Services

Voice Therapy

Dysphonia is any voice disorder that impacts vocal quality, pitch, loudness, or vocal effort. Voice disorders have many causes, including functional causes (yelling, excessive throat clearing, inefficient voice use), structural abnormalities (vocal nodules, cysts, polyps, inflammation, laryngeal trauma), neurologic diagnoses (Parkinsonism, multiple sclerosis, spasmodic dysphonia, recurrent laryngeal nerve paralysis), or other causes (chronic stress, conversion disorders). Singers and other professional voice users (actors, teachers, clergy, attorneys, receptionists, etc.) may experience a variety of voice difficulties due to the high demands placed on the voice.

Therapy may target:

  • voice quality (roughness, hoarseness, strain, breathiness)

  • pitch (too high, too low, pitch breaks, loss of range)

  • loudness (too loud, too soft, loss of range)

  • resonance

  • weak voice

  • vocal temor

  • running out of breath when speaking or singing

  • vocal fatigue (voice tires easily)

  • pain or tightness with voice use

Upper Airway Therapy

The primary function of the larynx is to act as a valve to protect the airway. Sometimes, this valve function becomes disordered.

Therapy may target:

  • chronic cough

  • chronic throat clearing

  • irritable larynx syndrome

  • laryngospasm

  • paradoxical vocal fold movement

  • exercise-induced laryngeal obstruction

Speech Therapy

A speech disorder refers to a problem with how an individual says sounds or words. Speech disorders can be developmental or acquired, affecting children and adults. In some cases, the cause is unknown; however, speech disorders are usually connected to conditions such as cerebral palsy, multiple sclerosis, muscular dystrophy, myasthenia gravis, Parkinson’s disease, dementia, stroke, or traumatic brain injury.

Therapy may target:

  • apraxia of speech

  • dysarthria (slurred speech, unclear speech)

  • dysfluency (stuttering or cluttering)

  • lisp

  • trouble with /r/

Swallow Therapy

Dysphagia is any swallowing disorder that impacts the oral cavity (mouth), pharynx (throat), or esophagus. Difficulty swallowing can affect hydration and nutritional status, lung health, and enjoyment of eating.

Therapy may target:

  • coughing/throat clearing during or after eating/drinking

  • wet or gurgly voice after eating/drinking

  • food or liquid leaking out of the mouth while eating/drinking

  • globus sensation (feels like food gets stuck)

  • pain with swallowing

SPEAK OUT!® Therapy Program for Parkinson’s Disease

The SPEAK OUT!® Therapy Program, developed by the nonprofit organization, Parkinson Voice Project®, helps people with Parkinson’s and related disorders REGAIN and RETAIN their speech and swallowing. The program can improve volume, articulation, breath support for speech, vocal quality, intonation, and facial expression. Patients and families also report reduced drooling and improved swallowing. This highly effective, research-based treatment combines education, individual speech therapy, SPEAK OUT!® Classes, daily home practice, and continuous follow-ups. Patients are empowered to “speak with INTENT,” transitioning speech from an automatic function to an intentional act. The “Circle of INTENT” outlines the various therapy components and emphasizes that this program is lifelong.

SPEAK OUT!® Therapy Program at a glance:

  • Evaluation

  • Two individual therapy sessions per week for 4 weeks

  • SPEAK OUT!® Classes (group sessions) once a week

  • One individual therapy follow up 4-6 weeks later

  • Refreshers every 3-6 months

Singing Lessons

Develop healthy singing technique and prevent vocal injury.

Singing lessons are tailored to individual needs, but generally include:

  • warm-up exercises for healthy technique

  • application of technique to repertoire

  • performance coaching

Singing lessons are not considered therapeutic and cannot be billed to insurance.