by Amy Stohl, MA, CCC-SLP 

For many people living with Parkinson’s disease, one of the most frustrating and isolating changes is not tremor or stiffness—it’s losing the ability to communicate clearly. Soft speech, slurred words, reduced facial expression, and swallowing difficulties are common as the neurological condition progresses. Fortunately, programs like SPEAK OUT!®, offered locally through Buffalo Hearing & Speech Center and led by providers including Amy Stohl, MA, CCC-SLP, are helping individuals reclaim their voices and confidence. 

SPEAK OUT!® is an evidence-based speech therapy program developed by Parkinson Voice Project® specifically for people with Parkinson’s and related disorders. Unlike traditional speech therapy approaches that emphasize speaking louder, SPEAK OUT!® teaches participants to “speak with intent.” This method encourages patients to move away from automatic speech patterns—which Parkinson’s can impair—and instead use deliberate, purposeful communication. 

Communication challenges are extremely common in Parkinson’s disease. Research suggests that about 70–80% of people with Parkinson’s experience voice and speech difficulties over time, often beginning earlier than expected. Many develop hypophonia (a soft voice), monotone speech, or articulation problems that make everyday conversations difficult. These changes can lead to social withdrawal, frustration, and reduced quality of life. In addition, weakened muscles involved in speaking can affect swallowing, increasing the risk of choking or aspiration. 

SPEAK OUT!® addresses these challenges through a structured program that combines individualized therapy sessions, education, and daily home practice. Participants work on vocal strength, breath support, clarity, pitch variation, and facial expression through targeted exercises. A key component is the focus on cognitive engagement—patients actively think about each word they say, reinforcing stronger neural pathways for communication. 

Equally important is the program’s ongoing support. After completing individual sessions, many participants join group maintenance classes, which provide continued practice, encouragement, and social connection. Families often notice meaningful improvements—not only in voice volume and clarity, but also in confidence, engagement, and emotional well-being. 

Early intervention is especially valuable. While Parkinson’s is progressive, speech decline is not inevitable. Beginning therapy when subtle voice changes first appear can help preserve communication skills longer and prevent complications. Speech-language pathologists like Amy Stohl emphasize that maintaining a strong voice helps patients stay active in relationships, healthcare conversations, and daily life. 

For Western New Yorkers living with Parkinson’s, access to specialized care close to home makes a meaningful difference. Through programs like SPEAK OUT!®, Buffalo Hearing & Speech Center continues its mission of empowering individuals to communicate effectively and live fully. 

Amy Stohl, MA, CCC-SLP is a Speech Language Pathologist at Buffalo Hearing and Speech Center. To learn more about SPEAK OUT!®, visit https://parkinsonvoiceproject.org. To schedule an appointment with Amy, call 716-204-8680.