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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.

Insights from Affinity Therapy: Our Blog

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The Wonders of Neuroplasticity

What is Neuroplasticity? This refers to the brain’s ability to create new neural connections to complete skills and tasks that are different from previous neural pathways. This remarkable capacity al...

By Marina Coakley, M.S., CCC-SLP • 9/1/2025
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From Music Therapy Major to Speech Language Pathologist

From Music Therapy Major to Speech Language Pathologist

Welcome to my blog! I’m Marina Coakley M.S., CCC-SLP, the founder of Affinity Therapy | Speech Language Pathology Services. My interest in pursuing Speech Language Pathology began in my undergraduate...

By Marina Coakley, M.S., CCC-SLP • 8/28/2025
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Aphasia’s Impact on Daily Communication

Aphasia’s Impact on Daily Communication

Aphasia is a language disorder that affects a person’s ability to communicate effectively. It most commonly occurs after a stroke or other neurological injury and can significantly impact day-to-day i...

By Marina Coakley, M.S., CCC-SLP • 7/11/2025
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See What Families Say

Real Stories. Real Progress

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Your Communication Journey Starts Here!

Contact Affinity Therapy

Neurocognitive speech therapy, personalized treatment plans, and compassionate care from Marina Coakley, M.S., CCC-SLP.

Or schedule a consultation: Schedule Speech Therapy Consultation
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