ALS (amyotrophic lateral sclerosis) progressively affects the muscles used for speech and swallowing, which means communication needs change over time. Speech-language therapy for ALS isn't about reversing those changes. It's about staying ahead of them, keeping communication and eating as safe, clear, and independent as possible for as long as possible, and planning ahead for what comes next.
A Quick Note on ALS
ALS affects the nerve cells that control voluntary muscles, including those used for speaking and swallowing. As the disease progresses, most people experience:
- Dysarthria: increasingly slurred, slow, or effortful speech
- Dysphagia: difficulty chewing and swallowing safely
- In many cases, a need to explore alternative or augmentative communication methods as speech becomes harder to understand
What Changes Look Like
Because ALS is progressive, changes tend to build gradually and may include:
- Speech that becomes harder to understand, especially to unfamiliar listeners
- A voice that grows weaker or more strained over time
- Difficulty chewing or swallowing certain foods or liquids
- Fatigue with extended talking or eating
- A growing need for extra time or repetition to be understood
How Therapy Helps
ALS therapy is proactive by design, planning ahead rather than only reacting. Treatment may include:
- Speech strategies to maximize clarity for as long as natural speech remains functional
- Voice banking guidance, helping you record your voice early for future use with communication devices
- Augmentative and alternative communication (AAC) planning, introducing tools like communication apps or devices before they're urgently needed
- Swallowing evaluation and safety strategies, including guidance on food and liquid textures as needs change
- Caregiver and family training, so the people around you can communicate effectively at every stage
Who This Is For
This service is a fit if you or a loved one:
- Has an ALS diagnosis, at any stage
- Is noticing early changes in speech clarity, voice strength, or swallowing
- Wants to plan ahead for future communication needs, including AAC and voice banking, before they become urgent
Getting Started
We offer home visits across New York City and virtual sessions across New York State. Every plan starts with an individualized evaluation, so treatment reflects where you are right now and plans ahead for what's next.
Ready to talk about next steps? Call (917) 524-6302 or reach out online to schedule a consultation.
Learn what to expect during your evaluation