• Address: 3552 Avon St., Hartland MI 48353
  • Opening hours Monday - Thursday: 9AM - 6PM
    Friday: 9AM - 1PM

Areas of Expertise

Uncovering Passion in Diverse Speech & Occupational Therapy Expertise

Discover the passion that drives our occupational therapy areas of expertise at Leigh Harter Speech Services. With a genuine commitment to transforming lives, our dedicated team excels in diverse specialties tailored to each individual’s unique needs. Explore our heartfelt approach to speech therapy and join us on a journey towards meaningful communication and personal growth.

Tailored To Meet Your Unique Needs

Areas of Expertise

Activities of Daily Living

Occupational Therapy (OT) encompasses all of our meaningful daily activities that we want or need to do on a daily basis. Some of these activities, or “Occupations,” are also commonly referred to as “self-care” and include bathing, dressing, grooming, toileting, and eating. OT also helps with other daily tasks such as walking, shopping, lifting, cooking, and many other daily activities of life.


Aphasia is the impairment or absence of comprehension and/or communication skills as a result of an injury to the brain’s language center. It can apply to spoken or written words and numbers and is most commonly associated with stroke and brain injury. It is characterized by a disturbance of the comprehension and formulation of language. It is loss of language, NOT cognition. 


Apraxia is the difficulty and/or inability to execute purposeful and coordinated movements even though the person has the desire to speak and the mouth and tongue muscles are physically able to form words. This often results in rearranged sounds within words. 


The ability to obtain and sustain appropriate attention to a task while filtering out irrelevant stimulation in order to focus on the information that is important in the moment. This can be influenced by motivation, self-esteem, sensory integration, practice, language difficulties and any existing diagnosis. This can result in difficulties learning new skills, successful social interactions, learning and broadening a repertoire of play skills, inability to follow instructions, receptive (understanding) language, and auditory processing (accurately understanding verbal information).


Cognitive rehabilitation services address difficulties in areas such as attention, memory, organization, visuoperception, problem-solving, self-monitoring, and self-awareness in order to maximize an individual’s safety, daily functioning, independence, social participation, and quality of life. Treatment of this area includes increasing awareness of deficits, goal setting, compensation, internalization of strategies so they become more automatic and generalize to wider context. 


Dysarthria is difficulty in articulating words due to a disturbance in the central nervous system often resulting in slow and slurred speech. Treatment involves intensive focus on oral-motor skill development.

Dysphagia/Feeding Disorders

Dysphagia is difficulty in swallowing food, liquids, and even saliva, due to muscle weakness or paralysis. Individuals may experience mild to severe difficulties when swallowing, including: Coughing, choking or throat-clearing while eating or drinking, throat pain or discomfort, sensation of food sticking the mouth, throat or upper chest, or gurgling noises when speaking. Feeding disorder happens when an infant or child has trouble eating or refuses to eat. Feeding difficulties may be an effect of underlying medical complications, but may also be related to sensory and behavioral issues. Symptoms of a feeding disorder may include: refusal to eat, trouble swallowing, taking longer than normal to eat or drink, vomiting, choking, gagging, and behavioral difficulties.

Executive Functioning

This is the cognitive processes that enable us to plan, focus our attention, remember instructions, and juggle multiple tasks successfully in various environments. The brain needs this skill set to filter distractions, prioritize tasks, set and achieve goals, and control impulses. Executive functioning helps you manage time, pay attention, switch focus, plan and organize, remember details, avoid saying or doing the wrong thing, do things based on your experience, and multi-task.

Fine Motor Coordination

This crucial skill involves the precise coordination of these small muscles to perform intricate movements with accuracy and control. Individuals sometimes need help of an OT for maintaining or regaining control of their fine motor skills to accomplish many actions required for daily activities of life. Fine motor coordination refers to the adept utilization of the intricate hand and finger muscles to skillfully grasp, manipulate, and manage objects essential for tasks like self-care, feeding, and writing.

Gross Motor Coordination

By assessing individual needs, OTs guide individuals towards improved coordination, balance, and strength, ultimately enhancing their overall quality of life. Gross motor coordination involves harnessing the power of major muscle groups for purposeful movement, and OTs play a crucial role in enhancing this ability. Through tailored interventions and exercises, OTs can help individuals refine their gross motor skills, enabling them to navigate their environment more effectively, perform self-care tasks with confidence, engage in recreational activities, and excel in their work-related responsibilities.

Home Evaluation & Modification

Injuries, illnesses, or progressive diseases may make an individual’s home no longer safe or functional. A home evaluation is an assessment of the home environment to determine safety and accessibility. Modifications may then be performed, and/or equipment recommended, to allow for increased access, safety, and to facilitate independence to allow individuals to remain in their own home. 

Play Skills

Play is the way in which children learn about themselves, the environment around them, and develop important social skills. Play skills consist of planning, sequencing, executive functioning, problem solving, language, and self-regulation in either solitary play or play with peers. 

Post-Concussion Syndrome

Post-concussion syndrome is often referred to as a mTBI complex disorder in which various symptoms — such as headaches and dizziness — last for weeks and sometimes months after the injury that caused the concussion. Symptoms frequently reported include headaches, dizziness, fatigue, irritability, anxiety, insomnia, loss of concentration and memory, ringing in the ears (tinnitus), blurry vision, noise and light sensitivity, and occasionally decreases in taste and smell.


Verbal and non-verbal social language skills including skills for using language for different reasons (e.g., greeting, stating, demanding, informing, requesting), modifying language based on listener and setting, and following the rules of conversations. This can result in difficulty joining in on social play, working with others at school, or just interacting appropriately with peers, co-workers, and/or family members.

Range of Motion/Strength

The ability to move each part of the body, with the appropriate amount of strength, is necessary to accomplish all daily living activities. Impairments in movement and strength of the neck, trunk, arms, or legs can result in decreased independence with important daily living activities. 

Reflex Integration

Each child is born with primitive reflexes that are essential to help them develop and keep them safe. However, it is important that these reflexes disappear as the child ages. Reflex integration therapy is necessary to phase out primitive reflexes that are no longer useful as they can cause challenges. 


In the realm of self-regulation, which involves comprehending and controlling emotions and their consequent behaviors, occupational therapists (OT) and speech-language pathologists (SLP) assume a vital role. By employing tailored strategies and interventions, SLPs aid individuals in developing effective emotional awareness and management skills. Through their expertise, individuals can cultivate the capacity to navigate their feelings, leading to improved interpersonal interactions and overall emotional well-being.

Sensory Regulation

Occupational therapists play a significant role in the support and development for sensory regulation, which involves organizing sensory information for practical utilization. Through targeted techniques and interventions, OTs aid individuals in developing effective sensory processing skills, enabling them to better manage their responses to sensory stimuli. By collaborating with OTs, individuals can enhance their ability to process sensory information, resulting in improved comfort, engagement, and participation in various daily activities.

Traumatic Brain Injury

An injury to the brain can occur as the result of trauma, a tumor or a disease. Brain injuries often result in physical disabilities as well as significant changes in language, memory, thinking, behavior and personality. No two injuries are alike nor do they create the same challenges for patients and their families. Recovery from brain injury does not end when a patient is transitioned from the inpatient program. Rather, recovery continues long after the return home.

Visual Perception 

Visual perception is the cognitive process that allows us to interpret and comprehend visual information received through our eyes. It is the foundation for a wide range of daily activities, enabling us to engage in self-care, read and write, play, participate in sports, prepare meals, shop, drive, and much more. Our ability to process and make sense of the visual world plays a vital role in our daily functioning and interactions.


Voice disorders are typically categorized as functional, organic, and/or psychogenic and occur when pitch, quality, or intensity differ for an individual’s age, gender, cultural background, or geographic location. Some voice problems last for a short time while others may last longer. These disorders can include vocal fold nodules, polyps, vocal fold paralysis, paradoxical vocal fold movement (PVFM) , spasmodic dysphonia.

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Our goal is to provide comprehensive speech and language assessments and develop individualized treatment programs for both children and adults with developmental or acquired brain injuries. Let’s get start this journey together.