Personalized, Expert Rehabilitation for Your Singing and Speaking Voice
Whether you want to regain vocal function following a health condition or are a professional singer, our licensed and ASHA certified speech therapists are here to help. We provide expert treatment for vocal problems through individualized voice and resonance therapy. Every step of the way we follow your lead so that you reach your goals.
We practice at the forefront of our field and often see clients whose unique vocal concerns could not be addressed by generalists. We focus on what works, so that you can move on from worrying about your voice.
Specialty Care for Voice Concerns
Having a healthy voice is important to everyone. If you're experiencing hoarseness, vocal fatigue, pain when speaking, vocal changes or recovering from a voice disorder, we'd love to help.
Unilateral Vocal Cord Paralysis
Vocal cord paralysis can impact eating and drinking, breathing, and your voice. We focus on reducing the functional impact of the paralysis, including adapting to any fillers you receive. Our goal is for you to have a stronger, clearer voice, and be able to comfortably eat and breathe.
Testosterone Supplement Voice Changes
That testosterone treatment for peri-menopausal symptoms can permanently deepen the voice. Singers and people with voice disorders can be especially sensitive to pitch changes. We teach how to adapt and learn to speak in ways that feel authentic to you.
Learn how to speak with a voice that authentically aligns with your unique identity. We teach how to speak with a natural feminine, masculine, nonbinary or androgynous voice. Related skills we teach include learning to code-switch, de-transitioning your voice, or having your voice match your sexuality.
Muscle Tension Dysphonia (MTD)
Vocal strain caused by excessive muscle tightness can have a big impact on your voice. We teach you how to speak and sing without strain, hoarseness, or vocal fatigue.
Harmonic Speech's voice specialists provide the highest level of personalized, expert care to all vocal performers, from elite professionals to those who simply sing for enjoyment. We offer singing lessons, help recovering from a vocal injury, singing voice transition, and how to improve your vocal performance.
Aging Voice / Vocal Fold Atrophy
Age-related voice changes may cause pitch changes, a quieter voice, vocal fatigue, tremors, or a weak or breathy voice. We teach you how to reduce throat strain, improve vocal stamina, and speak with you optimal pitch and volume.
Specialty Care For Upper Airway Disorders
Being able to breathe easily and comfortably is essential for good quality of life. If you're experiencing chronic coughs, throat clears, or belching, heartburn, breathing problems, the sensation of a lump in your throat or that your throat is closing up, we may be able to help.
Chronic Coughs or Throat Clears
Addresses chronic throat clearing, a globus sensation (where it feels like something is stuck in your throat), fullness, pain, tightness, and/or hypersensitivity. We teach you alternative behaviors to replace coughs and throat clears as well as how to live a healthy vocal lifestyle so that you stop the cycle of irritation.
Inducible Laryngeal Obstruction (ILO)
Inappropriate laryngeal closure when breathing can come on suddenly and cause symptoms of respiratory distress. We teach how to control the triggers for ILO and how to use reversal techniques. These include specialized breathing exercises and education that empowers you to gain control of your upper airway.
Frequent, Repetitive Supra Gastric Belching
If your belching is bothersome and there is no medical reason for the excessive belching, we can help. We explain and help you become aware of the feeling of the automatic triggers that cause the belching. Then we provide glottic training and teach breathing and vocal exercises that allow you to discontinue the belching.
Specialty Care for Swallowing Disorders
Eating and drinking are fundamental skills that when impacted have a major impact on your life. We help you avoid choking, restore your swallow, and learn helpful swallowing strategies.
Dysphagia - Difficulty Swallowing
Dysphagia can make it challenging to comfortably and safely eat and drink. You may feel like food or pills get stuck in your throat, or have a cough or wet gurgle after swallowing. We will help you understand the diet and strategies recommended during MBSS or FEES, and develop a comprehensive rehabilitation program to restore function.
Esophageal Dysphagia
Esophageal dysphagia can cause uncomfortable or even painful symptoms, such as food feeling stuck when swallowing or even food coming back up. Treatment may include strengthening exercises, lifestyle changes to manage reflux (GERD or heartburn), and strategies to more easily swallow pills and solid food.
Neurological Dysphagia
Progressive neurologic diseases such as Parkinson's disease, surgeries for cancer or FFS and strokes can all cause dysphagia. You may experience food or liquid entering the airway causing coughing, choking, breathing problems, inadequate nutrition and/or hydration, or weight loss. We would love to help you regain lost function, or adapt to the changes you've experienced.
Voice and Swallowing Therapy for Parkinson's disease
Speak with a strong voice and clear speech that can be heard and understood
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Speak without strain,
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Shape your voice with active feedback
Who can benefit from Voice Therapy?
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All stages of Parkinson's
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Atypical Parkinson's Syndromes:
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Progressive Supranuclear Palsy
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Multi System Atrophy
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Cortical Basal Degeneration
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Louie Body Dementia
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Other neurological disorders
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Multiple Sclerosis​
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Down Syndrome
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Restore your communication and swallowing
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89% will notice a problem with voice and speech
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Early treatment maintains a strong voice
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Your strong voice allows you to safely continue to work
SPEAK OUT! & LOUD CROWD
What is SPEAK OUT! & LOUD Crowd?
SPEAK OUT! is a therapy regimen tailored to people with Parkinson’s disease to improve their voicing, and in turn, their swallowing. In this program, speech is transformed from an automatic function to an intentional task. SPEAK OUT! is usually completed and 12 sessions spanning four weeks, and then the client transitions to the LOUD Crowd. In this four-week span, clients report improvement in their speaking, and their ability to be heard, and their overall quality of life.
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LOUD Crowd is the group therapy portion of the program and meets once weekly. The sessions provide maintenance for skills obtained during SPEAK OUT! and are a source of camaraderie for the members. We offer LOUD Crowd for free to SPEAK OUT! graduates.
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The SPEAK OUT! & LOUD Crowd therapy regimens were developed at Parkinson Voice Project in Richardson, TX. You can visit their website HERE.
When and where can I receive services?
SPEAK OUT! is generally offered on weekdays between 10 am and 2 pm by appointment. LOUD Crowd meets Wednesday mornings at 10 am. All sessions are by appointment and typically occur virtually through telehealth. In person sessions are available for vaccinated individuals by request.
I have Parkinson's disease. When should I begin seeing a speech language pathologist?
According to research, up to 89% of people with Parkinson’s disease develop difficulty communicating and up to 95% develop difficulty swallowing. To postpone and prevent this decline, it is optimal to begin speech therapy as soon as possible. Participation in SPEAK OUT! & LOUD Crowd can change the effects that Parkinson’s disease has on your voice. Muscles become weak because they are not used to their full capacity, not because Parkinson’s is making them weak. SPEAK OUT! & LOUD Crowd requires you to use the muscles for speaking and swallowing to their full potential to prevent decline.
What costs are associated with these services?
We may be able to bill your insurance for SPEAK OUT! treatment services provided. Please check with your insurance to determine the co-pay or cost associated with these services. We also accept private pay by credit card and accept HSA/FSA cards.