February 1, 2024

Articulation Disorders vs. Phonological Processing Disorders

Articulation Disorder. Phonological Process. What’s the difference between these two terms, and why is it important to understand how they are different?

Articulation Disorder. Phonological Process. What’s the difference between these two terms, and why is it important to understand how they are different?

Articulation Disorder:

An Articulation Disorder involves difficulties producing sounds. Sounds may be substituted, omitted, added or deleted in an articulation disorder. For example, a child who says “dut” for “duck” is substituting the sound “t” for the sound “k.”

An articulation disorder can make it difficult for a child to be understood by others and can impact social interactions, school participation and academics (i.e. reading, writing, phonological awareness skills). Many children make speech errors, so it’s important to consider the age range during which children develop each sound when determining if sound substitutions are age-appropriate. The child may have an articulation disorder if these errors continue past the expected age of mastery. Click here to see our blog on typical speech sound development for more information.

In addition, it’s also important to consider dialects and accents when considering articulation disorders and speech sound errors. For example, the American Speech and Hearing Association (ASHA) provides the example that speakers of “African American Vernacular English (AAVE) may use a “d” sound for a “th” sound (e.g., “dis” for “this”). This is not a speech sound disorder, but rather one of the phonological features of AAVE.”

Phonological Processing Disorder:

If a child’s speech sound substitutions involve a pattern of sound errors (i.e. substituting the “t” sound for the “k” sound consistently in all contexts), the child may have a Phonological Processing Disorder. If the phonological process persists past when it is expected to be extinguished, the child may have a phonological processing disorder. For more information on when phonological disorders are typically extinguished, please click here to see our blog on Phonological Process Extinction.

Understanding the difference between these two terms is important for speech therapy! Speech therapy for an articulation disorder will focus on the specific sound(s) with which a child is having difficulty. The therapy will work through a hierarchy of complexity until mastery of the sound is achieved (i.e. sound level—> syllable level—> word level—> phrase level—> reading—> structured conversation—> unstructured conversation—> SUCCESS! Sound is mastered!) Speech therapy for phonological processes, however, will often target a class of sounds (i.e. the “k” sound and the “g” sound simultaneously) while still moving through the hierarchy until mastery is achieved.

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Success looks different for every child... But we bet we have a story that matches your child's needs. Like James, who started with us as non-speaking and lacking the ability to initiate and maintain social interactions. Today, he can speak complete sentences, clearly state his needs, and navigate social interactions with his friends!

Our infant daughter was in physical therapy with Anna Zahn for about five months.  Anna was consistent, patient, and wonderful with our daughter.  Anna was also clear in her communications with us as parents which helped us understand our daughter's progress and needs, as well as how we could help our daughter at home.  While we are proud that our daughter graduated PT, we will miss Anna's warmth and kindness.

Emily

I love this place! Chista is an amazing person, so sweet and kind and very professional in her work. All staff are very kind with children. I feel happy to find this place for my daughter. Thank you!!!

Maria Di Rita

I cannot say enough nice things about the staff! My son worked with Khadija as his ABA therapist and is finishing up this week with his OT, Sabrina. They were really instrumental in helping us navigate a new diagnosis. Both were so easy to approach with questions. From Leeann at the front desk to the RBTs (Alex, Rabbia, Molly, and many others), we always felt so welcomed. It seems like the staff genuinely enjoy their jobs, consistently offering feedback and suggestions on how to help my son.

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We have been working with the amazing team at NSPT for many years. They have been essential in understanding and supporting our child. I recommend their services to anyone looking for their specific type of support.Posted to

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They are so sweet and kinds persons with professionalism and really worried about the kids and how help they to get new skills and moving forward with knowledge.

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NSPT is fantastic! All of the staff are wonderful, accomodating, and make you feel welcome and comfortable. Alan is fantastic - he has helped our family tremendously and has such patience and purpose in everything he does.

Alex Ehrhardt

North Shore Pediatric Therapy has been amazing.  They have done a great job adjusting to the specific needs of my autistic child.

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My 12 yr old son has a lovely support team in Robert (Social Work) and Lindsay (OT)! He gains so much from his sessions & I gain so much from the communication and brainstorming! Thanks!

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