TWB Speech Language Pathology Services, Inc

TWB Speech Language Pathology Services, Inc Providing speech, language and swallowing therapy to clients from "the womb to the tomb" from Easton

Fall is off to a beautiful start! ☀️🍁🍂🌳🌻A great activity for all ages is an outdoor scavenger hunt! You can target follo...
09/26/2025

Fall is off to a beautiful start!

☀️🍁🍂🌳🌻

A great activity for all ages is an outdoor scavenger hunt! You can target following directions, working memory, expressive and receptive vocabulary, talking about similarities & differences and describing! You could also ask your child to find items outside that have their articulation targets in them!

Try it this weekend and let us know what your kiddos could find!

To our students on harvest break- we miss you and can’t wait to hear all about your break!

-Ms. Sydney, Ms. Morgan & Mrs. Brewer 💛

🎶 I bought it, when I saw it, at Mardens! If you are looking for some new games to add to your collection, always take a...
09/04/2025

🎶 I bought it, when I saw it, at Mardens!

If you are looking for some new games to add to your collection, always take a look at Mardens!

Ms. Sydney found this last weekend and the students love it!

We target:
💛Following directions
💙Turn taking
❤️Basic concepts
💚Expressive and receptive vocabulary
…and so much more! (fine motor skills, visuomotor, joint attention!)

As we always say, talking and playing are some of the best ways to engage your child in language development tasks!

Children love stories, and what's more engaging than taking one of their favorite stories and adding felt pieces so they...
08/27/2025

Children love stories, and what's more engaging than taking one of their favorite stories and adding felt pieces so they can act it out as you read it?! One of my favorite places to get felt stories is Rally Felt Co! They have wonderfully crafted, easy to handle felt pieces and board books for all your favorite stories! Here's two we used today: The Napping House, by Don and Audrey Wood (a personal favorite ❤️) and Row, Row Your Boat - with all the animal verses (by Jane Cabrera).
Storytime with felt pieces is a great way to increase vocabulary, work on WH questions and story retelling, and practice basic concepts.

08/19/2025

The first week of school is an exciting time for children, but sometimes it is also overwhelming. Supporting your child’s speech and language skills early on helps children feel confident, connected, and ready to take on a new school year. Here are a few strategies to build strong communication foundations during the first few days:

1. Build routines by using language. Children thrive on predictable routines and feel more secure when they know what to expect. Talk about their day in simple steps. “First we’ll pack your bookbag, then you’ll wait for the bus, then you’ll get to school.” This helps your child understand the order of events, and also reinforces sequencing and vocabulary.

2. Practice greetings and conversations. Encourage your child to practice saying “hello,“ “goodbye,“ or asking a friend, “can I play with you?” Role-playing at home gives them confidence to use these words at school.

3. Read and sing together. Share a favorite story or sing a song that they are familiar with. This introduces and practices vocabulary in a fun way. Repetition helps children remember and use new words.

4. Support listening skills. Use short, clear directions, and check for understanding. Provide visual supports, like pictures or gestures, to make instructions easier to follow.

5. Celebrate every attempt. Whether a child points, gestures, uses a single word, or speaks in full sentences, each communication effort should be acknowledged and encouraged. Positive reinforcement builds confidence and motivation.

By providing language support during routines, relationships, and learning activities from the very start, we set our children up for stronger communication skills throughout the school year. 

So many of our families want to help their child and ask what they can do to work on academic skills such as colors, num...
06/16/2025

So many of our families want to help their child and ask what they can do to work on academic skills such as colors, numbers, and letters. From a speech and language perspective, we would much rather have families target functional language rather than using something like flash cards to drill academic skills.

Here is a perfect way to integrate functional academic skills! Have your little help with a household task sorting by color, category, or size…have them count how many forks they put away or how many plates are left in the dishwasher!

Remember, our job is to teach, not test! 🫶🏻💙🗣️

06/01/2025

June is Dysphagia Awareness Month.
This post is copied from the Dysphagia Awareness Society's page. It has such great information about dysphagia (swallowing difficulty) - what it is, who it affects, who treats it, and how it is treated. Please join TWB Speech this month as we raise awareness about dysphagia and those who suffer from it!

"On September 27, 2008, the US Congress passed a bipartisan statute which declared June as National Dysphagia Awareness Month. Dysphagia Awareness Month provides an excellent opportunity to raise awareness about what dysphagia is, its symptoms, causes, available treatments, and the roles of the various professionals who can help those with dysphagia. Please help us embark on the mission to spread dysphagia awareness by sharing the information provided below.

What is dysphagia? Put simply, dysphagia is swallowing difficulty (Logemann, 1998). However, the act of swallowing is extremely complex. It is estimated to involve at least 30 pairs of muscles and multiple nerves. And we do it often! We swallow about 600 times a day and don’t even think twice about it. And yet, swallowing is something we all take for granted – that is, until a problem occurs.

How many people have dysphagia? Dysphagia is a serious medical condition that affects between 300,000 and 700,000 individuals in the United States each year (Patel et al, 2018; Peery et al, 2019). Although 1 in 6 adults report experiencing dysphagia, only 50% had discussed their difficulty with a clinician (Adkins et al, 2019). It is likely that you or someone you know will experience dysphagia.

How do I know if I or a loved one has dysphagia? Common signs and symptoms of dysphagia include, but are not limited to: difficulty with weight gain (in children), unintentional weight loss (in adults), coughing during or after meals, recurrent lung infections, liquid/food coming out of nose/mouth, liquid/food coming back up into mouth or throat after its been swallowed (regurgitation), avoiding foods once enjoyed, and feeling of food remaining “stuck”.

What causes it? Dysphagia is a symptom caused by various diseases/conditions, including congenital and developmental disorders (e.g., cleft lip/palate, Down syndrome), head and neck cancers, pulmonary conditions (e.g., chronic obstructive pulmonary disease), and a variety of congenital or acquired neurologic conditions such as stroke, dementia, amyotrophic lateral sclerosis (Lou Gehrig’s disease), Parkinson's disease, muscular dystrophy, cerebral palsy, and many more. Since it is a common symptom in these diseases and may develop gradually over time, dysphagia often goes unnoticed and is underreported.

What are the effects of dysphagia? The consequences of dysphagia can be dire, including malnutrition (poor nutrition), pneumonia (lung infection), and even death (Blanař et al, 2019;Tagliaferria et al, 2019). But, it doesn’t end with effects on health – dysphagia can impact quality of life as well. So many life events involve eating and drinking. As a result, those with dysphagia may avoid social interaction and suffer from depression and social isolation (Ekberg et al, 2002). Additionally, clinically relevant symptoms of anxiety are present in almost 40% of individuals with dysphagia (Verdonschot et al, 2013).

In hospitalized patients, patients also with dysphagia stay longer, have higher costs, and are more likely to have worse outcomes (Patel et al, 2018). Higher costs contribute to substantial economic and societal burden. Dysphagia is responsible for an estimated $7 billion in additional hospital costs per year (Patel et al, 2018). Despite the extensive impact dysphagia has on health and quality of life, unfortunately, not everyone seeks treatment. In fact, evidence supports that only about 1/2 of individuals with dysphagia seek treatment (Adkins et al, 2019).

How do healthcare professionals help those with dysphagia? Diagnosis and treating dysphagia often requires interdisciplinary efforts, including (but not limited to) speech-language pathology (SLP), dietary/nutrition (RD), primary care, gastroenterology (GI), otolaryngology (ENT), and nursing (RN). Additional healthcare professionals involved in dysphagia treatment may include occupational therapy (OT), physical therapy (PT), neurology, pulmonary and critical care, and palliative medicine.

Assessment of swallowing to determine if dysphagia is present frequently includes a clinical assessment and an instrumental assessment. A clinical (bedside) swallow assessment is most frequently performed by a SLP. It can assist in describing current swallowing difficulties and help provide recommendations for additional testing and referrals, as well as to help guide appropriate treatment. The two most common instrumental assessments are fiberoptic endoscopic evaluation of swallowing (FEES) and modified barium swallow study (MBSS). FEES uses a camera inserted through the nose to directly visualize the pharynx (throat), while the individual swallows various liquids and foods provided. An MBSS, also called a videofluoroscopic swallowing study (VFSS), is a real-time X-ray procedure, often completed with radiology professionals. An individual may be asked to swallow various liquids and food mixed with barium, which is a substance that allows the clinician to observe how the swallowed material travels from the mouth into the esophagus (tube connecting throat to stomach).

Once a diagnosis of dysphagia has been made, the healthcare team determines the most appropriate plan for treatment based on nature and cause of dysphagia, specific swallowing impairment(s) present, and severity of dysphagia. Dysphagia treatment may involve medical/surgical intervention(s) by a physician and/or behavioral intervention(s) by an SLP, including exercises. The focus of any dysphagia treatment is to optimize the swallow to be as safe and efficient as possible to improve health and quality of life.

Why should I help raise dysphagia awareness?
To support those with dysphagia and their caregivers/loved ones
To help with earlier identification in those who have dysphagia to prevent poor outcomes
To help those with dysphagia seek appropriate care
To help educate the community about dysphagia
To help fund research efforts

How can I help spread dysphagia awareness?

Follow and engage with DRS on Twitter (), Facebook (https://www.facebook.com/DysphagiaResearchSociety/), and Instagram (https://www.instagram.com/dysphagiaresearch/)
Share our dysphagia mythbusters (coming soon!)
Learn more about dysphagia through the American Speech-Language-Hearing Association website: (https://www.asha.org/public/speech/swallowing/)
Follow the National Foundation of Swallowing Disorders (https://swallowingdisorderfoundation.com/)
Using hashtag when posting on social media about dysphagia
Donate to the Dysphagia Research Society (https://www.dysphagiaresearch.org/donations/)

Thank you for your support! Because swallowing is a function that happens so often and easily for most people, it is often overlooked or dismissed. However, there is a community of researchers, clinicians and individuals who are working tirelessly to make swallowing less difficult for affected individuals.

Take some time this June to reflect on the impact dysphagia has for those affected by it, the professionals who work to diagnose and treat it, and the researchers who are continuously working towards improving the lives of patients with dysphagia.

Thank you for helping us to eventually end this silent epidemic and give dysphagia a voice."

References
Adkins C, Takakura, W, Spiegel B.M.R., Lu, M., Vera-Llonch, M., Williams, J, Almario, C.V. (2019). Prevalence and characteristics of dysphagia based on a population-based survey. Clinical Gastroenterology & Hepatology, pii: S1542-3565(19)31182-6. doi: 10.1016/j.cgh.2019.10.029

Blanař, V., Hödl, M., Lohrmann, C., Amir, Y., & Eglseer, D. (2019). Dysphagia and factors associated with malnutrition risk: A 5‐year multicentre study. Journal of Advanced Nursing, 75(12), 3566–3576. DOI: 10.1111/jan.14188

Ekberg, O., Hamdy, S., Woisard, V., Wuttge–Hannig, A., & Ortega, P. (2002). Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia, 17(2), 139-146. DOI: 10.1007/s00455-001-0113-5

Logemann, J. A. (1998). Evaluation and treatment of swallowing disorders (2nd ed.). Austin, TX: Pro-Ed.

Patel, D. A., Krishnaswami, S., Steger, E., Conover, E., Vaezi, M. F., Ciucci, M. R., & Francis, D. O. (2018). Economic and survival burden of dysphagia among inpatients in the United States. Diseases of the Esophagus, 31(1), 1-7. DOI: 10.1093/dote/dox131

Peery, A. F., Crockett, S. D., Murphy, C. C., Lund, J. L., Dellon, E. S., Williams, J. L., Jensen, E. T., Shaheen, N. J., Barritt, A. S., Lieber, S. R., Kochar, B., Barnes, E. L., Fan, Y. C., Pate, V., Galanko, J., Baron, T. H., & Sandler, R. S. (2019). Burden and cost of gastrointestinal, liver, and pancreatic diseases in the United States: Update 2018. Gastroenterology, 156(1),254-272.e11. DOI: 10.1053/j.gastro.2018.08.063

Tagliaferria, S., Lauretanib, F., Peláa, G., Meschiab, T, & Maggioa, M. (2019). The risk of dysphagia is associated with malnutrition and poor functional outcomes in a large population of outpatient older individuals. Clinical Nutrition, 38(6), 2684-2689. DOI: 10.1016/j.clnu.2018.11.022

Verdonschot, R. J., Baijens, L. W., Serroyen, J. L., Leue, C., & Kremer, B. (2013). Symptoms of anxiety and depression assessed with the Hospital Anxiety and Depression Scale in patients with oropharyngeal dysphagia. Journal of Psychosomatic Research, 75(5), 451–455. DOI: 10.1016/j.jpsychores.2013.08.02

Happy Speech Language and Hearing Month! Our final staff feature is:✨Mackenzie Jenkins, SLPA!✨🗣️How long have you been a...
05/15/2025

Happy Speech Language and Hearing Month!

Our final staff feature is:

✨Mackenzie Jenkins, SLPA!✨

🗣️How long have you been an SLP-A?

-“Almost 4 years!”

💙What is your favorite area to treat?

-“This is so hard to answer because I really do love all areas. If I absolutely had to choose, it would be early intervention. I love watching my clients go from calling a tractor a “go go” to calling it by its actual name.

After my son was born with microtia atresia, I’m interested in learning more about speech/ language development and hearing loss. I can’t wait to learn more so I can help a larger population!”

🧠What made you become an SLP-A?

- “ I became an SLPA because I love working with children. I love watching them grow. I love watching them learn new things each day. I love that I can help. I’m very thankful that parents allow me to be apart of their child’s journey.”

📝If you could only use one item for any therapy session, what would you choose?

-“Kinetic sand, without a doubt!”

Thank you Mackenzie, for all you do for our students, patients and clients! 💙

Happy Speech Language and Hearing Month! Our next staff feature is:✨Morgan Gove, C-SLPA!✨🗣️How long have you been an SLP...
05/09/2025

Happy Speech Language and Hearing Month!

Our next staff feature is:

✨Morgan Gove, C-SLPA!✨

🗣️How long have you been an SLP-A?

-“11 Years!”

💙What is your favorite area to treat?

-“ I get to work with a variety of different kids each day which is one of my favorite things about my job! I love seeing the progress in articulation therapy, and the creativity that goes into language therapy!”

🧠What made you become an SLP-A?

-“I had contemplated a career in education or counseling and after job shadowing, I realized that this job was the perfect fit! And now, getting the opportunity to serve families in my hometown/community is even more meaningful.”

📝If you could only use one item for any therapy session, what would you choose?

-“It’s a tie between bubbles, velcro dots, and Pop the Pig!”

Thank you Morgan for all you do for our students, patients and clients! 💙

Happy Speech Language and Hearing Month! Our next staff feature is:✨Sydney LT Humphrey, MA, CCC-SLP!✨🗣️How long have you...
05/05/2025

Happy Speech Language and Hearing Month!

Our next staff feature is:

✨Sydney LT Humphrey, MA, CCC-SLP!✨

🗣️How long have you been an SLP?

-“8 Years!”

💙What is your favorite area to treat?

-“One of my favorite things about my profession is that I am able to treat a multitude of populations! I really enjoy medically complex cases including CVA, TBI, and neurological cases. I really enjoy head and neck cancer, AAC, dementia, aphasia, ASD, and non-speaking populations! Infant feeding and swallowing is also an area I really love.”

🧠What made you become an SLP?

-“Growing up, I always thought I wanted to go into the education field. In my senior year of high school, I job shadowed a few different speech language pathologists, and fell in love with the hospital setting. I found that speech pathology tied my love of education and human development in with my love of the medical field. I have always felt a strong passion for helping & advocating for those who couldn’t for themselves. I have always felt incredibly fortunate, and feel that I was put on this earth to serve others.”

📝If you could only use one item for any therapy session, what would you choose?

-“I can do a lot with a stack of post-it notes!”

Thank you Sydney for all you do for our students, patients and clients! 💙

May is Speech, Language and Hearing Month! This month we will be showcasing our wonderful staff here at TWB! First up is...
05/02/2025

May is Speech, Language and Hearing Month! This month we will be showcasing our wonderful staff here at TWB!

First up is owner and Speech Language Pathologist;

✨Terri W. Brewer, MA, CCC-SLP!✨

🗣️How long have you been an SLP?

-“38 years this month!”

💙What is your favorite area to treat?

-“That’s a tough one - probably swallowing disorders/dysphagia; however, I really like early intervention as well.”

🧠What made you become an SLP?

-“I had always known I wanted to work with children. CSD was a relatively new field 42 years ago! When I was looking at majors, Farmington offered a dual certification in speech therapy (that’s what it was called!!) and elementary education so I thought “why not? I like to talk!” - my teachers all through school called me motor mouth. Funny story, when I became an SLP, two of those teachers who had nicknamed me that became my bosses!”

📝If you could only use one item for any therapy session, what would you choose?

-“I am a firm believer in the doctrine that states “anything can be a therapy item” so I can basically therapize anything in my vicinity and use it effectively to address goals; but I really appreciate the tallying feature my iPad apps have at the end of a 10 hour day, so I guess I’d say my IPad!”

Thank you Terri for all you do for our students, patients and clients! 💙

It looks like a rainy weekend coming up and after a school vacation week we all know we will be looking for things to do...
04/24/2025

It looks like a rainy weekend coming up and after a school vacation week we all know we will be looking for things to do with our little ones!

This activity could be used to hide snacks, miniature items, game pieces, letters…the possibilities are endless!

Today in speech we practiced articulation targets, taking turns, following directions, and basic concepts! All while having fun and incorporating some sensory play!

03/02/2025

A fun activity for your baby/toddler, good for eye-hand coordination, problem-solving, and cause-and-effect!

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7 Gilman Street
Mars Hill, ME
04758

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

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