We offer comprehensive assessment of your speech, language, and/or cognitive-communication abilities and needs. This process allows us to identify specific areas of difficulty, as well as relative strengths, in order to target the best therapy for you.
Therapy for acquired motor speech disorders such as dysarthria and apraxia of speech. Treatment may focus on articulation, voice, resonance, vocal intonation/stress, and/or speech rate in order to achieve your best possible speech and ensure that others understand you well. Special consideration is given to the contexts in which you regularly communicate (e.g. noisy environments).
Speech and language therapy targeting areas of need in all four modalities: auditory comprehension, oral expression (e.g. word finding), reading comprehension, and written expression. Treatment will focus on language and topics relevant to your personal communication contexts, as well as the use of compensatory strategies (e.g. communication book). Depending on your goals, treatment may include targeted speech and language technology, where appropriate.
Therapy for higher level complex language expression and comprehension in all language modalities. Intervention targets areas of need such as auditory-verbal attention/concentration, information processing, verbal memory, discourse planning and organisation, verbal reasoning, and/or executive functioning.
While maximizing your communication skills, we teach you strategies to compensate for areas of difficulty, in order to increase your confidence and improve your participation in life, work, and/or school activities that are meaningful to you. We provide the opportunity for you to practice these through activities such as targeted exercises, conversation, roleplay, simulated situations, and real-life practice. Targeted self-evaluation is a helpful component of this training.
Communication always involves a partner. In accordance with best practices and the Life Participation Approach to Aphasia (LPAA), we offer counselling and training in supportive strategies to communication partners, when needed, in order to enable the person with the brain injury to participate more actively and meaningfully in conversational exchanges and life roles / contexts.
Dysarthria (DIS-AR-THREE-AH) is a disorder affecting the voluntary muscle control needed for speech and/or voice production. It can affect articulation, fluency, nasality, voice quality, volume, intonation, and rate of speech. When dysarthria is more severe, it can affect how well speech is understood by others (intelligibility).
Aphasia (A-FAY-SHA) is a disorder that can affect both language comprehension and expression, including the ability to read and write, as a result of injury to the left side of the brain. Each aphasia has its unique presentation of abilities and impairments. These are generally classified as fluent, nonfluent or mixed aphasia by the SLP based on an assessment of all four language modalities (auditory comprehension, oral expression, reading comprehension, and written expression). Individuals with aphasia often know much more than they can say, but their competence is masked by this language barrier. Aphasia can feel like trying to communicate in a country in which you don't know the language.
Apraxia (A-PRAX-SIA) of speech is a disorder of speech production related to impaired speech sound sequence planning. It often accompanies nonfluent aphasia.
This disorder results from an impairment of higher level cognitive-communication skills required for complex language comprehension and expression. These include auditory-verbal attention/concentration, verbal memory, discourse planning and organisation, verbal reasoning, and executive functioning.
Social communication disorder results from an impairment of social communication skills following brain injury. Areas impacted may include socially appropriate interaction, nonverbal communication, turntaking, reading social cues, and taking the listener's perspective.
Speech-language therapy by telepractice (also known as virtual therapy, teletherapy, or telerehabilitation), can be conducted in different ways, often in combination: over the phone, email, or by videoconference -- all from the comfort of your own home. These treatment modalities are particularly well suited to speech and language rehabilitation activities for adults.
Recent clinical studies on language and cognitive-communication telepractice for adults with brain injury have found it to be effective, with generally equivalent results to in-person therapy (see references 1-9 below). Anecdotal reports from clinicians and clients further suggest that teletherapy may have certain advantages for individuals with brain injury, such as decreased fatigue, improved focus, better attendance, reduced travel costs, as well as easier access to communication partners and natural environments. Teletherapy also provides access to specialised brain injury rehabilitation for adults in underserved areas.
Telepractice may not be appropriate for everyone, however; as such, candidacy is determined on a case-by-case basis. Please contact us if you have any questions or concerns -- we are happy to discuss this with you.
We use Zoom Pro Healthcare to protect client confidentiality and to provide you with the best possible therapy experience.