Figure 1. Key issues in speech therapy-Modern Tools in Patient-Centred Speech Therapy for Romanian Language

Complex examination provides data regarding social, cognitive and affective parameters, and points out potential general development problems, and articulation or pronunciation problems. Considering the complexity of the possible disorders involved, there is a need for varied therapeutic methods, ranging from synthesis and analysis, to the global therapeutic specific methods and techniques. As a result, in order for the therapist to be able to choose the best technique for a specific case, (s)he needs to have a very good knowledge of all these methods. Irrespective of the methods used, the therapy stages have to be carried out in a specific order, based on the psychosomatic structure of each child. The therapy starts with the psychological processes involved (cognitive, psychometric and affective-emotional), and it is built on stages, moments and concrete objectives, materialised in specific therapeutic techniques. The techniques take the form of exercises and procedures carried out by the child in order to reach the final goal: the completion of a correct speech act (Danubianu, Pentiuc, & Socaciu, 2009).
The main issues in speech therapy are shown in Figure 1.