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Speech and language therapy supports people with speech, language and communication difficulties, as well as voice and swallowing problems. Therapy is assessment-led and practical, helping you build skills and confidence in everyday situations.

Plans are tailored to the person’s needs and may include exercises, strategies, and structured practice between sessions.

Speech and language therapy (often delivered by a speech and language therapist, SLT) helps with speech clarity, language understanding and expression, social communication, voice use and swallowing difficulties. Support can be helpful for children and adults, and is usually based on assessment and clear goals.

What happens in a speech therapy assessment?

Your therapist will discuss your concerns and take a detailed history. Assessment may include listening to speech patterns, testing language skills, assessing voice quality, or reviewing swallowing safety where appropriate. The outcome is typically a tailored plan with measurable goals.

What can speech and language therapy help with?

• Stammering (stuttering) and fluency confidence
• Speech sound difficulties (clarity and pronunciation)
• Language difficulties (understanding and expressing ideas)
• Voice problems (strain, hoarseness, voice fatigue)
• Swallowing difficulties (support alongside medical assessment)

How therapy works

Therapy is usually skills-based. You may practise exercises, communication strategies, pacing techniques or confidence-building approaches. Between-session practice is often important, and your therapist should provide guidance that fits your daily life.

Safety and when to seek medical advice

Seek medical advice for sudden voice changes lasting more than a few weeks, coughing/choking with swallowing, unexplained weight loss, or neurological symptoms. Swallowing issues can carry medical risk and should be assessed by appropriately trained clinicians.