What is the difference between The SPEAK OUT!® Therapy Program and LSVT LOUD® ?
The SPEAK OUT!® Therapy Program, developed by the nonprofit organization, PARKINSON VOICE PROJECT®:
The SPEAK OUT!® Therapy Program, developed by the nonprofit organization, PARKINSON VOICE PROJECT®, helps people with Parkinson’s and related disorders REGAIN and RETAIN their speech and swallowing. The program, if followed properly according to the exercises set out in the SPEAK OUT!® Therapy Program, can improve volume, articulation, breath support for speech, vocal quality, intonation, and facial expression. Patients and families also report reduced drooling and improved swallowing. This highly effective, research-based treatment combines education, individual SPEAK OUT!® Therapy, SPEAK OUT!® Classes, daily home practice, and continuous follow-ups. Once patients enter the program, they remain in it for life.
The program includes 8 individual sessions (30–40 minutes each), scheduled 2 times per week for approximately 4 weeks, followed by a 9th follow-up session 2–3 weeks later.
Emphasis on “Speak with INTENT” (Extrapyramidal vs. Pyramidal system).
LSVT LOUD® by LSVT Global:
LSVT LOUD® is an evidence-based speech treatment for people with Parkinson’s disease and other neurological conditions. It is built on three key strategies to make treatment as effective as possible:
Target: Vocal Loudness (amplitude)
Mode: Intensive Dosage and High Effort
Calibration: Generalization
LSVT LOUD® consists of 16 individual sessions, typically scheduled 4 times per week for 4 weeks. Includes daily homework and carryover exercises.
Emphasis on LOUD!
Why I Choose a Cash-Pay Model
I have chosen to operate as a cash-pay practice to provide the highest quality of care without the growing administrative barriers, rising costs, and increasing restrictions placed by insurance companies and Medicare. By stepping away from the red tape and complexity of traditional reimbursement systems, I am able to focus fully on you—your goals, your progress, and your voice. This cash-pay model allows for flexible, personalized treatment plans, transparent pricing, and therapy that is guided by clinical need rather than coverage limitations. As I begin this new chapter, my priority is simple: delivering meaningful, patient-centered care with the time, attention, and freedom you deserve.