our approach to patient care
Care that starts with listening.
Every patient comes to us with a different story. Our approach begins with understanding your concerns, identifying the factors that may be contributing to them, and developing a treatment plan around your individual needs and goals.
WE LISTEN FIRST
We take time to understand your concerns and look beyond individual symptoms to identify factors that may be contributing to them.
WE CREATE A CLEAR PATH FORWARD
Your evaluation leads to an individualized treatment plan with defined goals, so you understand what we're working toward and how you're progressing.
WE FOCUS ON LASTING FUNCTION
Treatment is designed to develop healthy, sustainable patterns that support better breathing, sleep, oral function and overall quality of life.
Tri-State Myo Founder
Lindsey Mackley, RDH, COM®
Lindsey Mackley is a board-certified orofacial myologist (COM®) through the International Association of Orofacial Myology (IAOM) and founder of Tri-State Myofunctional Therapy.
With a clinical background as a registered dental hygienist, Lindsey brings a unique, integrated perspective to the assessment and treatment of orofacial myofunctional disorders. Since founding Tri-State in 2020, she has worked with hundreds of children, teens and adults and continues to see patients personally while leading a growing team of therapists.
As the field of myofunctional therapy continues to grow, Lindsey remains committed to advanced education, professional certification and thoughtful, individualized care.
Beyond the practice
Lindsey enjoys spending time with her husband, traveling to visit their adult children, and working on their historic home.
COM®
Board Certified Orofacial Myologist
RDH
Registered Dental Hygienist
IAOM
Professional Certification
serving the tri-state region
Two locations.
One approach to care.
Tri-State Myofunctional Therapy serves patients in-person from two locations — Hagerstown, Maryland, our main office, and East Berlin, Pennsylvania, in partnership with East Berlin Smiles / Pennsylvania Tongue Tie Center — and has served hundreds of patients across the region.
Hagerstown, Maryland
Main Office
East Berlin, Pennsylvania
In partnership with East Berlin Smiles/ Pennsylvania Tongue Tie Center
meet the team
Experienced Care with a Personal Approach
Diane
Associate Myofunctional Therapist
Diane comes to TSMT with over 20 years of experience in the dental profession. The beginning of her Myo journey began in 2010 when she became aware of her son’s tongue-tie and recognized that his facial growth pattern was being affected by his tongue-tie. Diane strongly believes in a holistic, whole body approach to medicine which recognizes that the health of the mouth directly relates to the overall health of the body. While Diane enjoys working with patients of all ages, she is particularly fond of working with children ages 4-6!
Dana
Associate Myofunctional Therapist
Dana has spent the past 8 years in the dental field and began practicing myofunctional therapy in 2022 after discovering firsthand how connected oral function is to overall health. What started as professional curiosity quickly became a personal passion. She loves helping patients finally make sense of their symptoms and feel empowered in their own healing. Whether she’s working with children or adults, Dana brings patience, compassion, and a genuine desire to see her clients thrive. She believes therapy should feel supportive and encouraging.
Dianne
Associate Myofunctional Therapist
Dianne is dedicated and engaging therapist and Tri-State Myofunctional Therapy is proud to have her on our team! Her passion for Myofunctional Therapy began when she had concerns over her own child’s sleep and behavior and her concerns weren’t validated by professionals. She is now dedicated to helping children and adults tap into the transformative potential of OMT. She regularly pursues advanced training in order to be the best therapist she can be!
Shania
Assistant
Shania helps keep everything running smoothly behind the scenes. She supports the practice with client intake, admin tasks and general operations. Located in the tri-state area, Shania is passionate about helping small businesses grow.
from tri-state families
What our patients say.
Patient Review - Tania
After my tongue tie release, myofunctional therapy made a huge difference in my recovery and overall quality of life.
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Before therapy, I struggled pain, difficulty swallowing properly, and speech issues that I didn’t even realize were connected to my restricted tongue movement. The release alone helped, but the therapy was what truly taught my tongue and muscles how to function correctly.
Within a few weeks, I noticed I slept better, woke up feeling more rested, and had less tension in my jaw and neck. Swallowing also became much more natural and comfortable. Foods that used to feel difficult or awkward were no longer a problem, and I stopped compensating with incorrect muscle patterns.
One of the biggest improvements was in my speech clarity. Certain sounds became easier to pronounce, and speaking no longer felt strained or tiring. The exercises were simple but incredibly effective, and my therapist was knowledgeable, encouraging, and patient throughout the process.
I highly recommend myofunctional therapy to anyone having a tongue tie release or dealing with related breathing, swallowing, or speech issues. It helped me get the full benefit of the procedure and improved functions I had struggled with for years without realizing it.
Patient Review - Jessie
Lindsey was amazing to work with. At my daughter’s consultation she explained how myofunctional therapy works and how it could benefit my daughter.
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Lindsey was amazing to work with. At my daughter’s consultation she explained how myofunctional therapy works and how it could benefit my daughter.
She helped her through the entire process—checking in, making adjustments as needed, and being genuinely interested in my daughter’s well-being and progress.
She checked in when my daughter had a tongue-tie release procedure, going the extra mile. My daughter now has better posture, more restful sleep, good nasal breathing, and her tongue thrust problem is gone!
The proof is in the before and after photos she provided as well! We would recommend anyone considering myofunctional therapy to talk with Lindsey!
Patient Review - Jessica
Lindsey is hands down the best! She is so knowledgeable about Myofunctional Therapy and does an amazing job!
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I started my Myo journey May 2024 and had my tongue tie release July 2024. Since starting with her I have seen my sleep improve in the best way possible!
I also don’t feel like I’m as messy of an eater and I’ve even noticed my speech sounding clearer. One of the biggest improvements was the neck and shoulder tension I was experiencing due to my tongue tie and after going through therapy and the tongue tie release I noticed instant release in that tension.
Lindsey does a great job explaining everything! I wanted to understand the reason behind the exercises and she always explained what the exercise was working and how that was helping.
I have recommended so many of my friends, family and patients to see out Myofunctional Therapy with Lindsey. She’s the best!
Patient Review - Marcie
I knew I wouldn’t be able to “cure” my sleep apnea but was seeking a better sleep experience with Myofunctional Therapy.
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Worked with Lindsey for approximately 4 months and continue to do a couple of maintenance exercises to date. Recently had a check in with sleep practitioner and was very pleased with what the Lindsey was able to accomplish with my therapy.
Diagnosed with 8 episodes an hour. Cpap machine brought me down to 5 per hour. Combining cpap with myo therapy has me at .5 episodes currently!
I would highly recommend Lindsey and her therapy services to improve what you may be experiencing. Well worth your time and effort.
SCHEDULE AN APPOINTMENT
Wondering if OMT could help you or your child?
You don't have to figure it out yourself. An evaluation can help identify oral function patterns that may be contributing to the concerns you're experiencing and determine whether myofunctional therapy may be appropriate.
In-person and virtual appointments available.