Speech Therapy

Adults may experience speech and language difficulties for a variety of reasons. TERRIO has Speech-Language Pathologists that evaluate, diagnose, and treat speech, language, cognitive-communication, and swallowing disorders.

Types of Diagnosis (but not limited to):

•	Brain Injury (Traumatic or Non-traumatic)	•	Stroke (CVA)
•	Dysphagia (swallowing difficulty)	•	Aphasia
•	Speech Delay	•	Language Delay
•	Vocal Fold Dysfunction	•	Vocal Impairment
•	Development Delay	•	Seizure Disorder
•	Meningitis	•	Hydrocephalus
•	Parkinson’s Disease	•	Dementia
•	Neurological Degenerative Diseases	•	Hearing Loss/ Cochlear Implant
•	Severe GERD/ LPR affecting the voice	•	Fluency Delay
•	Post surgery swallowing difficulties/ speech & cognitive deficits
•	Any other disorder that affect speech and language abilities

Disorders Seen in Adult Outpatient Speech Therapy
If you recognize any of the following signs or symptoms, we encourage you to follow up with a physician to determine if our services may benefit you.

Swallowing (dysphagia) Disorders:

•	Coughing during or following eating/ drinking
•	Wet or gurgly-sounding voice during or following eating/ drinking
•	Additional effort or time needed to chew or swallow, especially during meals
•	Food or liquid leaking from the mouth or sticking to oral structures (i.e. tongue, teeth, roof of mouth, etc)
•	Recurrent pneumonia or chest congestion after eating
•	Weight loss or dehydration

Dysarthria Disorders:

•	Do you have slurred speech?
•	Do other people have a difficult time understanding you?
•	Do you have one-sided weakness in your face?

Speech Disorder:

•	Do you mispronounce words?
•	Do you distort sounds?

Lisp (Interdental, Lateral, or Palatal):

•	Do you frequently speak with your tongue out or between their teeth? (Interdental Lisp)
•	Do you make slushy sounds on the letters s, z, sh, ch, & zh -possible with other sounds as well? (Later Lisp)
•	Do you frequently speak with your tongue pressed against the top of their mouth? (Palatal Lisp)

Cognitive Disorders:

•	Do you have decreased attention, memory, or problem solving skills following a seizure, a stroke, or a brain injury and now?
•	Do you have difficulty recalling daily tasks that you have completed?
•	Do you difficulty balancing a checkbook?
•	Do you have difficulty making safe judgment calls throughout the day?
•	Do you have difficulty holding a conversation?

Language Disorders (receptive & expressive):

•	Do you have difficulty recalling words or sentences?
•	Do you what you want to say but just can’t say it?
•	Do you have difficulty understanding others?
•	Do you have difficulty with sentence structure?
•	Do you speak and wonder why others don’t understand you?
•	Do you have difficulty reading or writing?

Apraxia of Speech (motor sequencing disorder):

•	Do you have difficulty pronouncing multiple syllable words or sentences?
•	Do you switch around syllables in words? (i.e. banana may be nabana and then mabana)
•	Do you really have to work your tongue or lips to make certain sounds or words?

Aphasia Disorders (due to a brain injury, stroke, or degenerative disease):

•	Do you have difficult speaking, recalling, or formulating words? (Expressive Aphasia)
•	Do you have difficult understanding, following directions, answering questions, identifying common items? (Receptive Aphasia)

Dysfluency (stuttering) Disorder:

•	Do you repeat sounds, syllables, words, and/or phrases?
•	Do you exhibit sound prolongations or experience difficulty starting verbal expression?

Hearing Impairments/ Cochlear Implants:

•	Do you have hearing difficulties?
•	Do you speak differently or experience difficulty understanding language?

Voice Disorders:

•	Do you speak with a single tone, pitch, and volume? (Monotone)
•	Have you been diagnosed by an ENT or pulmonologist with a voice disorder or vocal cord dysfunction?
•	Do you sound hoarse or breathy?
•	Do you lose your breath while talking or do you frequently lose your voice?
•	Do you have inadequate breath support?

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