Speech Therapy for Adults in Fairfield County
Communication and swallowing problems don't end when you leave the hospital or finish outpatient rehab. We treat adults recovering from stroke and brain injury, adults whose voice has changed, adults who stutter, and adults who simply want to communicate more effectively. Our lead clinician trained in acute care, including swallowing studies, so this is core work for us, not a side line. In-network with Anthem, Cigna and Aetna. In person in Westport or by telehealth anywhere in Connecticut.
What we help adults with
After a stroke or brain injury
Aphasia (difficulty finding words, understanding, reading or writing), apraxia and dysarthria (unclear or effortful speech), and cognitive-communication problems such as attention, memory and organization that make conversation and daily tasks harder. We pick up where inpatient and outpatient rehab leave off, and we coordinate with your neurologist, physiatrist or rehab team.
Swallowing (dysphagia)
Coughing or choking with meals, food sticking, or a diagnosis of dysphagia after stroke, head and neck cancer, or a neurological condition. We assess, teach compensatory strategies, and build strengthening programs, and we coordinate with your physician when an instrumental swallow study is needed. Read more about feeding and swallowing therapy.
Voice, stuttering and other reasons adults come to us
Voice: hoarseness lasting more than a few weeks, vocal fatigue, loss of range, or a voice that doesn't hold up through a workday. We evaluate and treat voice disorders including vocal cord dysfunction and muscle tension patterns, and we work alongside your ENT. Read more about voice therapy.
Stuttering and fluency: therapy for adults who stutter, focused on speaking with less struggle, handling the situations that matter (interviews, presentations, phone calls) and reducing avoidance. Read more about stuttering therapy.
Accent modification for professionals who want to be understood more easily.
Communication changes with Parkinson's disease or other progressive neurological conditions.
Cognitive-communication support after concussion.
Auditory processing and higher-level language difficulties that affect work or school.
Not sure your concern fits? Call and ask. If we're not the right fit, we'll tell you who is.
What to expect
It starts with a conversation. Call or text us, or use the form, and we'll ask what's changed, what you've already tried, and whether you have reports from a hospital or rehab program we should read. Next comes a comprehensive evaluation, in person at 17 Bridge Square in Westport or by telehealth, with a written report you can share with your physician; if you've had a recent evaluation elsewhere, we can often build on it rather than repeat it. Then we set goals and a schedule with you. Many adults alternate in-person and telehealth sessions, and everyone has access to an online portal for reports, invoices and scheduling.
Insurance, referrals and fees
We are in-network with Anthem, Cigna and Aetna. For other plans, we provide a coded receipt (superbill) after each visit that you can submit for out-of-network reimbursement. If you're on Medicare or your plan requires a physician referral, ask us when you call and we'll walk you through your options before you commit to anything.
Questions adults ask us
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Often, yes. Insurance-driven rehab episodes are short, and recovery of language and speech continues for months and years after a stroke or injury. Continued therapy targets the specific situations you're still finding hard.
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Ask us when you call. We'll tell you plainly whether we can bill your plan or whether you'd use a superbill for reimbursement, before you commit to anything.
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Yes, and we encourage it. Communication is a two-person job, and caregivers who know the strategies make progress carry over at home.
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For most language, cognitive, voice and fluency work, yes; many of our adult patients prefer it. Swallowing evaluations usually need to be in person, and we'll tell you which sessions should be.
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It depends on your insurance plan, and we'll tell you when you call. Either way, we'll ask permission to share our evaluation with your physician so care stays coordinated.
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It depends on the diagnosis, how long ago it happened, and how often we meet. After the evaluation we'll give you an honest estimate and revisit it as you progress.
Ready to talk?
Call or text (203) 539-9392, or fill out our form and we'll get back to you.