Speech is the production of sounds and words. It includes motor planning for speech sounds as well as physical output. It also encompasses how we use our vocal cords and breath to produce those sounds. Language refers to how we use words to communicate with others. Changes in speech production (dysarthria) and language (aphasia) can occur after a stroke, trauma to the brain, and with a variety of neurological disorders (e.g. Parkinson's disease, Frontal Temporal Dementias, and ALS). 
Therapy can be provided to target word-finding skills, auditory comprehension, changes in pronunciation, and overall communication skills. Treatment methods for speech and language disorders include word-finding techniques, strategies for using and understanding language, instruction in tongue and lip placement for speech sounds, coordination of muscle movements for speech production, and caregiver education. 
Call Let's Communicate regarding an evaluation if you or your loved one is experiencing the following symptoms:

                          LANGUAGE (APHASIA)

• Difficulty finding words
• Speaking in single words or phrases
• Leaving out smaller words when speaking (the, of, was)
• Substituting sounds or words ("chair" for 'table' or "feletone" for 'telephone')
• Making up words
• Speaking fluently without making sense
• Difficulty understanding what others are saying in conversation
• Difficulty answering questions
• Requiring extra time to understand
• Answering unreliably to yes/no questions
• Trouble understanding complex sentences
• Difficulty writing letters, words, or sentences
• Difficulty reading words or sentences    

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                         SPEECH (APRAXIA OR DYSARTHRIA)

• Speech that is difficult to understand (e.g. slurred or mumbled)
• Slow or fast rate of speech
• Substituting, distorting, or deleting speech sounds in words
• Difficulty imitating sounds
• Monopitch sounding speech
• Difficulty with movement of the tongue, lips, or jaw
• Short rushes of speech
• Speaking in short phrases due to difficulty breathing
• Reduced loudness
• Abnormal voice quality (e.g. rough, breathy, strained, harsh, hoarse)

                 
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LSVT LOUD

​Let's Communicate specializes in treating clients with Parkinson's disease. Lee Silverman Voice Treatment LOUD (LSVT LOUD) is an intensive program that is backed by research aimed at increasing the voice, with other improvements in speech, swallowing, cognition, and overall participation in meaningful activities.
This program is designed with 4 sessions a week for 4 weeks, with each session lasting 60 minutes.
​Exercises, education, and homework are included to maximize progress outside and after therapy. Monthly-to-yearly "tune-ups" may also be suggested.
** This programs has demonstrated significant value for patients with Parkinson's disease.

​​Treatment plans for speech-language disorders are created based on the severity of the impairment and individual client and family needs. We work with the client and family to help maintain and improve participation in daily living, ensure safety in the natural environment, and facilitate communication. We may provide strategies to help the client compensate for speech and language problems and educate caregivers in techniques to improve the client's functioning.