An independent Speech, Language and Communication Therapy Service run by Specialist Speech Therapist, Louise Lim. We offer therapy to adults who have had changes to their communication caused by Stroke, Parkinson’s or MND.
contact us to discuss your needs or book an appointment:
phone or text
We are based in Norwich - appointments can usually be at your home (depending on location), at a private central Norwich location or via Skype
About Louise Lim, Lead Speech Therapist
I am a Specialist Speech and Language Therapist working with adults with communication changes caused by neurological changes.
I qualified as a Speech Therapist in 2004 from University College London.
I have worked in NHS hospitals and outpatient clinics with adults who have had a Stroke, have Parkinson’s or Motor Neurone Disease. I have specialist experience, skills and training in these areas.
In addition to running Recommunicate Speech I work at University College London and the Institute of Neurology on a research project investigating speech and language recovery after Stroke. Understanding aphasia recovery is my specialist area.
I also lecture speech therapy students at UEA in Stroke and aphasia recovery and help run singing groups for people with Parkinson's.
For more information about therapy with me click here.
Initial meeting (40 mins) £25
Full Assessment (90 mins) £70
Therapy session (60 mins) £45
SPEAK OUT! Parkinson's session (30-40 mins) £35
"Louise instantly makes you feel at ease and as a result more confident"
"Brilliant - she was trained in London where they strive for excellence"
"Always positive, always cheerful and leading with a smile...we did many useful exercises. Louise filled us with confidence and she is much appreciated"
I am a member of the Health Care Professions Council and the Royal College of Speech and Language Therapists.
About therapy with me:
Speech therapy with me is all about you and helping you re-develop your communication in the way that you want, to help overcome your current difficulty with speech and or language.
I like to work together with patients and their families to help them with the things that are important to them.
I try to make sure therapy is creative, interesting and relaxed and I will involve you (and your family if you choose) in deciding what you would like to focus on in therapy. Together we will set goals to help you participate in communication activities that are important to you such as speaking with friends and family, using the telephone and asking for help in shops and cafes.
Therapy sessions can range from repeated practise e.g. saying targeted words or phrases to help you say them more clearly, to a more conversation or counselling-type approach or a practical approach to provide pictures, documents and strategies to support everyday communication. This will depend on the type and severity of the difficulty you are experiencing and your preferences.
The number and timing of sessions are up to you and options and recommendations around this will be discussed with you.
In addition to individual therapy I offer group workshops and have delivered these to groups run by Parkinson's UK.
Parkinson's and Speech
People with Parkinson's often find that their speech and voice change. Typically this presents as a quieter voice and unclear or indistinct speech. This is because the speech system is 'automatic' and is therefore disrupted by lower dopamine levels. By learning to use a very conscious and deliberate approach to speaking, many people's speech can be significantly improved. Regular practise is required to achieve this.
SPEAK OUT! therapy for Parkinson's
For people with Parkinson's one of the services I am able to offer is an intensive therapy programme called SPEAK OUT! This involves approximately 3-4 weeks of 3 sessions per week followed by weekly sessions. This is offered face to face or via Skype. An initial evaluation meeting is required to assess whether this would be the right approach for you. SPEAK OUT! sessions are not normally available as home visits but this may be possible by special arrangement.
Aphasia Therapy and Recovery
Aphasia is when the areas of the brain that were used for language tasks - understanding,
speaking, reading and writing - have been disrupted by injury such as a stroke or trauma to
People with aphasia may have difficulty with any tasks that involve language e.g.
• Thinking of and saying names of objects, people and places
• Understanding what other people are saying to them
• Constructing spoken or written sentences
• Understanding written words and sentences
The severity of difficulty varies hugely depending on the level of disruption caused by the
damage to the brain.
About aphasia recovery:
We are still learning more about how language works in the brain and how we recover skills
like speaking and understanding after the brain has been damaged.
Research projects such as ‘PLORAS’ at University College London are investigating
recovery using MRI scanners and speech therapy assessments to test the language skills of
people who have had a stroke at different time points in their recovery.
Research suggests that a number of different parts of the brain can be used for language
skills and there is a theory that when one area is damaged, e.g. by stroke, another
undamaged area can be used instead. It takes some time for the undamaged area to learn
to take over and this is why recovery is a gradual process. In future we will hopefully better
understand how this happens and how speech therapy can speed up this process.
Some research indicates that recovery of aphasia continues to happen for many years after
a stroke and does not necessarily plateau after a short window which was often thought to
be the case in the past. It is therefore reasonable to expect that people can continue to benefit from therapy even some years after their stroke.
It is likely that the extent of recovery that is possible, and the speed of recovery relates to the area of the brain that has been damaged i.e. some people will make a more ‘complete’ recovery than others and some people will see improvements more quickly than others.
About aphasia therapy:
Therapy for people with aphasia may involve:
• helping the person to use strategies to trigger certain words or phrases
• using worksheets, flashcards, computer programmes or apps to present pictures and or sounds to help them practise saying or understanding certain words or sentences
• providing pictures, written support and technology devices to use in place of or alongside spoken
• helping the person to feel more confident about communicating
• helping the friends/family/colleagues of the person to communicate with them in the most effective way
• supporting the person and their loved ones with the emotional and practical aspects of living with aphasia
How much speech therapy do I need?
This is also really up to you and something we will discuss.
Some research suggests that there is a ‘dose effect’ i.e. it is likely more effective to have more speech therapy sessions however this does depend on many factors.
It is a good idea to set goals about what you would like to achieve in therapy and this is something you can do with your therapist.
You may want to have lots of sessions with a speech therapist or you may choose to have
one or two and continue doing the exercises or practising strategies at home on your own/with family.
You do not have to agree to a set number of sessions when you
begin therapy but can decide as you go along.
In some cases I am able to offer a mini ‘intensive’ run of aphasia therapy e.g. 3 times per week and sessions of a longer duration e.g. 90 minutes or 2 hours. There is some evidence that intensive therapy can be more effective.
Motor Neurone Disease
Motor Neurone Disease can affect the muscles used for speech and make it difficult to speak clearly.
We are working towards offering a Voice Banking and Message Banking Service for people with Motor Neurone Disease. This involves recording the person's voice so that it can be used in a digital communication device which can support speaking with others when their speech becomes difficult to understand.
The value of voice banking and message banking is that the person's own voice can be used in the communication device rather than a generic, less personalised voice.
If you are interested in this service please contact us.
For more information about voice banking in general please see the MNDA website
We have produced a number of videos that people with communication difficulties may find useful.
These include videos on:
Abdominal BreathingBreath Support for VoiceSpeech and Voice Exercises for Parkinson's
Please click here to watch the videos on our YouTube channel