From the first email
to your last session.

Once you submit an appointment request, Kathleen will reply personally within 1–2 business days. She’ll ask a few short questions about your goals, any recent medical reports, and your availability across time zones. You’ll receive a short intake form, a clear note about fees, and a secure Zoom for Healthcare link for your first session.

The first session is part conversation, part assessment. We spend time understanding what brought you here — and what you want to be different. Depending on your concern, Kathleen may carry out a clinical voice screen, a cognitive-communication screen, an oral motor examination, or a bedside swallow screen.

By the end, you’ll have an honest picture of what therapy can realistically achieve, a draft plan with measurable goals, and a clear recommendation on session frequency.

Most adult sessions run 45–60 minutes, with structured home practice between sessions. Plans vary by need:

• SPEAK OUT!® — 12 individual sessions (typically 3×/week for 4 weeks).
• Aphasia / post-stroke language — typically 8–12 weeks, reassessed every 4 weeks.
• Cognitive-communication therapy — 8–12 weeks with functional, life-anchored goals.
• Dysphagia / swallow management — reassessed every 4–6 weeks; instrumental referral as clinically indicated.
• Voice therapy — typically 6–10 weeks, with maintenance sessions as needed.

Honesty is non-negotiable. At every 4–6 week mark we reassess — re-running the relevant measures, comparing them to baseline, and deciding together whether to continue, change direction, or graduate from therapy. You always know where you stand.

Most adult conditions benefit from periodic booster sessions — especially Parkinson’s voice work and post-stroke recovery. We’ll agree a check-in cadence that respects your time, your budget, and the realistic biology of long-term carry-over. You leave with the tools to keep practising on your own.