Myofunctional Therapy · Buteyko Breathing

Breathe better, feel better.

Breathe
First

Specialist therapy for breathing, sleep and jaw comfort. Expert myofunctional therapy and Buteyko breathing re-training, online and across Greater Manchester & the Midlands.

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Two complementary therapies

Most patients come to us with overlapping issues — disrupted sleep, blocked breathing, jaw pain, anxiety. We use myofunctional therapy and Buteyko breathing, independently or together, to address the root cause.

Myofunctional Therapy

Retrains the tongue, lips and facial muscles to support nasal breathing, healthier swallowing and stable jaw posture. Helps with mouth breathing, snoring, TMJ pain, sleep apnoea, tongue tie recovery and orthodontic stability.

Learn about myofunctional therapy →

Buteyko Breathing

A clinically-led breathing re-training programme that corrects over-breathing patterns. Supports asthma, anxiety, sleep quality, snoring, and energy and focus through nasal breathing and CO2 tolerance work.

Learn about Buteyko breathing →
Breathe First therapy

Breathe First can help with:

  • Better sleep, less snoring
  • Easier nasal breathing day and night
  • Calmer breathing under stress and anxiety
  • Relief from jaw pain and headaches
  • Improved focus and steadier energy

What we treat

Two complementary, evidence-based therapies. Used independently or together depending on what your assessment reveals.

Myofunctional Therapy

Led by Emily Kirkcaldy and our Speech & Language Therapy team

Specialist therapy that retrains the tongue, lips and facial muscles to support nasal breathing, healthier swallowing and stable jaw posture. Learn more about myofunctional therapy.

Jaw Discomfort and TMJD

Jaw pain, stiffness, clicking, headaches, or difficulty opening your mouth? TMJD affects daily life, but targeted therapy can help restore comfort and function.

Mouth Breathing

Breathing with an open mouth can cause dry mouth, fatigue, and facial changes. Therapy retrains nasal breathing for better health and aesthetics.

Tongue Tie / Oral Restriction

A restricted tongue can affect speech, swallowing, and breathing. Therapy improves mobility and function for better oral health.

Sleep Disordered Breathing

Interrupted breathing during sleep can cause snoring, fatigue, and poor oxygen flow. Therapy supports better airway function for restful sleep.

Tongue Thrust

Pushing the tongue forward when swallowing can affect speech, teeth alignment, and jaw development. Therapy retrains tongue posture for better oral health.

Thumb Sucking & Habit Remediation

Thumb sucking, pacifier overuse, or lip and cheek biting can affect teeth alignment and jaw development. Therapy helps break habits.

Sensory Integration

Helps the brain and body work together for better coordination and focus. Therapy supports oral and breathing patterns for improved well-being.

Malocclusion / Orthodontic Retention

Misaligned teeth can cause jaw pain and chewing issues. Without support, teeth may shift after treatment. Therapy helps maintain alignment.

Speech

Supports clear speech by addressing articulation, phonology, motor speech disorders, voice issues, and stammering. Therapy improves communication and confidence.

Feeding

Supports the chewing and swallowing process for safe, efficient eating. Therapy improves oral coordination, strength, and sensory awareness.

Buteyko Breathing

Led by our Buteyko-trained practitioners · online

A clinically-led breathing programme that re-trains over-breathing patterns to improve sleep, asthma symptoms, anxiety and energy. Learn more about Buteyko breathing therapy.

Asthma & Allergies

Reduce reliever use and symptom frequency through nasal breathing and CO2 tolerance retraining.

Sleep & Snoring

Mouth breathing and airway dysfunction disrupt sleep. Buteyko restores nasal breathing day and night.

Anxiety & Stress

Dysfunctional breathing patterns drive overbreathing and panic responses. Buteyko re-establishes calm, regulated breathing.

Energy & Focus

Chronic mild hyperventilation depletes oxygen delivery. Better breathing means clearer thinking and steadier energy.

Better together for many patients

Myofunctional therapy retrains the muscles and posture that shape your airway. Buteyko breathing therapy re-trains the breathing pattern that runs through it. For sleep-disordered breathing, mouth breathing, and TMJD with shallow breathing, combined care often produces results neither delivers alone.

Book an assessment

Meet the team

Emily Kirkcaldy portrait
Myofunctional Buteyko

Emily Kirkcaldy

Highly Specialist SALT, OMT, BBM, YTM (DIP)

I’m Emily, the Owner and Lead Clinician at Breathe First with over 20 years of experience as a Speech and Language Therapist, dedicating the last 5 years to airway focus and oral restrictions/dysfunction. I pride myself on a high quality of patient care, with trust at the centre of the therapeutic relationship.

Maureen Segree portrait
Myofunctional

Maureen Segree

SALT, OMT

I’m Maureen, I am a Specialist Speech and Language Therapist with 30 years of experience, also specialising in Orofacial Myofunctional Therapy. I’m passionate about helping clients improve communication and oral function.

Alice Spencer portrait
Myofunctional Buteyko

Alice Spencer

Specialist SALT, OMT and BBM

I’m Alice, a therapist specialising in myofunctional therapy and speech and language development, with training in the Buteyko Breathing Method. I use a holistic, evidence-based approach to improve breathing, oral function, and communication for better overall health.

Katie Harp portrait
Myofunctional

Katie Harp

SALT, OMT

I’m a qualified myofunctional therapist with over 16 years’ experience as a speech and language therapist, specialising in dysphagia and neurological communication disorders. I’m passionate about providing high-quality, evidence-based support.

Natalie Golden portrait
Myofunctional

Natalie Golden

RDH, OMT

I’m Natalie, a Registered Dental Hygienist with 25 years of clinical experience. I also practise Orofacial Myofunctional Therapy (OMT), supporting children and adults to improve their breathing, oral posture, and overall function.

Amy Schofield portrait
Myofunctional

Amy Schofield

BSc (Hons) MRCSLT, HCPC, MASLTIP

I’m Amy, a Specialist Speech and Language Therapist with over 13 years of experience. I specialise in speech sound disorders and Orofacial Myofunctional Therapy (OMT). I’m passionate about developing oral function and communication to support people’s health and overall wellbeing.

Helen Fraser portrait
Myofunctional

Helen Fraser

SALT, OMT

I’m Helen, a Speech and Language Therapist with over 18 years of clinical experience and specialist training in myofunctional therapy. I offer a warm, personalised approach to evidence-based care, supporting people to enhance their quality of life.

Sophie Harkness portrait
Myofunctional

Sophie Harkness

SALT, OMT

I’m Sophie, a Highly Specialist Speech and Language Therapist with expertise in airway disorders and dysphagia. I’m currently undertaking a PhD focused on unexplained swallowing difficulties. I’m passionate about supporting my patients with thoughtful, evidence-based care.

Lauren Derbyshire portrait
Myofunctional

Lauren Derbyshire

SALT, OMT

I’m Lauren, a Speech and Language Therapist with over 20 years of NHS experience, specialising in severe speech sound difficulties and developmental language disorders in children. Training as a Myofunctional Therapist has allowed me to take a more holistic, individualised approach. I also have a personal interest, supporting my own family with myofunctional rehabilitation.

What patients say

★★★★★

Emily has been and continues to be a monumental help to my child who has complex needs and suffers with a jaw that has locked. We were told he needed surgery to fix it and with Emily's help he's managing to open it once again and begin to learn how to use it again , with hopefully no need for surgery. He immediately took to Emily and trusted her which has meant he's had the most out of all her sessions. She's also helped hugely with his communication.

Laura Smith
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★★★★★

Emily was so helpful and supportive with our 7 month old baby. She reccomended plenty of exercises and shared with us a lot of knowledge that helped us so much.

Isabel
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★★★★★

Excellent service. Thorough and detailed assessment. Top quality coaching to learn the myofunctional exercises I required. I have personally noticed reduced TMJ pain as well as improved digestion.

Matthew Hale
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★★★★★

I have been having myotherapy with Emily for 3 months now and the therapy has been a huge help with the swallowing issues and TMJ pain I experience. Emily is both knowledgeable and patient and she has helped me to understand the causes of my presentation.

M Segree
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★★★★★

Emily has worked with my 9yo daughter for the past 8 months and has been absolutely brilliant. I would wholeheartedly recommend her. I came to her because I was concerned that my daughter's consistent mouth breathing was affecting her teeth and her sleep, which was poor quality. She was frequently waking at night and was waking up lethargic in the mornings. Emily has got my daughter to completely re-pattern her breathing to nose breathing, which has affected everything - her posture, her energy, her sleep and now the development of her mouth and jaw. Now, my daughter sleeps soundly and wakes up refreshed and with energy for the day. It's a commitment to do the mouth exercises from week to week but Emily is so lovely and helpful and if you're willing to put in the work, you'll get the results. Emily is there every step of the way to help and really knows her stuff. I knew nothing about myofunctional therapy before starting on this journey, but it's been the best investment of time, money and energy ever - just do it!

Laura Gilchrist
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★★★★★

Emily has been providing my son with Myofunctional Therapy, SLT and Breathing Therapy. She has been amazing in every way and every step. My son is one of most complex case, so seeing the light at the end of the tunnel is incredible. When we met Emily, no one understood what my son said, now they do. Emily has also a vast knowledge of learning disability, autism, so her explanations, demos and expectations were clear and achievable.

Alice Martin
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You’re in good hands

Breathe First’s teams have over 20 Years of experience in SALT, AOMT & Buteyko Breathing.

About Us
20+
Years of experience
5
Specialisms

Approved & certified by

BSMFT Approved Approved by
Buteyko Certified Instructor Certified Instructor
British Institute of Orofacial Myology YTM Diploma (Level 3)
RCSLT Member Member of
HCPC Registered Registered
The Breathe Institute Ambassador Member of
Myo Munchee Certified Practitioner Certified Practitioner
Myo Munchee Bebe Certified Myo Munchee Bebe Certified
Walt Fritz Manual Therapy Certified Practitioner

Flexible treatment

Each therapy is delivered the way that works best for it. Most patients begin with an initial consultation and continue with their preferred format.

Myofunctional Therapy

Online + Face-to-face

Initial consultation is typically face-to-face at our clinic. Ongoing sessions can continue online or in person, depending on what works for you.

About myofunctional therapy →

Buteyko Breathing

Online only

Buteyko breathing therapy is delivered entirely online via video sessions. UK-wide, with no clinic visits required.

About Buteyko breathing →
Breathe First team

Myofunctional or Buteyko Practitioner? Or want to become one?

Whether you’re a SALT, dental hygienist, physio, or breathing coach — if you’re myofunctional-trained, Buteyko-trained, or looking to become so, we’d like to hear from you.

  • Flexible hours, online or in-clinic
  • Supportive, expert-led multi-disciplinary team
  • Steady patient pipeline across both services
  • Backing for additional certifications (Buteyko, OMT)
Find out more