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SPIQUE
Speech therapy - Pretoria

Supporting Little Voicesand grown-up ones too.

Paediatric and adult speech therapy and lactation support in Pretoria. Specialising in early communication intervention, feeding therapy, adult speech rehabilitation, and breastfeeding support - in Afrikaans and English.

Monique van der Merwe engaging a young child in a warm, play-based speech therapy session
Caring
Growth
Supportive
Caring
Growth
Supportive
Caring
Growth
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Caring
Growth
Supportive

Early support makes a lifelong difference.

Three areas of care

How I can help you and your family thrive

Focused, evidence-based support across three areas. Read an overview of each below, or open its dedicated page for the full detail.

A toddler building early communication skills through guided play with a speech therapistchildren 0-12 years
01 - children 0-12 years

Paediatric Speech Therapy

Every child develops communication at their own pace. When speech, language or feeding does not follow the expected path, early, evidence-based support makes a lifelong difference. I work with children from birth through the school years, always alongside the family.

  • Early Communication Intervention (0-3 years)
  • Speech-Language Therapy for Children
  • Paediatric Feeding Therapy
An adult client practising speech and language exercises during a therapy sessionadults & older adults
02 - adults & older adults

Adult Speech Therapy

Communication and swallowing difficulties can arise at any stage of adult life, whether after a stroke, a neurological condition, injury or illness, or as a long-standing challenge. Therapy is practical and dignified, focused on the goals that matter most to you and your family.

  • Aphasia and Language Rehabilitation
  • Speech Clarity (Dysarthria and Apraxia)
  • Voice and Fluency
  • Swallowing Therapy (Dysphagia)
A new mother receiving compassionate breastfeeding and lactation supportmothers & babies
03 - mothers & babies

Breastfeeding & Lactation Consulting

Breastfeeding is natural, but it is not always easy. Whether you are navigating early latching difficulties, pain, worries about supply, or the move towards solids, you deserve knowledgeable, unhurried support.

  • Latching and Positioning
  • Pain and Milk Supply
  • Bottle Feeding and Combination Feeding
  • Transition to Solids
Portrait of Monique van der Merwe, speech-language therapist and lactation consultant
Meet Your Therapist

Monique van der Merwe

Speech-Language Therapist & Lactation Consultant

Hi, I'm Monique. I'm a speech-language therapist at Our Village in Garsfontein, Pretoria, with a special passion for supporting babies, toddlers, and their families through the earliest stages of development, as well as adults working towards communication and swallowing goals.

I have a special interest in breastfeeding and paediatric feeding difficulties, and I'm currently completing my SACLC certification. Whether you're navigating latching difficulties, pain during breastfeeding, low milk supply, bottle-feeding challenges, or transitioning to solid foods, I'm here to help. These services are available at my practice rooms, at hospitals, or through convenient home visits.

My services also include communication screenings, assessments and treatment, with a focus on early communication intervention for children aged 0-3 years. I work closely with allied health professionals and teachers to ensure a collaborative, holistic approach for each person I see.

I strongly believe in empowering families with practical, functional strategies that fit naturally into daily routines. Through coaching and therapy sessions, I aim to make communication, feeding and swallowing support accessible, functional and family-centred.

Speech-Language TherapistSACLC Certification (In Progress)Paediatric Feeding SpecialistEarly Intervention Specialist
0-3
years - specialised early intervention focus
100%
family-centred, evidence-based approach
3+
settings: practice, hospital or home visits
How it works

Simple, convenient, effective

From your first message to celebrating each milestone, here is how we work together.

  1. 1

    Initial Contact

    Reach out via phone, WhatsApp or email to discuss your concerns. We will schedule a consultation to understand your needs and determine whether my services are the right fit for you and your family.

  2. 2

    Personalised Plan

    I will conduct a thorough assessment of the communication, feeding or swallowing needs. Based on my findings, I will create a customised therapy plan tailored to the developmental stage and your goals.

  3. 3

    Therapy Sessions

    Through one-on-one sessions, we will work together using practical, evidence-based strategies. I will coach you on techniques you can use daily to support progress, and we will celebrate each milestone along the way.

What clients say

Real stories, real impact

We were struggling with the transition to solid foods. Monique's guidance and practical strategies transformed mealtimes from stressful to enjoyable.

Anique

Mom of twins

The early communication intervention sessions gave us the tools to help our son reach his milestones. Monique's play-based approach made therapy feel natural and fun.

Jaco & Lisa

Parents of a 2-year-old

Monique's support with breastfeeding was life-changing. She helped us overcome latching issues with such patience and expertise. Our little one is thriving now!

Sarah

New Mom

Your new beginning

Your family's journey to thriving starts here

Supporting families with compassionate, evidence-based care. Whether it is feeding challenges, early communication milestones, or adult rehabilitation, I am here to help.

Contact information

Let's start the conversation

Reach out by phone, WhatsApp or email, or send a message using the form. I will get back to you personally.

Spique Speech Therapy

Monique van der Merwe - Speech-Language Therapist & Lactation Consultant

Available for

Practice consultationsHospital visitsHome visits

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