Our Approaches

Greenspan Floortime

The Greenspan Floortime Approach is a system developed by the late Dr. Stanley Greenspan. This approach meets children where they are and builds upon their strengths and abilities through creating a warm interactive relationship. It challenges them to go further and to develop at a comfortable rate.

At Exceptional Speech Therapy, we follow your child’s lead by entering your child’s world; challenge them to be creative and spontaneous; and expand their interactions to include all or most of their senses and motor skills as well as different emotions.

Dr. Greenspan developed Floortime for families to enable them to support their child’s development. Floortime is both an intervention approach for children with special needs and as a general support for healthy child development. 

For more information on how to get started at Exceptional Speech Therapy, please contact us at (786) 717-5649.

(Source: Stanley Greenspan)

summer camp Doral

Beckman Oral Motor

This approach was developed by Debra Beckman, MS, CCC-SLP, who has been practicing since 1975. This protocol is a way to evaluate and treat weakness (hypotonicity) throughout the oral-facial structures.

The Beckman Oral Motor Protocol is an intervention that utilizes assisted movement and stretch reflexes to activate muscle contraction, build strength and improve range of motion in the lips, jaw, tongue and soft palate. It assesses the response to pressure, movement, range, and strength, and variety and control of movement. 

This approach is even beneficial for children that can not follow verbal commands due to motor planning difficulties and/or cognitive deficits. This can also be used with infants as a highly effective tool for improving oral motor skills to support feeding and speech development.

The Beckman Oral Motor Intervention can be used to facilitate both speech production and feeding skills. Issues such as tooth grinding, drooling and hyper/hyposensitivity may also be addressed by the Beckman protocol. Techniques that are used are performed in a playful, gentle manner, so that all children feel respected. 

For more information on how to get started at Exceptional Speech Therapy, please contact us at (786) 717-5649.

(Source: Beckman Oral Motor)

SOS Feeding Approach

The Sequential Oral Sensory Approach to Feeding (The SOS Approach) is a transdisciplinary program designed to assess and address the reasons why a child is struggling to eat. This approach takes into account several factors including organs, muscles, sensory, learning, development, nutrition, and environment. The SOS approach uses a whole child perspective, integrating sensory, motor, oral-motor, behavioral/learning, medical, and nutritional factors for both assessment and intervention, resulting in strategies to comprehensively evaluate and manage children with feeding/growth problems. Success is determined by (a) intrinsically motivated and sustained interest in trying new foods, (b) enjoyment in and appropriate skills for eating and drinking a wide range of age-appropriate foods and fluids; (c) consumption of sufficient calories for optimal growth along a child’s own percentile line on a growth curve, and (d) improved family understanding and functioning during mealtimes for the development of healthy relationships with food and each other.

For more information on how to get started at Exceptional Speech Therapy, please contact us at (786) 717-5649.

(Source: ASHA Wire)


PROMPT Approach

Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT), is a tactile-kinesthetic approach to speech therapy involving the speech-language pathologist using touch cues on your child’s face in order to support and shape correct movement of articulators (e.g., jaw, lips, tongue, vocal folds). Through these specific touch cues, the speech-language pathologist is able to help your child produce a series of syllables, words or phrases. This hands-on approach assists your child to plan, coordinate and produce speech sounds. Touch cues are faded as your child’s speech production improves. PROMPT©-trained speech-language pathologists take into account, not only the physical aspects of speech production, but also the other areas of the child’s development, such as language development, as well as social and emotional implications.

Studies have shown that PROMPT© has been effective in treating a wide range of communication disorders including children who have articulation delays, motor speech difficulties or childhood apraxia of speech. Some studies have also demonstrated that PROMPT© has been effective in other populations, such as adults with apraxia and aphasia.

Exceptional Speech Therapy is pleased to offer the option of speech and language therapy with PROMPT© Trained Level 1 Speech-Language Pathologists.

For more information on how to get started at Exceptional Speech Therapy, please contact us at (786) 717-5649.

(Source: PROMPT Institute)

Prompt EST miami

Kaufman Speech to Language Protocol

The Kaufman Speech to Language Protocol (K-SLP), created by Nancy R. Kaufman, MA, CCC-SLP, is an evidenced-based evaluation and treatment method for children with childhood apraxia of speech (CAS), other speech sound disorders, and expressive language difficulties. The K-SLP is an approach integrated in our speech and language interventions. It is a treatment approachThe K-SLP focuses upon the child’s speech-motor coordination including shaping consonants, shaping vowels and shaping syllable structures. The K-SLP is integrates teaching strategies from applied behavior analysis and principles of motor learning, corresponds with the latest research in CAS, neuroscience, sensory-motor development, and early language development. 

For more information on how to get started at Exceptional Speech Therapy, please contact us at (786) 717-5649.

(Source: Northern Speech Services)

speech therapy Miami

Sensory Integration

Sensory Integration is the ability for our body to organize the sensory information that it receives in order to appropriately and efficiently respond to everyday ordinary situations in natural environments. Currently, we acknowledge, the following senses: vision, smell, taste, hearing, touch, vestibular sense, proprioception, and interoception. 

As occupational therapists we emphasize the importance of using a sensory integration approach due to the significance it has on developmental, cognitive, academic, and emotional growth. Sensory Integration provides children with the ability to regulate themselves for the purpose of demonstrating calm and adaptive behaviors. If calming behaviors are achieved, the ability to attend, concentrate, respond appropriately, and to engage in age-appropriate functional activities increases. When adaptive responses are accomplished, children successfully overcome some of the internal and/or external challenges experienced. 

Common difficulties experienced in natural environments may include:

  • Clumsiness and poor postural control
  • Difficulty remaining calm: constantly running, touching objects, and jumping with no apparent purpose
  • Emotional outbursts/ ‘tantrums’
  • Poor attention
  • Social avoidance/difficulties
  • Impulsivity
  • Unusual level of arousal (passive vs. active)
  • Poor tolerance to food textures
  • “Picky eater”
  • Poor tolerance to grooming activities (cutting nails, brushing hair, brushing teeth)
  • Difficulty crossing to/from two different heights/surfaces
  • Poor tolerance to clothes
  • Poor tolerance to unstable equipment (swings/stairs/slide)
  • Difficulty crossing to/from two different heights/surfaces
  • Constantly falling and/or crashing objects


Benefits of multi-sensory approaches during therapy may include:

  • Modulation of sensory systems
  • Self-regulations
  • Improved function in school, home and community
  • Improved independence with activities of daily living (ADLs)
  • Maximized functional ability to perform daily and recreational activities
  • Enhanced motor planning ability
  • Active involvement and exploration of environments
  • Efficient organization of sensory information

Occupational therapists and speech-language pathologists have a similar goal to help regulate sensory input into the body. 

For more information on how to get started at Exceptional Speech Therapy, please contact us at (786) 717-5649.

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