At Azzurri Speech Therapy, I use a combination of treatment approaches to address various disorders/diagnoses, including: language, articulation/phonology, childhood apraxia of speech, dysarthria, Down Syndrome, feeding, oral-motor deficits, orofacial myofunctional disorders (tongue tie, tongue thrust, open mouth posture, etc.) 

Specialty Services


PROMPTS for Restructuring Oral Muscular Phonetic Targets is a tactile-kinesthetic (touch and feel) approach where an SLP places his/her hands on the client’s face to guide his/her jaw, lips, and tongue to move correctly to form words.

This approach can be used with all speech sound disorders including articulation, apraxia of speech, and dysarthria.  

ORofacial Myofunctional therapy 

Therapy to improve speech/articulation, facial rest postures, and chewing/swallowing by addressing orofacial myofunctional disorders, including: 

  • oral habits (thumbsucking, pacifiers)

  • open mouth posture

  • forward tongue posture

  • tongue thrust

  • tongue tie/lip tie

  • dental malocclusions


Oral Placement Therapy

Oral Placement Therapy (OPT) utilizes a combination of: (1) auditory stimulation, (2) visual stimulation and (3) tactile stimulation to the mouth to improve speech clarity. 

OPT is used to improve articulator awareness, placement (dissociation, grading, and direction of movement), stability, and muscle memory; all of these are necessary for the development of speech clarity.

Talktools Sensory-motor approach to feeding

The TalkTools Sensory-Motor Approach to Feeding is an approach that considers sensory processing impacts on feeding as well as the oral-motor skills required for feeding. This approach systematically teaches the oral-motor skills required for breast/bottle feeding, transitioning to solids, chewing, moving food, spoon-feeding, straw drinking, drinking from an open cup, etc. 

Beckman Oral motor

 Beckman Oral Motor Interventions provide assisted movement (using hands and tools) to activate muscle contraction to improve movement of the lips, cheeks, jaw and tongue to improve: feeding skills (chewing, moving food, swallowing, etc.), speech, drooling, etc. 

Dynamic TEmporal and Tactile Cueing


DTTC is a treatment approach designed for children with childhood apraxia of speech. It is designed to improve the brain’s ability to plan and program motor movements for speech. Cues are provided and then faded to promote independence. The child is provided with frequent practice of target words, with focus on movement between sounds.


Erica Azzurri 

Azzurri Speech Therapy

Pittsburgh, PA