Speech Therapy for Adults
Support shaped around your communication, your daily life and what matters to you.
You may be adjusting to changes in speech, language, thinking, voice or swallowing. You may have communicated this way for a long time and now want practical support for a particular situation. Wherever you are starting from, therapy should make room for your priorities and your way of communicating.
- Cape Town practices and online sessions
START WHERE YOU ARE
You do not need to fit a label before asking for support
Some people come to us with a diagnosis or referral. Others simply know that conversations, work tasks, speaking, eating or drinking have become harder. An initial appointment gives you space to explain what you have noticed and decide whether speech-language therapy feels useful.
At Stutter Voice and Speech Lab, we work with adults across Cape Town and online. Together, we identify what is already working, what feels difficult and what you would like to change, access or participate in more fully.
We may be able to support you if
- people do not always understand your speech
- finding words or putting thoughts into words takes more effort
- communication has changed after a stroke, brain injury, illness or surgery
- your voice feels tired, strained, weak or different
- you stutter and want support with speaking, participation or self-advocacy
- memory, attention or planning changes affect conversations or daily tasks
- eating or drinking has become uncomfortable, effortful or worrying
- you want communication strategies for work, study, relationships or community life
- HPCSA REGISTERED
- MEDICAL AID APPROVED
- EVIDENCE-BASED PRACTICE
WHAT WE CAN EXPLORE TOGETHER
Clinical terms can be useful, but they do not define you
We support people with aphasia, apraxia of speech, dysarthria, cognitive-communication changes, voice conditions, stuttering and dysphagia. If any of these terms are new to you, we will explain them in clear language and relate them to your own experience.
Aphasia and apraxia of speech
Finding words, expressing thoughts and planning speech after neurological change.
Dysarthria and cognitive-communication
Speech clarity, memory, attention and planning in conversations and daily tasks.
Voice and stuttering
Voice demands, speaking, participation and self-advocacy in the situations that matter to you.
Dysphagia
Support for safer, more comfortable eating and drinking when swallowing feels difficult.
YOUR THERAPY, STEP BY STEP
What therapy looks like
1. We begin with your story
We talk about your communication or swallowing, your routines, your strengths and the situations that matter most to you. Assessment activities are chosen to help us understand your needs, not to reduce you to a score.
2. We agree on meaningful goals
Your plan may focus on restoring a skill, finding a new strategy, using communication supports, adapting an environment or helping the people around you communicate more accessibly.
3. We practise for real life
Sessions connect to the conversations, tasks and places that are important to you. We review progress together and adapt the plan as your needs change.
HOW THERAPY MAY SUPPORT YOU
Support that connects to daily life
Communication
- make speech or conversations easier to navigate
Expression
- use words, gestures, writing or communication tools more effectively
Participation
- manage voice demands with less strain
- participate more fully at home, work or in your community
Comfort and connection
- support safer, more comfortable eating and drinking
- help family members or colleagues communicate with you in useful ways
Book an appointment
FREQUENTLY ASKED QUESTIONS
Adult Speech Therapy FAQs
Do I need a diagnosis or referral?
Not always. You are welcome to contact us directly. If your needs would be better supported by another professional, or if a medical referral is needed, we will explain the next step.
Can therapy help after a stroke or brain injury?
It may. Speech-language therapy can support speech, language, thinking and communication, and swallowing after a stroke or brain injury. The approach depends on your health, communication profile and personal goals, and may include support for family or caregivers.
What if I have communicated this way for many years?
You can still choose therapy if there is something you want to explore. The goal is not to erase part of who you are. It may be to make a particular situation easier, reduce effort, build self-advocacy or expand the ways you communicate.
Can I bring a partner, family member or caregiver?
Yes, if you would like to. A trusted person can help share information, learn supportive communication strategies and take part in planning. Your preferences remain central.
Is online therapy available?
Yes, when online sessions are suitable for your goals and access needs. We can discuss technology, communication supports and whether in-person care would be more appropriate.
CLIENT EXPERIENCES
Care that begins with listening
Reece van Heerden
Panorama Medi Clinic
Let us start with what matters to you
Tell us what has changed, what you would like support with and whether you prefer an in-person or online appointment.