fits-all therapy protocols. Instead, we listen first, assess thoroughly, and design treatment plans that honor where you are and where you want to go.

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Who We Serve

Children & Teens

From first words to complex conversation skills, we support children through every stage of communication development. Whether your child is late to talk, struggles with pronunciation, has difficulty understanding language, or faces social communication challenges, we're here to help them find their voice.

Adults

Communication challenges don't end in childhood. Whether you're recovering from a stroke, managing a progressive neurological condition, seeking voice therapy for professional or personal reasons, or working through fluency concerns, we provide expert, evidence-based care tailored to your adult life.

Families

We recognize that communication challenges affect the whole family. That's why we equip parents, caregivers, and family members with strategies, education, and support to continue progress beyond our therapy sessions.
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Conditions We Treat

Aphasia

Aphasia occurs when brain injury (often from stroke) affects your ability to communicate. We help individuals regain language skills, find alternative ways to express themselves, and rebuild confidence in daily communication. Our aphasia therapy focuses on functional communication goals that matter most to you—whether that's ordering at a restaurant, talking with grandchildren, or returning to work.

Apraxia (Acquired and Childhood Apraxia of Speech)

Apraxia makes it difficult to plan and coordinate the movements needed for speech, even though you know what you want to say. For children with Childhood Apraxia of Speech (CAS), we use intensive, evidence-based approaches like dynamic temporal and tactile cueing. For adults with acquired apraxia, we focus on motor planning strategies and functional communication.

Articulation & Phonological Disorders

Does your child substitute sounds, leave sounds off words, or have speech that's hard to understand? Articulation and phonological disorders affect speech clarity. We identify the specific sound patterns causing difficulty and use play-based, motivating activities to help children produce clear, confident speech.

Augmentative Alternative Communication (AAC)

Not everyone communicates with spoken words—and that's okay. AAC includes everything from picture boards and communication books to high-tech speech-generating devices and apps. We evaluate, recommend, and train individuals and families in AAC systems that give every person a voice, no matter their ability to speak.

Autism Spectrum Disorder

Children and adults with autism often have unique communication profiles. We support social communication skills, functional language development, pragmatic language use, play skills, and alternative communication methods. Our neurodiversity-affirming approach honors each person's communication style while building skills that support connection and independence.

Feeding & Swallowing Disorders

Safe, enjoyable eating is fundamental to quality of life. We assess and treat feeding difficulties in children (picky eating, texture aversions, oral motor delays) and swallowing disorders in adults (dysphagia following stroke, neurological conditions, or aging). Our feeding therapy is sensory-based, family-centered, and never forceful.

Expressive & Receptive Language Disorders

Language is more than just speech sounds—it's understanding what others say (receptive language) and expressing your own thoughts (expressive language). We help children and adults who struggle with vocabulary, grammar, following directions, answering questions, telling stories, or understanding complex language.

Feeding Disorders involve so much more than simply eating—it's a complex process that requires sensory awareness, oral motor coordination, and confidence with new textures and tastes. At our clinic, we support babies and children who have difficulty transitioning to solid foods, show signs of oral motor weakness or discoordination, or experience stress and avoidance around eating. Using evidence-based approaches such as sensory-based feeding and the SOS (Sequential Oral Sensory) Approach, we help families make mealtimes more positive and successful. Whether your child is a cautious eater or has a true feeding disorder, we create individualized plans to help them build the skills they need to enjoy a wider variety of foods safely and comfortably.  

Fluency Disorders (Stuttering)

Stuttering affects the rate and tension in one's speech. Whether you're a child just beginning to stutter or an adult who has stuttered for years, we provide supportive, evidence-based stuttering therapy. We help you speak more fluently when you want to, manage stuttering when it occurs, and most importantly, communicate confidently without fear or shame.

Motor Speech Disorders

Motor speech disorders like dysarthria affect the muscles used for speaking, making speech sound slurred, slow, or effortful. We work on breath support, articulation precision, rate control, and vocal quality to improve speech intelligibility and communication effectiveness. We use evidenced based treatment such as the SPEAK OUT! program for Parkinson's.

Social Pragmatic Language Disorders

Understanding social cues, taking turns in conversation, reading body language, using tone—these pragmatic language skills are essential for building relationships. We help children and adults navigate the unwritten rules of social communication through real-world practice, video modeling, and perspective-taking activities. 

Voice & Resonance Disorders

Your voice is your signature. When hoarseness, vocal strain, pitch concerns, or resonance issues affect your voice, it can impact your confidence and quality of life. We treat vocal nodules, vocal cord dysfunction, muscle tension dysphonia, and other voice disorders using evidence-based voice therapy techniques.
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Our Speech Therapy Approach

Evidence-Based & Individualized

We stay current with the latest research and use proven therapy techniques, but we never lose sight of what matters most: your unique needs, preferences, and goals.

Family-Centered Care

Families are partners in therapy. We provide education, coaching, and home practice activities so progress continues beyond our sessions.

Play-Based & Engaging (for children)

Kids learn best through play. Our pediatric therapy sessions are fun, motivating, and designed to keep children engaged while building critical skills.

Functional & Goal-Oriented

We don't work on skills in isolation. Every goal is tied to real-life communication needs—whether that's participating in preschool, ordering coffee independently, or giving a presentation at work.

Compassionate & Affirming

We create a safe, supportive environment where everyone feels heard, valued, and empowered. We celebrate progress of all sizes and honor each person's communication journey.
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What to Expect in Speech Therapy

Initial Evaluation

We start with a comprehensive assessment to understand your strengths, challenges, and goals. This includes standardized testing, observation, conversation with you and your family, and review of medical or educational history.

Personalized Treatment Plan

Based on evaluation results, we develop a customized plan with clear, measurable goals that matter to you.

Regular Therapy Sessions

Sessions typically occur at a minimum of 1-2x weekly. We use a mix of structured activities, play, and functional tasks.

Progress Monitoring

We track progress regularly and adjust therapy as needed. You'll always know where you are and where you're headed.

Home Practice & Carryover

Success requires practice beyond our sessions. We provide activities, strategies, and coaching to support carryover at home, school, or work.
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Why Choose Milestones Matter for Speech Therapy?

 - Experienced, Licensed Speech-Language PathologistsOur therapists hold their Certificate of Clinical Competence (CCC-SLP) and are licensed in Texas.

- Individualized, Not Cookie-CutterEvery treatment plan is designed specifically for you—your goals, your learning style, your life.

- Collaborative & CompassionateWe work with you, not on you. Your input drives the therapy process.

- Flexible Service OptionsWe offer teletherapy and clinic-based sessions to fit your schedule and comfort.

 - All Ages & Abilities WelcomeFrom babies eating their first solid foods to seniors recovering communication after stroke, we serve the lifespan.