Parkinson’s Voice Therapy

I provide SPEAK OUT!® Therapy, an evidence-based speech treatment developed by Parkinson Voice Project® to help individuals with Parkinson disease and related conditions strengthen their voice and improve communication.

Parkinson disease can affect the voice in ways that make it difficult to be heard or understood. SPEAK OUT! Therapy focuses on speaking with intent, helping individuals improve vocal strength, clarity, and confidence in everyday communication.

Stronger voice. Clearer communication.

— How Parkinson Disease Affects the Voice

People with Parkinson disease often experience changes in speech and voice, including:

• reduced vocal volume
• difficulty being heard in conversation
• breathy or weak voice quality
• reduced facial expression
• speech fatigue
• monotone speech

These changes happen because Parkinson disease can affect the brain’s automatic control of speech. Many people are not aware that their voice has become quieter.

SPEAK OUT! Therapy helps individuals re-engage intentional speech, strengthening the voice and improving clarity.

— About SPEAK OUT!

Evidence-based therapy for Parkinson disease

The SPEAK OUT! Therapy Program, developed by Parkinson Voice Project, is a research-based treatment designed to help individuals regain and maintain speech and swallowing abilities.

Treatment includes:

• structured voice and speech exercises
• practice speaking with intent
• guided daily home practice
• strategies to improve vocal projection and clarity

Many patients experience improvements in vocal volume, articulation, breath support for speech, vocal quality, and facial expression.

Work with a Certified SPEAK OUT! Provider

Anita Stryker, MS, CCC-SLP, is a speech-language pathologist and Certified SPEAK OUT! Provider specializing in voice, breathing, and functional communication.

Sessions are available in Portland and via telehealth when appropriate.

Book an Appointment
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FAQ

  • Yes. I offer both in-person sessions in Portland, Oregon and remote sessions via telehealth. You’re welcome to choose whichever option feels most supportive for your goals.

  • Yes. I currently accept Moda Health, Blue Cross Blue Shield, and Medicare, and I also welcome private-pay clients.

    If I’m not in network with your plan, you may still be eligible for reimbursement through out-of-network benefits.

    Please reach out with any questions about coverage or payment options.

  • I work with a wide range of voice concerns, including muscle tension dysphonia, vocal nodules, chronic hoarseness, vocal fatigue, paradoxical vocal fold movement, and voice changes related to overuse or injury.

    I also work with professional voice users — including teachers, singers, and speakers — to restore ease, build healthy voice patterns, and reduce strain.

  • Voice therapy focuses on improving how your voice works — how it sounds, feels, and functions. Myofunctional therapy addresses patterns in the mouth, tongue, jaw, and breathing that may be contributing to tension or dysfunction. I often integrate both approaches to support long-term healing and more freedom in how your voice feels and performs.

  • My approach is evidence-based, highly individualized, and rooted in close attention to your experience. I draw on clinical training, decades of teaching voice, and my own healing journey, while listening closely to you, your body, and the subtle cues that can easily be overlooked.

    My goal is to help you build greater ease, awareness, and trust in your own voice and body.

    Curious what led me here? Learn more about my own journey here.

Still have questions? Reach out to me here.