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Adult speech, language & motor services 
If you have an adult patient who is suffering from a speech, language or motor disorder, the Hearing, Speech & Deafness Center’s Seattle based services, which include both speech therapy and occupational therapy, can help address a number of conditions.
Tongue Thrust (Oromyofunctional) Disorders   Articulation
Tongue thrust is a common name used to describe orofacial muscular imbalance. It has also been called reverse swallow or immature swallow. Nearly all infants swallow by pushing the tongue forward. By the time they reach the age of six, most children have automatically changed to a normal swallowing pattern. There are a variety of symptoms to look for if you suspect a tongue thrust issue...   Impaired or fluctuating hearing due to frequent ear infections, prolonged or recurring illnesses interfering with sound play or child-parent interaction, and impaired oral-motor coordination are examples of factors which may contribute to a delay in speech sound mastery. Quite often we cannot identify any factors in a childs background that might account for delayed articulation skills, yet a delay is present.
Accent Modification   Aphasia & Post-stroke
The Hearing, Speech and Deafness Center offers both group and private courses in modification of foreign accent. Upon completion of the 13-week course, participants experience at least a 50% improvement in their English pronunciation.   A person who has suffered a cerebral vascular accident or CVA - commonly known as a stroke- may experience aphasia, which can affect all language areas including speaking, understanding, reading, and writing in varying degrees.
Parkinson's disease   Voice feminization
The Hearing, Speech & Deafness Center is proud to offer the Lee Silverman ® Voice Treatment (LSVT) for Parkinson's disease. Unlike traditional speech therapy methods and other programs, LSVT has documented short- and long-term effectiveness in helping the 89% of Parkinson’s patients who have voice and speech problems.   The goal of the voice feminization program is to enhance the perception of voice quality from male to female.
Fluency & Stuttering   Dyslexia
Fluent speech is smooth, forward-moving, unhesitant and effortless. A "dysfluency" is any break in fluent speech. Dysfluency types range from very mild (saying "um") to more severe (prolonging a sound, as in "sssssssnack"). "Stuttering" is speech that has dysfluencies that are more severe and/or more frequent than is considered average.   If your adult patient has difficulty reading and you suspect he or she may be dyslexic, the Hearing, Speech & Deafness Center offers a number individualized programs that can help identify the problem and provide solutions.
Memory Disorders  
Cognitive difficulties are highly common in persons who have suffered tramatic brain injury. Deficits in cognition vary depending on the location and severity of the injury to the brain.    
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