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Top 10 Signs You Might Need Speech Therapy as an Adult

Top 10 Signs You Might Need Speech Therapy as an Adult
  • Jun 30, 2025
  • S&L Therapy

Top 10 Signs You Might Need Speech Therapy as an Adult

Speech is something most of us take for granted—until it isn’t. For adults, changes in how we talk, understand, or even swallow can be unsettling, and sometimes, downright frustrating. If you or someone you know is experiencing new or worsening difficulties with communication, it might be time to consider speech therapy.

10 Signs You Need Speech Therapy as an Adult

Here are the top 10 signs you need speech therapy as an adult, and what those changes could mean for your daily life.

1. Trouble Finding the Right Words

Have you ever entered a room only to pause and wonder what brought you there? Now imagine that happening every time you try to speak. If you’re frequently pausing, struggling to recall common words, or using vague language, it could be more than just a “senior moment.” This is often called “word-finding difficulty,” and it’s a classic sign you might need speech therapy. These moments can make conversations awkward and leave you feeling self-conscious.

2. Slurred or Slow Speech

If friends or family start asking you to repeat yourself, or if your speech sounds thick, slurred, or slower than usual, it could be a red flag. This is called dysarthria, and it’s often linked to neurological conditions like stroke, Parkinson’s disease, or multiple sclerosis. It’s not just about being hard to understand—it can impact confidence and relationships.

3. Changes in Your Voice

A hoarse, breathy, or suddenly raspy voice that sticks around for weeks isn’t just annoying—it could be a sign of something more. Voice changes can come from overuse, illness, or even neurological problems. If your voice isn’t recovering, it’s worth checking in with a specialist about adult speech issues.

4. Stuttering or Repetition

Stuttering isn’t just for kids. If you notice yourself repeating sounds, syllables, or words, or if you’re prolonging sounds or getting “stuck” mid-sentence, you might be experiencing adult-onset stuttering. This can be triggered by stress, trauma, or neurological changes, and it’s absolutely something speech therapy can help with.

5. Difficulty Swallowing (Dysphagia)

Swallowing issues are sneaky—they can start with a little cough here and there, or a feeling that food is “stuck.” Dysphagia isn’t just uncomfortable; it can be dangerous if food or liquid goes down the wrong pipe. Speech therapists aren’t just about speech—they’re also experts in swallowing rehabilitation.

6. Trouble Understanding Others

If you find yourself nodding along to conversations but not really grasping what’s being said, or if written words suddenly seem confusing, you might be dealing with a language disorder like aphasia. This is common after a stroke or brain injury, but it can also develop gradually. This isn’t a matter of intelligence—it’s about how your brain understands and organizes language.

7. Social Communication Struggles

Do you find yourself missing social cues, interrupting at the wrong times, or having trouble keeping up with group conversations? These can all be signs of social communication difficulties, which are more common in adults than you might think. Whether it’s due to brain injury, neurological conditions, or just a change in your cognitive abilities, speech therapy can help you navigate social situations more confidently.

8. Memory or Attention Problems Affecting Communication

If you’re having trouble remembering details of conversations, losing your train of thought, or struggling to stay focused when someone’s talking, it could be affecting your communication. These cognitive-communication difficulties are often linked to brain injury, dementia, or other neurological conditions, and they’re a key reason adults seek speech therapy.

9. Sudden or Gradual Onset of Speech Problems

If you wake up one day and your speech is suddenly different—slurred, slow, or just “off”—it’s important to seek medical attention right away. Sudden changes can be a sign of stroke or other serious conditions. But even if your speech issues develop slowly over months or years, don’t ignore them. Starting speech therapy early can significantly improve how you live and connect with others.

10. Muscle Weakness or Rigidity in the Face or Mouth

Sometimes, it’s not the words themselves but the mechanics of speaking that are the problem. If you notice weakness, numbness, or stiffness in your lips, tongue, or jaw, it can make speech difficult or unclear. This is a common sign you need speech therapy, especially if it comes on suddenly or after an injury.

What Happens Next? When to Seek Help

If any of these signs ring true for you or a loved one, it’s okay to feel worried—but you’re not alone. Adult speech issues are more common than most people realize, and help is available. The first step is to reach out to a speech-language pathologist (SLP). At SLT London, we specialize in assessing and treating all kinds of adult speech, language, and swallowing problems.

A session with an SLP isn’t scary—it’s a chance to talk about what’s going on, get a professional opinion, and start working on solutions. Whether your issues are mild or severe, temporary or ongoing, speech therapy can help you regain confidence and improve your communication skills.

Why Speech Therapy Matters for Adults

Speech therapy isn’t just for kids. Adults face unique challenges—whether it’s recovering from a stroke, managing a neurological condition, or just noticing that things aren’t quite as sharp as they used to be. The right therapy can help you:

  • Regain independence: Being able to communicate clearly is essential for work, relationships, and daily life.
  • Reduce frustration: There’s nothing worse than not being able to say what you mean or understand what others are saying.
  • Improve safety: Swallowing problems can lead to serious health risks if left untreated.
  • Boost confidence: Feeling understood and being able to express yourself can make a world of difference in your mental health and social life.

Real-Life Stories: When Speech Therapy Made a Difference

Let me share a quick story. One of our clients, Sarah, came to us after a minor stroke. She was a successful lawyer, used to speaking clearly and confidently in court. After her stroke, she found herself struggling to find words and getting frustrated in meetings. She was worried she’d never get her old self back.

With speech therapy, Sarah learned strategies to help her recall words, slow down her speech, and regain her confidence. It wasn’t an overnight fix, but with time and practice, she was back in court—stronger than ever.

Another client, Tom, developed a stutter after a car accident. He avoided social situations and even phone calls. Through speech therapy, he learned techniques to manage his stutter and rebuild his confidence. Today, he’s back to enjoying conversations with friends and family.

How SLT London Can Help

At SLT London, we understand that every adult is different. That’s why we take a personalized approach to therapy, tailoring our sessions to your unique needs and goals. Whether you’re dealing with mild word-finding difficulties or more complex speech and swallowing problems, we’re here to help you every step of the way.

We offer flexible scheduling, private sessions, and even online therapy—so you can get the help you need, wherever you are. Our team is led by experts with years of experience, and we’re committed to your success.

Don’t Wait—Reach Out Today

If you’re noticing any of these signs you need speech therapy, don’t wait to get help. Early intervention can make a huge difference in your recovery and quality of life. At SLT London, we’re here to support you with compassionate, evidence-based care.

Contact us today to schedule a consultation and take the first step toward clearer, more confident communication.

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