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Speech Therapy

Specialized Therapies to Improve Your Quality of Life

Chronic conditions, injuries and illnesses can all affect your swallowing, speech, language and cognitive skills. Speech therapists, also called speech-language pathologists, are health care providers with training in speech, language, swallowing and cognitive disorders.

At University of Vermont Health, our speech-language pathologists use a range of specialized and functional treatments.

Why Choose UVM Health?

As one of the leading speech therapy programs in Vermont and northern New York, we offer:

  • Personalized, comprehensive care: We tailor treatments to your needs and goals. Our speech-language pathologists have the skills to care for all ages, from infants to seniors.
  • Collaborative treatment: Our therapists work closely with experts in physical therapy, occupational therapy, otolaryngology (ear, nose and throat), neurology, neuropsychology, radiology and nutrition to provide coordinated, collaborative care. We also work with social workers and case managers.
  • Experienced, skilled experts: Our team includes speech-language pathologists who hold certifications with the American Speech-Language-Hearing Association (ASHA). We stay up to date on the latest research to bring you advanced, effective and evidence-based treatment.

Services

Our speech therapists offer a variety of services and specialized programs, including:

Augmentative and Alternative Communication (AAC)

AAC refers to methods and tools used to support communication for individuals with speech or language difficulties. We can help you explore the AAC methods or device that works best for you. AAC options include:

  • Gestures and facial expressions
  • Writing and drawing
  • Pointing to letters, photos or pictures
  • Apps on tablets
  • Speech-generating devices (computers with a "voice")
Cognitive Communication Therapy

Cognitive communication therapy aims to improve communication skills impacted by conditions like brain injury, stroke, dementia or other neurological disorders. Speech therapy is an important part of your recovery. Our experts can help you improve overall function and speech, communication, thinking skills so you can participate in your daily activities.

Inpatient Speech Therapy

Speech-language pathologists often work with hospitalized patients after a stroke, traumatic brain injury, acute illness or recurrent pneumonia. We help determine safe swallowing guidelines and treat problems such as slurred speech or difficulty with word-finding and comprehension. Our goal is to help you better communicate with loved ones and hospital staff.

Pediatric Feeding Therapy

It’s common for children to be picky eaters. But some children have feeding challenges that go beyond pickiness. Children who have stress and difficulty around mealtimes may benefit from feeding therapy.

Our speech-language pathologists use a range of tools to help differentiate between picky eating and feeding difficulties. We use play and food exploration to help children gain oral motor skills and increase food acceptance, both in our clinic and in their daily routines.

Pediatric Speech Therapy

Speech-language pathologists support children who are not meeting their expected developmental milestones for speech or language. Our speech therapists teach strategies to help your child find their words or say them more clearly, so that they can communicate what they want to say, when they want to say it.

Speech Therapy Programs for People with Parkinson’s Disease

We offer two programs for people with Parkinson’s disease. LSVT LOUD™ is a speech therapy program to help people learn to speak at a more typical volume and trains them to know how loud or soft they sound to others.

The SpeakOUT!® Program helps people with Parkinson’s disease maintain communication and speaking skills while lowering the risk of swallowing complications.

Stroke Rehabilitation

Speech therapy is an important part of stroke recovery. Our speech therapists evaluate and treat your speech, language, attention, memory and problem-solving skills. In some cases, we may also offer treatments to help improve swallowing.

Swallowing

If you experience problems with eating or drinking, an evaluation with a speech-language pathologist may be helpful. These experts use several tests to evaluate your swallowing muscles and oral movements during eating and drinking.

If your speech therapist needs more information about how you swallow, they may refer you to ear, nose & throat (ENT) specialists for a modified barium swallow (MBS) test. This allows your provider to see if food is going into your airway (aspiration) instead of your stomach or to identify which parts of your mouth or throat may not be working well.

They can recommend what kinds of foods are safest for you to swallow and specific positions or strategies to help you swallow better.

Traumatic Brain Injury (TBI) Rehab

TBI rehabilitation is a comprehensive program designed to help individuals recover from brain injuries. Rehabilitation can help you improve mobility, strength, coordination and help with daily activities to regain independence.

Voice Therapy

Voice therapy may be appropriate for people who have had difficulty using their voice due to strain, had a hoarse voice for more than two to three weeks or been diagnosed with a problem, such as a vocal cord nodule or paralyzed vocal cord. Speech-language pathologists work closely with otolaryngologists (ENTs) to evaluate and diagnose voice disorders.

Voice evaluations include assessment of your vocal quality, pitch, volume and other characteristics. Depending on your needs, you may work with one of our therapists to improve your vocal cord flexibility and strength, vocal hygiene habits, muscle tension or breath support.

Home Health & Hospice

Home-Based Health Care

We provide care in the comfort of your home to support you in your recovery, help you maintain your independence and improve your quality of life. Services are available in Chittenden and Grand Isle counties.

A nurse listens to a patients pulse.

Conditions

Speech-language pathologists treat a variety of conditions affecting speech, swallowing and cognition (thinking skills), including:

  • Aphasia: Brain damage that affects your ability to express or understand speech
  • Cognitive impairments: Difficulty with memory, attention or problem-solving skills caused by conditions such as stroke, chemotherapy ("chemobrain") or brain injury
  • Dysarthria: Difficulty speaking due to weakness in the muscles that control speech
  • Dysphagia: Difficulty swallowing
  • Neurogenerative conditions: Progressive conditions such as Parkinson’s disease, ALS or dementia that may affect speech, communication or swallowing
  • Oral apraxia: Difficulty coordinating the muscles and movements of the soft palate, jaw, lips and tongue
  • Stuttering: A condition in which a person may repeat, draw out, not complete, or skip words or sounds without meaning to
  • Verbal apraxia: A condition that affects the ability to translate speech from the brain to the mouth
  • Voice disorders: Conditions that cause a loss of voice quality or problems with pitch, volume and other vocal attributes
  • Word-finding problems: Conditions in which someone knows what they want to say but can’t come up with the words

Treatments and Diagnostics

During your first appointment, your speech therapist will evaluate your symptoms, needs and goals. They may assess the function of muscles needed for speech and swallowing, administer cognitive and language testing and review your personal and family health history. They will then create a personalized treatment plan to improve your speech, swallowing and communication skills.

Depending on your needs, speech therapy may include:

  • Adaptive techniques to support and improve communication
  • Breathing techniques and exercises to improve your voice
  • Exercises to retrain your swallowing muscles
  • Exercises to strengthen the muscles you use for speech
  • Strategies to support memory, attention and problem-solving skills
Find your Speech Therapy Specialist
844-UVM-HEALTH

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