Paediatric Speech Therapy · Central Coast NSW

Paediatric Speech Therapy on the Central Coast

Supporting babies, toddlers and preschool children to communicate, eat, play and thrive — with speech, articulation and orofacial myofunctional therapy available for children up to age 9.

RTC Speech Pathology provides family-centred paediatric speech therapy for children across the Central Coast, NSW.

Children aged 0–5 — early intervention & feeding
Children aged 1–9 — speech, articulation & OMT
30+ years experience
Play-based & family-centred
Tumbi Umbi, Central Coast
Leana interacting face-to-face with a child during a play-based therapy session

Led by Speech Pathologist Leana Matodes, RTC supports children aged 0–9 with speech, language, feeding, early intervention, autism and developmental needs through evidence-informed, play-based therapy.

Whether your child is not talking yet, difficult to understand, struggling with feeding, mouth breathing, or needing support with development, we’re here to help you understand what is happening and what to do next.

Helping you understand

Helping You Understand Your Child’s Development

Every child develops at their own pace, but when something feels harder than expected, it can be difficult to know whether to wait, seek advice, or take action. Parents often contact RTC because they are wondering:

Why isn’t my toddler talking yet?
Why is my child so hard to understand?
Why is my child such a fussy eater?
Why does my child mouth breathe or snore?
Could my child have autism, apraxia or a developmental delay?
How can I support my child at home?

At RTC, we take the time to understand your child as a whole — communication, feeding, play, sensory needs, oral function, development and family goals — so therapy is tailored to your child, not just a diagnosis.

Our Services

Paediatric Speech Therapy Services

Specialised support for children aged 0–9, tailored to your child and built around your family.

Early Intervention Speech Therapy

Supporting babies, toddlers and preschool children during the most important years of development.

Speech & Language Therapy

Helping children understand language, use words, combine sentences and communicate more confidently.

Feeding Therapy

Supporting children with feeding difficulties, fussy eating, food refusal, gagging or stressful mealtimes.

Orofacial Myofunctional Therapy

Helping children who present with mouth breathing, tongue and lip ties, drooling, tongue thrust, lisps and oral muscle weakness.

Autism & Neurodiversity Support

Neuroaffirming support focused on communication, connection, play, regulation and participation.

Specialist Focus · Apraxia

Childhood Apraxia of Speech / Verbal Dyspraxia

Specialised support for children who know what they want to say but find it hard to plan and coordinate the movements for clear speech.

Parent Training & Education

Practical coaching to help parents support communication, feeding, emotional regulation and development at home.

Managing Challenging Behaviours

Understanding the reasons behind meltdowns, tantrums and routine refusal, with practical strategies that support emotional regulation and communication.

Global Developmental Delay Support

Supporting children with delays across multiple areas — communication, play, feeding, social interaction and early learning.

Start here

Not Sure Which Service Your Child Needs?

You do not need to know the name of the therapy your child needs before reaching out. Many parents come to us because their child:

Isn’t talking yet
Is difficult to understand
Refuses food or has a very limited diet
Mouth breathes or snores
Has a tongue tie or lip tie
Struggles socially
Has sensory sensitivities
Becomes frustrated when communicating
Isn’t reaching milestones

An assessment helps us understand your child’s strengths, challenges and underlying needs, then recommend the most appropriate support.

Why choose RTC

Experienced, individualised support for young children

Family-centred, with a strong focus on parent education and empowerment
Play-based, sensory-aware and engaging for young children
Neuroaffirming and strengths-based
Evidence-informed and tailored to each child
Focused on the root causes behind communication, feeding and developmental concerns
Designed to support real progress in everyday life

Leana has extensive training across a range of clinical approaches, including DIR®/Floortime, PROMPT, NDT, Orofacial Myofunctional Therapy, Food Chaining, Theraplay-informed strategies and more.

Leana and a child playing with puppets during developmental therapy
Therapy Approaches

Therapy Approaches We Use

Every child is different. We draw on a range of evidence-based approaches depending on your child’s needs, goals and developmental profile.

DIR®/Floortime

A play-based, relationship-focused approach supporting engagement, communication and social interaction.

PROMPT Therapy

Uses touch cues to support speech sound production and motor planning.

Sensory Processing Strategies

Support for sensory regulation difficulties affecting feeding, communication and participation.

Theraplay

Structured play that supports connection, confidence, trust and emotional regulation.

Therapeutic Listening

A sound-based approach supporting attention, regulation and sensory processing.

Forbrain

An auditory feedback tool supporting listening, attention, speech clarity and language.

NDT

Movement and posture-based principles where tone or motor control affect progress.

Time 2 Play — Your Complete Activity Guide, by Leana Matodes
New edition · Time 2 Play · The Activity Book

Play, Learn and Grow with Leana’s Book

Support your child’s development at home with Time 2 Play — a practical activity guide written by Speech Pathologist Leana Matodes. Filled with fun, play-based ideas for children aged 0–5.

Play-based activities for ages 0–5
Linked to developmental milestones
Builds communication & motor skills
Written by a Speech Pathologist
New edition · from A$39
Referrals · Funding · Telehealth

Referrals, Funding and Telehealth

You do not need a referral to book an appointment with RTC. Families may be able to access support through:

Private health rebates
Medicare referrals where eligible
NDIS funding where applicable
Telehealth across NSW where suitable

If you are unsure what applies to your child, we can guide you through the next steps.

Where we work

Supporting Families Across the Central Coast

22 Adelaide Street, Tumbi Umbi NSW

We support families across the Central Coast and surrounding communities, including:

Tumbi Umbi · Erina · Gosford · Terrigal · Tuggerah
Woy Woy · Wyong · Berkeley Vale · Killarney Vale · and surrounding communities

Telehealth appointments may also be available for families across NSW where appropriate.

Common Questions

Frequently Asked Questions

There are many reasons a toddler may be late to talk — understanding language, using words, speech sounds, play skills, hearing, oral motor development or social communication. A speech pathology assessment can help identify what is happening and what support may help.

Children develop at different rates, but if your child is not using words by around 18 months, has very limited words by age two, or is not combining words, it is worth seeking advice from a speech pathologist.

Childhood Apraxia of Speech (Verbal Dyspraxia) is a motor speech disorder. Children with apraxia often know what they want to say but have difficulty planning and coordinating the movements needed for speech.

Yes. Speech therapy can support autistic and neurodivergent children with communication, connection, play, regulation, social interaction and participation. At RTC, support is neuroaffirming and tailored to each child.

Fussy eating can be related to sensory sensitivities, oral motor skills, feeding history, anxiety, developmental delays, tongue tie, low oral tone or mealtime stress. Feeding therapy can help identify the underlying reason and provide practical strategies.

Drooling after the toddler years may relate to oral muscle tone, mouth breathing, tongue posture, sensory awareness or swallowing patterns. An assessment can help determine whether Orofacial Myofunctional Therapy or feeding support may be appropriate.

Mouth breathing and snoring can be signs of difficulty with nasal breathing, tongue posture, airway function or oral muscle patterns. Orofacial Myofunctional Therapy may help support healthier oral function and breathing patterns.

Ready to Support Your Child’s Development?

If you are concerned about your child’s speech, feeding, communication or development, you do not have to figure it out alone. Book an assessment and take the first step.