The Speech Network

Treatment - swallowing difficulties, communication difficulties, Stammering, and voice difficulties.

We offer consultation, diagnosis and treatment of swallowing difficulties (Dysphagia), communication difficulties (Aphasia, Dysarthria, Dyspraxia), Stammering, and voice difficulties (Dysphonia). We also offer a translator service for patients who do not have English as their first language.


To learn more, select a treatment area:

• Swallowing Difficulties

Swallowing difficulties can result from neurological conditions such as stroke, Multiple Sclerosis, Parkinson's Disease, Motor Neurone Disease and Dementia.

We can help with:

  • Difficulties with eating and drinking
  • Risk of aspiration
  • Reducing the risk of choking
  • Saliva difficulties
  • Behavioural difficulties
  • Difficulties with feeding
  • Reducing the risk of chest infections

We have Highly Specialist practitioners with skills in the Gold Standard of swallowing instrumental assessments - Videofluoroscopy (swallow x-rays), Fibreoptic Endscopic Evaluation of Swallow (FEEs) and Tracheostomy.

How can therapy help?

We offer assessment alongside bespoke individualised therapy programs and use a range of therapy techniques that are evidence based and proven to be successful with a comprehensive risk assessment.

In particular we can offer:

  • Cost effective assessment
  • Swallow rehabilitation including the McNeil Therapy Dysphagia Program
  • Compensatory swallow strategies to improve the swallow
  • Improved comfort when eating and drinking
  • Advice and reassurance
  • Oral desensitization program.

• Communication Difficulties (Aphasia, Dysarthria and Dyspraxia)

Communication difficulties can result from neurological conditions including brain injury, stroke, progressive diseases (Multiple Sclerosis, Parkinson’s Disease or Motor Neurone Disease) and Dementia.

How can therapy help?

We offer intensive bespoke individualised programs to support a patient in achieving their goals. We use communication aids and computer software as part of our treatments to increase the intensity of practice and improve results for our patients.

  • Aphasia Rehabilitation:

We offer therapy treatments which incorporate the Cognitive Neurological Language Model and a creative patient-centred approach.

We work closely with families and the Multi-Disciplinary Team to ensure each patient’s goals are achieved within different environments.

  • Dysarthria and Dyspraxia Rehabilitation:

We offer therapy treatments to improve clarity of speech through:

  • Rehabilitation exercises
  • Compensatory strategies
  • Audio and video feedback
  • Principles of Lee Silverman LOUD
  • SWORD Therapy Program

• Stammering

Catherine has trained at the internationally recognized City Literacy Institute (City Lit.), specialising in adult stammering.

The City Lit. Approach and Philosophy

Stammering is not an illness and we do not see people who stammer as 'patients' in need of 'treatment' - instead, you are treated as a student engaged in a process of learning. The City Lit. approach believes every client should be given the tools to manage their own stammer. Through this approach, by the end of their therapy sessions they have become their own therapist.

The focus of therapy is working towards acceptance and openness, which leads to greater fluency. We believe that trying to 'fight' your stammering is unhelpful in improving your speech.

How can therapy help?

The results of a recent research study showed that therapy lead to statistically significant improvements in the following areas:

  • Improvements in speech
  • Improvements in secondary characteristics associated with stammering
  • Reduced avoidance of speaking situations or words (covert stammering)
  • A reduction in negative thoughts about stammering.

We tailor individual bespoke programs to suit each person’s needs. These may include techniques such as desensitization and block modification.

• Voice Difficulties (Dysphonia)

Many people have voice difficulties that can be caused by:

  • Vocal Cord Nodules and Polyps
  • Vocal Cord Paralysis
  • Muscle Tension Dysphonia
  • Spasmodic Dysphonia
  • Occupational Voice Misuse
  • Psychogenic Dysphonia

How can therapy help?

We offer individualised therapy programmes and usually work collaboratively with excellent ENT Consultants. Our techniques seek to eliminate potentially harmful vocal behaviors by altering voice production.

In particular we can offer:

  • Vocal Hygiene advice
  • Improving Voice Projection
  • Reducing harmful vocal behaviors through exercises
  • Reducing muscle tension that leads to poor vocal quality through relaxation and semi-occluded vocal tract exercises.
  • Voice exercises for vocal fold palsy.
  • Principles of Lee Silverman LOUD.
  • Biofeedback through audio, video, sound meters and computer software to enhance awareness of your voice.

  • Vocal Functional Exercises

  • Reducing harmful vocal behaviors
  • Reducing tension through relaxation and semi-occluded vocal tract exercises.

Other Languages

It's important that therapy is patient-centred, and tailored to you as an individual.  If you're more confident in a language other than English, we'll try to incorporate that into therapy.  Where possible, we use translators so we can provide therapy in your native language, with English as an additional language.  Contact us to discuss this further.

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