(346) 474-4626 Speech: Mon–Fri 8–6 · Hearing: Mon–Fri 9–4
Autumn Oak Speech, Voice and Hearing · Friendswood, TX

Apraxia Therapy

Motor Speech Therapy Built Around Apraxia

Apraxia treatment in Friendswood, TX at Autumn Oak begins with a detailed motor speech evaluation that distinguishes apraxia of speech from articulation and phonological disorders — three conditions that can look similar but require very different therapy approaches. Your speech-language pathologist then uses principles of motor learning — high repetitions, varied targets, multisensory cueing, and immediate feedback — to help your child plan and sequence the movements speech requires. Family coaching is built in so practice continues between visits.

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Speech-language pathologist working through motor speech cues for childhood apraxia of speech at Autumn Oak in Friendswood, TX
Autumn Oak Speech, Voice and Hearing pathology clinic in Friendswood, TX where apraxia therapy is provided

South Houston Families Choose Our Apraxia Specialists

Dr. Michelle Saltarrelli founded Autumn Oak around a deep, cross-disciplinary view of how the brain coordinates speech and hearing. Our Friendswood, TX speech-language pathologists draw on evidence-based protocols like Dynamic Temporal and Tactile Cueing (DTTC) and Rapid Syllable Transitions (ReST) to treat childhood apraxia of speech, and on motor-based approaches for adult acquired apraxia after stroke or brain injury. Each treatment plan is individualized to the child or adult in front of us.

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Apraxia Therapy FAQs

Common questions about apraxia treatment at Autumn Oak in Friendswood, TX — including diagnosis, the difference between apraxia and articulation disorders, and what therapy progress looks like.

A speech delay or articulation disorder usually means a child knows the sound but cannot make it correctly yet. Apraxia of speech is a motor planning disorder — the brain has trouble sending the right signals to the mouth, lips, and tongue to make sounds in the right order. Errors are inconsistent, vowels often sound off, longer words break down more than shorter ones, and the child may visibly grope for sounds.

Because apraxia requires a different therapy approach, an accurate diagnosis matters. Our Friendswood speech-language pathologists complete a careful motor speech evaluation before starting treatment to make sure the plan fits the diagnosis.

Apraxia therapy is high-frequency, motor-based practice — usually two to four sessions per week, each packed with many repetitions of carefully chosen sound, syllable, and word targets. Your speech-language pathologist uses tactile cues, visual models, slowed and exaggerated speech, and multisensory feedback to help your child plan and sequence the right movements.

At Autumn Oak we use evidence-based protocols like Dynamic Temporal and Tactile Cueing (DTTC) and Rapid Syllable Transitions (ReST). Sessions are play-based but tightly structured, and parents receive home practice activities so children get the daily repetition motor learning requires.

Yes — acquired apraxia of speech can occur after a stroke, traumatic brain injury, brain tumor, or progressive neurological condition. It often appears alongside aphasia or dysarthria but is a distinct motor planning problem. Speech sounds may be inconsistent, effortful, and slower than the person intends.

Our Friendswood speech-language pathologists evaluate adults presenting with new motor speech difficulty, distinguish acquired apraxia from related conditions, and build a therapy plan grounded in motor learning principles. Treatment often integrates compensatory strategies, communication partner training, and pacing techniques alongside direct sound and word practice.

Apraxia is a motor disorder, which means progress depends on the dose of practice your child gets, not just the calendar. Most children with childhood apraxia of speech need at least two to four therapy sessions per week, paired with short, frequent home practice, for many months to a few years.

That said, families typically see early wins — clearer single sounds, more consistent simple words, more attempts at communication — within the first few months. Our Friendswood team sets clear goals and reviews progress at every visit so you always know where your child stands and what is coming next.

Patient Reviews

Hear from Friendswood, TX patients who trust Autumn Oak for speech pathology and audiology — rated 4.9/5 across 199+ Google reviews.

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Trusted by Friendswood families since 2011 — dual-certified speech and hearing care at two convenient locations.

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Serving Friendswood & the Greater South Houston Area

Our Locations

Autumn Oak has two dedicated locations on South Friendswood Drive — our Speech Pathology office at 820 and our Audiology office at 699, both in Friendswood, TX.

  • Serving Friendswood since 2011
  • Parking available at both locations
  • Wheelchair accessible
“My son has been coming here for years and we love it. Everyone — from the front office to the therapists — is kind and helpful. His therapist's patience and skill have helped him reach so many goals, and they give parents guidance for home. Highly recommend for any child with a speech delay.”
— Monica Gonzalez

820 S Friendswood Dr, Suite 100

Friendswood, TX 77546

Monday8:00 AM - 6:00 PM
Tuesday8:00 AM - 6:00 PM
Wednesday8:00 AM - 6:00 PM
Thursday8:00 AM - 6:00 PM
Friday8:00 AM - 6:00 PM
SaturdayClosed
SundayClosed
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Audiology

Hearing

699 S Friendswood Dr, Ste 104

Friendswood, TX 77546

Monday9:00 AM - 4:00 PM
Tuesday9:00 AM - 4:00 PM
Wednesday9:00 AM - 4:00 PM
Thursday9:00 AM - 4:00 PM
Friday9:00 AM - 4:00 PM
SaturdayClosed
SundayClosed
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