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Happy Little Services

We provide speech therapy services for children from birth to 18 years old. Therapy is currently provided in-office, in your home (eligibility based on distance) and through teletherapy (appointments via virtual video call). 

Specialized therapy methods and techniques are used within sessions. Some of these include: 

  • DIR Floortime

  • The Sequential Oral Sensory (SOS) approach to feeding

  • Dynamic Temporal and Tactile Cueing (DTTC)

Speech therapy with child
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Areas Evaluated & Treated

(Please note this list is not all-encompassing)

Feeding therapy

Feeding & Swallowing

​Your child might:

  • Arch their back or stiffen when feeding

  • Cry or fuss when feeding

  • Refuse to eat or drink

  • Eat only certain textures, such as soft food or crunchy foods

  • Have difficulty chewing adequately 

  • Cough or gag during meals

  • Have a gurgly, hoarse, or breathy voice during or after meals

  • Avoid entire food groups (Example: avoiding meats, vegetables, etc.)

  • Not be gaining weight or growing

Speech therapy


​Your child might:

  • Not be understood by others due to poor pronunciation 

  • Be understandable but pronounce some sounds incorrectly or omit sounds from words (Example: “daw” for “dog” or “tar” for “car”)

Stuttering therapy


​Your child might:

  • Have difficulty saying what they want to say without constantly repeating or revising words or phrases

  • Get “stuck” and cannot say what they want to say with ease

Voice therapy

Voice Disorders

​Your child might:

  • Have vocal fold damage (Example: nodules on vocal folds) 

  • Have difficulties with pitch, loudness, and overall vocal quality (Example:  speaking with a raspy voice or becoming tired when talking)

Speech-language therapy


​Your child might:

  • Have difficulty understanding you (Example: your child cannot follow directions you give them)

  • Have difficulty expressing themselves 

  • Not be speaking at the expected age of verbal communication and not communicating effectively in other ways 

  • Use fewer words than expected for their age/have a reduced vocabulary

  • Use inaccurate grammar or switch words around in their sentences

Social skills therapy

​Your child might:

  • Have difficulty talking in different ways to suit the listener and setting

  • Have difficulties with story-telling and/or engaging in conversation with others 

Social Communication

Cognitive Communication Therapy

​Your child might:

  • Have difficulty organizing thoughts, paying attention, remembering, planning, and/or problem-solving.

Cognitive Communication



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Serving Cape Cod, Massachusetts!

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