Speech Therapy is conducted by a licensed Speech Therapist who provides individual Speech Therapy and cognitive re-training support. Individuals living with a brain injury often have cognitive and communication problems that significantly impair their ability to live independently. These problems can vary depending on the location of the injury and how widespread the brain damage is.

Clients may have trouble finding the words they need to express an idea or explain themselves through speaking and/or writing. It is often a difficult effort to understand both written and spoken messages. They may also have difficulty with spelling, reading, and writing as well.

The client may have trouble with social communication, including:

• taking turns in conversation
  
• maintaining a topic of conversation
  
• using an appropriate tone of voice
  
• interpreting the subtleties of conversation (e.g. difference between sarcasm and serious statements)
  
• responding to facial expressions and body language
  
• keeping up with others in a fast-paced conversation
  

In addition to all of the above, muscles of the lips and the tongue may be weaker or less coordinated following a TBI. The person may have trouble speaking clearly, and/or may not be able to speak loudly enough to be heard. Muscles may be so weak that the person is unable to speak at all. Weak muscles may also limit the ability to chew and swallow effectively.