Compare 9 speech-language pathologists in Middletown, VA. Check ratings, insurance, and availability.
An initial evaluation lasts 60 to 90 minutes. The SLP will assess speech, language, voice, fluency, and/or swallowing through standardized tests, conversation samples, and observation. For children, play-based assessment is common. The SLP will explain the results and recommend a treatment plan with specific goals and session frequency. Therapy sessions typically last 30 to 60 minutes, one to three times per week. Sessions involve structured activities designed to build specific skills, with home practice assignments between sessions.
For children: see an SLP if your child is not babbling by 12 months, not using single words by 18 months, not combining words by age two, is difficult to understand compared to peers, stutters, has difficulty following directions, or shows limited social communication skills. For adults: see an SLP after a stroke affecting speech or language, after brain injury, for voice changes lasting more than two weeks, for difficulty swallowing (coughing or choking during meals), or for cognitive changes affecting communication. Your doctor, teacher, or pediatrician may recommend an evaluation.
Evaluation: $200-500 · Therapy session copay: $20-60 with insurance · Self-pay session: $100-250 · School-based therapy: free through IEP
Late talking, difficulty forming words, and limited vocabulary may indicate a speech or language delay. Early intervention from a speech therapist can make a significant difference in a child development.
Stuttering affects fluency and can impact confidence and daily communication. Speech therapists use evidence-based fluency techniques that help both children and adults speak more smoothly.
Difficulty swallowing after stroke, surgery, or neurological conditions is both uncomfortable and dangerous. Speech therapists evaluate swallowing function and recommend exercises and diet modifications.
Hoarseness, vocal fatigue, and voice loss from overuse, nodules, or other causes benefit from voice therapy. Speech therapists teach techniques to use your voice more efficiently and heal damaged vocal tissue.
Speech therapists help children and adults on the autism spectrum develop communication skills, including both verbal language and augmentative and alternative communication (AAC) strategies.
Most insurance plans cover speech therapy with a prescription or referral. Coverage is typically subject to visit limits (20-60 sessions per year) or dollar caps. Medicare covers outpatient speech therapy without a hard cap. Medicaid covers speech therapy for children under EPSDT with no visit limit. School-based speech therapy through an IEP is provided at no cost to families. For private therapy, verify your plan's visit limits, pre-authorization requirements, and whether the SLP is in-network.