“What a relief to find out about Joan Comrie and discover a whole new set of possibilities to explain a baby’s feeding difficulties when none of the usual remedies help! She is a sucking and swallowing expert who knows how to help babies learn to feed effectively. Her network with other specialists facilitates quick referrals for specific interventions - should they be required.

Joan not only helps the individual child and educates the mother, but also trains healthcare providers to help more patients in the future through her presentations at professional conferences and written reports following consults for individual patients.”
~ Mary Overfield, MN, RN, IBCLC (International Board Certified Lactation Consultant)
Secretary - North Carolina Breastfeeding Coalition, Inc.
Chair - Triangle Breastfeeding Alliance
President - Breastfeeding Education Resources, Inc.
Volunteer - Nursing Mothers of Raleigh
(A Community-based Breastfeeding Support Group)

“What a difference it made! She was relaxed AND I was relaxed! None of the milk spilled out of her mouth and her suck seemed nice and strong. I look forward to learning more. Many thanks for your help. I feel like today was a quality of life breakthrough for our entire family (even the dog seems happier and less stressed)!

Thanks for all of your expertise and help with Lydia's development!”

~ Patricia D.

Our History:

Carolina Pediatric Dysphagia (CPD) was founded in 1996 by Joan Dietrich Comrie to provide the highest level of care in pediatric feeding and swallowing. CPD addresses all aspects of feeding and swallowing in a non-threatening, yet professional environment.
Carolina Pediatric Dysphagia uses a medically based approach that is child-focused and family-centered. Our team approach ensures that all of your medical providers are providing a unified approach to fulfilling your child's needs. This approach involves pediatricians, developmental pediatricians, gastroenterologists (GI), otolaryngologists (ENT), neurologists, pulmonologists, psychologists, nutritionists, occupational therapists, physical therapists and any other member of your child's medical team. 
CPD has extensive experience in all levels of dysphagia care. From the neonatal intensive care unit to schools, residential care facilities to private practice and home-based healthcare, we are unique in our level of care. CPD also sees more children than any other facility in the region, giving us the ability to apply this experience to quickly provide a solution for your child. 
CPD's efficient and effective evidence-based services produce superior outcomes!

Our services include evaluations, modified barium swallow studies, and treatment. We complete detailed evaluations and recommendations, and design a treatment program that considers your child’s individual needs. Based on over 26 years of experience, our carefully designed programs work. The evaluations are not hospital-based forms. Instead our detailed evaluations are individually planned to meet the patient's needs whether they are referred by their pediatrician, lactation consultant or are students of Wake County Public School System, Tammy Lynn, United Cerebral Palsy, Frankie Lemmon Preschool and Hill Top Home.

Joan has privileges at WakeMed Hospital. For our patient's convenience, she completes Modified Barium Swallow Studies at WakeMed and at Wake Radiology Pediatric Outpatient Imaging Center. Learn more about Modified Barium Swallow Studies

About Joan Dietrich Comrie:

Joan Dietrich Comrie has dedicated her entire career to studying, teaching and practicing in the area of dysphagia, specifically pediatric dysphagia. She received her Bachelor of Science degree and then her Master of Science degree in the area of speech pathology at the University of Wisconsin-Madison in 1986. Before starting Carolina Pediatric Dysphagia in 1996, she worked at several hospitals (Cardinal Hill Rehabilitation Hospital, Lexington KY, Vanderbilt Medical Center, Nashville, TN and WakeMed Hospital, Raleigh, NC) where she developed or reorganized the hospital's pediatric dysphagia program.
Joan has spoken on the topic of pediatric dysphagia nationally and internationally and has been published in a professional journal. She co-taught the first dysphagia course offered at the University of North Carolina and continues to guest lecture to several university graduate level speech pathology programs and to the UNC Medical Students who complete their rotation at WakeMed. She has served as chairman and member of a subcommittee of the Special Interest Division #13 of the American Speech Language Hearing Association (ASHA). Joan has received her certificate of clinical competence (CCC) through ASHA and is licensed in the state of North Caroliina.

Our Therapists:

Our highly trained therapists have advanced degrees and provide the highest level of integrity, care, and compassion. By receiving extensive training and continuing education opportunities, they are highly motivated to remain current with the latest literature. Our dedicated and enthusiastic therapists provide services in our clinic or in the natural environment."