Adriana's services include evaluation and individual therapy for adults, teens and children as young as 3 years. She also conducts integrated intensive fluency programs during the summer months for both children and adults called The New England Fluency Program. See Program Schedule for details.
Individual Stuttering Treatment
Ms. DiGrande provides individual fluency therapy for adults, teens, and children, including preschoolers, in her office in Lexington, MA. Therapy is typically scheduled once a week for 45 minutes to an hour.
Ms. DiGrande provides evaluation services to preschool and school age children, teens and adults. Evaluations may be at the request of schools, parents, rehabilitation agencies or the individual adult.
Evaluations include the collection and analysis of video taped speech samples, attitudinal measures and gathering of pertinent case history information obtained from previous records and during an initial meeting with the client (and parent for children). A written report is generated outlining detailed findings and recommendations for treatment and is reviewed with the client or parent in a second meeting.
Pediatric Stuttering Treatment
Ms. DiGrande sees young children who may be at risk for developing stuttering. Intervention begins with a comprehensive fluency evaluation to determine the child's risk factors for developing stuttering and to make recommendations for the appropriate course of treatment. Ms. DiGrande has developed a pediatric program that includes both direct and indirect therapy approaches with strong home program and parent counseling components. Parent involvement, by design, is an integral part of the therapeutic process in Ms. Digrande's pediatric program.
Consultations may be provided to individuals and/or their families to address fluency concerns and determine the individual's readiness for treatment. Consultations are also offered to school systems and other professionals to address concerns related to stuttering.
Telepractice Stuttering Treatment
At present, Ms. DiGrande is licensed is to provide telepractice (i.e., SKYPE) consultations and treatment sessions to individuals and small groups residing in Massachusetts, California, Connecticut, Florida, Maryland, New Hampshire, New York, Rhode Island, North Carolina, Virginia, and Maine.
"We are blessed to have had the opportunity to participate in the Fluency Program. And while I know that it is the result of years of hard work, study, training, and experience, I believe that it is even more special because of Adriana. Her warmth, intelligence, sense of humor, gentle persistence and clear vision, make her not only a gifted speech therapist but an incredible person, as well."