Speech Pathology Services

Holistic Speech Pathology

What is holistic speech pathology?  

Michelle introduces the term to invite this very question.  Through the extensive study and practice of Integrated Structural Therapy (IST),  Michelle has developed a unique perspective on anatomy (structure) and physiology (function) in relationship to communication development and remediation.

IST emphasizes the reciprocal relationship between anatomy and physiology, founded on traditional osteopathic methods.  The approach is:

     Integrated, because of the application of multiple manual therapy techniques, such as muscle energy, myofascial release, joint mobilization, cranial therapy and functional movement, and

     Structural, because of the re-aligning of body structures.  Practitioners of IST evaluate the body to find structural abnormalities by assessing movement disorders, then prioritize the dysfunction for efficient treatment.

Michelle combines this functional evaluation with standardized testing (when appropriate) to develop individual treatment plans for each patient.  Her experience includes, but is not limited to, working with patients who have communication disorders and/or are diagnosed with


apraxia and other motor-based speech disorders

sensory processing disorder

selective mutism 



CHARGE Syndrome

Down's Syndrome

Rhett Syndrome

other genetic disorders

Traumatic Brain Injury and 

Post-Concussive Syndrome (including vestibular dysfunction).

In addition to IST, Michelle employs oral-respiratory, sound therapy, feeding techniques as well as PROMPT therapy for integration and skill stimulation.