Many people recognize Parkinson’s disease thanks to public figures like beloved “Back to the Future” star Michael J. Fox. But while awareness has increased, the medical community still lacks a definitive test to diagnose Parkinson's. And some early signs—like loss of smell, a hoarse or breathy voice, or even changes in handwriting—often go unnoticed, delaying diagnosis and care.

Speech-language pathologists like Ashisha Guerrero help individuals with Parkinson’s regain control of their voice and restore confidence in how they communicate. Part of the therapy team at United Hebrew, Guerrero supports patients in building confidence, improving quality of life, and reconnecting with the world around them.

Parkinson’s Effect on Speech

Parkinson’s is a progressive neurological disorder that affects not only movement but also speech and swallowing. “It’s a degenerative disease that affects speech and language centers, as well as cognition, so memory and attention skills are also impacted,” explains Guerrero, speech-language pathologist, Skilled Nursing and Short-term Rehabilitation Center at United Hebrew. “Parkinson’s can produce imprecise articulation and articulatory breakdowns, like slowed or slurred speech, a very quiet voice, or a monotone voice pattern.”

Because communication is deeply personal and impacts how we connect, express our needs, and engage with the world around us, losing the ability to speak clearly and confidently can be traumatic for both families and individuals living with Parkinson’s. At United Hebrew, we work with a wide spectrum of Parkinson’s patients who are struggling with communication. The good news is, with the right therapeutic support, it’s never too late to improve one’s speech and ability to communicate.

From soft or slurred speech to difficulties articulating words or maintaining vocal tone, communication challenges often emerge early in the disease’s progression. For many, this leads to frustration, isolation, and even shame. That’s where speech-language pathologists like Guerrero step in. “We’re not just here to help someone speak louder,” she explains. “We’re here to help them be heard—and feel understood.”

Therapy That Meets You Where You Are

United Hebrew’s speech therapy for Parkinson’s is highly individualized. Whether a person is struggling with articulation, vocal volume, or cognition, evaluations help pinpoint where support is needed. Techniques like the Lee Silverman Voice Treatment (LSVT LOUD®) teach patients to “think loud, be loud”—boosting vocal strength and improving clarity.

“Sometimes I give patients little cue cards or plaques that say, ‘Think Loud, Be Loud’—it’s a simple reminder that can really work,” says Guerrero. And for those with very limited speech, she creates customized communication tools, like “My Name Is” cards or pre-recorded voice messages, so they can still share their identity and emotions using their own voice.

More Than Just Words

Speech therapy also addresses swallowing challenges—a lesser-known but equally serious symptom of Parkinson’s. Slowed muscle tone can affect chewing and increase the risk of choking. Therapists help by teaching safe swallowing techniques and recommending diet modifications when necessary.

And equally important, therapy tackles the emotional component. “Many patients feel embarrassed by their voice,” Guerrero shares. “We work first to build their confidence. Then, we can build their voice.”

Family members play a crucial role. Guerrero emphasizes the importance of patience: “Give your loved one the time and space to speak. Don’t rush them. Let them find their words.”

How Therapy Can Restore Communication

Therapists often coach families on at-home exercises—simple phrases, cue boards, or even scripts to help practice everyday interactions like ordering food or calling the doctor. “The goal is always independence,” Guerrero says.

For those without nearby support systems, therapists provide creative ways to stay connected—from singing to making phone calls or even building a personalized “voice bank” of favorite phrases.

One of the most touching moments Guerrero recalls was helping a patient record the phrase “Happy Birthday” in his own voice to send to his spouse. “It wasn’t perfect, but it was his. That meant everything.”

During Parkinson’s Awareness Month and beyond, United Hebrew honors the resilience of those living with the disease—and the professionals dedicated to helping them thrive. “Your voice matters,” Guerrero reminds us. “Don’t be ashamed of it. There’s always help, and there’s always hope.”

Learn more about speech-language and other therapy services at United Hebrew’s Skilled Nursing and Short-Term Rehabilitation center.

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