speech therapist providing speech and voice therapy in Toronto

Speech Therapy

  • Articulation disorders involve difficulty producing specific speech sounds clearly and accurately, which can affect how easily others understand what is being said. In adults, these difficulties are often long-standing and may include residual speech sound errors that were not fully addressed.

    Common examples of articulation differences in adults may include:

    • Lisps (e.g., /s/ or /z/ sound distortions)

    • Persistent difficulty with sounds such as /r/, /l/, or “th”

    Speech therapy for articulation disorders focuses on improving precision, consistency, and clarity of sound production. Therapy may include targeted sound practice, increased awareness of areas used to produce the speech sound, and strategies to support carryover into everyday communication. The goal is clearer, more confident speech in real-world situations.

  • Speech therapy can help those who stutter and experience disruptions in the flow of speech such as blocks, word and sound repetitions, and/or prolongations.

    Therapy focuses on improving fluency, building confidence in communication, reducing potential fear in certain speaking situations, and regaining control of speech.

    Cluttering therapy addresses rapid or disorganized speech that can make speech difficult to understand, especially in conversation. Therapy helps individuals grow awareness of speech patterns, slow down, and improve clarity.

  • An accent is a difference in the way one pronounces sounds because of differences in the way articulators like the tongue, jaw, lips, move in various languages. For example, the ‘th’ sound in English is not present in all languages. Therefore, when one is learning English, they may use a more accessible sound like ‘s’ or ‘f’. In which case, “thin” could be pronounced as “sin” or “fin”.

    At Speech and Vocal Wellness Clinic, we believe that Accent Modification isn’t about “fixing” the way you speak. It’s about expanding speech patterns and increasing clarity in English so you can express yourself fully and without barriers, while still honouring your unique voice.

  • Cognitive communication therapy helps people improve organization, memory, attention, and problem-solving skills that support effective communication. You may benefit from speech therapy if you experience:

    • Changes in communication after a motor vehicle accident (MVA), stroke, or brain injury

    • Difficulty following conversations or remembering details

    • Trouble organizing tasks, managing schedules, or planning ahead

    • Challenges with attention, multitasking, or switching between tasks

    • Slower processing of information or difficulty finding words

    • Trouble participating in work, school, or social interactions

    • Difficulty understanding multiple instructions at a time

    • Feeling mentally fatigued or overwhelmed during everyday tasks

    • Having difficulty re-telling stories

  • Aphasia is a language disorder caused by damage to the brain, often from a stroke, brain injury, or other neurological conditions, that affects speaking, understanding, reading, or writing.

    You may benefit from speech therapy if you had a recent brain injury and experience:

    • Difficulty finding the right words or naming objects

    • Trouble understanding what others are saying

    • Problems reading, writing, or following instructions

    • Speaking in short phrases or sentences instead of full thoughts

    • Mixing up words or using the wrong word in a sentence

    • Challenges participating in conversations at home, work, or socially

    • Frustration or anxiety when trying to communicate

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speech therapist providing virtual speech and voice therapy in Toronto

Voice Therapy

  • Voice therapy for vocal rehabilitation is necessary for those experiencing hoarseness, vocal fatigue, voice loss, voice feeling unreliable or weak, pain with speaking, or changes in pitch or loudness that interfere with daily communication or work.

    You may benefit from voice therapy if you experience:

    • Persistent hoarseness or roughness

    • Vocal fatigue or loss of voice with use

    • Throat discomfort or tightness when speaking

    • Reduced volume or projection

    • Difficulty being heard or understood

    • Voice changes following illness, surgery, or prolonged voice use

    • A diagnosed voice condition by ENT such as vocal fold nodules, vocal polyps, or muscle tension dysphonia

    • Chronic cough

    Treatment is individualized and focused on helping you use your voice efficiently, comfortably, and safely for long-term vocal function and health.

  • Presbyphonia refers to age-related changes in the voice that occur as the vocal folds and respiratory system naturally weaken over time. These changes may cause the voice to sound softer, breathier, and/or less steady. Speaking may require more effort or lead to vocal fatigue. Many individuals notice difficulty projecting their voice especially in noisy environments or maintaining their voice throughout the day.

    Voice therapy can help strengthen and coordinate the voice by improving breath support, vocal fold efficiency, and overall vocal endurance in a healthy way.

  • Neurogenic voice therapy is specific for individuals whose voice changes are related to neurological or neurodegenerative conditions. Understanding that these conditions are progressive in nature, this type of therapy aims to maintain vocal function, optimize efficiency, and support clear, comfortable communication.

    Voice therapy also emphasizes conservation techniques, ongoing monitoring, and education to help preserve vocal function for as long as possible.

    Tiffany is a certified Speak Out!® provider, a specialized, evidence-based voice therapy program designed for individuals with Parkinson’s disease. Parkinson’s can affect vocal loudness, clarity, and consistency, often causing speech to become soft, monotone, or difficult to hear. Speak Out!® targets these changes by helping individuals strengthen their voice and speak with greater intention and control.

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Special services

  • Dysphagia management refers to the assessment, treatment, and ongoing support for individuals who have difficulty swallowing safely and efficiently. Dysphagia can occur due to conditions such as stroke, neurological disorders, head and neck cancer, aging, or structural abnormalities. It can lead to serious complications like aspiration, pneumonia, malnutrition, and dehydration.

    A swallowing assessment may be warranted if you experience:

    • frequent coughing with eating or drinking

    • recurrent hospitalizations for pneumonia

    • unexplained weight loss

    • feeling of food getting stuck in the throat

    • feeling short of breath during meals

    All Swallowing Assessments will be done in-home. Please contact the clinic to arrange for time availability. Fees for this type of service may differ from standard appointments.

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