Our Services
Comprehensive speech and language therapy for children (age 5+), teens, and young adults via telehealth.
We provide individualized, evidence-based therapy primarily through virtual sessions using a secure, HIPAA-compliant platform.
* In-person evaluations and therapy appointments are offered on a limited basis on Sundays at Julie’s office in historic downtown North Bend, WA.
Why Telehealth Works
Research shows virtual speech therapy can be just as effective as in-person sessions. In our experience, telehealth offers numerous advantages, including:
Flexible scheduling makes it easier for busy families to fit therapy into their routines.
Engaging online activities tailored to patients’ interests help keep patients motivated and participating throughout each session.
Comfort and convenience of home-based sessions reduce stress and make therapy more accessible.
Fewer logistical barriers like travel, illness, or inclement weather support more consistent attendance and steady progress.
Real-life application is strengthened when skills are practiced and reinforced in everyday environments.
Articulation & Speech Intelligibility
We support patients who have difficulty producing specific speech sounds, are often misunderstood by others, or present with an unclear or overly fast rate of speech. Using evidence-based strategies, we target speech clarity, self-awareness, and communication confidence. Therapy includes direct instruction on how to use the articulators (lips, tongue, jaw, etc.) to accurately produce sounds, as well as strategies to monitor and adjust speaking rate for improved intelligibility.
What We Address:
Difficulty with individual speech sounds (e.g., R, S, L, SH, CH, TH)
Sound distortions (e.g., lisping or “slushy” speech)
Substituting one sound for another (e.g., “wabbit” for rabbit)
Phonological process disorders (e.g., fronting, stopping, cluster reduction)
Rate of speech for improved clarity and intelligibility
Self-monitoring and awareness
Carryover of speech sound skills into real-life communication
Impact of articulation errors on social, academic, or emotional functioning
Beneficial For Individuals Who:
Are frequently asked by others to repeat themselves
Struggle with specific speech sounds (e.g., R, S, TH)
Feel self-conscious about how they sound, leading them to hold back from expressing themselves as freely or often as they’d like
Receptive & Expressive Language
We provide comprehensive therapy for difficulties with receptive and expressive language, tailored to meet each individual’s developmental and functional needs. This includes support in:
Receptive language – understanding spoken or written language, following directions, answering questions, and processing information.
Expressive language – using words, grammar, and sentence structure to share thoughts, ask questions, and engage in conversations.
Vocabulary development – learning and using new words across academic and everyday settings.
Narrative and conversational skills – organizing and retelling stories, maintaining topics, and taking conversational turns.
Higher-level language – making inferences and predictions, understanding figurative language, solving problems verbally, and using language for reasoning and self-advocacy.
What We Address:
Vocabulary building and word retrieval
Sentence formation and grammar
Following multi-step directions
Reading comprehension
Expressive language organization
Academic language skills
Beneficial For Individuals Who:
Use limited vocabulary or sentence structure for their age
Struggle to follow complex, multi-step verbal directions
Seem to understand less than peers, often appearing confused
Have difficulty expressing themselves clearly or organizing their thoughts
Demonstrate difficulty with finding the right words
Struggle with schoolwork that relies heavily on language skills (e.g., reading comprehension, written expression)
Executive Function Support Coming Soon
Mount Si Speech & language will soon offer therapy services focused on supporting language-based executive functioning skills for children, adolescents, and young adults. These services are designed to address areas such as organization, problem-solving, goal-setting, working memory, self-monitoring, and self-advocacy.
Executive function support is beneficial for individuals navigating increasing demands in academic, social, and daily life settings. Because language and executive functioning are closely intertwined, therapy will target the underlying language processes that support goal-directed behavior. Services are individualized, evidence-informed, and focused on building strategies that promote independence and self-efficacy.
More information on availability and scheduling will be shared shortly.
Getting Started
Ready to begin your communication journey?
Initial Contact - Response to your inquiry within 48 hours
Intake Process - Complete intake forms; Schedule an assessment
Assessment - Comprehensive evaluation to determine if therapy is warranted
Begin Therapy - Creation of a personalized goal-driven plan; Schedule therapy
Current availability is limited. Contact us to learn about openings.
Social Communication
Our specialty area includes the treatment of social communication challenges in children and adolescents, with a particular focus on individuals with Level 1 Autism Spectrum Disorder (ASD) or Social Communication Disorder (SCD). We utilize evidence-based frameworks to support the development of higher-level social cognition and pragmatic language skills, while honoring each individual’s unique communication profile. Intervention emphasizes both self-awareness and the use of intentional strategies to foster more effective and meaningful social connections across settings.
What We Address:
Collaborative problem-solving, negotiation, and compromise skills that honor both the individual's needs and those of their communication partner —supporting reciprocal interactions grounded in self-advocacy and an understanding of others’ wants, needs, and perspectives
Interpreting and responding to verbal and nonverbal social cues (e.g., tone of voice, facial expressions, body language)
Navigating shared spaces using strategies for eye contact, personal space, and body orientation that feel comfortable and respectful
Engaging in reciprocal conversations, including turn-taking and topic maintenance
Recognizing, labeling, and expressing emotions in ways that support self-advocacy and connection
Understanding figurative language, humor, sarcasm, and indirect language when it supports access or comprehension
Exploring multiple perspectives (theory of mind) and building awareness of others’ thoughts, feelings, and intentions
Building insight into how their communication may impact others — while affirming their right to communicate authentically
Developing strategies for participating in group dynamics and peer interactions in ways that feel safe and sustainable
Repairing communication breakdowns in collaborative or supportive ways
Learning how to flexibly adjust communication based on environment, context, or personal goals — without masking
Gaining tools to understand social expectations in schools, workplaces, and communities — while honoring individual values and boundaries
Building and sustaining friendships and relationships at school, in the workplace, and beyond in personally meaningful ways
Increasing understanding of hidden rules or “unspoken” social norms —without pressure to conform
Beneficial For Individuals Who:
Want to explore why social situations often feel confusing or overwhelming
Are preparing for the social demands of college, work, or independent living
Are motivated to build or deepen meaningful social connections
Struggle with reading social cues or navigating conversations
Have difficulty understanding humor, sarcasm, or figurative language
Are learning to self-advocate in social situations or within peer groups
Desire tools for managing misunderstandings or repairing breakdowns in communication