Speech Therapy for Progressive Disease Management in South Florida

Progressive diseases can affect speech, memory, swallowing, and communication — but that doesn’t mean you have to lose your voice or independence.

Nina offers in-home and telehealth speech therapy for adults with progressive neurological conditions, helping patients maintain communication skills, adapt to changes, and preserve quality of life for as long as possible. Her care is personalized, evidence-based, and built around what matters most to each client and their family.

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Complete this quick form and Nina will contact you within 24 hours to discuss your needs.

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What Is Progressive Disease Management in Speech Therapy?

Progressive diseases gradually change the way a person communicates, thinks, and eats. Speech therapy can slow decline, support independence, and empower caregivers to navigate those changes with confidence.

Nina works with adults facing conditions like:

Therapy is proactive, adaptive, and designed to preserve function, safety, and dignity at every stage.

Common Challenges Nina Addresses

  • Soft, slurred, or monotone speech

  • Word-finding difficulties or trouble forming sentences

  • Voice fading during conversations

  • Difficulty swallowing pills, liquids, or food

  • Communication breakdowns between patient and caregiver

  • Memory and attention issues affecting daily life

  • Navigating loss of speech with AAC tools

Nina adapts therapy as needs change — from strengthening speech and voice to training in assistive communication or managing swallowing risks.

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What Therapy Includes

Each therapy plan is tailored to the condition and individual goals. Services may include:

Therapy happens in the comfort of home — where skills are practiced in the real-life environment they’re used in.

Why In-Home Care Makes a Difference

Progressive diseases often make traveling to a clinic difficult — and noisy or unfamiliar environments can be overwhelming. Nina provides private, personalized therapy in your home or online, where patients are more relaxed and families can be involved.

This approach allows for:

  • Immediate use of therapy in daily life

  • Coordination with meals, routines, and care schedules

  • Family coaching during real-time situations

  • Comfort and continuity as needs evolve

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Serving Palm Beach County with Compassionate, Skilled Care

Nina supports adults and caregivers throughout:

Book a Free Consultation

Living with a progressive disease doesn’t mean giving up communication, connection, or quality of life. With the right support, you can adapt, stay engaged, and plan for what’s next — with confidence.

Call (561) 797-2343 or fill out the Contact Form to schedule your free consultation.

You still have a voice. Nina’s here to help you use it — for as long and as fully as possible.

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Frequently Asked Questions: Speech Therapy for Progressive Disease Management

What is progressive disease management in speech therapy?

Progressive disease management refers to speech-language therapy designed for people living with conditions that gradually worsen over time, such as Parkinson’s, ALS, Primary Progressive Aphasia (PPA), or dementia.

The goal isn’t to cure the condition, but to help individuals:

  • Maintain communication skills as long as possible

  • Adapt to changing needs

  • Preserve dignity and independence

  • Stay connected to family and community

  • Reduce safety risks with swallowing or memory decline

What conditions does Nina support?

Nina provides in-home speech therapy for adults with:

  • Parkinson’s disease

  • Amyotrophic Lateral Sclerosis (ALS)

  • Primary Progressive Aphasia (PPA)

  • Alzheimer’s disease and related dementias

  • Multiple Sclerosis (MS)

  • Huntington’s disease

  • Other neurodegenerative or progressive conditions

Each care plan is customized to reflect the individual’s diagnosis, goals, and stage of progression.

When should speech therapy start?

As early as possible.

Starting therapy early — even if symptoms are mild — helps preserve function and gives clients and caregivers more tools to manage the journey ahead. In conditions like Parkinson’s or PPA, early intervention is key to extending quality of life and communication ability.

What happens during therapy?

Therapy depends on the client’s diagnosis and needs, but may include:

Nina continuously adjusts the plan as the person’s needs evolve.

Can therapy really help with progressive conditions?

Yes. While the condition itself may continue to progress, therapy can help:

  • Slow the rate of decline

  • Extend functional independence

  • Improve safety (especially for swallowing)

  • Reduce frustration for both patients and caregivers

  • Prepare for future communication needs

  • Improve emotional and social quality of life

Therapy is not just about speech — it’s about preserving control and connection.

What if the person is already nonverbal or severely impaired?

Even when verbal speech is no longer possible, Nina can help individuals:

  • Communicate using gestures, writing, or yes/no systems

  • Transition to AAC tools (like speech-generating apps or communication boards)

  • Use partner-assisted strategies for daily interaction

  • Make choices and express needs using low- or high-tech methods

She also works closely with caregivers to ensure communication remains respectful, efficient, and person-centered.

Do you help with swallowing issues?

Yes. Nina is trained in dysphagia (swallowing) therapy and can support patients with:

  • Difficulty swallowing pills, food, or liquid

  • Coughing or choking during meals

  • Risk of aspiration pneumonia

  • Transitioning to modified diets or feeding support

Swallowing safety is a major focus in progressive disease care — and therapy can reduce risks while preserving dignity at mealtime.

Do you involve family members in care?

Absolutely. Nina works closely with caregivers and family throughout the therapy process, offering:

  • Education about the condition and communication strategies

  • Tools to support memory, safety, and interaction

  • Emotional support for managing changing roles

  • Guidance on when to introduce AAC, modified diets, or alternative routines

Empowering caregivers is just as important as supporting the patient.

Do you offer in-home therapy?

Yes. Nina provides all therapy in the comfort of your home, which is especially important for individuals with mobility limitations or fatigue from neurological illness.

In-home care makes therapy:

  • More practical and consistent

  • Easier for caregivers to participate

  • More personalized and familiar

  • Less stressful for clients

What areas do you serve?

Whether working on speech clarity, language skills, or safe swallowing, Nina brings therapy directly to you — making progress easier in the comfort of your own home. She provides adult speech therapy services in:

How do I get started?

Nina offers a free phone consultation to learn about your needs and recommend a therapy plan.

Call (561) 797-2343 or fill out the Contact Form to schedule.

Start your journey today


If you or a loved one is living with communication or swallowing challenges, Nina offers skilled, compassionate care to help you move forward. Fill out the form below, and we’ll be in touch within 24 hours to discuss your needs and set up your first appointment.