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Adults and older adults

Speech therapy for adults

Clinically reviewed by Kimberly Martins, M.A. CCC-SLP

Communication changes can happen at any age: after a stroke or brain injury, with a neurological condition, or when your voice, fluency or swallowing aren't working the way they used to. Our speech-language pathologists work with adults in English, French and other languages, in person in Montréal, at home or online across Quebec and Ontario.

When to talk to a speech-language pathologist

  • Finding words, following conversations or reading has become harder after a stroke or brain injury
  • Your speech has become slurred, quiet or harder to understand
  • Your voice is hoarse, tired or strained for more than a few weeks
  • You stutter and it affects your work or daily life
  • You cough or choke when eating or drinking
  • You want to adjust your accent in English or French for work or personal goals

Some signs need a physician first: sudden changes in speech, swallowing or voice should be checked medically. We are glad to support you afterward.

What we help adults with

Augmentative and alternative communication (AAC)Support for people whose speech does not yet meet all their communication needs, using signs, pictures or speech-generating devices alongside speech.Stuttering and cluttering therapy for children, teens and adultsSupport for children, teens and adults who stutter or clutter, with approaches matched to age, goals and the way stuttering affects daily life.Voice therapy for hoarseness, vocal nodules and professional voice usersTherapy for hoarse, tired or strained voices in children, teens and adults, including teachers, singers and other professional voice users, in collaboration with ENT physicians.Dysarthria therapy for clearer speech after neurological conditionsTherapy for motor speech difficulties caused by neurological conditions, focused on clearer, more effective communication with the people you talk to every day.Swallowing and feeding therapy for children and adultsAssessment and therapy for swallowing difficulties in adults and feeding difficulties in children, carried out with safety first and in collaboration with physicians.Aphasia and acquired communication disorders after stroke or brain injuryTherapy for adults whose language or communication has changed after a stroke, brain injury or other neurological event, with practical support for the people closest to them.Social communication, autism and neurodivergent profilesNeurodiversity-affirming support for how children, teens and adults use language with other people, built around connection, comfort and self-advocacy rather than fitting in.Accent modification for English and FrenchElective coaching for adults who want to adjust specific features of their pronunciation in English or French, focused on being understood and feeling confident, not on erasing an accent.Orofacial myofunctional disorders (OMD)Assessment and therapy for how the tongue, lips and jaw rest and move during feeding, swallowing, chewing and breathing, from a baby's first feeds to adults with tongue thrust or mouth breathing, coordinated with your medical and dental team.

How we can help

Speech and language assessment for children, teens and adultsA thorough assessment of communication, voice or swallowing, with a clear plan.Individual speech and language therapy for children, teens and adultsIndividual sessions built around the situations that matter to you.Speech therapy by telepractice across Quebec and OntarioOnline sessions from home, which can reduce travel fatigue, anywhere in Quebec and Ontario.

How therapy works for adults

  • Goals are built around your daily life: work, conversations, family, phone calls.
  • Family members are welcome to join sessions and learn how to support communication at home.
  • With your permission, we coordinate with your physician or rehabilitation team.
  • Sessions are available at our clinic, at home or online.

Articles for adults and families

Illustration of stylized vocal folds with two small nodules, surrounded by sound waves, for the guide to vocal nodules in children and adultsVocal nodules in children and adults: what actually helps, and how to protect your voiceOctober 12, 2026Faded photo of two women sitting across from each other in conversation in a softly lit roomHow Speech Therapy Can Help Adults in Montreal Overcome Communication ChallengesFebruary 10, 2025Glowing outline of a human brain radiating light against a pale blue backgroundHow Speech Therapy Supports Cognitive Function: A Guide for Adults in MontrealFebruary 10, 2025

Common questions

Do I need a referral?

No. You can contact us directly, and a family member can call on your behalf. We provide receipts for private insurance.

Is it too late for therapy if my stroke was a while ago?

Many people continue to make progress with therapy months or years after a stroke. Your clinician will assess where you are now and set realistic goals with you.

Can adults do therapy online?

Yes. Many adults prefer online sessions, which can reduce travel fatigue and let a family member join from another room or city.

Do you offer sessions at home?

Yes, in-home sessions are available. Ask us whether we serve your area.

Can I work on my accent in English or French?

Yes. Accent modification is offered in both languages. An accent is not a disorder; sessions are built around your own goals.

Let's talk about what you're noticing.

No referral needed. Call the clinic or send us a request, and we'll match you with the right clinician.

Request an appointmentMarché Central514-467-9132