© 2019 by Risa Itani, MS CCC-SLP, LLC. 

      Adult and Geriatric Services Provided

      Accent Modification

      Do you speak English as a second language? Would you like to communicate better in the workplace and in your personal life? If you are concerned that your accent is negatively affecting your quality of life, an accent modification program may be for you. It is important to note that accents are not considered a disorder, but rather, are considered a difference. Some people find that their regional or national origin (foreign) accent does not impact their life in any way. However, other individuals find that their accent affects their ability to communicate effectively in work or social environments. Accent modification is a completely elective therapy and is typically not covered by insurance providers. Accent services may be provided in person or via online video conferencing.  

      Cognitive Impairments

      Cognitive impairments may stem from Traumatic Brain Injury (TBI), either closed-head (for example, hitting your head during car collision) or open-head (for example, a bullet penetrating the skull). Other cognitive impairments may be a result of stroke (CVA) or other diseases. Cognitive therapy provided by a Speech-Language Pathologist (SLP) can help improve symptoms and develop strategies for problems with memory, attention, problem-solving, and other executive functions.

      Speech and Language Impairments

      In adults, these deficits may be caused by a brain injury, degenerative disease, or stroke (CVA). One presentation of speech and language impairment caused by a CVA is known as Aphasia. There are multiple types of Aphasia, but each affects speaking, comprehension, reading, and/or writing to some degree. Dysarthria is a motor disorder that weakens the speech muscles, which can impact the clarity of speech. This is often caused by a CVA as well. Therapy can help improve these symptoms.


      Stuttering is a fluency disorder that typically begins in childhood. If you stuttered as a child and still find it difficult to talk to others, speech therapy may be a good choice for you. Stuttering may include a variety of symptoms- for example, part-word repetitions and blocks. It may involve changing or avoiding words to "prevent" stuttering, or a feeling of tension when trying to say specific words. If you or your loved one is experiencing any of these symptoms, you could benefit from evaluation and treatment strategies provided by an SLP. 


      Disorders of the voice come in many shapes and sizes.  A few examples of voice disorders treated by SLPs include Vocal Fold Paralysis, Vocal Fold Nodules, and Vocal Fold Polyps. Treatment for voice disorders will typically include seeing an Ear, Nose, and Throat specialist (ENT) as well as weekly therapy. Assessment by an ENT is critical in providing the best voice treatment by an SLP. Voice therapy provided by an SLP includes direct treatment sessions and home exercise/hygiene programs.

      Voice and Communication for Transgender Individuals

      Would you like to sound the way you feel? If you are looking for your voice and style of communication to match your gender identity and expression, you can work with an SLP to safely modify a variety of elements involved in your speech. Techniques range from adjusting vocal pitch to reshaping non-verbal communication patterns. See the Resources tab for additional information. 


      If you do not see a service that you are looking for on this page, visit the Contact page to send an email.  Risa may still be able to work with you or your loved one, or will refer you to an appropriate specialist as needed.