Is Stuttering caused by Anxiety ?

Anxiety is a feeling of unease, such as a worry or fear that can be mild or severe. Everyone can feel anxious in situations such as giving presentations, an oral exam or going for an interview. These anxious feelings are normal. Anxiety is not always ‘bad’. It can make us feel uncomfortable but it is also a really important function - we should feel anxious when we have an exam coming up as anxiety motivates us to study. Anxiety motivates us to prepare and take action. It is sometimes confused with excitement. Anxiety becomes difficult when it stops allowing you to do the things you enjoy in life and affects you everyday.

In the past, stuttering was thought to be due to psychological factors such as anxiety. We now know the cause of stuttering is not due to anxiety. Rather, it is regarded as having a neurological cause - differences have been found in areas of the brain involved in talking for those who stutter compared with those who do not stutter. In addition, stuttering has a genetic or hereditary component and tends to run in families. 

Do I stutter because I am an anxious? Am I anxious because I stutter?

Research has shown us that pre-school children who stutter show no difference in shyness or anxiety compared with pre-school children who do not stutter. People who stutter are no different to people who do not stutter in terms of their personalities. However, research has shown that as a group people who stutter present with higher levels of anxiety and are more likely to present with social anxiety disorder compared with people who do not stutter. The age at which anxiety symptoms begin to appear is not yet clear, however some studies have suggested that higher anxiety is shown in stuttering children from the age of 7 years and increases over time.  

Indeed, it is not surprising that stuttering is associated with increased levels of anxiety. The experience of stuttering is often difficult and people who stutter describe having a variety of negative emotional reactions to their talking including feelings of embarrassment and shame. They can also experience negative reactions to their stuttering from others.  We know that children who stutter are more likely to be bullied and to be viewed negatively by their peers and adults describe stigma and discrimination both socially and in their place of work. The anxiety demonstrated by people who stutter is regarded as being the result of living with stuttering and is not the cause of stuttering.  You don’t stutter because you are an anxious person.

How does anxiety or nervousness impact stuttering? 

Although people vary, we know that when someone is feeling anxious or nervous, they tend to stutter more. You might be feeling anxious about stuttering in front of others or concerned about how your listener will react, or what they will think if they hear you stutter. When we feel anxious or nervous, it is usually because we are expecting the worst to happen. You might be saying things to yourself like “I won’t be able to say my name” or “They’ll think there’s something wrong with me” This may lead you to tense your muscles, may distract you from focusing on what you want to say as you try hard either to be fluent or to hide your stuttering.  This can all lead to more stuttering. You may feel like you have suddenly started stammering.  It is important to remember that while you may stutter more when you are feeling anxious or nervous, these feelings are not the cause of stuttering.  

How can Speech and Language Therapy help with Stuttering? 

We know that learning more about your stuttering and what influences it can reduce your anxiety about it.  Speech and Language Therapy can be effective in reducing the impact that stuttering is having on your day to day life.  You can develop your confidence to communicate, learn how to respond differently to your thoughts and feelings about stuttering and to learn strategies to make talking easier and more comfortable. 

Stuttering does not have to hold you back. 

Why Choose Online Stammering Therapy with The Speech Network?

Alison, (MSc, BA(Hons), BRIEF Cert. SF Practice) our UK based Clinical Specialist Speech Therapist in Stuttering has 28 years’ experience of working in the field of Stuttering.  She has worked at the Michael Palin Centre in London (an International Centre of Excellence for the Treatment of Stuttering) and is one of the few Registered European Fluency Specialists in the UK.

Professional Memberships & Registrations

Alison is fully registered with leading professional organisations, including:

• Health and Care Professions Council (HCPC)

• Royal College of Speech and Language Therapists (RCSLT)

• The Association of Speech and Language Therapists in Independent Practice (ASLTIP)

She has outstanding 5 star ***** Google reviews.

We do not have a waiting list, and sessions are typically booked within one week of the consultation.

We are Clinical Specialists in Stuttering and are very happy provide you with more information regarding our reasonably priced fees via email.

What is Aphasia Therapy?

What is Aphasia?

Aphasia is when a person has difficulties with their language (understanding, speaking, reading and/or writing) typically as a result of a stroke or brain injury.

What is Aphasia therapy?

Typically, Aphasia Therapy starts with an assessment of your language. Language can be complex so its important for us to identify your strengths, in order to improve the areas you find difficult. We used standardised communication Aphasia assessments that assess understanding, talking, reading and writing. We discuss the results of these assessments to help you and your loved ones understand your communication difficulties. We provide advice on the best ways to support communication.

Why is Goal setting important in Aphasia therapy?

Many of us set goals in our lives. It might be on new years day when we set a goal to stop eating quite so much chocolate, during sport or part of our working lives. Following a stroke, goals are shown to improve motivation and mood.

Goal setting is a process when we get to know what is important to you as a person, what you might be finding difficult and the impact of your Aphasia. We can involve partners in this process to make it easier. These goals might be remembering family names, using the phone to order a taxi or writing emails. We are all individuals and our goals are unique to each of us.

What is the best therapy for Aphasia?

There are two types of Aphasia Therapy – Impairment and Functional therapy. Impairment based therapy is usually repeated exercises based on your goals, using paper resources or apps. Functional therapy is the focus on real life goals that reflects your everyday communication interactions with others. This might involve training family members in supportive communication skills. It is important to work on both aspects to support your communication.

Does Aphasia improve with therapy?

The treatment for Aphasia is with Speech and Language Therapy. Research shows that Speech Therapy is effective for people with Aphasia following a stroke, compared to no therapy. Research also shows that Aphasia Therapy Online is as effective as face-to-face Aphasia Therapy. You or your family member need to understand to be able to engage in online therapy - we can discuss this further in the free consultation.

How can you help someone with Aphasia?

After an assessment, a Speech Therapist will be able to give you specific advice about the best ways in which to communicate.

Below is some general guidance:  

• Give the person plenty of time to respond. If a person with Aphasia feels rushed or pressured to speak they may become anxious, which can affect their ability to communicate.

• Use short, uncomplicated sentences.

• Do not change the topic of conversation too quickly.

• Avoid finishing a person's sentences or correcting their errors.

• Reduce distractions.

• If you don't understand something a person with Aphasia is trying to communicate, don't pretend you understand.

• Use visual references, such as pointing, gesturing and objects, to support their understanding.

• If they're having difficulty finding the right word, prompt them – ask them to describe the word, think of a similar word, try to visualise it, think of the sound the word starts with, try to write the word, use gestures, or point to an object.

Our Speech and Language Therapists are Clinical Specialists in Aphasia. Arrange a free 15 minute consultation or email thespeechnetwork@hotmail.com

What is a vocal fold paralysis?

What is a vocal fold paralysis?

Vocal fold paralysis occurs when one or both vocal folds fail to open or close properly. Most cases affect only one fold, while bilateral paralysis is rare and serious.

The vocal folds, located in the larynx above the windpipe, vibrate as air passes through to produce voice. If a fold is paralysed, air escapes, resulting in a weak, breathy, or hoarse voice.

What Causes Vocal Fold Paralysis?

Common causes include:

• Viral infections (most common)

• Nerve damage during surgery (thyroid, chest, or neck procedures)

• Trauma or injury

• Cancers affecting vocal nerves

• Neurological conditions such as Parkinson’s disease, multiple sclerosis, or stroke

• Idiopathic cases (unknown cause)

Early diagnosis is important for effective treatment.

What are the symptoms of a Vocal Fold Paralysis?

Typical symptoms include:

• Hoarse, weak, or breathy voice

• Difficulty projecting your voice

• Vocal fatigue

• Difficulty swallowing (dysphagia) — a specialist swallowing assessment may be also required

• Shortness of breath with exertion

What are the treatment Options in the UK for a vocal fold paralysis?

Voice Therapy is often recommended to:

• Strengthen the voice by increasing the movement of the paralysed vocal fold

• Improve clarity and projection

• Restore normal breathing patterns

• Reduce fatigue and strain

Surgery is rarely needed, only in severe or persistent cases.

Private therapy is available for faster access or if NHS services have long waiting times. Online Voice Therapy is also highly effective and accessible throughout the UK.

How long does Voice Therapy take for vocal fold paralysis?

Duration varies depending on severity. Many clients see significant improvements in 6-8 weeks with consistent therapy.

Can online Voice Therapy help for a vocal fold palsy?

Yes. Remote therapy is as effective as face to face therapy and allows patients across the UK to access specialist clinical voice therapy.

Do you have a waiting list?

No - you can be seeing within one week of your consultation.

Why Choose The Speech Network?

Our UK-based private voice therapists are all Clinical Specialists in Voice, each with a minimum of 12 years’ experience. They currently work, or have previously worked, as Senior Voice Therapists within the NHS.

All our therapists are fully registered and accredited, including:

• Health and Care Professionals Council (HCPC)

• Royal College of Speech and Language Therapists (RCSLT)

• Association of Speech and Language Therapists in Independent Practice (ASLTIP)

• Members of the British Voice Association

Our private voice therapy team is highly rated, with outstanding 5-star Google reviews and recognition as a 2024 Quality Business Award winner.

Specialist Training & Accreditation

Our private voice therapists are accredited in:

• Voicecraft®

• Estill Voice Training®

• Myofascial Release manual therapy

• PhoRTE ®

• Lee Silverman Voice Treatment (LSVT LOUD®)

• Advanced Laryngeal Manipulation

  GOOGLE REVIEWS FOR THE SPEECH NETWORK VOICE TEAM

*****

These voice sessions with Janet were life changing. I had hit a crossroads where teaching full time on zoom gave me such vocal strain I could not speak. Now I am back to teaching, albeit with a little lighter schedule, and have a new way to work with my voice that is healthy and working! - Sarah.

*****

‘I worked with Janet following post-surgery voice damage and subsequent vocal difficulties. She is great, with a kind, empathetic and friendly approach. I really appreciated the understanding she gave me about how my vocal cords (should) work, and how to manage symptoms and look after my voice, improving my confidence along the way. I very much enjoyed our sessions and would highly recommend her’ Phillipa

Book a free 15-minute consultation or email thespeechnetwork@hotmail.com for information on private Voice Therapy fees.

Our Private Voice Therapists are Clinical Specialists in Voice. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

What is cluttering?

Cluttering is speech that sounds either overly rapid or sounds irregular in its speed. Should you be regarded by others as speaking quickly, then you may present with cluttering.

However, in order to meet the criteria for having cluttered speech, your speech will also need to include one or more of the following features:

- frequent disfluencies such repetitions of words/phrases, the use of fillers words such as ‘um’ or ‘uh’ or the use of revisions (where you change what you are going to say mid-sentence). Whilst these features occur in the speech of all speakers, the speech of those who clutter show them a lot more frequently.

- the number of syllables in longer words are deleted or blended together (e.g. so a word like ‘computer’ may sound like “comter”)

- pauses in places that are different to what you would expect or the use of less pausing than you would expect which affects a person’s overall speech rhythm. This can result in your speech being described as “jerky” or “spurty”.

These features combined impact upon a speaker’s overall clarity. Often, those who clutter are told by others that they mumble and are often asked to repeat what they have said. They may also come across as having difficulties planning and organising what they are trying to say.

So a fast rate of speech alone does not give us the diagnosis of cluttering - there are many fast speakers that have no problems with people understanding them. The main difference is that those who clutter are regarded as speaking faster than their system can handle and this results in their speech becoming unclear due to the combined features described above.

We often work with adults that have been unaware of any difficulties in their teenage years, but now they find that their speech is impacting upon them within work or in social environments. Managers may reports concern that their clarity of speech is impacting on their performance, presentation or leadership skills at work.

What causes cluttering in speech?

There are many theories of the causes of cluttering. It is considered to be hereditary (others in your family may present with similar speech) and to do with differences in brain function. It is sometimes associated with Attention Deficit Hyperactivity Disorder (ADHD) or Autistic Spectrum Disorder, however not everyone who clutters has any co-occurring conditions.

What does therapy for cluttering involve?

The focus of therapy will vary from client to client and will depend on what aspects of your talking are impacting on your ability to communicate effectively. During therapy, you will become more skilled at monitoring your own speech and identifying what is affecting your overall clarity. For some, we may focus on reducing their rate of speech and developing their use of pausing. For others we may need to practice saying longer words and ensuring that all the syllables in the word are fully articulated. We may also focus on using appropriate word & syllable rhythms.

As you may be experiencing concerns with being misunderstood in various situations or you may have developed a fear of speaking, we may focus on helping you manage your emotions associated with your speech. Our main aim is to improve your confidence to communicate effectively in a variety of situations.

What is the difference between stuttering and cluttering?

Stuttering and cluttering often co-occur together in a person’s speech. However, the features of stuttering tend to be repetitions of sounds/syllables and single syllable words, prolongations and blocking of a sound in speech. Cluttering is rapid speech, that is often described as ‘jerky’ with unusual pauses and rhythm which affects a person’s overall clarity.

Can cluttering be cured?

While there is no cure for cluttering, Speech and Language Therapy can be effective in reducing the impact that cluttering is having on your day to day life. You can develop your confidence to communicate, learn strategies to make your talking easier and clearer, and to reduce the negative thoughts and feelings you have about your speech. Cluttering does not have to hold you back.

Our Clinical Specialist Speech Therapists are Specialists in Cluttering. Book a free 15 minute consultation or email thespeechnetwork@hotmail.com

How do you feminise your Voice ? It's not all about pitch.

Its not all about pitch

Sometimes the assumption of sounding more feminine is to focus on a higher pitched voice. However, a women’s voice is not only a higher-pitched version of a man’s voice. If we only focus on pitch, it is unlikely that you will be satisfied with the results of your therapy. In order to raise your pitch, we also need to change other aspects of your voice and speech. For natural-sounding speech we need to focus upon your intonation, resonance and other aspects to achieve a natural higher pitch. It’s important that you are able to use a flexible feminine voice that matches your personality and lifestyle, in a variety of situations.

What will happen in Voice Feminisation sessions?

Aside from pitch, we will be focusing upon:

Stress and intonation: Stress is often conveyed by using a higher pitch or louder intensity. Intonation patterns are pitch changes at the sentence level. Subtle differences in intonation patterns might hint at the speakers gender so its important to work on these aspects.

Resonance: Resonance amplifies sound and is often referred as projection in voice. We want to diminish the ‘chest’ sound that is often identified with the male voice.

Articulation: we focus on patterns for vowels and consonants that females produce that can be imitated in MTF voice training.

Volume: We might focus on reducing the loudness of your voice

Therapy is like building blocks – we build your voice together gradually. It takes practice and you will be given bespoke exercises after your sessions. The more you practice, the more natural it will feel.

How much does Voice Feminisation Therapy cost?

If you send us an email we can send your further information about number of sessions required and costs.

We are Clinical Specialists in Voice, Voice Feminisation and Voice Coaching. Feel free to book a free consultation or email us for more information.

Can Dysarthria be treated?

Dysarthria is the medical term for slurred speech. Speech Therapy Treatment for Dyarthria depends on the cause of the Dysarthria. If Dysarthria is caused by a stroke or head injury, it can improve with Speech Therapy. If it caused by a neurological disorder, that worsens over time (a progressive disorder), such as Motor Neurone Disease, it is likely to get worse. However, in these circumstances, Speech Therapy can also support you with strategies and assistive devices.

For Dysarthria due to Parkinson’s disease, there are recommended intensive treatments called Lee Silverman Voice Treatment (LSVT LOUD) or Speak out! We have trained and certified clinicians that can provide both treatments.

What Assessments do you use in Dysarthria?

We typically start treatment with a standardised assessment for Dysarthria. These assessments look at different aspects of your speech such as your breath support for speech, volume, intonation, voice and how clear your speech is to a listener. It is important to complete an assessment to identify the areas that are impacting on your speech so that we can focus on improving these specific impairments.

What is Goal setting in Dysarthria?

We discuss with you how your Dysarthria is impacting on your day-to-day life and set personal meaningful goals to improve your speech. Goal setting is proven to improve motivation for therapy and mood. These goals will be realistic, achievable and will be reviewed after a short block of therapy.

Dysarthria Therapy may include

-       Working with you and your loved ones to make communication easier

-       Exercises focusing on improving the clarity of your speech

-       Alternative ways of communication to support your speech

-       Biofeedback of recordings to raise your awareness of your speech

Our Speech and Language Therapists are Clinical Specialists in Dysarthria & Voice treatments. Arrange a free 15 minute consultation or email thespeechnetwork@hotmail.com

How do you support students who stutter with oral exams & presentations ?

In an episode of the weekly podcast ‘This American Life – Made to be broken’, Poet Jerome Ellis explained “A time limit assumes that all people have equal access to time through their speech. For me, stuttering is unpredictable and I do not know how long it will take, until I have to say it”

For a Person who Stutters, performance on timed oral assessments at university can impact on a persons ability to demonstrate their knowledge. Examples of these might be presentations, oral exams or the Objective Structured Clinical Examination (OSCE).

Is stuttering a disability?

Stuttering can be viewed as a disability for a person if it ‘has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities'. (Equalities Act, 2010).  ‘Reasonable adjustments’ are ways that the university can prevent disabled people being put at a disadvantage. Reasonable adjustments are changes that the university can make to reduce the impact of the stammer that are specific to you.

How can online Speech Therapy support students who stammer with oral exams?

Some universities require medical evidence about your stammer. We have supported students by completing an assessment and a provided a written report suggesting ways for the university to support students who stutter in their studies. This might be by recommending extended time, identifying barriers, and recommend strategies to make these examinations easier.

How might extra time in oral exams help me?

A recent medical student shared what he gained from a block of Speech Therapy

 “I'm much less anxious when participating in group discussions. Additionally, when talking to people I haven't met before, I'm not bothered by their perception of me as a stammerer than I used to before starting therapy sessions. When slowing down my speech, I stammer much less. This technique has really helped me, especially in harder situations such as public speaking and group discussions”

Despite changes of how he felt about his stutter, and having strategies to make talking easier in certain situations, he requested support for his upcoming OSCE exam and explained why having extra time would be helpful:

“I'm requesting extra time for the OSCE (objective structured clinical examination) exams to ease some of the time pressure off of me. An OSCE exam is essentially a simulated clinical environment where I can be asked anything from performing a medical examination to taking a history from a model patient. Since this is a timed exam, I'm naturally under pressure to speak quickly in order to complete the task in the allocated time. I've completed several practice runs of OSCEs before, and most of the time I finish on time.  However, there were instances where I ran overtime and I would have benefited from the extra 25% that's granted for those with extra time. The extra time would allow me to take things a bit slower and would really ease the pressure off of me, hence contributing to a bit of extra fluency”. 

After he was given extra time he explained how it was helpful:

He felt that having the extra time reduced his nerves since he knew that he had more time to complete everything and that he wouldn't need to rush through the exam. He felt that he stammered less as a result. He felt it made huge difference and he passed his OSCEs with flying colours.

How can Speech Therapy for Stuttering help?

We can provide therapy to improve your confidence, help you manage difficult thoughts and feelings about stuttering to help you with oral exams and presentations.

Our Clinical Specialist Speech Therapists are Specialists in Stuttering. Book a free 15 minute consultation or email thespeechnetwork@hotmail.com

What is Speak out! What is Lee Silverman Voice Treatment (LSVT LOUD)?

What is Speak Out! ® & Lee Silverman Voice Treatment (LSVT LOUD) loud for Parkinson’s Disease?

Speak out ! ® and Lee Silverman Voice Treatment (LSVT Loud) ® are intensive Speech Therapy treatments for Parkinson’s disease focusing on improving voice and volume. They both have a strong evidence that they are effective treatments. Both are seen as the best Speech Therapy for Parkinson’s Disease. Certification is provided to Speech and Language Therapists following a training program. Our Speech and Language Therapists are certified in both treatment Techniques and have experience of providing these treatments online with effective results.

How can Parkinson’s Disease affect speech?

Parkinson’s disease can cause people to talk quietly, have reduced variation in pitch and a hoarse voice. People with Parkinson’s Disease are often not aware that they are talking quietly - we need to work with you to recaliberate your sensory feedback to raise your awareness of your loudness, improve voice projection and reduce effort in conversation.

What is Lee Silverman Voice Treatment (LSVT loud)® for Parkinson’s Disease ?

LSVT loud ® stands for Lee Silverman Voice Technique. It is a technique that improves loudness for people with Parkinson’s disease. Studies have shown it can also be used in a variety of neurological conditions to improve Speech.

Lee Silverman Voice Treatment ® (LSVT Loud) focuses on increasing loudness. Research has also shown improvements in swallowing and articulation. LSVT requires an assessment session, and 12 therapy sessions, at 60 minutes each.

What is Speak Out® for Parkinson’s Disease ?

Speak out! was developed by the Parkinson’s Disease Project. It focuses on producing a stronger, clearer voice. It focuses on the concept of intent and strengthens the muscles used for speaking. Speak out! ® requires 8-10 sessions, at 45 minutes each. It can be easier for people to fit Speak out! ® into their daily life, and it can reduce overall cost of treatment. Speak out! provided a free training workbook for clients.

Once treatment is complete, the Parkinson’s Disease project hold LOUD crowd groups and free Facebook practice sessions. This is important in maintaining the gains in therapy.

We offer both SPEAK OUT!® and LSVT loud ® with certified clinicians

Click on the contact us button to arrange a free consultation or send us an email for more information regarding our reasonable fees for Speech Therapy for Parkinson’s Disease.

Why have I suddenly started stuttering?

Can you suddenly start stuttering or stammering as an adult?

Many people contact us to tell us that they have suddenly started stuttering. It may be that they stuttered as a child but the stutter either resolved or it was not having an impact on their lives. Rather than starting to stutter suddenly, their earlier stuttering may have come back unexpectedly.

Why might stuttering return in adulthood?

There are several reasons why stuttering or stammering might reappear later in life. It may be that you are feeling stressed or anxious – that you are having changes in your life such as:

• Moving into a new job role where communication is important

• Preparing for job interviews or important presentations

• Preparing for an oral exam

These situations may lead you to tense your muscles and lead to more stuttering, or that you are noticing the stutter more than before, in the preparation to these important events.

Can stress or anxiety make me start stuttering again?

Although people vary, we know that when someone is feeling anxious or nervous, they tend to stutter more. You might be feeling anxious about stuttering in front of others or concerned about how your listener will react, or what they will think if they hear you stutter. When we feel anxious or nervous, it is usually because we are expecting the worst to happen. You might be saying things to yourself like “I won’t be able to say my name” or “They’ll think there’s something wrong with me” This may lead you to tense your muscles, may distract you from focusing on what you want to say as you try hard either to be fluent or to hide your stuttering.  This can all lead to more stuttering. It is important to remember that while you may stutter more when you are feeling anxious or nervous, these feelings are not the cause of stuttering.  

Can working from home or video calls make stuttering worse?

It may be that work situations have changed – since the Pandemic, many people are working from home using video conferencing which may have been something you previously avoided. People report seeing themselves on videoconferencing has made them stutter more and to become more aware of the stutter.

Can stuttering really start suddenly in adulthood with no past history?

For a few people, stuttering does begin suddenly in adulthood with no previous history. This may occur as a result of a neurological event, such as a stroke or head injury, and is known as a neurogenic stammer.

In other cases, stuttering may appear after an emotional trauma or significant psychological stress, and is sometimes called psychogenic stuttering.

These types of adult-onset stammering are less common, but they do occur. That’s why it’s important to seek professional assessment if your stammer has appeared suddenly.

Do you have a waiting list?

No - you can be seen within one week of the consultation

How can speech and Langauge Therapy help with stuttering?

Speech and Language Therapy can be effective in reducing the impact that stuttering is having on your day to day life.  You can develop your confidence to communicate, learn how to respond differently to your thoughts and feelings about stuttering and to learn strategies to make talking easier and more comfortable. 

Stuttering does not have to hold you back. 

Why Choose Online Stammering Therapy with The Speech Network?

Alison, (MSc, BA(Hons), BRIEF Cert. SF Practice) our UK based Clinical Specialist Speech Therapist in Stuttering has 28 years’ experience of working in the field of Stuttering.  She has worked at the Michael Palin Centre in London (an International Centre of Excellence for the Treatment of Stuttering) and is one of the few Registered European Fluency Specialists in the UK.

Professional Memberships & Registrations

Alison is fully registered with leading professional organisations, including:

• Health and Care Professions Council (HCPC)

• Royal College of Speech and Language Therapists (RCSLT)

• The Association of Speech and Language Therapists in Independent Practice (ASLTIP)

She has outstanding 5 star ***** Google reviews.

Speech Therapy can support you in increasing your confidence, reducing your stress and anxiety around stuttering and developing strategies to make talking easier. Click on the contact us button to arrange a free consultation, or email us at thespeechnetwork@hotmail.com for more information.

Can Voice Feminisation harm my voice?

Can voice feminisation training harm my voice?

If you are thinking about starting voice training or experiencing loss of voice following training, you may have seen this question or peoples experiences of voice loss following training - but what harm can actually be caused by voice training on your own?

There are lots of great resources for people to practice independently on youtube and through apps, but sometimes people experience voice difficulties following training.

Sometimes, by practicing independently, inappropriate voice use may strain or cause tension leading to voice damage known as Muscle Tension Dysphonia.  In some research studies, up to 30% of Male to female Transgender Voice clients had a voice disorder in their initial assessment caused by trauma to the voice box (larynx). Muscle Tension Dysphonia can be caused by excessive effort used when training your voice.

What is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is a change in the sound of your voice due to excessive muscle tension in and around the larynx (voice box). Muscle Tension Dysphonia produces vocal symptoms without any physical damage.

Muscle Tension Dysphonia in voice training can be caused by :

• Excessive elevation of the larynx

• Poor vocal hygiene ( see below ways to improve vocal hygiene)

• Excessive muscle tension in the larynx

• Inappropriate pitch level

• Excessive breathiness also leads to excessive tension in the larynx. 

What are the symptoms of muscle tension dysphonia?

The most common symptoms of muscle tension dysphonia include:

• Voice that sounds hoarse or strained

• Voice becomes weaker and more effort the longer your voice is used.

• Difficulty singing notes that used to be easy.

• Pain or tension in your throat 

• Feeling like there is something in your throat that needs to be cleared. 

If muscle tension dysphonia or hoarseness does not resolve after 3 weeks, it would be best to speak to your GP about a referral to ENT. They will perform an endoscopy (a camera up your nose - it is not painful) to examine your larynx. Voice therapy is the recommended treatment for muscle tension dysphonia.

What can I do to look after my voice whilst voice training?

The best way to prevent harm is to build strong vocal hygiene habits. These support your vocal folds, reduce strain, and help you get the most from your training.

Stop smoking. If you can’t give up, cut down. Smoking irritates and damages the vocal folds.

Try to drink 2 litres (3 ½ pints) of liquid a day (not including coffee, alcohol or fizzy drinks). This will prevent dehydration of the vocal cords.

Avoid too much coffee, fizzy drinks and alcohol. These can dry out the vocal cords. Try drinking decaffeinated tea or coffee or follow an alcoholic drink with a soft drink.

If your voice feels tired or strained then rest it. This is your bodys way of telling you to rest your voice

Try not to clear your throat unnecessarily. It can create excessive mucous and lead to a further need to clear your throat. Try drinking water instead or swallowing.

Try steaming to keep the vocal folds hydrated - just water adding no menthol.

How can a Specialist Speech Therapist in transgender voice training prevent harm?

Working with a Speech and Language Therapist who specialises in transgender voice can make a huge difference.

All our therapists at The Speech Network have expertise in both transgender voice training and voice therapy for Muscle Tension Dysphonia. Through therapy, you will learn how to:

• Raise your pitch safely, using resonance rather than throat tension

• Build breath support and reduce neck strain

• Develop a voice that feels authentic, comfortable, and sustainable

• Build confidence in your voice with positive feedback and bespoke exercises.

Research consistently shows that gender-affirming voice training is safe and effective when guided by an Speech therapist with specialist training improving satisfaction, perceived femininity, overall vocal health and confidence.

Can you do transgender voice training online?

Yes - all our therapists are experienced in providing effective therapy online in the comfort of you own home.

Do you have a waiting list?

No - you can be seeing within one week of your consultation.

Why Choose The Speech Network?

Our UK-based private voice therapists are all Clinical Specialists in Voice, each with a minimum of 12 years’ experience. They currently work, or have previously worked, as Senior Voice Therapists within the NHS. They are active members of the National Trans Voice and Communication Clinical Excellence Network.

All our therapists are fully registered and accredited, including:

• Health and Care Professionals Council (HCPC)

• Royal College of Speech and Language Therapists (RCSLT)

• Association of Speech and Language Therapists in Independent Practice (ASLTIP)

• Members of the British Voice Association

Our private voice therapy team is highly rated, with outstanding 5-star Google reviews and recognition as a 2024 Quality Business Award winner.

GOOGLE REVIEWS FOR THE SPEECH NETWORK TEAM FOR TRANSGENDER VOICE TRAINING

*****

‘Having now come to the end of my sessions with Katy I can hand on heart say she has transformed my life. She has enabled me to find my true voice and given me the confidence to truly own it. Katy is such a fun, loving and caring therapist, and every session was a joy, and the exercises were fun and engaging. I owe her so much, and would recommend her in an instant. Thank you Katy!’ Paula

*****

‘Julie and the Speech Network were exactly what I needed.. Julie was wonderfully patient, knowledgable and encouraging’  Sebrina 

*****

'Katy is really nice person who is easy to get along with and you will enjoy speech Therapy with Katy. She is supportive and listens to your needs and concerns. She also listens to your voice and can precisely and constructively pinpoint areas which will benefit from some improvement, you will learn what makes a voice is more complex than you ever imagined. Katy will deconstruct this complexity into simple to digest steps and will coach you very well to bring your voice up to the next level, providing you with the tools, exercises and guidance to assist you. I really appreciate that we can have some light hearted fun at the same time as I'm taking on board the learning activities’ Karen.

Our UK based Private Voice Therapists are Clinical Specialists in Transgender Voice Training, with 5 * google reviews. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Training.

What is interiorised or covert stuttering?

What is interiorised or covert stammering?

Interiorised stammering, also known as covert stammering or covert stuttering, describes when someone works very hard to conceal their stammer. To others, your speech may sound fluent, but underneath there’s a constant effort to manage every word, sound, and sentence to avoid stammering.

An analogy often used is that of a swan gliding on water — appearing calm and effortless above the surface, while paddling frantically below.

Avoidance strategies can become so well-practised that it may seem, even to those closest to you, that you do not stammer at all.

Although your stammer might seem “mild” in terms of what others hear, the internal effort and emotional impact can be significant — it’s not necessarily less of a challenge, just a different one.

Why do people hide their stammer or stutter?

People often hide their stammer because of fear, shame, or embarrassment. You might worry about being judged or recognised as “someone who stammers.”

You may avoid certain words, sounds, people, or situations so that you don’t stammer — perhaps swapping words mid-sentence, or staying quiet altogether.

Although this can reduce visible stammering, the fear of stammering remains. Many people describe feeling immense pressure to appear fluent, and a sense of failure or frustration when stammering happens despite their efforts.

What does covert or interiorised stammering feel like day-to-day?

Even if your speech appears fluent, covert (or interiorised) stammering can be mentally and emotionally exhausting.

You might:

Constantly plan and monitor what you’re about to say

Replay conversations in your head afterwards

Avoid phone calls, introductions, or speaking in meetings

Feel anxious in social situations

Worry about being “found out”

This hidden effort can affect how you feel about yourself and your ability to communicate freely.

How can covert (or interiorised) stammering affect work and relationships?

You may have managed for years to hide your stammer, but it might now feel harder to keep up. Perhaps it’s beginning to affect your work, confidence, or relationships.

At work, you might avoid certain roles, meetings, or opportunities because of speaking demands.

In relationships, hiding your stammer can make open communication more difficult, and leave you feeling disconnected or misunderstood.

Although covert stammering can be invisible to others, its impact on daily life can be very real.

How can speech therapy help with covert or interiorised stammering?

Working with a speech and language therapist who understands covert stammering or stuttering can help you:

Explore the thoughts and feelings linked to hiding your stammer

Reduce avoidance behaviours and fear of stammering

Learn to communicate more openly and confidently

Rebuild a sense of ease and authenticity in your speech

Why Choose Online Stammering Therapy with The Speech Network?

Alison, (MSc, BA(Hons), BRIEF Cert. SF Practice) our UK based Clinical Specialist Speech Therapist in Stuttering has 28 years’ experience of working in the field of Stuttering.  She has worked at the Michael Palin Centre in London (an International Centre of Excellence for the Treatment of Stuttering) and is one of the few Registered European Fluency Specialists in the UK.

Professional Memberships & Registrations

Alison is fully registered with leading professional organisations, including:

• Health and Care Professions Council (HCPC)

• Royal College of Speech and Language Therapists (RCSLT)

• The Association of Speech and Language Therapists in Independent Practice (ASLTIP)

She has outstanding 5 star ***** Google reviews.

Speech and Language Therapy can support you in understanding covert stuttering, reducing your avoidance, reducing your negative feelings about stuttering and being a person who stutters to make talking easier and enable you to confidently say all you want to say when you want to say it.  We are Clinical Specialists in Stammering. Feel free to book a free consultation or email us for further information.

How can a Speech and Language Therapist help with dysphagia?

What is dysphagia?

Dysphagia is the medical name for swallowing difficulties.

 What are the symptoms of dysphagia?

Signs of swallowing difficulties when eating and drinking are coughing, a wet voice, foods sticking in the throat, holding food in the mouth or difficulty chewing.

 What are the risks of dysphagia?

People may have recurrent chest infections, weight loss or become dehydrated.

Who does dysphagia affect?

It can affect people with a neurological diagnosis such as a stroke, multiple sclerosis and following head injuries. It can also affect people with head and neck cancer. 

How can Speech and Language Therapy help dysphagia?

Speech and Language Therapy can help by

• Changing the foods and fluids people drink to be safer and/or more comfortable.

•  Improving the swallow through rehabilitation exercises.

• Recommending specialist cups or straws

• Providing training to family members and clients.

Our Speech and Language Therapists are Clinical Specialists in Dysphagia. We are trained in Videofluoroscopy ( a swallow assessment using x-rays) and FEES ( a swallow assessment by endoscopy). We are additionally trained in the McNeil Dysphagia Therapy Program for chronic Dysphagia.

Should I tell my job interviewer that I stutter?

We see many people embracing change and applying for new jobs. They are often thinking about the impact the stutter might have on the interview. Its important to remember that you have been invited to interview because they have been impressed by your CV or application – you have met all the essential criteria.

Its also important to remember communication skills are not just about fluency – employers are looking for an ability to listen, problem-solve, be positive, work in a team and be flexible. They will often ask for examples of these skills within the interview questions. Many people who stutter are exceptional communicators – try to focus on your strengths.

There are also some practice interview events for people who stutter such as 50 Million voices

https://www.50millionvoices.org/

 Should I tell my interviewer prior to the interview that I stutter?

You may have thoughts regarding whether you should tell your employer whether you stutter. By telling the employer beforehand, this might reduce the pressure you feel in the interview. This is called self-advertising. We can discuss the pros and cons of this in your therapy session. You can additionally ask the employer for adjustments such as extra time. There is more information regarding this on Stammering Law

https://www.stammeringlaw.org.uk/employment/recruitment-promotion/should-i-tell-employer-i-stammer/

 What jobs can I do with a stutter?

You are not limited by the stutter. You can do any job. We treat people that are working successfully as teachers, psychologists, actors, radio presenters and many more professions that require public speaking.

 If you are not offered a job, it is useful to request feedback from your employers. Some people who stutter may assume it is because of the stutter that they are not offered the job. However, there is a set marking criteria that interviewers use and they can give you the ideal answers to support you in future interviews. This may help increase your confidence as most interviewers are keen to give positive feedback.

Speech Therapy can support you in preparation for an important job interview – to increase your confidence so that you are able to relax and perform your very best.

Here is some additional advice for interviews or employment:

 Insider secrets from a human resources professional who stutters

https://westutter.org/wp-content/uploads/ace_your_next_job_interview_july2019.pdf

 Reasonable adjustments for people who stutter

https://stamma.org/sites/default/files/2019-06/19%20Reasonable%20Adjustments%20at%20work.pdf

 Resources for employers

https://stamma.org/resources/professionals/employers

High-Pitched Adult Voice? Voice Therapy for Puberphonia – Updated 2025

High-Pitched Adult Voice? Voice Therapy for Puberphonia

Orginally Published in 2022 but updated in 2025 to fully reflect latest information for voice therapy

Do you feel like your voice never fully lowered after puberty? Many adult males struggle with a high-pitched voice that doesn’t match their age. This condition, known as Puberphonia or mutational falsetto, is more common than you might think. You may also just not be happy with the pitch of your voice, and sound younger than your age.

The good news is that online voice therapy is highly effective, helping you achieve a strong, natural adult voice.

What causes a high-pitched voice in males?

During puberty, the male voice typically breaks and drops about an octave. When a high-pitched voice persists after puberty, it is called Puberphonia (or mutational falsetto).

• Typically, the vocal folds are healthy and normal upon examination.

• You may feel your voice never fully broke and lacks power.

• Speaking can feel effortful or even tiring.

• You might occasionally produce a deeper voice but cannot sustain it for long periods.

• Puberphonia is usually functional, meaning your vocal cords are physically capable of producing a normal adult pitch, but habitual speaking patterns keep your voice high.

The good news: Private online voice therapy can retrain your voice so it sounds deeper, helping you feel more confident.

Why is my voice so high?

A high adult voice often results from:

• Holding your larynx too high due to habitual speaking patterns

• Anxiety or self-consciousness affecting vocal tension

• Difficulty adjusting to voice changes during puberty

• Compensatory habits after throat strain

Private online voice therapy can lower your pitch safely, reduce tension, improve projection, and increase vocal stamina.

What does Puberphonia (mutational falsetto) sound like?

Puberphonia (mutational falsetto) sounds like:

• A high-pitched voice that doesn’t match your age

• Pitch breaks or cracking

• Difficulty projecting your voice

• Tension in the laryngeal muscles

• Vocal fatigue or strain after speaking

Many men report feeling like they “sound like a teenager” or are misunderstood on the phone. Therapy helps achieve a deeper voice.

Do I need surgery to fix a high-pitched voice?

Surgery is almost never required for Puberphonia. In most cases, the condition is functional, meaning the vocal cords are physically normal but speaking habits keep the voice high. The most effective treatment is voice therapy, which retrains the voice to produce a deeper, natural pitch, reduces tension in the throat, improves projection, and builds vocal stamina. With consistent therapy, most men achieve lasting results without the risks or recovery time associated with surgery.

Can I do therapy for puberphonia (mutational falsetto) online?

Yes. Private online voice therapy for puberphonia is highly effective and can be done from the comfort and privacy of your own home. Therapists guide you through exercises, monitor your progress, and help you achieve a deeper voice safely and conveniently.

How many sessions are required for Puberphonia (mutational falsetto)?

The results of voice therapy are excellent. Most people require 6–8 weekly sessions following an assessment. Therapy focuses on:

• Lowering your pitch

• Reducing tension in the throat and laryngeal muscles

• Improving projection and vocal stamina

With dedication, most men achieve a deeper voice that boosts confidence in social and professional situations—all while learning online at home.

Do you have a waiting list?

No - you can be seeing within one week of your consultation.

Why Choose The Speech Network?

Our UK-based private voice therapists are all Clinical Specialists in Voice, each with a minimum of 12 years’ experience. They currently work, or have previously worked, as Senior Voice Therapists within the NHS. They have extensive experience in Puberphonia and Voice masculinisation.

All our therapists are fully registered and accredited, including:

• Health and Care Professionals Council (HCPC)

• Royal College of Speech and Language Therapists (RCSLT)

• Association of Speech and Language Therapists in Independent Practice (ASLTIP)

• Members of the British Voice Association

Our private voice therapy team is highly rated, with outstanding 5-star Google reviews and recognition as a 2024 Quality Business Award winner.

Specialist Training & Accreditation

Our private voice therapists are accredited in:

• Voicecraft®

• Estill Voice Training®

• Myofascial Release manual therapy

• PhoRTE ®

• Lee Silverman Voice Treatment (LSVT LOUD®)

• Advanced Laryngeal Manipulation

Our UK based Private Voice Therapists are Clinical Specialists in Voice. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

How can I train my voice to sound feminine?

Trans* Voice - Tips for learning and exploring your voice

In therapy you will be exploring your voice. Repetition outside the clinic room is important to change. It is comparable to going to the gym for your voice. You are developing flexibility and freedom for your voice. When learning and exploring try to:

Be Playful – try out new things

Be Mindful – notice without judging

Be Curious – use all of your sense to explore your voice

Be Imaginative – find your own images, hand gestures to support exercises

Be Positive

Be Regular – Be creative about when and where you practice – little and often.

Be Patient – Let things develop and transfer to situations that are easiest first

Be Reflective – record your voice, keep a diary

Be Sociable – try to step out of solo practice into getting support from others

Adapted from The Voice Book for Trans and Non-Binary People – Matthew Mills and Gillie Stoneham

For more information about Voice Feminisation Therapy click here

We are Clinical Specialists in Voice, Voice feminisation and Voice Coaching. Send us an email or book a free consultation for more information.

What is a cognitive communication disorder?

What is a cognitive communication disorder?

A cognitive communication disorder is a difficulty with communication caused by cognition rather than language or speech difficulties.

What causes a cognitive communication disorder?

Cognitive communication disorders occur due to damage to the brain as a result of a stroke, brain injury or any neurological disorder. It can affect someone’s cognitive processes including attention, memory and reasoning.

How do cognitive difficulties affect communication?

Cognitive difficulties are reflected in a person's communication. They may not be affected by all of the items below but you may recognise elements that you might be able to support with the guidance given.

Attention: A person’s ability to concentrate may be affected by difficulties maintaining attention. This may cause them to miss important information in a conversation.

What can you do to help someone with attention difficulties?

• Reduce distractions such as turning off the radio or television to talk in a quiet environment so they can concentrate.
• One task at a time
• Gain the persons attention before beginning an important conversation
• Give information in shorter chunks .
• Take frequent breaks when tired.

Memory: A person’s ability to remember things that have happened recently (short-term memory) and sometimes longer term. They may repeat information or be unable to recall things that have happened to them earlier in the day.

What can you do to help someone with memory problems?

• It doesn't always help to ask them questions about things that have happened recently – most people find this distressing and it will not help their memory. Give them the information and comfort them.
• Use familiar objects such as photos on your phone or a newspaper to share information together
• Talk about the past if they are able to remember as this is not reliant on short-term memory.
• Ask family and friends to write in a book and this can be used as a conversation starter of who has visited and what you may have talked about together.
• Use memory aids such as a diary and apps on phones for reminders

Reasoning/problem solving skills: A person’s ability to think through and solve a problem may be affected leading them to make poor decisions.

How to help with poor reasoning:

• break down the problem
• brainstorm solutions together
• talk about the positives or negatives of each solution
• pick a solution
• talk about what happened.

It might be that someone is unable to discuss their decisions – and they may be reliant on others to support them in making decisions in their best interest. This often involves an assessment of capacity if it is a big decision about their life. A team of professionals is normally involved in these decisions, with the patient and family.

Other aspects of cognition that are affected:

Insight: A person’s ability to understand their limitations. An example of poor insight might be a person that has a left sided weakness and are at risk of falling but they still think that they can walk by themselves.

Slowed information processing: People might find it difficult to keep up with a conversation and feel overloaded with information.

Impaired social communication skills:
When a person may not recognise ‘normal’ or ‘natural’ ways of communicating with others. This means that they sometimes are seen as rude or passive.

• Turn taking skills: talking over someone, interrupting, talking only about themselves or not starting conversations
• Not understanding body language
• Being sexually explicit or swearing lots.

What can a speech therapist do for cognitive communication disorder?

We assess using cognitive communication assessments and gather information about the person themselves to ensure we are providing patient-centered and motivating therapy to improve the persons communication and support to family members.

Is Online Speech Therapy Effective?

Online Speech Therapy (often called Tele-health in research studies) has been shown to be effective and often better in treating many conditions. Studies have looked at comparing online Speech Therapy vs seeing the clinician in person, often referred to face-to-face therapy.

Research shows us that Online Speech Therapy has shown be effective and has high levels of satisfaction for clients.

If you are interested in whether Online Speech Therapy is effective in your condition please see the relevant research below.

Is Online Speech Therapy effective for Language difficulties (Aphasia)?

The Efficacy of Telepractice on Expressive Language Outcomes for Adults with Aphasia: A Systematic Review Morgan Bailey B.S., Lauren Burningham, B.S., B.A., Erin Fifield, B.A (2018)

This study examined whether online Speech Therapy produces positive expressive language outcomes that are comparable to face-to-face therapy for adults with aphasia. They looked at all studies that have compared online Speech Therapy to face-to-face.

The results indicated that online therapy produces similar outcomes when compared to traditional face-to-face therapy.  Most studies showed positive patient satisfaction and quality of life.

Is Online Speech Therapy effective for Dysarthria (Slurred Speech)?

Telemed J E Health 2009 Nov;15(9):840-50.The Redesign and Re-Evaluation of an Internet-Based Telerehabilitation System for the Assessment of Dysarthria in AdultsAnne J Hill 1, Deborah G Theodoros, Trevor G Russell, Elizabeth C Ward

 This study showed high levels of satisfaction from patients being assessed Online. It also showed good strength of agreement between Online Speech Therapy in comparison to face – to –face assessment.

Is Online Speech Therapy effective for dysphagia (Swallowing difficulties)?

Morrell, K., Hyers, M., Stuchiner, T., Lucas, L., Schwartz, K., Mako, J., Spinelli, K. J. & Yanase, L. (2017). Telehealth Stroke Dysphagia Evaluation Is Safe and Effective. Cerebrovascular Diseases, 44 (3-4), 225-231. 10.1159/000478107.

 For swallowing difficulties (dysphagia) 100 patients were assessed comparing face to face with Tele-health (online speech therapy assessment) showing excellent agreement between therapists. This study indicated that online speech therapy was a safe and effective way to deliver dysphagia assessments online.

Evaluation of a Clinical Service Model for Dysphagia Assessment via Telerehabilitation. Elizabeth C. Ward,1,2 Clare L. Burns,3 Deborah G.Theodoros,l and Trevor G. Russell1

100 patients were assessed online and face to face. Results for swallowing difficulties were comparable to face to face assessment. There were high levels of patient satisfaction and patients felt comfortable with online assessment.

 Is Online Speech Therapy effective for Voice?

Voice Therapy Using Telecommunications Technology Pauline A. Mashima et al. American Journal of Speech Language Pathology. Vol 12. 2003.

This study showed that there was no difference in face-to-face outcomes vs online therapy. All patients had positive changes following rehabilitation for their voice through speech therapy.

 The effectiveness of Lee Silverman Voice Treatment therapy issued interactively through an iPad device: A non-inferiority study. Journal of Tele-medicine and Tele-care. 2017 Murray Griffin et al.

Lee Silverman treatment is the recommended Speech Therapy treatment for Parkinson’s Disease. It is intensive requiring four sessions a week for four weeks. For those people that struggle to travel, online therapy is ideal. This study even showed that online showed superior improvements than face-to-face therapy.

 Is Online Therapy effective for Stammering?

Research is in its infancy for stammering and online therapy. An NHS trust completed an improvement project in 2018 that looked at treating patients using online Therapy. The Therapy showed a reduction in the negative impact of stammering and many clients preferred therapy in their home environment rather than in a clinical setting.  

What can I do to look after my Voice?

• Stop smoking. If you can’t give up, cut down. Smoking irritates and damages the vocal folds. Talk to your GP about advice to support stopping smoking.

• Avoid eating spicy foods. Spicy foods can cause stomach acid to move into the throat or oesophagus, causing heartburn or reflux. If you do experience reflux, talk to your GP about possible medications.

• Avoid too much coffee, fizzy drinks and alcohol. These can dry out the vocal cords. Try drinking decaffeinated tea or coffee or follow an alcoholic drink with a soft drink.

• Avoid shouting and whispering

• If your voice feels tired or strained then rest it. This is your bodys way of telling you to rest your voice

• Try not to clear your throat unnecessarily. It can create excessive mucous and lead to a further need to clear your throat. Try drinking water instead or swallowing.

• Avoid dry and dusty atmospheres as they may dry out the vocal cords. Wear a mask in a dusty environment.

• Try to drink 2 litres (3 ½ pints) of liquid a day (not including coffee, alcohol or fizzy drinks). This will prevent dehydration of the vocal cords.

• Try steaming to keep the vocal folds hydrated

Our Private Voice Therapists are Clinical Specialists in Voice. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

What is Aphasia?

 How is aphasia caused?

 Aphasia is caused by damage to the language areas of the brain. In most people, this is typically the left hand side of the brain. It is most commonly caused by a stroke or a brain injury. It can also be caused by progressive disorders such as brain tumors.

How does aphasia affects communication?

 It can affect a persons understanding, speaking, reading and writing. Symptoms can vary in severity from people not being able to express themselves by any means, to milder symptoms of a delay in accessing words. However, even mild symptoms can have an impact on peoples confidence requiring Speech Therapy.

Does aphasia go away?

 It depends on the cause and severity of the aphasia. If it is caused by a brain injury and stroke, it is likely to improve. If it is caused by a progressive disorder this is means that it will unfortunately not improve.

Can aphasia be cured?

Speech therapy aims to restore a persons language through exercises but also support them

Can Aphasia be treated?

The treatment for Aphasia is with Speech and Language Therapy. Evidence shows that Speech Therapy is effective for people with Aphasia following a stroke, compared to no therapy.

How can you help someone with Aphasia?

After an assessment, a Speech Therapist will be able to give you specific advice about the best ways in which to communicate.

Below is some general guidance:  

• Give the person plenty of time to respond. If a person with Aphasia feels rushed or pressured to speak they may become anxious, which can affect their ability to communicate.

• Use short, uncomplicated sentences.

• Do not change the topic of conversation too quickly.

• Avoid finishing a person's sentences or correcting their errors.

• Reduce distractions.

• If you don't understand something a person with Aphasia is trying to communicate, don't pretend you understand.

• Use visual references, such as pointing, gesturing and objects, to support their understanding.

• If they're having difficulty finding the right word, prompt them – ask them to describe the word, think of a similar word, try to visualise it, think of the sound the word starts with, try to write the word, use gestures, or point to an object.

Our Speech and Language Therapists are Specialists in Aphasia. Feel free to book a free consultation or email us for further information.