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I have acquired neurogenic stuttering. What is your experience with it, and what can be done about it? Can traditional speech therapy help?

A MyParkinsonsTeam Member asked a question 💭
North Grafton, MA

I'm finding increasingly difficult to speak especially if my mind is in "motor mouth" mode and my mouth can't keep up. It is worse when I am tired. I often can't explain things to my husband. I know what I want to say, but I can't put it together in words. Sometimes I get stuck and all that comes out is gibberish. I tried Speak Out for speech therapy but I can't do it now because I don't have the energy. You would not believe how much it takes to shout for half an hour! I had my doubts about… read more

November 8, 2025
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Reactions
A MyParkinsonsTeam Member

Susan keep trying the therapy your DR recommends. Parkinsons Devvil can be wicked and trying but never never give up

November 9, 2025
A MyParkinsonsTeam Member

Keep up with it if at all possible. I go back to my book if I get too bad. My issue is almost opposite of everyone else in that I tend to go faster than what my mind is going (walking and talking) so instead of going slower I speed up. Thankfully it's not all of the time but it does create falling events and words that run together making it hard for people to understand what I'm saying.

November 8, 2025
A MyParkinsonsTeam Member

I believe I do have low blood pressure because I often feel light headed and my head throbs though it does not hurt. I am seeing a speech therapist on Wednesday. I also have requested an appointment with my neurologist's NP. Thanks for this information.

November 10, 2025
A MyParkinsonsTeam Member

All I know is that the brain is responsible for all the symptoms of Parkinson's. It cannot be completely controlled, even with meds.

November 8, 2025
MyParkinsonsTeam

How can speech therapy help with stuttering and communication difficulties in Parkinson's?

You're experiencing common speech challenges that many people with Parkinson's face. The disconnect between thinking and speaking, especially when tired, is frustrating but manageable with the right approach.

Traditional speech Show Full Answer

How can speech therapy help with stuttering and communication difficulties in Parkinson's?

You're experiencing common speech challenges that many people with Parkinson's face. The disconnect between thinking and speaking, especially when tired, is frustrating but manageable with the right approach.

Traditional speech therapy can definitely help. A speech-language pathologist can assess what's making speech harder and suggest specific interventions tailored to your needs. They work on strengthening the muscles used for speaking and help you develop strategies for clearer communication.

Lee Silverman Voice Treatment (LSVT) programs are specifically designed for Parkinson's:

* LSVT LOUD focuses on speaking louder and more clearly
* Requires daily practice to maintain benefits ("use it or lose it")
* Many members report significant improvement with consistent effort
* LSVT ARTIC targets articulation, though LSVT LOUD tends to be more effective

One member shared: "I completed LSVT LOUD six months ago. So far, I have maintained my voice control. I highly recommend it." Breathing exercises can also help strengthen the muscles involved in speech without requiring the intense energy of shouting programs. These include air stacking and diaphragmatic breathing techniques.

Practical strategies to try:

* Schedule vocal rest before important conversations
* Speak in shorter phrases to avoid running out of breath
* Meet in quiet spaces where you can be heard more easily
* Ensure your listener can see your face
* Practice vocal exercises when you have energy

It's completely understandable that Speak Out exhausted you. Speech therapy doesn't have to mean shouting for extended periods. A speech therapist can work with your energy levels and find approaches that don't drain you.

The fatigue making your speech worse is common. As one member noted: "My voice gets thinner and softer as the day wears on."

Consider asking your doctor for a referral to a speech-language pathologist who can create a personalized plan that respects your energy limitations while still helping you communicate better with your husband.

November 8, 2025

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