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Speech, language, memory and swallowing

When words or swallowing fail, we go to work

Losing the ability to ask for the salt, tell a joke or eat dinner safely is isolating in a way few conditions match. Our speech-language pathologists treat speech, language, cognition and swallowing where recovery actually happens: at the family dinner table.

A clinician works one-on-one with an older patient during a home therapy session

What home speech therapy includes

  • Aphasia therapy after stroke: finding words, understanding, reading and writing
  • Swallowing evaluation and dysphagia therapy, with diet texture guidance
  • Voice therapy, including LSVT-style programs for Parkinson's disease
  • Cognitive-communication therapy for memory, attention and sequencing
  • Dementia communication strategies taught to the whole family
  • Family training so every conversation becomes practice, not frustration

Recovery lives at the dinner table

Clinic speech therapy practices on flashcards. Home speech therapy practices on the actual phone call to a granddaughter, the actual menu from the favorite diner, the actual pills that must be swallowed safely tonight. Context is not a nicety for language recovery, it is the engine.

Our SLPs also train the people who matter most: spouses and children learn how to slow down, cue without correcting, and keep conversation flowing, because a patient who keeps talking keeps improving.

How it is paid: Medicare covers in-home speech therapy under a physician-signed plan of care, typically at 100 percent. Medicare Advantage and commercial coverage is verified and authorized by our office before care begins.

Related services: Occupational Therapy, Dementia Care, Skilled Nursing

Questions about speech therapy

Why would a speech therapist treat swallowing?

Speech-language pathologists are the clinical specialists in the throat and mouth muscles used for both speech and swallowing. Difficulty swallowing, called dysphagia, is common after stroke and with Parkinson's or dementia, and it is dangerous: aspirating food or liquid causes pneumonia, one of the leading causes of hospitalization for seniors. Our SLPs evaluate swallowing safety and train techniques and diet textures that protect the lungs.

Can speech therapy help with memory and thinking?

Yes. Cognitive-communication therapy addresses attention, memory, sequencing and problem-solving, the skills behind safe, independent living. SLPs build practical strategies: memory books, routine scripts, written cues, and family communication techniques that reduce frustration on both sides.

What stroke recovery does an SLP handle?

Aphasia (difficulty finding or understanding words), apraxia (difficulty coordinating speech movements), slurred speech, voice weakness and swallowing problems. Recovery continues far longer than most families are told, and home practice between visits is exactly where it compounds.

Is home speech therapy covered by Medicare?

Yes, with a physician's order as part of a home health plan of care, typically at 100 percent with no copay. We verify coverage free before the first visit.

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