Dysphagia,
Cognition, speech &
Voice Services

We offer comprehensive services for swallowing disorders, cognitive impairments, speech impairments, voice disorders, and more for adolescents to elders.

$125 Per Session
Sliding Scale Available

Two people, an elderly man and a child, sitting on a rocky cliffside overlooking the ocean during dusk or dawn.

Comprehensive Speech Services

Create ease with communication, reduce stress around mealtimes, enjoy opportunities for socialization. We are here for all your communication, cognition, and swallowing needs.

Offering Virtual Speech Therapy In :

California ~ Colorado ~ North Carolina ~ oregon ~ Virginia

Don’t see your state listed? Inquire about additional states and we can work together to meet your needs!

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    A comprehensive evaluation to capture the full picture of your individual strengths, goals, and needs.

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    Personalized treatment plans with functional goals to achieve the results you’re seeking efficiently and sustainably.

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    Individualized weekly session reviews and practice plans to keep you engaged with trained strategies and concepts between session.

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    Feedback between sessions to make cut out the guess work and ensure you’re feeling supported and on the right path.

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FAQs

  • Adult speech therapy supports communication, cognition, and swallowing across a variety of needs. Whether you’re recovering from a stroke, navigating changes from a neurological condition, or simply looking to refine your communication skills, therapy focuses on meaningful, functional goals that fit your life.

  • Speech therapy can help adults experiencing:

    • Changes in speech or language after a stroke or brain injury

    • Voice changes or vocal fatigue

    • Progressive neurological conditions such as Parkinson’s disease, ALS, or MS

    • Difficulty finding words, organizing thoughts, or staying on topic

    • Swallowing or eating challenges (dysphagia)

    • Accent or clarity concerns

    If communication or swallowing feels harder than it used to, therapy can help restore confidence and connection.

  • Your first session is a space to talk about your goals, challenges, and what matters most to you. We’ll review your medical and communication history, complete a gentle assessment, and create a personalized plan that supports both function and quality of life.

  • Yes. For conditions like Parkinson’s disease, ALS, or MS, therapy focuses on maintaining communication and swallowing function for as long as possible. We’ll also explore tools and strategies—like voice amplifiers, pacing techniques, or AAC (augmentative and alternative communication)—to help you stay connected and empowered as your needs evolve.

  • Post-stroke therapy supports recovery in speech, language, cognition, and swallowing. Sessions may target rebuilding language skills, strengthening speech clarity, improving memory and attention, and developing compensatory strategies to enhance daily communication.

  • Yes! Secure teletherapy is available for clients located in California, Colorado, North Carolina, Oregon, and Virginia. All you need is a computer, tablet, or phone that can support use of Zoom. Virtual sessions are just as personal and effective as in-person care—offering flexibility, comfort, and access from home.

  • No, you typically don’t need a doctor’s referral to begin therapy. Since this practice is private pay and does not bill insurance directly, you can start services without a prescription or referral.

    However, if you plan to submit a superbill for potential reimbursement from your insurance, your provider may require a referral or a diagnosis code from your physician. It’s a good idea to check your plan’s out-of-network speech therapy policies before starting.

  • Every person’s journey is unique. Some goals can be met in a few sessions; others require ongoing support. Together, we’ll establish a plan that aligns with your priorities, progress, and pace.