EXPERT
Genevieve Richardson
Speech-Language Pathologist
- Austin, TX
- Accepting new patients
The Words Left Unsaid: Bridging the Aphasia & Caregiving Gap
"Why Can’t You Just Say Thank You? "My friend Anne recently had surgery. As she spoke with the nurse beforehand, she asked, “Do you know what aphasia is? ”The nurse, almost offended,...
Can you help with speech stuttering?
For your daughter, therapy can help with:
- Building confidence so she feels comfortable speaking in different situations
- Learning techniques to make speech feel easier, like using pauses and easing into words
- Understanding what makes stuttering better or worse, like stress or fast conversations
- Coaching for parents, since how you respond can make a big difference
Not all speech therapists specialize in stuttering, so finding the right one is important. Look for:
- Experience with stuttering specifically, not just general speech therapy
- A supportive, confidence-building approach, not just fluency drills
- Therapy that includes parents so you know how to help at home
- A therapist your daughter feels comfortable with—it makes a big difference
To find a certified speech-language pathologist who specializes in fluency, check the **Stuttering Foundation** or the **American Speech-Language-Hearing Association (ASHA) at asha.org**. The right support can make a huge impact!
How do I continue speech therapy at home after class?
Here’s how you can continue speech therapy on your own:
Know your goals – If you're working on articulation, fluency, voice, or something else, make sure you understand what you're practicing and why.
Use a mirror or record yourself – This helps you see and hear what’s working and where you can improve.
Practice in real conversations – Try using your strategies when talking to friends, family, or even when ordering food or answering the phone.
Slow down and take your time – If speech feels difficult, pause, breathe, and use the techniques from therapy.
Read out loud – This is a great way to practice speech in a low-pressure way while focusing on clarity and confidence.
Stick with it – Progress takes time, but small, consistent practice makes a big difference.
If your speech therapist gave you exercises, try to do them regularly. But even if they didn’t, these simple strategies will help you keep improving. Keep going—you’ve got this!
Can a speech delay be caused by a work injury?
Can adults benefit from speech therapy?
Can an adult see a speech pathologist?
How long should speech therapy be after a stroke?
If you're considering finding a new therapist, whether in a hospital setting or private practice, here are some questions that can help determine their approach:
1. How would you describe your overall approach to therapy? Do you focus more on specific impairments or the patient's participation in daily life?
2. Can you explain how you set therapy goals? Are they based on standardized assessments or tailored to individual life goals?
3. Do you incorporate real-life scenarios and activities into your therapy sessions?
4. What is the role of family and caregivers in your therapy process?
5. How do you adapt your therapy if a patient’s goals or circumstances change?
These questions can help you understand whether the SLP practices a traditional, impairment-based approach or a more holistic method like the Life Participation Approach to Aphasia (LPAA).
Regarding therapy settings:
- Hospital-based clinics often lean towards an impairment-based approach, especially soon after a stroke. This focus is driven by the immediate need to address specific impairments following a medical event.
- Private Practice therapists might be more inclined towards diverse approaches, including LPAA. They usually have greater flexibility to tailor therapy to individual lifestyles and personal goals, as they operate with fewer constraints than larger healthcare institutions.
Considering these points, talking with your grandfather and his current therapist about his therapy is crucial. Understanding his views and reassessing his goals might also help determine the best path forward. If he feels that his current therapy isn't aligned with his personal objectives or interests, exploring other therapists, especially those in private practice who might employ LPAA, could be a beneficial next step. This approach focuses on enabling patients to participate in life activities that are meaningful to them, which might resonate more with your grandfather’s needs and motivations.
Will my mother regain her speech after her stroke?
Recovery after a stroke varies significantly from person to person due to numerous factors. These factors include the location and severity of the stroke, the individual’s overall health, their age, the level of support they have, and how quickly they began speech therapy after the stroke.
Your mother must work with a speech-language pathologist (SLP) who has experience in rehabilitating speech, language, and cognitive abilities after a stroke. The SLP will assess your mother’s abilities and develop a personalized treatment plan. Depending on her specific needs, this plan may involve various exercises and strategies to improve her speech and language skills.
The journey to recovery can be gradual and requires patience, persistence, and support from family and caregivers. Stay optimistic and encourage your mother to participate actively in her therapy sessions.
Best wishes to you and your mother on this journey. Please feel free to reach out if you have any questions or need further guidance.
What's speech therapy like for adults?
After a stroke, the initial step in speech therapy is to conduct a thorough evaluation. This means the therapist will assess your mother's ability to produce sounds, observing her muscle coordination and how well she can pronounce syllables, words, and sentences and engage in longer forms of speech.
The treatment is highly personalized and tailored to your mother's specific needs. If she struggles with certain sounds or words, the therapy will focus on those. The sessions might include exercises to strengthen the muscles used in speech, practicing the pronunciation of challenging words, or working on the rhythm and flow of speech to make it more understandable.
For instance, a typical session could involve practicing syllable combinations, moving on to words and then sentences, depending on her progress. Activities aimed at improving breath control and pacing, which are crucial for clear speech, may also be included. The therapist might use various tools and techniques, including visual aids, repetition exercises, and even technology-assisted therapies, to facilitate improvement.
The ultimate goal is to enhance your mother's speech clarity, aiming for the highest level of understandable speech possible. The focus is not just on individual sounds or words but on ensuring she can be understood in everyday conversations.
Every person's recovery journey is unique, and progress can vary. The therapist will continually assess and adjust the therapy plan to align with her evolving needs. Your support, encouragement and a skilled therapist can make a significant difference in her recovery.
I hope this gives you a clearer picture of what to expect in adult speech therapy sessions for slurred speech due to a stroke. Feel free to ask if you have more questions or need further assistance!