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Receptive Language Disorder, Brooklyn LettersBrooklyn Letters

1139 Prospect Avenue, Brooklyn

4.9 50 reviews

  • Receptive Language Disorder, Brooklyn Letters Brigid Bower ★★★★★ 2 months ago
    Samantha Dalmas was fantastic! We saw her for a feeding therapy evaluation and while she doesn’t think my daughter needs more feeding therapy sessions at this time, but she gave me lots of tips to try. If my daughter's doctors want … More to see more progress at her next appointment, I wouldn’t hesitate to reach out to Samantha again.
  • Receptive Language Disorder, Brooklyn Letters Kelley Peters-Patel ★★★★★ 4 months ago
    Melissa was wonderful. Our daughter warmed to her immediately and by the time she left, had already started "practicing" some of the techniques Melissa had shown her. I will not hesitate at all to reach out to Melissa again, should … More the need arise.
  • Receptive Language Disorder, Brooklyn Letters Duygu Başaran ★★★★★ 2 months ago
    Brooklyn Letters was recommended to me through a friend's speech therapist friend in NJ. The articulation evaluation for my daughter went well. We were pleased with Kristin's services.
  • Receptive Language Disorder, Brooklyn Letters Heather Liljengren ★★★★★ 11 months ago
    We cannot say enough good things about Effie, the ASL teacher, who was so engaged and effective with our 2 year old daughter from the very first session! Effie gladly included our whole family in the sessions! Her expertise and fantastic … More personality gave our daughter a way to communicate that she was so desperately seeking. The coordinators at Brooklyn Letters were so helpful and communicative…I would highly recommend their services!
  • Receptive Language Disorder, Brooklyn Letters R Elmore ★★★★★ 8 months ago
    Aileen was INCREDIBLY helpful to us, both in assessing possible origins of my grandson's food aversions, as well as informing us of various available interventions to consider.
    I can’t thank you and Brooklyn Letters enough for connecting
    … More us with Aileen. In all our feeding therapy journey we have not gotten anything near the kind of benefit that we did from her. Her knowledge, professionalism, and responsiveness have put us on the path of progress with my grandson and has also made us feel genuinely well cared for.
  • Receptive Language Disorder, Brooklyn Letters Christine Weiher ★★★★★ a year ago
    We were amazed with Allison! She met my son at 2 1/2 years old, not speaking much at all, and over a computer, and she was able to develop a bond and friendship, so much so that he would look forward to his weekly computer time with Allison. … More I was not sure how the speech therapy would go- but we are so happy that we tried it out and continued. It allowed my son to gain confidence in his speech, make a new friend :), and also give him the skills and a bit of understanding of how to shape his mouth or where to place his tongue to make the proper sounds. We were extremely happy with Allison- she was fantastic to work with.
  • Receptive Language Disorder, Brooklyn Letters Andrea Saffady ★★★★★ a year ago
    My sessions with Karen have been extremely helpful. My speech has improved tremendously. In fact, I just finished 2 hours of conducting interviews with a consulting client via MS Teams and I have an upcoming conference call. Both my … More neurologist and neurosurgeon remarked about how good my speech is. Much of the day it is perfect, although I still have some rough spots when I get tired or speak too quickly. One of my granddaughters is a speech pathology student at Ithaca College. She sat in on 2 sessions while she was home for winter break, and she was very impressed with Karen.
  • Receptive Language Disorder, Brooklyn Letters Jacob B ★★★★★ 4 years ago
    We were delighted with Christie. First, and most importantly, our son made great strides under her guidance. So great, that we felt he no longer needed help! She was incredibly patient and kind with him and our son really responded to … More her. Christie was also great with me and my wife. She provided thorough and informative updates on our son's progress and which exercises she was using with him, so we could reinforce what she was teaching him. All in all, we had a fabulous experience with Christie and would highly recommend her.
  • Receptive Language Disorder, Brooklyn Letters Jessica C ★★★★★ 8 months ago
    Theo was wonderful and his work with my son has produced some progress. I am grateful for the services Theo provided.
  • Receptive Language Disorder, Brooklyn Letters Melissa Stevens ★★★★★ a year ago
    Highly recommend Jill. She is a total pleasure to work with. After a few months working with Jill, my son is reading above grade level and LOVES to read. Mission accomplished!
  • Receptive Language Disorder, Brooklyn Letters Demet Evren ★★★★★ a year ago
    Paige was great and we had been really happy with her. I would highly recommend her! I recommend Brooklyn Letters to whomever asks for a speech therapist.
  • Receptive Language Disorder, Brooklyn Letters Jeizel Rosenthal ★★★★★ a year ago
    Isabel was WONDERFUL and our son absolutely adored her, and he is making great progress with his reading and writing.
  • Receptive Language Disorder, Brooklyn Letters Lesley Duval ★★★★★ 2 years ago
    Theo was fantastic with our 4yo son. We were very worried that his progress would fall off when we had to switch to remote sessions, but Theo kept our son happy and engaged through the screen. Highly highly recommend!
  • Receptive Language Disorder, Brooklyn Letters Samantha Packard ★★★★★ 2 years ago
    We've been working with Theo from Brooklyn Letters for close to 4 months now and the results are apparent; our daughter has vastly improved her speech in a relatively short amount of time. We make "Theo Day" a celebration … More in our house with pancakes for breakfast, and the enthusiasm is matched in the sessions. Theo is fun, patient, professional, and caring, and he gives us the tools to take the lessons beyond the session. Thank you Theo, and Brooklyn Letters, for helping our daughter express herself.
  • Receptive Language Disorder, Brooklyn Letters Travis Ricca ★★★★★ 3 years ago
    I worked with Alina to enhance my pronunciation, tone, and pacing while communicating socially and in a work environment. She was great to work with and clear about goals and learning objectives. The improvement from day 1 has been tremendous! … More
  • Receptive Language Disorder, Brooklyn Letters Enrico Bermudez ★★★★★ 3 years ago
    Cathy has been excellent with us and our son. We will sorely miss her. He has improved significantly with Cathy’s help. Cathy was a true partner with us, especially as we pursued additional help through our son’s school system.
  • Receptive Language Disorder, Brooklyn Letters Kayne Elisabeth Wilk ★★★★★ 3 years ago
    We really loved working with Alina, she is so fantastic. Patient yet firm, and determined the best course of action very clearly and succintly for us. And it all transitioned so well to Zoom as well. I will definitely be back in touch for … More services for our other child after summer break!
  • Receptive Language Disorder, Brooklyn Letters Jen S ★★★★★ 3 years ago
    Vera was amazing! My 11 yo daughter made progress so quickly and really looked forward to her sessions. She was kept motivated and engaged.
  • Receptive Language Disorder, Brooklyn Letters susie tofte ★★★★★ 3 years ago
    The work that Allison P. did with our daughter over the years has been invaluable to us. Our daughter had such a good relationship with Allison, and it allowed them to work really well together - even remotely these past 6 months. This … More year, Allison went above and beyond by helping us throughout the neuropsych eval we did, trying to re-open our daughter's IEP at her school, and eventually landing her at our chosen school. She was in contact with our daughter's teachers, with the neuropsychologist, and made herself available as a reference to speak on behalf of our daughter's learning differences.
    Allison stopped by our house last week to give our daughter cupcakes and say goodbye, and I literally cried with appreciation for what an amazing speech therapist she has been. She has been our daughter's biggest champion. The new families that she will work with this year are lucky to have her.
  • Receptive Language Disorder, Brooklyn Letters Alicia Perez-Katz ★★★★★ 3 years ago
    Sydney was great! Our son was sad to end his sessions with her, which says a lot. We appreciated her honest assessment of his skill level, and he now has materials to self monitor and practice. Thank you!
  • Receptive Language Disorder, Brooklyn Letters Kristin Ames ★★★★★ 4 years ago
    Our experience with Theo was terrific. Theo was great with my son. He developed a positive relationship with him based on sincerity, respect, trust and a deep personal connection. In their lessons, Theo was encouraging, creative and kind. … More He helped our son understand how to differentiate the sounds he made when he spoke, and gave him great exercises to practice every week between lessons. Our son was sorry to have the lessons come to an end, but recognized that Theo had helped him as much as possible and it was time for him to stop. Theo explained to him (and us) how to keep working to get the last 5%, and encouraged him to keep working on the exercises on his own. I have recommended Theo to another parent who noticed my son's improvement and inquired for her own son.
    We are all grateful to have gotten to know Theo, and we greatly appreciate all the work he did to help our son.
  • Receptive Language Disorder, Brooklyn Letters Aisha Holder ★★★★★ 4 years ago
    "I have nothing but wonderful things to say about Michelle Macroy-Higgins. We are extremely pleased with her work with our daughter. I was so grateful for my daughter to have a speech therapist who is a researcher (specialty in late … More talkers), graduate professor and practitioner. Her expertise was clearly evident in our conversations and work with our daughter. She was very responsive to my questions and often sent articles and other materials about language development that I found helpful. Thankfully, my daughter's speech improved tremendously. Michelle developed such a warm relationship with my daughter. My daughter was always excited to see Michelle and would greet her at the door with a big hug. Lastly, I would add that Michelle always demonstrated empathy with me as a mother who was initially worried about her daughter's language development. I could go on and on about how pleased we were with Michelle's work."
  • Receptive Language Disorder, Brooklyn Letters Andrea Peartree ★★★★★ 3 years ago
    Theo is a wonderful Clinton Hill speech therapist. We were really pleased with him. Our son showed drastic improvement, not only in his speech but in his confidence.
  • Receptive Language Disorder, Brooklyn Letters mario costa ★★★★★ 4 years ago
    Alexa has been an enthusiastic, reliable, well prepared and caring teacher for our 6 year old daughter. She has been able to improve and increase our daughter's confidence lesson by lesson with patience and competence; through varied … More and productive didactic practice. Alexa has engaged our daughter in several activities that always kept her motivated and eager to learn literacy. My wife and I, both of us are educators, feel so fortunate to have had the opportunity to observe Alexa's pedagogical skills. Alexa has had a big impact on our daughter literacy growth. Thank you Brooklyn Letters!
  • Receptive Language Disorder, Brooklyn Letters Lily Alt ★★★★★ 4 years ago
    We were absolutely DELIGHTED with Marsha's services. She was wonderful. We found her to be kind, fun, engaging, very knowledgeable. She provided us with clear instructions and additional written handouts each week. She engaged our … More son with different techniques and toys, and showed us how to use her techniques when we were interacting with him. I actually just texted her on Saturday - Our son finally said "more" - one of the target words we had been working on with her. It was a total joy to hear, and I had to share it with her - she wrote back immediately to congratulate us. I am so appreciative of her expertise, and wish we could have seen her for longer. I recommended her to another family in our neighborhood who is looking for a speech therapist.

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Receptive Language Disorder, Brooklyn Letters


Receptive Language Disorder, Brooklyn Letters


Receptive Language Disorder, Brooklyn Letters
As Featured In:
Serving you since 2010! We are caring Speech Language Pathologist traveling to you! In-home, at-school, remote NYC metro area. Our Speech Language Pathologist prevent, assess, diagnose, and treat speech, language, cognitive-communication, social communication, voice, and feeding disorders. Working with individuals of all ages—from babies to adults—SLPs conduct therapy sessions on a one-on-one basis and provide information for families, support groups, and the general public.
Serving you since 2010! We are caring Speech Language Pathologist traveling to you! In-home, at-school, remote NYC metro area. Our Speech Language Pathologist prevent, assess, diagnose, and treat speech, language, cognitive-communication, social communication, voice, and feeding disorders. Working with individuals of all ages—from babies to adults—SLPs conduct therapy sessions on a one-on-one basis and provide information for families, support groups, and the general public.
We travel to:
Bay Ridge Bedford Stuyvesant Bensonhurst Boerum Hill Borough Park Brooklyn Heights Bushwick Carroll Gardens Clinton Hill Cobble Hill Crown Heights Downtown Brooklyn Dumbo Dyker Heights Flatbush Fort Green Gowanus Gravesend Greenpoint Homecrest Kensington Lefferts Gardens Madison Manhattan Beach Midwood Mill Basin Navy Yard Park Slope Prospect Heights Prospect Park South Red Hook Sheepshead Bay Sunset Park Williamsburg Windsor Terrace and More!
Our Speech-Language Pathologists and Therapists

We travel to you and we also offer remote services. Some of our speech-language pathologists are trained in the Orton Gillingham approach. Many of our speech-language pathologists are trained in literacy and offer support with decodingspelling and reading fluency services. Our speech-language pathologists and therapists work with babies, toddlers, school-age students, and adults with expertise in:

Our Speech-Language Pathologists and Therapists

We travel to you and we also offer remote services. Some of our speech-language pathologists are trained in the Orton Gillingham approach. Many of our speech-language pathologists are trained in literacy and offer support with decoding,
spelling and reading fluency services. Our speech-language pathologists and therapists work with babies, toddlers, school-age students, and adults with expertise in:


I highly recommend Suzanne as a speech therapist.
My daughter is very sensitive and prone to anxiety; Suzanne was both in tune with
Rose’s emotions and skilled at keeping the sessions focused.
To me, this is no small feat with a 3-year-old. Suzanne always came
prepared with a game to play, a project (such as arts and crafts, cooking)
or a book, or a combination of these activities.
She worked with Rose on a variety of language issues, as well as making choices, taking turns,
listening. She used a visual (picture) schedule each time which seemed to help
Rose feel more organized and in control. This was before Rose was in school, and it was
with Suzanne that Rose learned to read a schedule.
In addition, Suzanne was exceptional at communicating with us as parents.
She actually listened to our concerns and addressed them head-on. We have had our share
of therapists, and have found that this is not something you can take for granted.
Suzanne is attentive, sympathetic, and dedicated, fun, kind, and knowledgeable.
She challenges the child at the right level not too easy, not too hard.
I highly, highly recommend Suzanne.

- Margaret (Rose, 3, Harry, 13)
Check Out Other Testimonials!

A language disorder or delay is a type of communication disorder that involves difficulties in using and understanding spoken language. There are two types of language disorders: expressive and mixed expressive-receptive language disorders. These disorders can be due to inherited conditions, developmental disorders, or traumatic brain injuries. In most cases, language issues fall under expressive language disorder. This refers to problems in expression or putting words together to form coherent sentences and to get the message across to listeners.

However, there are cases wherein a child struggles with both expression and comprehension. Problems with understanding and comprehension are referred to as receptive language disorders. This involves difficulties in processing messages and information that one receives, whether through listening or reading. It is not a disorder of hearing, e.g. hearing loss. 

Before an individual can use language to communicate (expressive language), one must first understand and grasp spoken language. That is why most children with receptive language disorder also struggle with expressive language. This is called mixed receptive-expressive language disorder

When language disorders or delays are not quickly addressed, they cause children to fall behind in school. According to research, around 5% of pre-school-age children and 3% of those in grade school are found to have mixed receptive-expressive language disorders.

Check out the Receptive Language Milestones and Questions Answering and Asking Milestones.

Signs and Symptoms of Mixed Receptive-Expressive Language Disorder

Signs of language disorders do not become noticeable until it is time for a child to start talking. Organizing thoughts while trying to process what others are saying can be a struggle for children with a receptive language disorder. They often find it difficult to connect words and the ideas behind them. In some cases, they may also have trouble with pronunciation and speech sound production.

Possible causes of receptive language disorder:

  • Family history. A child is more likely to have a language disorder if a mother, father, sister, or brother also has one.
  • Language disorders and with learning disabilities.
  • An audiologist should evaluate anyone suspected of having difficulties processing spoken words to rule in or out any hearing issues.
  • Pediatricians typically do not perform full audiological evaluations.

Symptoms of mixed receptive-expressive language disorder include:

  • low vocabulary and comprehension levels compared to their peers
  • issues with pragmatics or the social use of language in social contexts
  • difficulty inferring meaning
  • the trouble with spontaneous language production, hence, unable to ask questions
  • problems understanding more complex questions and directions
  • difficulty understanding and applying grammatical rules (tenses in verbs, singular or plural verbs, determiners, pronouns, etc.)
  • problems with completing two cognitive operations at the same time called working memory and learning new words or morphemes
  • slow processing of auditory/receptive information

For pre-school and school-age children, these symptoms can manifest in various ways and affect one’s behavior, interactions, and performance at home and in school. In particular, you may notice a child with receptive language disorder in the following areas:

  • seems uninterested in conversations or when other people are speaking
  • infrequently asks questions when someone is speaking or sharing a story
  • does not seem to be listening or understanding lessons in school
  • often copies what other children are doing before acting on a task
  • misunderstands what is asked, said, or written 
  • gives off base responses to questions
  • has trouble getting along or communicating with peers
  • Trouble following directions
  • May respond to your questions by repeating back what you have said
  • Asking people to repeat what they say
  • Giving answers that are “off”
  • Misunderstanding what’s said
  • Not getting jokes
  • Difficulties answering questions such as Who? What? Where? When? Why? How?
  • Struggles to understand changes to a routine
  • Difficulty understanding different concepts such as place, size, and colors
  • Difficulties comprehending abstract language
  • Does not recognize the meaning of grammatical markers in speech such as’s’ or ‘es’ indicating plurals and ‘ing’ and ‘ed’ indicating tense

Read about Early Childhood Developmental Milestones.

PBS.Org (Public Broadcasting Service), Average Number of Words Comprehended by Toddlers
  • At 12 months= 50 words
  • 18 months=  200 or more words
  • 24 months= 500 to 700 words
  • 30 months= 800 to 900 words

Likewise, the research identifies late talking like one of the early signs of a language disorder. The Hanen Centre defines a late talker as a child between 18 and 30 months with a good understanding of language and typical development in other areas (hearing, vision, motor, and cognitive skills) but has a limited spoken vocabulary compared to peers for their age. However, late talking becomes a more serious concern for children who also exhibit other risk factors, such as:

  • Quiet or little babbling as an infant
  • Has a history of ear infections
  • Limited consonant sounds
  • Does not link pretend ideas and actions together during play
  • Does not imitate words or sounds
  • Uses mostly nouns and few verbs
  • Difficulty interacting or playing with peers
  • A family history of communication, learning, and academic difficulties
  • Mild comprehension delay for their age
  • Uses few gestures to communicate

According to experts, children with a limited vocabulary for their age and show any of the above risk factors should seek the help of a speech-language pathologist. In particular, studies suggest that the last three risk factors listed are indicators that a child could have continuing language delay or showing signs of a language disorder (expressive or expressive/receptive language). This is also known as a Developmental Language Disorder (DLD) or language impairment, as referred to in research.

Diagnosing Expressive Language Disorder

As with all speech or language disorders, it is always important to first ensure that there are no hearing issues affecting language development. A hearing assessment by an audiologist is necessary to rule out any issues with hearing (ears). Even undetected ear infections can interfere with acquiring language in younger children. 

To get your child diagnosed with an expressive language disorder, a speech-language pathologist (SLP) must do a thorough evaluation. A comprehensive assessment must be conducted with the help of the child’s family and teachers. 

During this phase, speech-language pathologists will need to know the child’s:

  • full case history (including birth and medical records; history of language, speech, reading, or academic difficulties in the family; languages or dialects spoken at home; and, the family’s and teacher’s own observations and concerns)
  • spoken language skills (phonology and phonological awareness, semantics, morphology, syntax, and pragmatics)
  • level of reading and writing (if the child is school-age) 
(Related: Find out more about language sampling in this article on the Structural Analysis of a Language Sample.)
 Read more about:
Assessing and Managing Receptive Language Disorder

What is receptive language therapy? Receptive language therapy is used to support children who have difficulties understanding what others are saying.

If your child shows signs of having receptive language disorder, it is crucial to have him or her assessed by a speech-language pathologist/speech language therapist. This can be done privately or with the help of your school principal, counselor, school district office, and through Early Intervention. It is also recommended to have your child tested for hearing problems by an audiologist, which can be a common cause of why the child is having difficulties acquiring language. 

Because children with receptive language issues are most likely struggling with expressive language problems as well, a speech-language pathologist (SLP) will test both your child’s speaking and comprehension skills. During the assessment, the SLP will want to know if the child:

  • knows what to do with toys or uses pretend play
  • follows directions and simple instructions
  • names everyday objects and actions
  • identifies colors, numbers, and letters
  • follows simple routines
  • sings songs or recites rhymes
  • changes his or her manner of speaking when talking to different people in different places
  • is easy to understand or speaks coherently

Once it is established that your child is struggling with acquiring and using language compared to his or her peers, the SLP will then design an individualized program to help you and your child improve their language skills. These strategies typically involve:

  • developing important connections between letters, sounds, and words
  • vocabulary development
  • practicing the use of language in social situations
  • multisensory techniques

Parents and teachers also play critical roles in managing language disorders. Particularly when it comes to language monitoring and stimulation. Some of the therapy goals that SLPs may set with parents and teachers are:

  • increasing the child’s understanding
  • improving how the child uses words to express feelings and ideas
  • teaching parents, family members, and teachers how to speak with the child and encourage conversation
  • helping the child use other ways of communicating (also known as augmentative or alternative communication), if necessary, such as using simple gestures, picture boards, or text-to-speech apps and software
  • learning early reading and writing skills

Read SPELLTalk questions and answers about the language literacy network– which represents normal reading and writing processes.

Helping Your Child at Home

Aside from speech language therapy, there are other ways you can help your child improve their language skills. Some of the things you can do at home include: 

  • talking and engaging with your child in conversation to improve their vocabulary
  • reading aloud to your child and pointing out words
  • speaking to your child in the language of which you are both most familiar and comfortable
  • listening and answering your child’s questions
  • encouraging your child to ask questions
  • allowing your child enough time to process and answer questions
  • setting limits on the use of gadgets, computers, and watching television
  • Increase time with toys and imaginary play. 


Receptive Language Disorder, Brooklyn Letters
Mila K.
Receptive Language Disorder, Brooklyn Letters
Ben I.
Receptive Language Disorder, Brooklyn Letters
Receptive Language Disorder, Brooklyn Letters
Receptive Language Disorder, Brooklyn Letters
Briana I.
Receptive Language Disorder, Brooklyn Letters
Theo W.
M.S. CCC-SLP, Speech Language Pathologist
Receptive Language Disorder, Brooklyn Letters
Laura B.
Receptive Language Disorder, Brooklyn Letters
Christina R.

Call: (347) 394-3485,
Text: (917) 426-8880

Email: info@brooklynletters.com
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