Outpatient neuro rehabilitation Pikesville, MD
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Therapy services · Pikesville, Maryland

Speech therapy for communication, cognition, and swallowing

Finding the right word, following a conversation, remembering a plan, or managing a meal can become harder after neurological change. Our speech-language therapy connects communication, thinking, and swallowing care to the situations that matter in your daily life.

Support beyond the sound of speech

A speech-language pathologist, also called an SLP, evaluates difficulties involving speech, language, cognitive communication, and swallowing as appropriate. Your concerns guide the evaluation.

Cognitive communication means using skills such as attention, memory, planning, and organization to communicate and manage everyday situations. Therapy connects those skills to meaningful activities.

What would you like to do more easily?

Your goals may involve:

  • Finding words and expressing ideas after stroke or brain injury.
  • Understanding a conversation, written information, or instructions.
  • Working on speech clarity and communication strategies.
  • Using attention, memory, and planning strategies to manage daily tasks.
  • Finding communication tools or supports when speaking is difficult.
  • Evaluating swallowing difficulties and developing an individualized plan.

Swallowing is part of neurological care

Swallowing difficulties, also called dysphagia, can affect meals, hydration, and everyday participation. An SLP can evaluate your concerns, recommend appropriate strategies, and coordinate with your medical team when further testing or other support is needed.

Recommendations depend on your swallowing assessment and overall health. Tell us about coughing during meals, changes in eating or drinking, and any previous swallowing studies so your care team can understand what has changed.

Communication and swallowing support for ALS

For someone living with amyotrophic lateral sclerosis (ALS), needs can change over time. Speech-language therapy can help plan for those changes, support communication, and address swallowing concerns alongside the wider medical team.

Depending on your needs, conversations may include ways to make daily communication easier, communication aids, and training for family or care partners. The aim is to help you express choices, stay involved, and adapt your plan as your needs change.

An evaluation shaped around your life

Bring examples of situations that are frustrating or difficult. A family member’s observations can be helpful if you would like them involved. Tell us about hearing or vision needs, previous therapy, and guidance from your treating clinician.

Speech therapy may be recommended on its own or alongside physical and occupational therapy. Call (443) 360-5527 to discuss outpatient appointments with our Pikesville team.

Language, speech clarity, and voice

Aphasia affects language, such as finding words or understanding a message. Dysarthria affects the muscle control used for speech. Voice and loudness can also change. The evaluation helps distinguish your needs and choose useful goals.

Tell us about the situations that matter: speaking on the phone, joining a family conversation, reading a message, or being heard in a busy room.

More than one way to communicate

Augmentative and alternative communication, often called AAC, means tools or strategies that support communication. These can range from gestures, pictures, or writing to electronic options.

We can discuss communication supports suited to your needs. Ask about the exact assessment, device, or training service you are looking for so we can clarify what is available and any specialist involvement.

Common questions

Can speech therapy help with thinking skills after a brain injury?

Speech-language therapy may address cognitive communication, including attention, memory strategies, organization, and problem solving for everyday tasks. Your evaluation determines which goals are appropriate.