Apraxia Therapy

Apraxia of Speech Treatment

Explore specialized therapy focused on improving speech coordination for children and adults with apraxia of speech.

Speech Clarity Enhancement

Targeted techniques to boost articulation and confidence in everyday communication.

Personalized Intervention Plans

Customized therapy approaches based on individual motor speech disorder assessments.

Early Detection and Support

Timely, evidence-based strategies to promote effective communication from the start.

Marina's Apraxia Expertise

I find it deeply important to understand how adult apraxia of speech—particularly in stroke survivors—differs from developmental apraxia in children. Each presents unique challenges and calls for individualized, neurologically-informed approaches.

I'm especially curious about the underlying motor planning systems that support communication, and how disruptions in these pathways impact speech. This interest fuels my passion for exploring alternative forms of expression, such as letterboards or spelling-based systems, to help non-speaking individuals find meaningful ways to connect and communicate.

Specialized in adult vs. pediatric apraxia differences
Neurologically-informed treatment approaches
Alternative communication methods (letterboards, spelling systems)
Motor planning and speech pathway expertise

Motor Speech Expertise

Specialized care for apraxia across all ages

Children
Developmental Apraxia
Adults
Acquired Apraxia

Collaborative Therapeutic Approach

Before becoming a speech-language pathologist, I spent several years working as a Registered Behavioral Technician. That experience gave me a broader perspective on how different therapeutic approaches—such as behavioral therapy and speech-language pathology—can complement each other when thoughtfully applied.

I have had the opportunity to work alongside various professionals including occupational therapists, physical therapists, social workers, and more. I've learned to appreciate the goals and methods of each field and strive to create a supportive, individualized plan of care that considers the full picture of a client's needs. My approach remains compassionate and collaborative, always centered on the strengths, preferences, and potential of the person I'm working with.

Occupational Therapy

Coordinated fine motor and functional skill support

Physical Therapy

Integrated gross motor and positioning strategies

Behavioral Therapy

Complementary behavioral intervention approaches

Social Work

Holistic family and community support systems

Expert Apraxia Therapy Services

Personalized Treatment Plans

Tailored strategies to improve speech coordination and motor planning abilities.

  • Individual motor speech assessment
  • Customized intervention goals
  • Progressive skill building
  • Regular progress monitoring

Experienced Clinician

Led by Marina Coakley, M.S., CCC-SLP, expert in motor speech disorders.

  • CCC-SLP certified specialist
  • Neurologically-informed approaches
  • Adult and pediatric expertise
  • Collaborative care philosophy

Evidence-Based Approach

Utilizing proven methods for lasting communication gains and improved quality of life.

  • Research-backed techniques
  • Motor learning principles
  • Alternative communication methods
  • Functional outcome focus

Comprehensive Evaluations

Thorough assessments to guide effective therapy and track progress over time.

  • Motor speech disorder diagnosis
  • Oral-motor function assessment
  • Communication needs analysis
  • Family consultation and education

Support for All Ages

Therapy designed for children and adults with apraxia, addressing unique developmental needs.

  • Childhood apraxia of speech (CAS)
  • Acquired apraxia (stroke/TBI)
  • Age-appropriate intervention methods
  • Family-centered care approach

Understanding Apraxia of Speech

Childhood Apraxia of Speech (CAS)

A motor speech disorder where children have difficulty coordinating the precise muscle movements needed for speech. The brain knows what it wants to say, but has trouble coordinating the muscle movements to say it clearly.

Common Signs:

  • Inconsistent speech errors
  • Difficulty with syllable sequences
  • Groping behaviors for sounds
  • Increased errors with longer words

Adult Apraxia of Speech

An acquired motor speech disorder typically resulting from stroke, brain injury, or neurological conditions. It affects the ability to plan and sequence the movements necessary for speech production.

Common Characteristics:

  • Slow, effortful speech
  • Sound distortions and substitutions
  • Difficulty initiating speech
  • Trial-and-error attempts

Treatment Potential

With consistent, specialized therapy, individuals with apraxia can make significant improvements in their speech clarity and communication effectiveness. Recovery is possible with the right approach and support.

Improved Clarity

Enhanced speech intelligibility and communication confidence

Better Communication

Increased ability to express thoughts and connect with others

Enhanced Quality of Life

Greater independence and participation in daily activities

Discover Expert Apraxia Therapy

Learn about specialized speech therapy for apraxia with personalized treatment plans, experienced clinical care, and evidence-based approaches for lasting communication gains.

Serving Tennessee & Kentucky

marina@affinitytherapytn.com

Frequently Asked Questions

At Affinity Therapy, we understand that you may have questions about our speech therapy services, treatment approaches, and what to expect. Below, we've compiled a list of the most frequently asked questions to help you find the information you need.

Marina specializes in neurocognitive communication disorders including aphasia (language difficulties after stroke or brain injury), apraxia of speech (motor speech disorders), executive function support, and alternative communication for non-speakers. She works with both children and adults across Tennessee and Kentucky.

Marina brings a holistic, person-centered approach that values both professional expertise and family insight. Her background as a Registered Behavioral Technician provides a broader perspective on therapeutic approaches, and she emphasizes collaborative care that considers the full picture of each client's needs.

Currently Takes MediCare. Will soon take BCBS.

Therapy duration varies greatly depending on individual needs, goals, and the specific condition being treated. Some clients see progress within weeks, while others may benefit from longer-term support. Marina will discuss realistic timelines and goals during your initial consultation.

Marina uses evidence-based approaches including motor learning principles for apraxia, semantic and phonological therapies for aphasia, cognitive rehabilitation techniques for executive function, and AAC assessment and training for alternative communication. All methods are individualized to each client's specific needs and goals.

Absolutely! Family involvement is central to Marina's approach. She provides training on communication strategies, home practice activities, and ways to support progress outside of therapy sessions. Family members are educated on the specific communication disorder and how to best support their loved one.

Yes! Marina has special interest in alternative communication methods including AAC devices, letter boards, and spelling-based systems. She works collaboratively with families to explore and implement these tools, focusing on what already works and expanding communication possibilities.

Your first consultation includes a comprehensive assessment of communication needs, discussion of medical history and goals, explanation of treatment approaches, and development of a personalized therapy plan. Marina takes time to understand your unique situation and answer all your questions.

Marina provides virtual speech therapy services to anyone throughout Tennessee and Kentucky. For in-home services, she serves the greater Nashville area in Tennessee including Portland, Gallatin, White House, Goodlettsville, Springfield, and Cross Plains. In Kentucky, in-home services are available primarily in Franklin areas.

Yes, Marina offers flexible service options including in-home therapy, and virtual sessions. In-home services are available throughout the northern Nashville area in Tennessee, and in Franklin areas of Kentucky. Virtual therapy is available to anyone throughout Tennessee and Kentucky.

Therapy scheduling is flexible and collaborative. Marina works with families to find times that work best for everyone, whether that's weekly sessions, intensive periods, or maintenance schedules. Consistency is important, but flexibility is also provided when needed.

Yes, telehealth options are available for appropriate clients and treatment goals. Some therapy techniques work well virtually, while others may require in-person sessions. Marina will discuss the best format during your consultation based on your specific needs and technology comfort level.

See What Families Say

Real Stories. Real Progress

Apraxia Support Available!

Apraxia Therapy Consultation

Expert motor speech therapy for children and adults with apraxia, focusing on speech coordination and clarity.

Or schedule a consultation: Schedule Speech Therapy Consultation
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CCC-SLP Certified