Frequently Asked Questions About Speech & Cognitive Therapy 

1. What concerns can speech and cognitive therapy help with?

Speech and cognitive therapy can support children, teens, and adults with a wide range of communication, learning, and everyday thinking needs, including:

  • Speech sound differences and intelligibility
  • Language development and understanding spoken or written information
  • Reading, spelling, decoding, and dyslexia-related needs
  • Stuttering and voice concerns
  • Word finding and organizing thoughts into clear language
  • Social communication, self-advocacy, and navigating conversations
  • Attention, memory, organization, planning, and problem-solving
  • Cognitive-communication changes following concussion or brain injury

Therapy is individualized and focuses on goals that matter in daily life, school, work, and relationships. If you are not sure whether speech or cognitive therapy is the right fit, you are welcome to reach out for a complimentary consultation.

2. What does neuroaffirming therapy mean?

Neuroaffirming therapy recognizes neurodiversity as a natural part of human variation. Services are collaborative, respectful, and built around each client's strengths, communication style, sensory needs, identity, and goals.

Neuroaffirming therapy may include:

  • Supporting communication in ways that feel authentic and sustainable
  • Building practical skills for school, work, relationships, and daily life
  • Identifying accommodations and strategies that reduce unnecessary barriers
  • Respecting sensory, processing, and communication differences
  • Centering self-advocacy, confidence, and meaningful participation

Therapy is never one-size-fits-all. Goals are shaped together around what matters most to the client and family.

3. What ages do you work with?

We work with clients ages 3 and up.

4. Is teletherapy effective?

Yes. Teletherapy allows speech, language, and cognitive-communication services to take place from the comfort of home, school, or another private location. Sessions are interactive, individualized, and built around real-life communication, learning, work, and daily routines. Many clients appreciate avoiding travel time and being able to practice strategies in the environments where they use them most.

5. What can I expect during the first appointment? 

The first appointment is a chance to get to know you or your child, talk about strengths and concerns, and discuss the goals that matter most. We may review relevant history, complete informal or standardized assessment activities, and talk through how communication or cognitive challenges show up in daily life, school, or work.

For children, a parent or caregiver will be invited to share observations and priorities. By the end of the appointment, we will discuss next steps and whether ongoing therapy may be a good fit.  

6. Do you accept insurance or TEFA?

Yes. Insurance-based teletherapy is available in Texas and California through our partner, Beaming Health. Beaming Health manages insurance verification, authorizations, and billing for eligible services. 

NeuroGrove Speech Therapy also accepts TEFA funding for eligible Texas students. TEFA may be used for speech-language and cognitive-communication services.

Check insurance options or book through Beaming Health

Contact NeuroGrove about TEFA or Texas private-pay services

7. What states are services available in?

Teletherapy is available for clients in Texas and California. Insurance-based services in both states are available through our partner, Beaming Health. 

We're excited to expand to additional states over time, so if your state is not listed, please check back soon!

8. What is cognitive therapy?

Cognitive therapy, also called cognitive-communication rehabilitation, supports thinking and communication skills that may change after a concussion, traumatic brain injury, stroke, or other neurological condition. Therapy may focus on:

    • Attention and concentration
    • Memory and learning new information
    • Organization, planning, and follow-through
    • Problem-solving and decision-making
    • Word finding and organizing thoughts
    • Processing spoken and written information
    • Reading comprehension and written communication
    • Returning to school, work, and everyday routines

    Therapy is individualized, practical, and built around the goals that matter most in daily life.

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