The Role of Speech Therapy in Managing Parkinson’s Symptoms (Yes, Your Voice Matters)

Your voice tells the world who you are. But with Parkinson’s, it can slowly fade into the background. Maybe people ask you to repeat yourself more often. Maybe your words feel stuck, or your speech comes out soft and monotone. Sound familiar?

Enter: speech therapy. It’s not just about talking louder. It’s about regaining control, expressing yourself clearly, and even swallowing safely.

Let’s break down what speech therapy looks like and how it can help you stay connected, understood, and confident.

Why Parkinson’s Affects Speech

Parkinson’s disease impacts the muscles and signals involved in speaking and swallowing. Over time, this can lead to:

• Hypophonia (reduced voice volume)
• Monotone speech (lack of pitch variation)
• Slurred or unclear speech
• Difficulty initiating speech
• Swallowing issues (called dysphagia)

These changes can sneak up gradually, making communication more challenging in everyday life.

What Does a Speech Therapist Actually Do?

A speech-language pathologist (SLP) who understands Parkinson’s can help you:

• Speak louder and with more clarity
• Improve voice strength and breath support
• Use techniques to initiate speech more easily
• Address swallowing safety and eating habits
• Reconnect with people around you (and yourself!)

Speech therapy isn’t just for severe cases. It’s more effective when started early.

Popular Speech Therapy Programs for Parkinson’s

Here are two highly recommended options you might hear about:

1. LSVT LOUD

• Intensive, evidence-based voice therapy
• Focuses on increasing vocal loudness
• Helps recalibrate how loud you think you are

2. SPEAK OUT!

• Combines speech and cognitive exercises
• Helps strengthen speech and voice
• Builds confidence and participation

Both are typically led by certified therapists and can be done in person or virtually.

Signs You Might Benefit from Speech Therapy

Not sure if you need it? Here are some red flags:

• People say you’re hard to hear or understand
• You feel short of breath when speaking
• Your voice tires easily
• You avoid social situations because of speech
• You cough or choke while eating

Even if these signs are mild, it’s worth a check-in.

What to Expect in a Speech Therapy Session

Sessions may include:

• Breathing exercises to support your voice
• Repeating words and phrases at increasing volume
• Reading aloud or conversation practice
• Swallowing assessments and recommendations
• Home exercises for daily practice

Most programs are short-term but high-intensity, meaning you’ll get a lot of value quickly.

Tips to Support Your Voice Daily

• Sit or stand upright when speaking
• Take deep breaths before you talk
• Use shorter sentences
• Practice speaking aloud while reading
• Stay hydrated to keep your throat comfortable

And don’t be afraid to repeat yourself or advocate for your needs. Your voice matters.

Final Thoughts

Your voice is part of your identity. Don’t let Parkinson’s take it without a fight.

Speech therapy can help you speak up, speak out, and stay heard—whether you're ordering coffee or telling your story. It’s never too early (or too late) to start.

So go ahead. Use your voice. We want to hear you.

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