Pia Wikstrom, PhD


Dr. Wikstrom personally provides evaluations, regularly scheduled treatments, as well as inservice training for school staff and other child professionals. Dr. Wikstrom diagnoses and treats a range of conditions from early childhood through adolescence.

Areas of Treatment

Speech and Language

Children as young as 17 months through adolescence are treated for the following conditions:

  • Auditory processing disorders impacting communication, learning, reading and other academic skills in children and adolescents.
  • Language processing and comprehension disorders impacting communication, learning, reading, writing, and other academic skills.
  • Oral motor issues impacting development of clarity of speech and language.
  • Dysfluency disorders, including stuttering and cluttering (irregularities in organization, rate, and articulation of speech) impacting communication and emotional functioning and development in children, adolescents and adults.
  • Word retrieval and language organizational issues, impacting communication, reading, writing, and learning skills in children and adolescents.
  • Selective mutism impacting communication skills and social-emotional development in children.

Interpersonal Communication and Social Cognition

Foundations for interpersonal communication begin in the womb. These inborn skills are necessary in order not only to communicate but also to predict actions and events, learn, and thus successfully advance to higher levels of development. Thus, social language and communication issues impact not only relations with others but the skills that underpin most learning. Dr. Wikstrom treats children with autism spectrum disorder and nonverbal learning disorder impacting their language, cognitive skills, social thinking, and communication skills.

Language, Cognition, and Executive Functioning

Language is an integral part of developments in executive functioning and attention, and self-regulation. Dr. Wikstrom treats children with attention deficit disorders as the disruptions in their attention intersect with and impact their language functioning and communication skills.

DIR floortime:
Developmental, Individual difference, Relationship-based play therapy; holistic approach with the goal to integrate all developmental areas
Mindfulness training:
Focusing, calming down, and preparing mind for communication and learning. (based on MindUp and emotional intelligence methods)
Increasing awareness/control of breathing and heart rate through use of computer based biofeedback loop driven games
Oral-motor functioning:
Strength and coordination of muscles of lips, jaw, and tongue
Auditory processing:
The efficiency of the recognition and interpretation of the sounds in spoken language, including attention, memory, discrimination, and sequencing
Executive functioning:
Cognitive processes that regulate, control, and manage attention, working memory, verbal reasoning, planning, and problem solving
Selective mutism:
Child does not speak in certain situations, like at school, but speaks in other situations, like at home or with friends