Why Parkinson’s Affects Communication- and What Can Help

Written by: Stephanie Fay MS CCC-SLP


Vivera SLP LLC is proud to offer the SPEAK OUT!® Therapy Program, developed by Parkinson Voice Project, for individuals with Parkinson’s disease and related disorders. This research-based program is designed to help individuals regain and retain their speech and swallowing abilities- two areas that are commonly affected by Parkinson’s.

Why Does Parkinson’s Affect Speech and Swallowing?

Parkinson’s disease impacts the brain’s ability to control movement- and that includes the small, precise movements needed for speaking and swallowing. Over time, people may experience:

  • A quieter voice

  • Slurred or unclear speech

  • Reduced expression (e.g., a monotone voice)

  • Difficulty swallowing (e.g., slower or less coordinated)

This happens because Parkinson’s affects the automatic, unconscious control of muscles. Many individuals aren’t aware of how much their voice or swallowing has changed, which can make these challenges even more difficult.

What Is the SPEAK OUT!® Program?

The SPEAK OUT!® Therapy Program focuses on speaking with intent- helping individuals move from automatic speech to more deliberate, purposeful communication. When followed consistently, the program can help improve:

  • Vocal volume

  • Clarity of speech

  • Breath support

  • Vocal quality and expression

  • Swallowing function

Patients and families often also report improvements in confidence and overall communication in daily life.

What Does Therapy Look Like?

The SPEAK OUT!® program includes:

  • Individual therapy sessions

  • Daily home practice

  • Ongoing support and follow-up

  • Opportunities for continued participation through group sessions

At Vivera SLP LLC, therapy is provided in ways that fit real life- including in-home, community-based, and virtual options.

Why Early Support Matters

According to Samantha Elandary, Parkinson Voice Project’s Founder and Chief Executive Officer, “Up to 90% of people with Parkinson’s are at risk of losing their ability to speak. In addition, swallowing complications account for 70% of the mortality rate in this patient population.” The earlier these changes are addressed, the more effectively individuals can maintain communication, safety, and independence.


Final Thoughts

Speech and swallowing changes in Parkinson’s are common- but they are not something you have to face without support. With the right approach, many individuals are able to maintain strong, functional communication and safer swallowing for years to come!

If you or a loved one has Parkinson’s and are noticing changes in voice, communication, or swallowing, Vivera SLP LLC is here to help. Reach out today to learn more about the SPEAK OUT!® program, or schedule a consultation.

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Swallowing Changes in Adults: What’s Typical and What’s Not