Iowa Speech Solutions, PLLC

Iowa Speech Solutions, PLLC Adult medical/neuro speech, language, swallow and cognitive services. Based in Des Moines, Iowa. Our visits are by appointment only.

Please give us a call and we will be as flexible as possible. We can offer in home options, depending on the case and location. We are currently accepting Medicare, Blue Cross Blue Shield, Midlands Choice. Pending enrollment with Medicaid and Humana. We are adult focused, personalized, specialized and flexible. Our clinicians have additional training in adult dysphagia (swallowing), Parkinson's Voice (SPEAK OUT! and LSVT LOUD), short program for ARK J Trismus, McNeill Dysphagia (swallowing) Program and Intensive Dysphagia treatment, AAC, and Dementia Practitioner.

New Blog Post 🗣️💬AAC works best when it starts early—especially for progressive conditions like ALS and dementia.Early A...
02/02/2026

New Blog Post 🗣️💬

AAC works best when it starts early—especially for progressive conditions like ALS and dementia.

Early AAC helps build familiarity, reduce stress, and protect communication over time. It does not stop speech. It strengthens it.

AAC can be paper-based, tech-based, or both—there are many possibilities, and no one-size-fits-all solution.

👉 Read the full blog on our website (www.iowaspeechsolutions.com) to learn why early AAC matters and how it supports long-term communication.

Call a friend! As a medical speech-language pathologist, I see every day that communication is more than conversation — ...
01/23/2026

Call a friend!

As a medical speech-language pathologist, I see every day that communication is more than conversation — it’s brain health.

Social connection plays a powerful role in how our brains function, especially as we age or live with neurological conditions such as dementia. Research has shown that meaningful social engagement supports cognitive reserve, emotional regulation, and overall brain resilience. People who stay socially connected tend to have better memory, attention, and mental health outcomes.

This isn’t just theory — we feel it in our bodies. When I talk with a friend or trusted colleague, I often feel more calm and a little more energized afterward. That shift reflects changes in the nervous system that support regulation and well-being.

For individuals recovering from stroke or living with aphasia, real-world conversation is also treatment. Practicing communication in everyday situations drives neuroplasticity — the brain’s ability to form and strengthen new neural pathways. While structured therapy is important, meaningful conversation in daily life is what helps those skills truly stick.

Of course, not all interactions are supportive. The people, topics, and environments matter. The goal is connection that feels safe, respectful, and regulating.

Communication supports the brain.
Connection supports healing.
And being heard supports the whole nervous system.

“How long will we be seeing each other?”This is one of the most common questions we hear when we first meet with clients...
01/15/2026

“How long will we be seeing each other?”

This is one of the most common questions we hear when we first meet with clients. It is also a very fair question.

The short answer is: it depends.

There are many things that go into how long therapy lasts. As a medical speech-language pathologist, we look at much more than a diagnosis or a set number of visits. Therapy works best when the client is at the center of the plan.

What affects how long therapy lasts?

Each therapy plan at Iowa Speech Solutions is personalized. Some of the factors we consider include:
• What we are working on, such as speech, language, memory, voice, or swallowing
• How severe the difficulty is
• Whether the condition is short-term, long-term, or changing over time
• Your personal goals and what progress means to you
• Your overall health, energy level, and daily responsibilities
• The support you have from family or caregivers
• Your motivation and participation
• How often you are able to practice at home

Because of these factors, it is hard to predict an exact timeline. There is no crystal ball, but there is a clear plan that we review and adjust as needed.

What we focus on from the start
• Therapy is not the same for everyone
• Goals should be meaningful and useful in daily life
• Plans can change as your needs change
• Discharge is often a sign of progress or readiness for the next step

Tips to help therapy be successful

These ideas apply to many types of therapy:
• Be open about what feels hard or overwhelming
• Ask questions if something does not make sense
• Practice regularly, even for short periods
• Build therapy into your daily routine
• Include family or support people when possible
• Share changes in health, energy, or stress
• Notice and celebrate small improvements
• Understand that progress may have ups and downs

Therapy is a team effort. Our role as the therapist is to guide, teach, and adjust the plan. Your role as the client is to share your goals and do what you can within your daily life.



Lose or strain your voice after the New Year’s celebrations or a big sporting event? 🎉🏈Most people know that shouting ca...
01/05/2026

Lose or strain your voice after the New Year’s celebrations or a big sporting event? 🎉🏈

Most people know that shouting can strain and injure the vocal cords; but whispering can also be damaging, sometimes even more so.

With a whisper, people often push their voice in different ways to still be heard. This can create added tension and strain, especially when your voice is already tired or irritated. For some people, whispering can actually be more damaging than using a gentle, regular speaking voice.

If your voice feels hoarse or worn out:
• Use a comfortable, normal volume
• Take brief voice breaks
• Stay well hydrated (this includes using humidity)
• Avoid both shouting and whispering

Your voice is a finely tuned system and how you use it during recovery matters.

As always, consult with your own physician, ENT, or SLP.

Iowa Speech Solutions wishes you a peaceful and restful holiday season. As we look ahead to 2026, we are grateful for th...
12/31/2025

Iowa Speech Solutions wishes you a peaceful and restful holiday season.

As we look ahead to 2026, we are grateful for the opportunity to continue serving adults across Iowa with compassionate, evidence-based neuro and medical speech therapy. Thank you for trusting us with your care and your journey.

✨ Moving into the new year with care, patience, and possibility. ✨

Traveling or attending social gatherings after concussion or TBI can feel overwhelming — not because you’re doing it wro...
12/24/2025

Traveling or attending social gatherings after concussion or TBI can feel overwhelming — not because you’re doing it wrong, but because your brain is working on overdrive.

We just published a new blog sharing practical, real-life strategies for clients to:
• reduce overstimulation
• protect cognitive-communication energy
• participate with hope to reduce crashing afterward

This isn’t about avoidance — it’s about sustainable participation.

Read the full blog at www.iowaspeechsolutions.com

NeuroRehab IowaSpeechSolutions

🍔 Organizing Your Thoughts with the “Hamburger Layout”Written communication can feel overwhelming after a concussion, br...
12/18/2025

🍔 Organizing Your Thoughts with the “Hamburger Layout”

Written communication can feel overwhelming after a concussion, brain injury, or other neurological condition — especially when ideas get jumbled, details are hard to sequence, or attention and working memory are taxed.

We like to use simple, evidence-aligned tools to make communication clearer, easier, and more efficient.
One of our favorites? The Hamburger Graphic Organizer.



🍞 Top Bun — Your Main Idea

Start with the big picture:
-What are you trying to say?
-What’s the goal of the message?
This helps anchor your attention before diving into details.

🥬🍅 The Fillings — Supporting Details

Add 2–3 key points that support your main idea.
These might include:
• Facts
• Context
• Steps
• Examples
Using a limited, structured set of details reduces overwhelm and helps keep communication on topic.

🍞 Bottom Bun — Your Wrap-Up

-Finish with a clear closing statement or action.
-What do you want the listener/reader to understand, do, or remember?



Why It Works (Especially in Neuro Rehab)

The hamburger layout supports core cognitive-communication processes:
-Idea generation
-Organization & sequencing
-Working memory load reduction
-Error awareness & self-monitoring

It’s flexible enough for verbal expression in conversation and written expression for emails, notes, or forms.

Supporting On-Topic Communication: Pause–Answer–AddMany people who live with brain injury or concussion experience verbo...
12/12/2025

Supporting On-Topic Communication: Pause–Answer–Add

Many people who live with brain injury or concussion experience verbosity or tangential responses during conversation. A simple framework that can support clearer, more organized communication is:

1. Pause

Take a brief moment to identify the core of what was asked.

2. Answer

Respond with one clear, direct sentence.

3. Add (Optional)

Offer one small detail only if needed.
You can also check in by asking:
“Do you need me to add more or give more detail?”

This small step can support self-monitoring, reduce tangents, and keep conversations efficient and collaborative.

How SLPs Support Care Partners + Lead Communication in Dementia Care TeamsCaring for someone with dementia takes a team—...
12/03/2025

How SLPs Support Care Partners + Lead Communication in Dementia Care Teams

Caring for someone with dementia takes a team—and SLPs are the communication leaders in that team.

Here’s how we support care partners and the care team
1. Teach communication strategies that make conversations easier for families and care partners.
2. Create memory books, visuals, and routines to support independence.
3. Guide swallowing + mealtime plans so loved ones stay comfortable and supported.
4. Educate & empower care partners so they feel confident in daily communication.

AND…

We lead communication across the care team (IDT):
– unify approaches across nursing, OT, PT, activities & providers
– teach consistent communication strategies
– support care conferences and person-centered care plans
– bridge gaps between disciplines so everyone communicates effectively

SLPs help the entire circle of care stay connected, consistent, and person-centered.
Dementia care is teamwork—and we’re here to support every member of that team.

At Iowa Speech Solutions, we believe that every speech-language pathologist and practice brings unique strengths to the ...
11/25/2025

At Iowa Speech Solutions, we believe that every speech-language pathologist and practice brings unique strengths to the table — and that’s something to celebrate. A LinkedIn post we came across a while back really resonated with us and inspired this message.

In our practice, we choose to specialize. We intentionally focus on adult neurological and medical speech therapy rather than pediatrics or developmental stuttering, and we see concussion and TBI clients beginning at age 15.

Our expertise includes post-stroke rehabilitation, TBI and concussion (15+), dementia, Parkinson’s, swallowing, and voice disorders.

Our goal is simple: to provide highly specialized, evidence-based, person-centered care for the people we serve.

Read more on the blog: “What We Don’t Do — and Why That Matters.”

🌱 What is Habit Stacking?Habit stacking is a simple, brain-friendly strategy that links a new task to something you alre...
11/21/2025

🌱 What is Habit Stacking?
Habit stacking is a simple, brain-friendly strategy that links a new task to something you already do automatically. By pairing a desired behavior with an existing routine, you create a powerful cue that boosts follow-through and reduces cognitive load.

For example:
👉 Take your pet’s new medication right after you eat breakfast.
👉 Do your home exercise program right after you brush your teeth or sit down with your morning coffee.

Why it works: your established habits become anchors, helping your brain start the new task with less effort—especially helpful for adults navigating memory, attention, or executive functioning challenges.

At Iowa Speech Solutions, we love using habit stacking as a practical support for cognitive-communication success. Small steps. Smart routines. Big impact. 💛🧠

💬 Rebuilding Real Communication After Stroke or Brain InjuryLanguage therapy for adults is so much more than answering q...
11/14/2025

💬 Rebuilding Real Communication After Stroke or Brain Injury

Language therapy for adults is so much more than answering questions or naming pictures.

At Iowa Speech Solutions, we focus on helping clients get back to real-life communication; the kind that happens at the dinner table, in a doctor’s office, or while catching up with a friend.

That means practicing:
🗣️ Giving and following directions
🤝 Persuading or negotiating a point of view
💭 Telling stories and sharing experiences
📝 Clarifying and repairing misunderstandings
📞 Handling everyday communication tasks like phone calls or appointments

These are the conversations that bring confidence, independence, and connection back into daily life.

Every session is designed to make language therapy functional, person-centered, and meaningful.

Because communication is more than words — it’s connection. 💛

Address

6165 NW 86th Street Suite 238
Johnston, IA
50131

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