Recover SpeechSPEAK OUT!® certified

Speech therapy for Parkinson's disease

Parkinson's often causes speech to become quieter, faster, or less clear over time. With the right approach, you can work against those changes and keep communicating confidently.

Book a free chatSee all services
Understanding the changes

How Parkinson's affects the voice

Speech changes in Parkinson's tend to develop gradually. Knowing what to look for means you can act early.

Quieter voice

Reduced vocal volume (hypophonia) is one of the earliest signs. Speech may become too soft for others to hear easily, especially in noisy environments.

Faster, unclear speech

Words may tumble together or feel mumbled. The brain's motor control for speech is affected, making it harder to pace and articulate clearly.

Monotone quality

The natural rise and fall of pitch and rhythm in speech often reduces, making communication feel flat or harder to follow.

Difficulty starting

Some people find it harder to initiate speech: there can be hesitation or freezing before words come out, similar to movement freezing.

The programme

The SPEAK OUT!® approach

SPEAK OUT!® is an intensive, evidence-based programme developed specifically for Parkinson's. It works by training you to speak with deliberate intent, treating speech as a conscious, effortful act rather than an automatic one.

Research shows this approach improves vocal clarity, volume, and intelligibility. The programme is followed by ongoing maintenance work to keep your voice strong over time.

1

Intensive block of one-to-one sessions (typically 12 sessions over 4 weeks)

2

Structured vocal exercises to build strength and clarity

3

Daily home practice between sessions

4

Personalised targets based on your communication goals

5

Ongoing maintenance support after the intensive block

6

Available online or in person in Norfolk and East Anglia

Start when you can

Starting therapy early, before changes become significant, typically gives the best results. The voice responds well to the right work at any stage.

Common questions

Questions about Parkinson's speech therapy

What is SPEAK OUT!®?+

SPEAK OUT!® is an evidence-based intensive programme developed specifically for people with Parkinson's. It trains deliberate, effortful speech as a strategy, which research shows helps maintain vocal clarity and volume over time.

How is SPEAK OUT!® different from LSVT LOUD?+

Both are evidence-based approaches for Parkinson's. SPEAK OUT!® focuses on intentional speech as a daily strategy. LSVT LOUD focuses primarily on increasing vocal loudness. I can discuss which approach is likely to suit you better during an initial assessment.

When should I start speech therapy for Parkinson's?+

Starting early, when changes are just beginning, typically gives the best results. But therapy at any stage can help maintain and improve communication. If you have noticed your voice getting quieter or less clear, now is a good time.

Do I need a referral?+

No. You can contact me directly and self-refer. There is no waiting list.

Can I have Parkinson's speech therapy online?+

Yes. SPEAK OUT!® sessions work well via Zoom or FaceTime, and many people find online sessions more convenient. I will guide you through the setup.

Let's begin

Ready to work on your voice?

Start with a free, friendly chat. No referral, no pressure. We will talk about your voice and the right next step.

Book a free chat