Sara Andrew - Speech and Language Therapy Surrey, West Sussex, Hampshire

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Speech and Language Therapy for adults in Surrey, Sussex and Hampshire- a personalised approach to therapy.


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What does Communication Therapy involve?

If you decide to engage in speech and language therapy the first stage is to assess exactly where the communication is breaking down. A detailed assessment will be followed by a discussion of the results and a proposed therapy plan. Goals for the therapy will be devised jointly to make them functional and useful goals to you.

I come to you in your own home, as that is often one of the main communication environments, but we may also have trips to other environments that are relevant to you e,g the pub, a cafe, the shops.
Family and friends play an important role in therapy as effective communication requires an understanding communication partner.

Some of the areas in which I can help are:

Receptive Dysphasia - difficulty understanding what people say or problems reading.
Expressive Dysphasia - not being able to say or write what you want to.
Dysarthria - unclear speech that is often slurred or monotone or very quiet. A particular problem in Parkinson's Disease
Dyspraxia of Speech - difficulty trying to form sounds or words that you can sometimes say easily without thinking about them.

All of the above difficulties can range from quite mild to very severe with many different features possible. Accurate assessment of difficulties is very important to maximise effective therapy.

Cognitive communication difficulties:
Taking longer to understand or to form your response.
Having difficulty keeping track of your topic in conversation.
Difficulties recognising the broader aspects of communication such as turn taking in conversation.
The involvement of family or friends can be particularly helpful with these difficulties.


What does swallowing assessment and therapy involve?

As with communication therapy an initial assessment of the difficulties will be made. This is likely to involve looking at the movement of many structures such as lips, jaw, tongue and larynx. This is all done through observation. Various foods and drinks may then be tried and the swallow function during eating and drinking evaluated.
Therapy may involve the use of strategies when eating or drinking or a series of exercises to strengthen some of the structures involved in swallowing.
It may be that a referral for further investigations at a hospital may be recommended.


Please call me or e-mail me to discuss your needs or if you would like any further information.


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