San Diego Center For Speech Therapy, Myofunctional Therapy, and OT

San Diego Center For Speech Therapy, Myofunctional Therapy, and OT Speech Therapy, Myofunctional Therapy, Occupational Therapy Our therapists are fun, energetic, and creative.

San Diego Center For Speech Therapy & Myofunctional Therapy provides comprehensive speech, language, social/pragmatic, and orofacial myofunctional evaluations and therapy. We work with individuals of all ages, and we specialize in treating people with orofacial myofunctional disorders including tongue thrust, mouth breathing, snoring, sleep apnea, sleep breathing and airway issues, tongue tie and other tethered oral tissues, feeding issues, dental/orthodontic issues related to myofunctional disorders, and parafunctional habits such as thumb/finger sucking, pacifier use, nail biting, and more. We have two offices, one in Carmel Valley and one in Mission Beach. We also have teamed up with physical therapists, and we treat and refer together in order to better help our patients. Our physical therapists have training in myofunctional therapy and are able to help treat accompanying airway issues, posture issues, TMJ problems, migraines/headaches, neck issues, forward head posture, and other dysfunctional breathing patterns (to name a few), all of which are related to myofunctional disorders and common in most of the patients we see. We have two Speech Language Pathologists who have achieved a Certification in Orofacial Myofunctional Therapy through the International Association of Orofacial Myology (IAOM), a certification that only a select few individuals in the world have. Our therapists are 2 of the only 4 in all of San Diego with these joint degrees. Our owner is an internationally renowned presenter on the topic of Sleep Disordered Breathing and Myofunctional Therapy.

โœจ๐Ÿคฏ๐Ÿ”ฅ ๐๐„๐– ๐„๐๐ˆ๐’๐Ž๐ƒ๐„ ๐‘๐„๐‹๐„๐€๐’๐„๐ƒโ€ผ๏ธ ๐Ÿ”ฅ๐Ÿคฏโœจโฃ๐Ÿˆโ€โฌ› ๐Ÿ˜บ๐…๐ˆ๐๐ƒ ๐Ž๐”๐“ ๐–๐‡๐˜ ๐ƒ๐ซ. ๐Š๐ž๐ฏ๐ข๐ง ๐๐จ๐ฒ๐ ๐ฌ๐š๐ข๐,โ€œ๐ˆ๐Ÿ ๐ˆ ๐ฐ๐ž๐ซ๐ž ๐š ๐œ๐š๐ญ, ๐ˆโ€™๐ ๐›๐ž ๐ฉ๐ฎ๐ซ๐ซ๐ข๐ง๐  ๐ซ๐ข๐ ๐ก๐ญ ๐ง๐จ๐ฐ!โ€ ๐Ÿ˜บ๐Ÿˆโ€โฌ›โฃโ€”...
03/02/2026

โœจ๐Ÿคฏ๐Ÿ”ฅ ๐๐„๐– ๐„๐๐ˆ๐’๐Ž๐ƒ๐„ ๐‘๐„๐‹๐„๐€๐’๐„๐ƒโ€ผ๏ธ ๐Ÿ”ฅ๐Ÿคฏโœจ
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๐Ÿˆโ€โฌ› ๐Ÿ˜บ๐…๐ˆ๐๐ƒ ๐Ž๐”๐“ ๐–๐‡๐˜ ๐ƒ๐ซ. ๐Š๐ž๐ฏ๐ข๐ง ๐๐จ๐ฒ๐ ๐ฌ๐š๐ข๐,
โ€œ๐ˆ๐Ÿ ๐ˆ ๐ฐ๐ž๐ซ๐ž ๐š ๐œ๐š๐ญ, ๐ˆโ€™๐ ๐›๐ž ๐ฉ๐ฎ๐ซ๐ซ๐ข๐ง๐  ๐ซ๐ข๐ ๐ก๐ญ ๐ง๐จ๐ฐ!โ€ ๐Ÿ˜บ๐Ÿˆโ€โฌ›
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โ€” ๐ข๐ง ๐ญ๐ก๐ข๐ฌ ๐ซ๐š๐ฐ, ๐ก๐จ๐ง๐ž๐ฌ๐ญ, ๐ฅ๐ข๐Ÿ๐ž-๐œ๐จ๐ฎ๐ซ๐ฌ๐ž ๐œ๐จ๐ง๐ฏ๐ž๐ซ๐ฌ๐š๐ญ๐ข๐จ๐ง ๐จ๐ง ๐š๐ข๐ซ๐ฐ๐š๐ฒ, ๐€๐ƒ๐‡๐ƒ, ๐š๐ง๐ ๐ฐ๐ก๐š๐ญ ๐ซ๐ž๐š๐ฅ๐ฅ๐ฒ ๐ฆ๐จ๐ฏ๐ž๐ฌ ๐ญ๐ก๐ž ๐ง๐ž๐ž๐๐ฅ๐ž ๐Ÿ๐จ๐ซ ๐Ÿ๐š๐ฆ๐ข๐ฅ๐ข๐ž๐ฌ. ๐Ÿ’
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๐ŸŽ™๏ธ ๐„๐ ๐Ÿ•๐Ÿ: โ€œ๐ˆ๐ฌ ๐‡๐ž๐š๐ฅ๐ญ๐ก ๐š ๐‹๐ฎ๐ฑ๐ฎ๐ซ๐ฒ? ๐‘๐ž๐ญ๐ก๐ข๐ง๐ค๐ข๐ง๐  ๐€๐ข๐ซ๐ฐ๐š๐ฒ, ๐€๐ƒ๐‡๐ƒ, ๐š๐ง๐ ๐‹๐จ๐ง๐ -๐“๐ž๐ซ๐ฆ ๐‡๐ž๐š๐ฅ๐ญ๐ก ๐“๐ก๐ซ๐จ๐ฎ๐ ๐ก ๐š ๐‹๐ข๐Ÿ๐ž-๐‚๐จ๐ฎ๐ซ๐ฌ๐ž ๐‹๐ž๐ง๐ฌโ€
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๐ฐ๐ข๐ญ๐ก ๐ƒ๐ซ. ๐Š๐ž๐ฏ๐ข๐ง ๐๐จ๐ฒ๐, ๐ƒ๐ซ. ๐Œ๐œ๐‚๐š๐ซ๐ญ๐ฒ, & ๐ƒ๐ซ. ๐ƒ๐ž๐œ๐ค๐ž๐ซ
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We explore whether comprehensive sleep and airway care is becoming a luxury good, how to create meaningful change without overwhelming families, and how clinicians can move from blame to agency in the way we communicate.
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๐Ÿ‘‡ ๐ˆ๐ ๐“๐‡๐ˆ๐’ ๐„๐๐ˆ๐’๐Ž๐ƒ๐„:
โ€ข โœ… How neurodevelopmental traits like ADHD serve as early signals of lifelong physiological strain โ€” and how these characteristics are modifiable ๐Ÿง 
โ€ข โœ… Why comprehensive sleep and airway care is often treated as a โ€œluxury goodโ€ rather than a standard of health ๐Ÿ’Ž
โ€ข โœ… Moving from blame to agency, empowering parents with modifiable pathways for growth ๐Ÿค
โ€ข โœ… The critical role of masticatory competence, diet (Firm, Fresh, Fibrous foods), and breathing in developing the craniofacial respiratory complex ๐ŸŽ
โ€ข โœ… The need for shared narrative-based language across medical and dental silos ๐Ÿ—ฃ๏ธ
โ€ข โœ… Practical strategies for guiding families without creating overwhelm ๐Ÿ’–
โ€ข โญ AND MOREโ€ฆโฃโฃ
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๐‘ช๐’‰๐’†๐’„๐’Œ ๐’๐’–๐’• ๐’•๐’‰๐’Š๐’” ๐’Š๐’๐’•๐’†๐’“๐’—๐’Š๐’†๐’˜ ๐’๐’ ๐’€๐’๐’–๐‘ป๐’–๐’ƒ๐’† ๐’๐’“ ๐’‚๐’๐’š ๐’๐’‡ ๐’š๐’๐’–๐’“ ๐’‡๐’‚๐’—๐’๐’“๐’Š๐’•๐’† ๐’‘๐’๐’…๐’„๐’‚๐’”๐’• ๐’‘๐’๐’‚๐’•๐’‡๐’๐’“๐’Ž๐’”!
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๐Ÿ‘‰๐Ÿ‘€ ๐˜๐จ๐ฎ๐“๐ฎ๐›๐ž: https://youtu.be/pb-fnF6nCpo
๐Ÿ‘‰๐ŸŽง ๐€๐ฎ๐๐ข๐จ: https://airwayanswers.buzzsprout.com/2408017/follow
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๐Ÿ‘๐ผ๐‘“ ๐‘ฆ๐‘œ๐‘ข ๐‘Ž๐‘Ÿ๐‘’ ๐‘ก๐‘Ž๐‘”๐‘”๐‘’๐‘‘ โ„Ž๐‘’๐‘Ÿ๐‘’, ๐‘กโ„Ž๐‘Ž๐‘ก ๐‘š๐‘’๐‘Ž๐‘›๐‘  ๐‘ฆ๐‘œ๐‘ข๐‘Ÿ ๐‘›๐‘Ž๐‘š๐‘’ ๐‘ค๐‘Ž๐‘  ๐‘š๐‘’๐‘›๐‘ก๐‘–๐‘œ๐‘›๐‘’๐‘‘ ๐‘–๐‘› ๐‘กโ„Ž๐‘–๐‘  ๐‘–๐‘›๐‘ก๐‘’๐‘Ÿ๐‘ฃ๐‘–๐‘’๐‘ค๐Ÿ‘

โš ๏ธ๐ƒ๐ˆ๐’๐‚๐‹๐€๐ˆ๐Œ๐„๐‘: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information pr...

๐Ÿคฉ๐Ÿ”ฅ๐Ÿคฉ๐Ÿ”ฅ ๐–๐€๐ˆ๐“ ๐–๐‡๐€๐€๐€๐€๐€๐€๐“ โ‰๏ธโ‰๏ธโ‰๏ธโ‰๏ธ ๐˜๐„๐’, ๐˜๐Ž๐” ๐‡๐„๐€๐‘๐ƒ ๐“๐‡๐€๐“ ๐‚๐Ž๐‘๐‘๐„๐‚๐“๐‹๐˜ - ๐๐ˆ๐‚๐Ž๐‹๐„ ๐†๐Ž๐“ ๐ƒ๐‘. ๐™๐€๐†๐‡๐ˆ ๐€๐๐ƒ ๐ƒ๐‘. ๐๐€๐—๐“๐„๐‘ ๐“๐Ž๐†๐„๐“๐‡๐„๐‘ ๐…๐Ž๐‘ ๐“๐‡๐ˆ๐’ ๐€๐Œ๐€๐™๐ˆ...
02/06/2026

๐Ÿคฉ๐Ÿ”ฅ๐Ÿคฉ๐Ÿ”ฅ ๐–๐€๐ˆ๐“ ๐–๐‡๐€๐€๐€๐€๐€๐€๐“ โ‰๏ธโ‰๏ธโ‰๏ธโ‰๏ธ ๐˜๐„๐’, ๐˜๐Ž๐” ๐‡๐„๐€๐‘๐ƒ ๐“๐‡๐€๐“ ๐‚๐Ž๐‘๐‘๐„๐‚๐“๐‹๐˜ - ๐๐ˆ๐‚๐Ž๐‹๐„ ๐†๐Ž๐“ ๐ƒ๐‘. ๐™๐€๐†๐‡๐ˆ ๐€๐๐ƒ ๐ƒ๐‘. ๐๐€๐—๐“๐„๐‘ ๐“๐Ž๐†๐„๐“๐‡๐„๐‘ ๐…๐Ž๐‘ ๐“๐‡๐ˆ๐’ ๐€๐Œ๐€๐™๐ˆ๐๐† ๐ˆ๐๐“๐„๐‘๐•๐ˆ๐„๐– ๐“๐‡๐€๐“ ๐˜๐Ž๐” ๐‚๐€๐'๐“ ๐Œ๐ˆ๐’๐’โ—โ—โ—๐Ÿคฉ๐Ÿ”ฅ๐Ÿคฉ๐Ÿ”ฅ
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๐“๐ˆ๐“๐‹๐„: "๐๐ซ๐ข๐จ๐ซ๐ข๐ญ๐ข๐ณ๐ข๐ง๐  ๐…๐ฎ๐ง๐œ๐ญ๐ข๐จ๐ง ๐ข๐ง ๐“๐จ๐ง๐ ๐ฎ๐ž-๐“๐ข๐ž ๐ˆ๐๐ž๐ง๐ญ๐ข๐Ÿ๐ข๐œ๐š๐ญ๐ข๐จ๐ง ๐š๐ง๐ ๐“๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ ๐ฐ๐ข๐ญ๐ก ๐ƒ๐ซ. ๐’๐จ๐ซ๐จ๐ฎ๐ฌ๐ก ๐™๐š๐ ๐ก๐ข, ๐Œ๐ƒ & ๐ƒ๐ซ. ๐‘๐ข๐œ๐ก๐š๐ซ๐ ๐๐š๐ฑ๐ญ๐ž๐ซ, ๐ƒ๐Œ๐ƒ, ๐Œ๐’ (๐„๐๐ˆ๐’๐Ž๐ƒ๐„ ๐Ÿ•๐ŸŽ)"
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๐Ÿ“ Episode Summary๐Ÿ“
โ€ข โœ… The discussion explores how a tongue-tie can be a complex medical condition affecting breathing, sleep, speech and feeding, rather than just a dental issue.
โ€ข ๐Ÿฆท Experts identify critical red flags, including bedwetting, snoring, slow eating, and mouth breathing + more as primary functional indicators.
โ€ข ๐Ÿ‘…Evaluating for compensations is a necessary component to differentiate whether a frenum is restricted or not in both children and adults.
โ€ข ๐Ÿง  Modern protocols emphasize using CBCT for adult risk assessment and sucrose water for infant pain management during procedures.
โ€ข โœจ Long-term success requires a "team approach," integrating myofunctional therapy pre- and post-release to establish correct oral rest posture rather than treating the release as a standalone solution.
โ€ข โญ AND MORE...
๐‘๐‘‚๐‘‡๐ธ: ๐‘Œ๐‘œ๐‘ข ๐‘Ž๐‘Ÿ๐‘’ ๐‘ก๐‘Ž๐‘”๐‘”๐‘’๐‘‘ ๐‘–๐‘› ๐‘กโ„Ž๐‘–๐‘  ๐‘๐‘œ๐‘ ๐‘ก ๐‘–๐‘“ ๐‘ฆ๐‘œ๐‘ข๐‘Ÿ ๐‘›๐‘Ž๐‘š๐‘’ ๐‘ค๐‘Ž๐‘  ๐‘š๐‘’๐‘›๐‘ก๐‘–๐‘œ๐‘›๐‘’๐‘‘ ๐‘–๐‘› ๐‘กโ„Ž๐‘–๐‘  ๐‘–๐‘›๐‘ก๐‘’๐‘Ÿ๐‘ฃ๐‘–๐‘’๐‘ค.
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๐‘ช๐’‰๐’†๐’„๐’Œ ๐’๐’–๐’• ๐’•๐’‰๐’Š๐’” ๐’Š๐’๐’•๐’†๐’“๐’—๐’Š๐’†๐’˜ ๐’๐’ ๐’€๐’๐’–๐‘ป๐’–๐’ƒ๐’† ๐’๐’“ ๐’‚๐’๐’š ๐’๐’‡ ๐’š๐’๐’–๐’“ ๐’‡๐’‚๐’—๐’๐’“๐’Š๐’•๐’† ๐’‘๐’๐’…๐’„๐’‚๐’”๐’• ๐’‘๐’๐’‚๐’•๐’‡๐’๐’“๐’Ž๐’”!
๐Ÿ‘‰๐Ÿ‘€ ๐˜๐จ๐ฎ๐“๐ฎ๐›๐ž (๐Ÿ๐ฎ๐ฅ๐ฅ ๐ž๐ฉ๐ข๐ฌ๐จ๐๐ž): https://youtu.be/BspphJE0u0U
๐Ÿ‘‰๐ŸŽง ๐€๐ฎ๐๐ข๐จ: https://airwayanswers.buzzsprout.com/2408017/follow

โš ๏ธ๐ƒ๐ˆ๐’๐‚๐‹๐€๐ˆ๐Œ๐„๐‘: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information pr...

๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ2026 ๐‘ฐ๐‘บ ๐‘ถ๐‘ต ๐‘ญ๐‘ฐ๐‘น๐‘ฌ ๐‘ญ๐‘ถ๐‘น ๐‘จ๐‘ฐ๐‘น๐‘พ๐‘จ๐’€ ๐‘จ๐‘ต๐‘บ๐‘พ๐‘ฌ๐‘น๐‘บ! ๐‘ฎ๐‘ฌ๐‘ป ๐‘น๐‘ฌ๐‘จ๐‘ซ๐’€ ๐‘ป๐‘ถ ๐‘ฏ๐‘จ๐‘ฝ๐‘ฌ ๐’€๐‘ถ๐‘ผ๐‘น ๐‘ด๐‘ฐ๐‘ต๐‘ซ ๐‘ฉ๐‘ณ๐‘ถ๐‘พ๐‘ต ๐‘ฐ๐‘ต ๐‘ป๐‘ฏ๐‘ฐ๐‘บ ๐‘ต๐‘ฌ๐‘ฟ๐‘ป ๐‘ฌ๐‘ท๐‘ฐ๐‘บ๐‘ถ๐‘ซ๐‘ฌ!!! ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅโฃ๐ŸŽ‰๐๐„๐– ๐„๐๐ˆ๐’๐Ž๐ƒ๐„ ๐Ž๐… โ€œ๐€๐ˆ...
01/20/2026

๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ2026 ๐‘ฐ๐‘บ ๐‘ถ๐‘ต ๐‘ญ๐‘ฐ๐‘น๐‘ฌ ๐‘ญ๐‘ถ๐‘น ๐‘จ๐‘ฐ๐‘น๐‘พ๐‘จ๐’€ ๐‘จ๐‘ต๐‘บ๐‘พ๐‘ฌ๐‘น๐‘บ! ๐‘ฎ๐‘ฌ๐‘ป ๐‘น๐‘ฌ๐‘จ๐‘ซ๐’€ ๐‘ป๐‘ถ ๐‘ฏ๐‘จ๐‘ฝ๐‘ฌ ๐’€๐‘ถ๐‘ผ๐‘น ๐‘ด๐‘ฐ๐‘ต๐‘ซ ๐‘ฉ๐‘ณ๐‘ถ๐‘พ๐‘ต ๐‘ฐ๐‘ต ๐‘ป๐‘ฏ๐‘ฐ๐‘บ ๐‘ต๐‘ฌ๐‘ฟ๐‘ป ๐‘ฌ๐‘ท๐‘ฐ๐‘บ๐‘ถ๐‘ซ๐‘ฌ!!! ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ
โฃ
๐ŸŽ‰๐๐„๐– ๐„๐๐ˆ๐’๐Ž๐ƒ๐„ ๐Ž๐… โ€œ๐€๐ˆ๐‘๐–๐€๐˜ ๐€๐๐’๐–๐„๐‘๐’โ€ ๐‘๐„๐‹๐„๐€๐’๐„๐ƒ ๐–๐ˆ๐“๐‡ ๐ƒ๐‘. ๐‘๐„๐™๐€ ๐Œ๐Ž๐•๐€๐‡๐„๐ƒ! ๐ŸŽ‰
โฃ
"๐๐ซ๐ž๐œ๐ข๐ฌ๐ข๐จ๐ง ๐€๐ข๐ซ๐ฐ๐š๐ฒ ๐’๐ฎ๐ซ๐ ๐ž๐ซ๐ฒ: ๐“๐ซ๐š๐ง๐ฌ๐Ÿ๐จ๐ซ๐ฆ๐ข๐ง๐  ๐’๐ฅ๐ž๐ž๐ฉ, ๐“๐ก๐ž ๐“๐Œ๐‰, & ๐€๐ž๐ฌ๐ญ๐ก๐ž๐ญ๐ข๐œ๐ฌ ๐ฐ๐ข๐ญ๐ก ๐ƒ๐ซ. ๐‘๐ž๐ณ๐š ๐Œ๐จ๐ฏ๐š๐ก๐ž๐"
โฃ
๐Ÿ“ ๐„๐ฉ๐ข๐ฌ๐จ๐๐ž ๐’๐ฎ๐ฆ๐ฆ๐š๐ซ๐ฒ
โœ… Dr. Movahed explains how Maxillomandibular Advancement (MMA) surgery offers an 86% success rate for curing obstructive sleep apnea. ๐ŸŒฌ๏ธ
โœ… Drug-Induced Sleep Endoscopy (DISE) is presented as an essential diagnostic for visualizing real-time airway collapse and optimizing surgical outcomes. ๐Ÿ“น
โœ… The discussion explores the move toward MARPE and segmental expansion, while emphasizing that anteroposterior (AP) advancement typically trumps transverse width for airway success. ๐Ÿฆท
โœ… A remarkable case involving a seven-year-old illustrates the life-saving potential of total joint replacement in treating severe pediatric apnea. ๐Ÿ‘ถ
โœ… Collaboration with myofunctional therapists is vital for long-term functional stability and preventing surgical relapse. โœจ
โœ… The upcoming "Winds of Change" conference will further explore multidisciplinary airway protocols
โฃ
๐‘ช๐’‰๐’†๐’„๐’Œ ๐’๐’–๐’• ๐’•๐’‰๐’Š๐’” ๐’Š๐’๐’•๐’†๐’“๐’—๐’Š๐’†๐’˜ ๐’๐’ ๐’€๐’๐’–๐‘ป๐’–๐’ƒ๐’† ๐’๐’“ ๐’‚๐’๐’š ๐’๐’‡ ๐’š๐’๐’–๐’“ ๐’‡๐’‚๐’—๐’๐’“๐’Š๐’•๐’† ๐’‘๐’๐’…๐’„๐’‚๐’”๐’• ๐’‘๐’๐’‚๐’•๐’‡๐’๐’“๐’Ž๐’”!
๐Ÿ‘‰๐Ÿ‘€ ๐˜๐จ๐ฎ๐“๐ฎ๐›๐ž (๐Ÿ๐ฎ๐ฅ๐ฅ ๐ž๐ฉ๐ข๐ฌ๐จ๐๐ž): https://youtu.be/D-uV7zpgrYk
๐Ÿ‘‰๐ŸŽง ๐€๐ฎ๐๐ข๐จ: https://airwayanswers.buzzsprout.com/2408017/follow

โš ๏ธ๐ƒ๐ˆ๐’๐‚๐‹๐€๐ˆ๐Œ๐„๐‘: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information pr...

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