Adult neurological
Voice Therapy & Parkinson's Support
Voice changes — hoarseness, breathiness, vocal fatigue, or the soft voice of Parkinson's — respond well to targeted therapy. We help speakers reclaim a voice that feels reliable and their own.
Your voice is how the world knows you. When it changes — softer, hoarser, less reliable — it affects how you show up at work, at family gatherings, and in the everyday moments that make up a life.
Voice disorders we treat
Each condition follows its own evaluation pathway — voice care is rarely one-size-fits-all, and the first session is about mapping yours.
- Muscle tension dysphonia — vocal strain from muscle overuse
- Vocal nodules, polyps, cysts — often with ENT collaboration
- Presbyphonia — age-related voice changes
- Spasmodic dysphonia
- Vocal fold paralysis or paresis
- Gender-affirming voice — masculinization, feminization, neutralization
Parkinson's disease
and the voice.
of people with Parkinson's will experience changes in speech and voice.
Typically a soft, monotone voice (hypophonia) with reduced facial expression. These changes often appear years before they're noticed by the patient or family. The good news: intensive, evidence-based voice therapy can significantly improve vocal loudness, intelligibility, and confidence.
Our approach incorporates LSVT-style intensive voice work — a high-intensity, high-effort program that reteaches the brain to calibrate vocal effort. Therapy is typically delivered as 4 sessions per week for 4 weeks, with daily home practice. Therapy goals focus on practical voice use in everyday communication.
When to see an ENT first
This step keeps therapy safe and effective — working around an undiagnosed structural issue can stall progress or cause harm.
If you've had a voice change lasting longer than two weeks, we'll often recommend an evaluation by an ENT (otolaryngologist) before starting therapy — to rule out structural causes like nodules, polyps, or vocal fold paralysis that may need medical management. We can coordinate directly with your ENT and review any videostroboscopy results together.
Signs Voice Disorders and Parkinson's-Related Speech Changes therapy may help
- A voice that sounds hoarse, breathy, or strained
- Difficulty being heard in noisy rooms
- Vocal fatigue — voice tires by the end of the day
- Loss of vocal range or pitch
- A soft or monotone voice (common in Parkinson's)
- Reduced facial expression
- Family members asking you to repeat or speak up
How ReImagine treats voice disorders and parkinson's-related speech changes
After evaluation (often coordinated with an ENT and a videostroboscopy if structural vocal fold pathology is suspected), we build a therapy plan that may include vocal function exercises, respiratory support training, and LSVT-style intensive voice work for Parkinson's. The goal is a voice that feels reliable, expressive, and sustainable — for conversations, work, and the relationships that matter most.