Adult Services

Speech Therapy Plus LLC provides the following services for adults.

Expert Evaluation, Diagnosis and Treatment for:

Aphasia Following a Stroke

Speech Therapy Plus LLCFollowing a stroke it may be difficult to understand what others are saying. It may be difficult to write or comprehend while reading. This is a common communication problem known as Aphasia. Aphasia is a symptom of brain damage. The symptoms depend upon what part of the brain has been injured. Basically there are four broad categories.

Expressive Aphasia: You are unable to find the words for what you want to say.

Receptive Aphasia: Listening or reading is difficult for you to comprehend.

Anomic or Amnesia Aphasia: Is the least severe form. With this one you will have difficulty using the correct names for people, place, events or objects.

Global Aphasia: Being the most severe form. You are unable to speak or understand speech, in addition to not being able to read or write. This is from widespread damage to the language parts of the brain.

Accent Modification

This is an approach to learning or adopting an accent. A process of  learning the sound of a particular dialect or language by changing the way one uses their mouth, tongue and teeth to form vowel and consonant sounds. This in addition to changing the intonation, stress patterns and rhythm.  Some individuals will choose to modify a “dialect” so they can blend in with others in their locale or for professional purposes. This can help with communication clarity.

Voice Disorders

Speech Therapy Plus LLCWhen your vocal cords do not vibrate normally your voice may have a problem with pitch, volume, or tone. You may get hoarse or have no sound at all, which can be caused by cheering at your favorite event, catching a cold, allergies, bronchitis or even exposure to irritants. Examples of voice disorders include Laryngitis, which is your vocal cords swelling. Vocal cord paresis or paralysis, is when the vocal cords are paralyzed or partially paralyzed, which can be cause by infection or injury to a nerve. Spasmodic Dysphonia, is a spasm of the vocal cords caused by a nerve problem.

Dysphagia (swallowing Disorders)

Difficulty in the passage of liquids or solids from the mouth to the stomach, lack of pharyngeal sensation, or other problems with the swallowing mechanism. There can be a limited awareness or even lack of symptoms. However the most common symptom is the feeling of something being “stuck” and being unable to swallow solid food. Undiagnosed or untreated patients with dyshpagia can have a risk of pulmonary aspiration and aspiration pneumonia secondary to liquids or foods going into the lungs.  People having difficulty swallowing are often unaware that they my have Dysphagia.

Hearing Impairment

Is a partial or total inability to hear, also referred to as hearing loss. This can occur in one or both ears and can be temporary or permanent. Hearing impairment or loss can be caused by several factors, such as genetics, ageing, damage to the inner ear, a buildup of earwax, infections, medications, toxins or a ruptured eardrum. The most common cause of hearing impairment in adults is noise and aging. Although this can be embarrassing and frustrating, there are treatments to help which include hearing aids, cochlear implants, assistive listening devices and lipreading or speech reading.

Language Impairment

There are a variety of reasons an adult my experience language difficulties. It can be caused by a medical problem or have no known cause. Examples include difficulties in pronunciation, articulation and stuttering. One may have trouble sharing thoughts, ideas or understanding others. This can make it difficult in the workplace, for example, finishing projects and communicating with coworkers.  Adults with language impairments can benefit from speech therapy.

Cognitive Communication Deficits

Problems with communication that have an underlying cause is known as cognitive communication deficit. It can vary in severity. Someone concentrating in a loud environment may have a mild deficit while a more severe deficit and individual may not be able to communicate at all. A person may have difficulty in conversing with others, understanding the topic of conversation or clearly expressing their thoughts. This would include, not being able to respond in an appropriate manner and taking into consideration others feelings concerning a touchy subject. Some may have trouble reading and writing. This can be treated by a speech therapist with a variety of  techniques. The main goals addressed by these techniques is compensation for the deficit, restore function and educate the family about the deficit and treatments.  Some of the causes of cognitive communication deficit are:

  • Traumatic Brain Injury
  • Dementia
  • Degenerative Diseases (ALS, Parkinson’s, Multiple Sclerosis)
Motor Speech Disorder

A motor-speech disorder results from neurological damage that effected the motor programming of speech movements or muscles. This is a disturbance of the body’s natural ability to speak. It makes it difficult for one to plan, program, control, coordinate and execute speech. There are two main types of motor speech disorders, Dysarthria and Apraxia. A speech therapist can assist by providing techniques to relearn movement patterns for speech production. Also, teach specific compensatory techniques. In addition to going through varies exercise programs and educate the individuals family. Treatment programs are based on the strengths and weaknesses of the individual and are specific to their disorder.

*Now accepting Medicare

Speech Therapy Plus

Speech Therapy Plus LLC


Speech Therapy Plus LLC
Julia Chernova
Phone: 201-509-8205
Fax: 201-857-5766
11-26 Saddle River Road
Fair Lawn NJ, 07410

American Speech Language Hearing Association

Speech Therapy Plus LLC®