Charleston OT/ST

Charleston OT/ST We help children and families in our community thrive through root-cause, holistic, and evidence-based Occupational and Speech Therapy.

Articulation vs. Phonological Disorders: What’s the Difference?Many parents notice their child having difficulty being u...
06/01/2026

Articulation vs. Phonological Disorders: What’s the Difference?

Many parents notice their child having difficulty being understood, but not all speech sound errors are the same. Understanding the difference can help families know what support their child may need!

🔹 Articulation Disorder
This occurs when a child has difficulty producing individual speech sounds correctly. Examples may include:
• Substituting one sound for another (“red” → “wed”)
• Leaving sounds out (“hand” → “and”)
• Adding extra sounds (“black horse” → “buhlack horse”)

These errors are often related to the physical production of speech sounds.

🔹 Phonological Disorder
This occurs when a child uses patterns of sound errors that affect entire groups of sounds. Examples may include:
• Fronting (“key” → “tee”)
• Weak syllable deletion (“banana” → “nana”)
• Cluster reduction (“block” → “bock”)
• Final consonant deletion (“bus” → “bu”)

These errors are related to how a child organizes and understands speech sounds.

While both can impact a child’s intelligibility, they require different approaches in therapy. Early identification and intervention can make a significant difference in communication skills and confidence.

If you’re concerned about your child’s speech development, a speech-language evaluation can help determine the underlying cause and create a plan for success.

“Fix your feet!” 👣If you’ve ever said this to a child sitting in a “W” position, you’re not alone!W-sitting can give kid...
05/27/2026

“Fix your feet!” 👣
If you’ve ever said this to a child sitting in a “W” position, you’re not alone!

W-sitting can give kids a wide, stable base while they play, especially if they have decreased core strength, low muscle tone, or balance difficulties. While occasional W-sitting is common, staying in this position for long periods can place extra stress on hips, knees, and posture development.

Try encouraging:
• Criss-cross sitting
• Side sitting
• Kneeling
• Sitting on a small stool or cushion

Small changes during play can support stronger bodies and better movement skills over time!

💚 May is Mental Health Awareness Month 💚The way we speak to ourselves matters more than we realize. Our thoughts and wor...
05/20/2026

💚 May is Mental Health Awareness Month 💚

The way we speak to ourselves matters more than we realize. Our thoughts and words can either build confidence and resilience or reinforce frustration and self-doubt. Small changes in wording can create powerful shifts in mindset — especially for children learning how to handle challenges, mistakes, and big emotions.

Instead of:
❌ “I can’t do it.”
Try:
✅ “I will keep trying.”

Instead of:
❌ “It’s too hard.”
Try:
✅ “With more practice, it will get easier.”

Growth happens when we replace limiting thoughts with encouraging ones. Teaching ourselves and our children to use growth-minded language helps build confidence, emotional regulation, problem-solving skills, and perseverance.

This Mental Health Awareness Month, let’s encourage kindness not only toward others, but toward ourselves too. The words we repeat become the thoughts we believe. 💚

Happy National Speech-Language Pathologist Day! We are so grateful for the experience and level of care our therapists p...
05/18/2026

Happy National Speech-Language Pathologist Day! We are so grateful for the experience and level of care our therapists provide.

Thank you again to our amazing therapists:
Miss Sophia
Miss Whitney
Miss Morgan

⭐️🌟PATIENT SPOTLIGHT ⭐️🌟You may remember our story last month of this sweet kiddo drinking from an open cup for the firs...
05/14/2026

⭐️🌟PATIENT SPOTLIGHT ⭐️🌟
You may remember our story last month of this sweet kiddo drinking from an open cup for the first time. This month he can pick it up, drink, and place it back on the table IDENPENDENTLY! We are so proud of his hard work and can’t wait to see what he achieves next! I’ll drop the before in the comments!

Sometimes what looks like “bad behavior” is actually a child’s nervous system saying, “This is too much.” Sensory overlo...
05/11/2026

Sometimes what looks like “bad behavior” is actually a child’s nervous system saying, “This is too much.”

Sensory overload happens when the brain becomes overwhelmed by too much input at once — loud noises, bright lights, busy environments, strong smells, touch, or even too many directions at one time. For some children, especially those with sensory processing differences, autism, ADHD, anxiety, or developmental delays, everyday environments can feel incredibly intense.

Every child’s sensory needs are different, and learning what helps them feel safe and regulated can make a huge difference in their confidence, participation, and emotional well-being. 💙

Today we’re celebrating TWO very special things — a happy birthday (May 10th) and a 4 year work anniversary for an incre...
05/08/2026

Today we’re celebrating TWO very special things — a happy birthday (May 10th) and a 4 year work anniversary for an incredible therapist!

Over the past four years, your dedication, compassion, and heart for helping others have made such a difference in the lives of so many families and children. We are so thankful for the care, patience, and positivity you bring each and every day.

Wishing you the happiest birthday and another amazing year ahead both personally and professionally. Thank you for all that you do — we are lucky to have you as part of our team!

With summer quickly approaching, as you finalize your family’s plans, please let your therapist know if you need to resc...
05/04/2026

With summer quickly approaching, as you finalize your family’s plans, please let your therapist know if you need to reschedule any upcoming visits. Thank you for keeping both progress and fun in mind!

Happy Better Speech and Hearing Month!Charleston OT/ST is immensely grateful for our team of amazing speech-language pat...
05/01/2026

Happy Better Speech and Hearing Month!

Charleston OT/ST is immensely grateful for our team of amazing speech-language pathologists and SLPAs who strive to make communication more accessible for their patients of all ages. May is a month to recognize the power of listening, speaking, and understanding, and to promote inclusive and accessible communication for everyone!

Thank you to our amazing therapists:
Miss Sophia
Miss Whitney
Miss Morgan

Bottle to Cup Transitions: When & How to Move from Bottle to Straw to Open CupAs little ones grow, so do their feeding s...
04/30/2026

Bottle to Cup Transitions: When & How to Move from Bottle to Straw to Open Cup

As little ones grow, so do their feeding skills! Knowing when to transition between cups can support oral development, independence, and even speech.

✨ Bottle (0–12 months)
Bottles are great for infants, but by around 12 months, it’s recommended to start weaning off. Prolonged bottle use can impact dental health and oral muscle development.

🥤 Straw Cup (6–12 months+)
You can introduce a straw cup as early as 6 months when starting solids. Straw drinking helps strengthen lips, cheeks, and tongue coordination—important for feeding and speech!

🥛 Open Cup (9–18 months+)
Open cups can be introduced around 9–12 months (yes, it can get messy!). By 12–18 months, many toddlers can begin practicing more regularly. This skill builds oral control, coordination, and independence.

💡 Tips for Success:
• Start with an almost full cup to reduce the amount of tilt needed and help minimize spills
• Expect messes—it’s part of learning!
• Practice with small, supported opportunities throughout the day
• Model drinking from an open cup
• Be patient—every child develops at their own pace

Transitioning cups isn’t just about drinking—it’s about developing important life skills!

Have questions about your child’s feeding or oral development? We’re here to help!

Address

1563 Sam Rittenberg Boulevard
Charleston, SC
29407

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