expert type icon EXPERT

Nicole Bigger

<p>Nicole Bigger is an American Speech Language Hearing Association (ASHA) certified speech language pathologist practicing in Broomfield, CO. Nicole specializes in speech and language disorders in the pediatric population including but not limited to treating the following speech issues: receptive and expressive language disorders and delays, aritculation and phonological processing difficulties, apraxia of speech, stuttering, auditory language and processing skills, pragmatic and social language, voice disorders, Autism, Down Syndrome and other special popultions. As a speech language pathologist, Nicole Bigger evaluates and treats patients with communication difficulties while partnering with caregivers to ensure the best possible outcomes for students. Nicole is the owner and founder of Speak for Yourself: a private speech therapy clinic devoted to helping children find their voice.&nbsp;</p>
14 years Experience
Nicole Bigger
  • Broomfield, CO
  • Florida State University
  • Accepting new patients

My daughter shows symptoms of autism?

Hi there, Thank you for submitting your question. Accoding to the DSM-5 which is the standard reference guide medical professionals use to diagnose medical and behavioral conditions, READ MORE
Hi there,

Thank you for submitting your question. Accoding to the DSM-5 which is the standard reference guide medical professionals use to diagnose medical and behavioral conditions, a person with Autism will have:

1. Persistent deficits in social communication across multiple contexts
2. Repetitive and restrictive behaviors or interests
3. Symptoms must be present but not fully manifested in early childhood

For more specific information, please visit this website: https://www.autismspeaks.org/autism-diagnosis-criteria-dsm5

I would suggest that you speak to your pediatrician about your concerns and see what they think. From there, you pediatrician can likely refer you to other professionals such a speech language pathologist, physical therapist and occupational therapist to help your child.

Can you have trouble speaking if you can't breathe out of your nose?

It may or may not affect your speech pronunciations. You may find that it sounds like you have a cold, or sound “stuffy” this is called hyponasal speech. Or you may sound totally READ MORE
It may or may not affect your speech pronunciations. You may find that it sounds like you have a cold, or sound “stuffy” this is called hyponasal speech. Or you may sound totally normal. I hope this helps!

Can adults benefit from speech therapy?

Absolutely! Just like learning a new skill, speech therapy will take time and practice, but if you’re motivated to work on your speech sounds, adults can absolutely benefit from READ MORE
Absolutely! Just like learning a new skill, speech therapy will take time and practice, but if you’re motivated to work on your speech sounds, adults can absolutely benefit from it.

How do you know your child has a speech disorder?

Hi there, A typically developing 5 year old would usually be able to say the following sounds accurately: m, p, h, w, b, n, f, t, k, g, y, d, j, ch and sh. Now it should be noted READ MORE
Hi there,

A typically developing 5 year old would usually be able to say the following sounds accurately: m, p, h, w, b, n, f, t, k, g, y, d, j, ch and sh. Now it should be noted that every child develops differently and there is a wide range of what is considered to be within normal limits, however in general, you should be hearing the above sounds in your son's speech. If you do not here these sounds, or they are substituted with other sounds (i.e. he says "tup" for "cup" or "gog" for "dog") then he may have a speech sound disorder. I would suggest talking to your pediatrician and/or seeing a speech language pathologist for a speech screening.

My daughter speaks very loudly, should we visit a speech-language pathologist?

Hi there, The first thing that comes to mind is: has she completed a hearing assessment recently? I wonder if she is having a hard time hearing herself and feels like she need READ MORE
Hi there,

The first thing that comes to mind is: has she completed a hearing assessment recently? I wonder if she is having a hard time hearing herself and feels like she need to talk louder to compensate?

If that is not an area of concern, I would talk to her about different situations that require different voice levels of loudness. For example, we use a level 1-whisper voice at the library, but a level 5-loud voice is appropriate for outside play. For speaking to someone near you, a level 3 voice is appropriate. Modeling and practicing each of these voice levels together can be both fun and educational for her.

How to help a child we recently adopted?

A two year old should typically be able to put 2 words together to communicate and usually has the following speech sounds in their phonetic inventory: m, p, h, w, b, n. One thing READ MORE
A two year old should typically be able to put 2 words together to communicate and usually has the following speech sounds in their phonetic inventory: m, p, h, w, b, n. One thing to consider is that every child develops differently and there is a wide range of what is considered to be within normal limits. Also, if you’re child was adopted from another country and is learning English as a second language, that is also something to consider as well. If you have deeper concerns, I would talk to your pediatrician and see what they think, and/or have your child screened by a speech language pathologist.