...one of the most talented, committed and knowledgable myofunctional therapy experts here in San Diego!
San Diego
My son has been working with Penny for just 6 weeks and we've already seen such great improvement with his pronunciation. His teachers understand him better, his confidence is improving and he has less tantrums because he is feeling understood.
San Diego
Penny's program effectively diagnoses the problem and corrects it in a relatively short amount of time. My patients love her, and I love the results.
San Diego
My daughter began working with Penny when she was four years old. Over the course of the past year, we have seen dramatic improvement in her articulations. We've seen an amazing increase in her self-confidence.
San Diego
The most experienced, knowledgeable speech pathologist you can find in San Diego. My son, who was diagnosed with Apraxia, [has] been seeing Penny for 5 years, and his speech and language improved tremendously.
San Jose
I'm Penny Cohen
Hi, I'm Penny Cohen, a licensed and certified Speech & Language Pathologist with years of experience, proudly serving the San Diego community.
I combine my clinical knowledge with a passion for music, theater, fun and above all helping others, to offer compassionate, effective, and engaging therapy for clients of all ages.
Contact Me NowMy Services
My Specialties
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Understanding and addressing articulation and pronunciation issues early can make a significant difference in your child's communication skills. Here are some warning signs to watch for:
Warning Signs:
Frontal and lateral lisps of "s" and "z"
Omission of one consonant in a blend
Substitutions of "w" for "r" or "t" for "k"
Developmental Guidelines:
At 2-3 years: A child’s speech is typically understood 50-75% of the time. They should be using the consonants "p," "b," "m," "n," "h," and "w."
At 3-4 years: A child’s speech is understood 75-90% of the time. By this age, they are also using the consonants "s," "z," "k," "g," "t," "d," and "f."
At 4-5 years: A child’s speech is understood 95% of the time. They are now using "L," "ch," "sh," "j" and "r."
At 5-6 years: A child’s speech is understood at least 95% of the time. At this stage, they should be producing "s," and "z" clearly.
At 6-7 years: The "th" sound typically self-corrects by age 7.
What To Do:
Do not correct your child each time they mispronounce a word;
Encourage yearly hearing tests;
Encourage closed-mouthed chewing.
Monitoring these milestones can help you identify whether your child might benefit from speech and language support.
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Expressive language skills are crucial for effective communication. If your child struggles with these skills, it can impact their ability to convey thoughts, needs, and ideas clearly. Here are some signs that may indicate challenges in expressive language:
Warning Signs:
Difficulty answering questions concisely
Difficulty explaining events and telling stories
Difficulty using correct grammar and vocabulary
What To Do:
If your child makes a statement using incorrect grammar, repeat the sentence back modeling the correct grammar.
Have your child describe themselves.
Have your child tell you the different activities of their day, beginning with waking up.
If you notice any of these signs, it may be helpful to seek support to help your child develop their expressive language skills.
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Language comprehension and auditory processing are essential for your child's ability to follow instructions and understand the world around them. If your child is experiencing difficulties in these areas, they may struggle with everyday tasks and communication. Here are some signs to watch for:
Warning Signs:
Difficulty remembering and following directions
Difficulty understanding stories, especially the main ideas and important details
Difficulty understanding basic prepositions
What To Do:
Encourage your child to watch your face and make eye contact.
Speak clearly, naturally, and slowly if your child is struggling or try to provide another way to say it.
Use short simple sentences and avoid multiple commands or directions.
Ask short, simple questions.
Encourage your child to repeat the instructions back to you.
Read and ask questions after each page.
Language comprehension and auditory processing challenges can impact your child's ability to learn and interact effectively. If you notice any of these signs, it might be time to explore ways to support your child's language comprehension and auditory processing skills.
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Fluency in speech is about the smooth and natural flow of words. When a child struggles with stuttering, it can affect their confidence and communication with others. Here are some signs that may indicate stuttering and fluency issues:
Warning Signs:
Repetition of sounds or word parts
Prolongation of sounds in words
Blocking of sounds
Facial grimaces, eye-blinking
What To Do:
Don't tell the child to "stop," "slow down," "start over again," or "think about what you're going to say."
Don't supply the word that the child is trying to say or attempt to finish their sentence for them.
Listen to the meaning of what the child is saying, not how it is being said.
Maximize their self-esteem as often as possible and give them as many chances to choose things throughout their day.
Issues with stuttering and fluency can make speaking difficult and frustrating for your child. If you notice these behaviors, seeking support can help your child improve their fluency and communication skills.
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A healthy voice is important for clear and effective communication. When a child experiences voice issues, it can affect how they are heard and understood by others. Here are some signs that may indicate voice-related concerns:
Warning Signs:
Chronic hoarseness or vocal nodules
Hypo- or hyper-nasality
Poor vocal quality
What To Do:
Discourage yelling at home and outside.
Encourage yearly hearing tests.
Voice issues can impact your child's ability to speak comfortably and confidently. If you notice any of these signs, it may be helpful to seek professional support to address and improve your child's vocal health.
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The coordination and strength of the lips and tongue are vital for clear speech and effective eating. When a child has difficulties in these areas, it can impact both their speech and oral skills. Here are some key issues to be aware of:
Warning Signs:
Drooling
Difficulty with chewing and swallowing
Open-mouthed breathing
Poor articulation
Slurring of words
What To Do:
Encourage closed-mouth breathing.
Encourage closed-mouth chewing.
Brush and tap on the tongue while brushing teeth.
These challenges can affect your child's ability to produce sounds correctly and perform tasks like chewing and swallowing. If you observe these signs, it may be beneficial to explore ways to support your child's oral motor functioning.
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Pragmatic and social skills are essential for successful interactions with others. When a child struggles with these skills, it can impact their ability to connect and communicate effectively. Here are some warning signs to be aware of:
Warning Signs:
Difficulty joining in on and actively participating in discussions
Inability to sustain a topic during discussions
Difficulty communicating with peers
Inappropriate turn-taking in conversation
Avoiding eye contact when communicating with others
Omitting greetings and farewells
Appearing to enjoy playing alone rather than with peers
Inability to work cooperatively in a group
Difficulty understanding humor
What To Do:
Play language games (such as “20 Questions” and “I Spy”) to encourage interactive communication.
Encourage the child to retell stories and describe pictures, discussing what is happening, why it might have happened, how the characters feel, and what might happen next.
Stay away from “yes/no” questions unless you want short answers, and instead ask open-ended questions.
Do not assume the child understands how their actions affect others—take the time to explain this to them.
Supporting your child's pragmatic and social skills can help them build better relationships and communicate more effectively in different social situations.
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Children with Asperger's Syndrome and Autism often face unique challenges in social interactions, primarily due to difficulties in understanding and using nonverbal communication cues. Here are some of the key characteristics to be aware of:
Key Characteristics:
Difficulty understanding subtle cues such as facial expressions, which are vital in nonverbal communication and social interaction.
Challenges in using and interpreting nonverbal social behaviors, such as body language and eye contact.
Struggles with understanding nonliteral language, including irony, euphemisms, sarcasm, and innuendo.
Difficulty interpreting vocal tones, which can lead to misunderstandings in communication.
Often displaying a blank or neutral facial expression, which may be misinterpreted by others.
Limited understanding or appreciation of humor, particularly humor that relies on social or cultural nuances.
Socially, they may not relate well with peers, showing little interest in interacting with classmates.
Communication may take the form of a monologue rather than a back-and-forth conversation, making it hard to engage in typical social exchanges.
Understanding these challenges is the first step in supporting children with Asperger's Syndrome and Autism in developing their social and communication skills.
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Tongue thrust and reverse swallowing are habits where the tongue is positioned incorrectly during swallowing, either too far forward or to the sides. This can have a significant impact on both dentition and speech.
The habit of placing the tongue in the wrong position during swallowing can affect how teeth align and how speech sounds are produced. This issue can lead to dental problems and challenges in clear speech articulation.
Warning Signs:
Open-mouthed posture when relaxing;
Tongue seen coming through the teeth or pushing against the teeth when swallowing liquids, food, or saliva;
Open-mouthed chewing.
Placing the tongue in the wrong position during swallowing can affect how teeth align and how speech sounds are produced. This can lead to dental problems and challenges in clear speech articulation.
If you notice any of these signs it may be helpful to seek professional help to address and improve your child's speech and dental health.
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Accent reduction focuses on helping individuals who may have difficulty with American speech sounds, intonation, and slang. These challenges can sometimes make communication less clear or lead to misunderstandings in social and professional settings.
Accent reduction aims to improve your confidence and clarity in communication, helping you to be better understood and to connect more easily with others in an American English-speaking environment.
You Might Wonder...
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Be attentive to signs such as difficulty pronouncing words, limited vocabulary for their age, trouble understanding others, or challenges in forming sentences. If your child struggles to communicate effectively, it might be time to seek an evaluation.
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Early intervention is crucial if there are any concerns. However, keep in mind that much speech language development happens naturally between the age of two and three. Therefore I begin speech therapy with children aged 3 and above. It's never too late to start—if you're concerned, I encourage you to consult a professional as soon as possible.
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Speech therapy improves articulation, language comprehension, and expressive abilities, which are crucial for social interactions, academic success, and overall confidence.
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The duration of therapy varies based on each client’s unique needs and goals. Once I’ve assessed your child, I can provide a clearer idea of how much therapy will be needed to see progress. Some clients show improvement quickly, while others may take more time.
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I've found that clients who make the fastest progress are those with involved parents. Staying in touch and following through on homework is crucial to their success.
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Insurance coverage for speech therapy varies by plan, so it's important to check with your provider about specific coverage, including any required referrals or pre-authorizations. As a courtesy, I will bill your insurance at the end of each month to help you seek reimbursement or apply it toward your deductible, though I do not accept direct payment from insurance companies.
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I will regularly assess your child’s progress and share updates. Look for improvements in communication, increased vocabulary, and greater ease in expressing thoughts and needs.
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