speech-language therapy

How can our speech-language therapy services help you or an adult in your life?

DTC offers speech-language therapy services for adults with cognitive impairments and traumatic brain injuries. Speech-language therapy for adults targets specific elements of speech and/or swallowing to address the patient’s communication and feeding needs. The speech language pathologists collaborate with the patient and/or caregiver to determine areas of treatment as well as the need for adaptive equipment/techniques, such as an augmentative alternative communication device for communication or a modified diet for safe swallowing. The primary goal of speech therapy is to improve the patient’s ability to clearly communicate his/her wants and needs and/or promote a safe swallow while eating.

Speech-language skills that may need to be refined include, but are not limited to, the following:

  • Accent Modification: altering pronunciation of typically used words and sounds to improve clarity of speech
  • Articulation: forming clear speech sounds
  • Expressive Speech: producing speech that communicates wants, needs, thoughts, and feelings
  • Phonological Process: recognizing and producing speech sounds to make words
  • Prosody: reading with intonation, phrasing, and expression
  • Fluency: accuracy, speed, prosody of speech
  • Reading: understanding printed text, silently or verbally
  • Receptive Speech: understanding what is being said
  • Quality of Voice: the characteristics of voice – clarity, volume, etc.

You or an adult in your life may benefit from speech-language therapy services if you experience one or more of the following:

  • Changes in ability to communicate wants or needs
  • Changes in production of voice volume – too loud or too quiet
  • Changes in voice
  • Decreased tolerance of a variety of food textures, flavors, etc.
  • Difficulty communicating in social situations
  • Difficulty communicating wants or needs
  • Difficulty pronouncing words
  • Difficulty reading or writing
  • Difficulty swallowing
  • Difficulty with speech sounds or pronunciations
  • Slow or rapid speech
  • Speech is difficult to understand
  • Stuttered speech
  • Substituting or omitting parts of words
  • Unable to or struggles to imitate/produce sounds
  • Unable to or struggles to understand verbal instructions
  • Unable to or struggles to verbally respond to instructions


  • Amyotrophic lateral sclerosis (ALS)
  • Apraxia of speech (AOS)
  • Articulation disorders
  • Autism spectrum disorder (ASD)
  • Age-related speech deficits
  • Cognitive disorders
  • Dysarthria
  • Expressive aphasia
  • Feeding and swallowing disorders
  • Fluency disorders
  • Multiple sclerosis
  • Oral-motor weakness
  • Parkinson’s
  • Receptive aphasia
  • Stroke
  • Stuttering
  • Traumatic brain injury (TBI)
  • Voice disorders