Orofacial Myofunctional Services

In order to properly speak, breathe, and swallow, the muscles in our face, mouth, and throat need to be structured in the correct position and coordinated as they move together.

What is Orofacial Myofunctional Disorder? 

Orofacial myofunctional disorder presents as atypical movement of the face and mouth muscles. This involves movement patterns of the tongue, lips, jaw, face, and many other interconnected muscles involved in the cranio-facial-respiratory system.

Presentation of OMD can affect talking, swallowing, allergies, asthma, sleep apnea, tongue thrust, dentition, as well as facial and jaw placement. PASTS is here to effectively strengthen muscles and repair habits that improve quality of life.

How a Speech-Language Pathologist Can Help with Orofacial Myofunctional Services?


Our certified orofacial myofunctional therapists are trained to identify the areas of need to improve the strength positions and coordination of the mouth and throughout muscles. An evaluation analyzes the coordination of oral muscle movements for speech articulation deficits, drooling or open-mouth posture, disordered sleep patterns or difficulty swallowing with lips closed.


The general objectives for OMT include: Practicing oral muscle exercises, creating a lips-together mouth posture, stopping pacifier or thumb sucking, improving speech articulation, creating a more mature swallow function, and habituating appropriate tongue placement.

Meet Our Team

Laura Elliott Adams

Robin Ottesen

Jose Barajas

Angelica Lee

Allison Loy

Danielle Samson

Laurie Gambetta

Julia Caserta

Riley Chycota

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How To Get Started


If you have questions about speech-language symptoms, please contact us today to speak directly with a speech-language pathologist for guidance.

Get Connected

Call us today for an online link to our intake forms.

Get Started

As soon as you complete your intake form, we will contact you to set up your first appointment. 

Client Testimonials



Newborns with congenital problems may have communication-related needs from birth, and a speech-language pathologist (SLP) is part of a neonatal multidisciplinary team. We often work with infants and toddlers at an early age (12-24 months) in areas such as swallowing and feeding, hearing and listening, oral-motor and speech, and attention and socialization.

You don’t necessarily know for sure. A speech-language pathologist can help you answer this question. Some indicators that might lead you to seek a consultation or screening are:
  • The child’s skills are immature compared to others in his playgroup or preschool.
  • Family members or friends alert you to differences that they observe.
  • The child’s developmental pattern is unusual compared to others his age.
  • There is a family history of speech, language, or learning problems.
  • There have been health issues, such as ear infections, which can impact communication.
A fully qualified speech-language pathologist must have a master’s degree from an accredited program, maintain a California speech pathology license, and hold a certificate of clinical competence from the American Speech-Language-Hearing Association. Many of our staff also have experience and advanced training in specialty areas.

Peninsula Associates has several talented clinicians with different specializations. Our director of operations will identify which speech-language pathologist is available and appropriate for a new client. Most clients are seen 2-4 weeks after the paperwork has been completed. There is sometimes a waiting period if a new children’s group is being formed, but we may see the new child individually in the interim.

PASTS, Inc. offers both private-pay and fee-for-service practice and we are an in-network provider for a growing number of insurance carriers. We also have close relationships with Sutter Health, Lucille Packard, and Palo Alto Medical Foundation pediatricians, specialists, and clinicians. We can often obtain single-case agreements with other Insurance to access speech therapy benefits for your particular health insurance plan. Please contact our office to see how we can help you access your insurance benefits.