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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. Depending on your goals, treatment may include targeted speech and language technology, where appropriate.
We offer therapy for higher level complex language expression and comprehension, focusing on your particular areas of need (e.g. skills required for participation in school or work). Intervention may target areas 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, and volume, as well as perceived "naturalness" 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 can affect articulation, fluency, speech rate, as well as perceived "naturalness" of speech, and often accompanies nonfluent aphasia. When apraxia of speech is more severe, it can affect how well speech is understood by others (intelligibility).
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. Difficulties in these area are often invisible, but can impact an individual's ability to perform more complex communication verbal and/or written tasks such as those required for school or work.
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. Social communication skills are important for initiating and maintaining social relationships.
Daniel Webster
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