Stepping Stones Therapy is a pediatric speech-language and occupational therapy practice in Bethesda, Maryland that provides comprehensive evaluations and treatment to children of all ages. We are able to address a wide range of communication issues including: bullet Articulation difficulties/disorders bullet Speech motor planning disorders (i.e., Childhood Apraxia of Speech) bullet Expressive and receptive language deficits bullet Autism Spectrum Disorders bullet Pragmatic (social) language difficulties bullet Other developmental delays/disorders We provide occupational therapy evaluations and treatment to children of all ages as well. Rachelle Maisel, OTR/L is a certified SIPT (Sensory Integration International) Therapist. She is able to address issues with: bullet Fine motor skills (manipulating objects, cutting, buttoning, etc.) bullet Gross motor skills (walking, running, jumping, etc.) bullet Motor planning (sequencing complex motor movements) bullet Handwriting skills bullet Posture, muscle tone, balance, body movement bullet Visual-spatial skills bullet Sensory integration (to improve over-sensitivity or under-reaction to touch, sounds, etc.) bullet Attention and arousal (to improve movement/activity levels) bullet Auditory processing, listening skills Click here to see a list of the services that we offer. We are also happy to review existing evaluations, such as those conducted by Montgomery County, prior to a child's first therapy session. All of the dedicated and enthusiastic speech-language pathologists at Stepping Stones have: bullet Master's degrees bullet Maryland licenses bullet Certificates of Clinical Competence through the American Speech-Language Hearing Association Many of our speech therapists have received training in: bullet