Frequently Asked Questions

Yes! Virtual therapy is highly effective for feeding and swallowing challenges. We use a strong coaching model during sessions so you learn exactly how to practice techniques at home for better carryover between visits. We thoroughly review your medical history, observe feeding in real time, and ask detailed questions to understand your specific needs. If further testing or specialist referrals are required, we’ll guide you back to your primary care provider for a complete team approach.

The research on tongue ties is often of poor quality and shows conflicting results. While some studies suggest a correlation with maternal pain during latch, the evidence does not support tongue ties as the primary cause of serious feeding or breathing difficulties. In clinical practice, feeding issues are rarely due to “just a tongue tie.” Many babies continue to have difficulty even after clipping due to oral aversion or unresolved underlying issues. If the tongue tie appears extreme or significantly impacts latch despite interventions, we may refer you to an ENT for evaluation. Otherwise, we focus on addressing the full picture through skilled feeding support.

Feeding decisions like this are complex and should involve your full medical team, including our dietitian and your child’s doctor. For some children, it really is as simple as creating hunger by skipping a feeding. For others — especially those with medical complexity, dysphagia, sensory challenges, or strong feeding refusal — the answer is not that simple. We prioritize your child receiving the nutrition they need for growth and brain development. We take a compassionate, child-led approach to preserve a positive long-term relationship with food. When your child is therapeutically and medically ready for full oral feeding, we ensure the transition is smooth and safe, without concerning weight loss.

Every child and adult is different. Some families see meaningful progress in 8–12 sessions, while others with more complex needs may work together for several months. After the initial evaluation, we provide a realistic timeline and clear goals with regular progress check-ins.

We currently accept Medicaid in select states and provide detailed superbills for private insurance out-of-network reimbursement. During your consultation or evaluation, we’ll discuss payment options and help you understand what coverage may be available.

We provide care across the full lifespan — from newborns and infants to children, teens, and aging adults. Feeding and swallowing challenges can occur at any age, and we’re equipped to support every stage.

You only need a device with a camera, microphone, and stable internet connection. We use secure Google Meet — no special downloads required. We recommend positioning the camera so we can clearly see both your face and feeding setup.

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