Speech Swallowing and Neurological Rehabilitation Services
Specialized Speech, Swallowing, and Neurological Rehabilitation in Tyler, Texas
At Speech Swallowing & Neurological Rehabilitation (SSNR), we provide comprehensive, evidence-based services for adults and aging individuals experiencing changes in swallowing, communication, cognition, voice, and neurological function.
Our services are designed to be person-centered, practical, and deeply rooted in real life.
How Care Begins at SSNR
Most services begin with a comprehensive evaluation, followed by a personalized treatment plan and ongoing therapy or consultation as appropriate.
We offer:
In-person services in Tyler, TX
Teletherapy options for select services
Most speech and swallowing therapy is billed through insurance; dementia consultation packages are private-pay
If you’re unsure which service is right for you, our team can help guide you.
Clinical Speech-Language Pathology Services
Comprehensive Evaluations
A thorough evaluation allows us to understand why difficulties are occurring and how to best address them.
Evaluations may include assessment of:
Swallowing (dysphagia)
Language and aphasia
Speech clarity and intelligibility
Cognition, memory, and executive functioning
Voice quality and endurance
Respiratory support for speech and swallowing
Swallowing Therapy (Dysphagia)
Difficulty swallowing can significantly impact nutrition, safety, and quality of life. Swallowing therapy at SSNR is highly specialized and evidence-based, designed to improve swallow strength, coordination, and efficiency.
We treat dysphagia related to:
- Stroke and brain injury
- Parkinson’s disease
- ALS, MS, PSP, MSA
- COPD
- Dementia
- Head and neck cancer
Swallowing therapy is appropriate for those experiencing:
- Coughing or choking during meals
- Food or liquid feeling stuck
- Throat clearing while eating
- Unintentional weight loss
- Increased effort or fatigue during meals
Specialized services include:
Ampcare Effective Swallowing Protocol (NMES)
McNeill Dysphagia Therapy Program (MDTP)
Respiratory Muscle Strength Training (EMST-150)
Manual Therapy
Myofascial Release
Fiberoptic Endoscopic Evaluation of Swallowing (FEES): This specialized evaluation can be conducted in-office at SSNR without waiting weeks to schedule or hours to complete..
Cognitive Therapy
Cognitive therapy helps individuals improve independence, safety, and daily functioning following neurological injury or disease.
We work with individuals diagnosed with:
- Stroke or TIA
- Traumatic brain injury (TBI)
- Dementia and Alzheimer’s disease
- Mild cognitive impairment (MCI)
- Long Covid
- Autoimmune Disorders
- Other neurogenic conditions
Cognitive therapy may help if you experience:
- Difficulty planning or completing tasks
- Trouble managing daily routines
- Memory loss or confusion
- Difficulty regulating emotions
- Reduced insight into deficits
- Difficulty following instructions
- Difficulty multitasking
- Easy distraction
- Orientation difficulties (time, place, situation)
Caring for a loved one is an important and monumental responsibility. Balancing work responsibilities, parenting obligations, and caretaking is not easy. We offer support and tactical advice to help caretakers find a balance that works.
Therapy is goal-driven and functional. We focus on real-life skills such as medication management, cooking, technology use, and safety at home.
Language Therapy (Aphasia & Neurogenic Language Disorders)
Changes in language can deeply affect relationships, independence, and confidence.
We treat language changes resulting from:
- Stroke
- Traumatic brain injury
- Dementia and Alzheimer’s disease
- Parkinson’s disease
- Primary Progressive Aphasia
Language therapy is appropriate if you experience:
- Difficulty finding words
- Using incorrect or made-up words
- Leaving out words when speaking
- Repeating the same phrases
- Difficulty reading or writing
- Trouble understanding conversations or instructions
- Difficulty answering questions or expressing needs
Our focus is helping you say what matters most — clearly and confidently.
Therapy for Voice Disorders
Your voice is central to connection, identity, and independence.
Voice therapy at SSNR focuses on improving loudness, clarity, endurance, and ease of speaking in real-world situations.
Voice therapy supports adults experiencing:
- Reduced vocal loudness
- Hoarseness, strain, or breathiness
- Vocal fatigue
- Parkinson’s-related voice changes
- Chronic cough or throat clearing
- Muscle tension dysphonia
- Age-related voice changes (presbyphonia)
- Vocal cord dysfunction
- Upper airway tightness or breathing coordination difficulties
We specialize in voice disorders related to neurological, airway, and age-related conditions.
Our goal is to help enhance vocal function, respiratory support, and ability to participate in conversations without discomfort or alteration in voice quality.
Dementia Navigation Services
When you meet with our dementia navigation team, we start by helping you understand what’s changing and why, then build a plan around it: home and safety support for things like wandering and driving, practical tips for daily care such as communication, bathing, and eating, and guidance for planning ahead before a crisis hits. We’ll also help you build your support team by connecting you with the right medical, legal, and in-home care providers, and we make space for you, the caregiver, addressing the stress, burnout, and guilt that comes with this role.