Individuals with developmental disabilities often experience difficulty communicating effectively and efficiently. Communication deficits may present a number of challenges for children and families, limiting academic progress, appropriate socialization, and the overall quality of everyday life. Speech-language pathologists (SLPs) are trained to treat a variety of communication issues including problems with language, literacy and speech sounds. Speech therapy could help your child communicate wants and needs, expand the use of words and sentences, understand and express emotions, and recognize and interpret social cues.


An SLP will evaluate your child’s needs through parent/caregiver interviews, observation, interaction, administration of norm-referenced assessment (e.g. PLS-5, GFTA-3) and use of criterion-referenced assessment measures (e.g. communication matrices, checklists). Information obtained from this assessment will help generate a report with the recommended treatment plan of care.


Our SLPs work on early language, literacy, appropriate play, articulation (speech), social communication, augmentative and alternative communication. Treatment approaches and goals are determined based on relevant scientific evidence, parent/caregiver input and the individual’s specific strengths and weaknesses. We offer one-on-one speech therapy in the clinic setting.


We work with your family to help you understand your child’s specific needs, support your child’s development, and facilitate carryover and generalization of communication skills. Additionally, the therapist may collaborate with your child’s care providers to ensure consistency and continuity of care.

Breakthrough Behavior offers comprehensive assessment & treatment for a variety of speech, language & feeding/swallowing concerns including:

•  Language Disorders (e.g. Receptive-Expressive Language Disorder)

•  Feeding & Swallowing Disorders  (e.g. Food Sensitivities, Oral Motor Deficits)

•  Augmentative & Alternative Communication/AAC  (e.g. Picture Exchange, Speech-Generating Devices)

•  Speech Sound Disorders   (e.g. Articulation & Phonology)

•  Motor Speech Disorders   (e.g. Apraxia, Dysarthria)

•  Fluency Disorders   (e.g. Stuttering)

•  Executive Function & Cognition   (e.g. Attention, Memory, Problem-Solving)

•  Reading & Writing Disorders   (e.g. Dyslexia)

•  Social Communication/Pragmatics



Ryan Hoesten

Speech Language Pathologist


Ryan has more than five years of experience working with individuals with autism and developmental disabilities. He specializes in early intervention, speech and language intervention with school-age children, group social skills/pragmatic intervention across the lifespan, feeding and swallowing disorders in the medically complex pediatric population, and supervision of graduate-level student clinicians. Ryan received a master’s degree in communication sciences and disorders from the University of Central Florida.

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