Lexington, Kentucky — specialized speech therapy, available from home.
Aphasia therapy and adult communication support — available virtually from anywhere in Kentucky. Marina Coakley, M.S., CCC-SLP, licensed in Kentucky.
Adults recovering from stroke or brain injury often need outpatient communication care that fits real life — scheduling, transportation, and energy. In Lexington and central Kentucky, virtual therapy can bring specialist care into your home while you stay focused on recovery.
I'm licensed in Kentucky and provide telehealth aphasia therapy statewide. For many adults, virtual sessions make consistent care easier to sustain alongside work, caregiving, and the pace of daily life.
Recovery does not stop at an arbitrary calendar date. The brain keeps adapting, and targeted therapy remains valuable well after the first months after injury. What matters is skilled work you can keep showing up for.
I work with adults and families at every stage — from soon after discharge to years into recovery. Sessions center your goals: what you want back, what your days require, and what gets in the way.
I've always been most drawn to the cases that take the longest and matter the most. Aphasia is one of them. If you're in Kentucky and looking for a clinician who takes this work seriously — and can meet you where you are, from home — I'd love to talk.
Services Available in Lexington
Aphasia Therapy
Specialized help for the language changes that can follow a stroke or brain injury. Starting sooner helps, and meeting online means you can begin without the drive.
Apraxia of Speech
Focused, repetition-based work to rebuild reliable speech, all done online so where you live never gets in the way of the care you need.
Adult Communication Therapy
If words won't come, thinking feels slower, or conversation tires you out after a TBI or brain injury, I can help with that and with fluency, voice, and everyday communication, all online across Kentucky.
Frequently Asked Questions
Can adults in Lexington access outpatient aphasia therapy?
Yes. Adults often move from hospital-based services into outpatient care as recovery continues. In smaller markets, pediatric-focused practices are common — so families sometimes look statewide for adult specialty care. I'm licensed in Kentucky and provide individualized aphasia therapy virtually, including for Lexington and surrounding communities.
Is telehealth speech therapy effective for aphasia?
Research consistently supports telehealth aphasia therapy for many adults. Studies comparing telehealth with in-person care often find comparable outcomes when therapy is individualized and consistent. Some people benefit from starting in person before transitioning home — when that's clinically appropriate, we discuss it openly. What matters most is skilled therapy that fits your life well enough to continue.
My spouse had a stroke eight months ago and hasn't had speech therapy since leaving inpatient rehab. Is it too late?
No. Eight months is not late — it's exactly when many families find their way to outpatient speech therapy, after the dust of acute care settles and the reality of long-term recovery sets in. The brain continues to form new pathways well beyond the first months after stroke. Consistent therapy at any stage produces meaningful improvement. Starting now is better than waiting longer.
I live outside Lexington — does Affinity Therapy serve the rest of Kentucky?
Yes. Because sessions are virtual, I can work with any adult in Kentucky where telehealth is clinically appropriate. That includes Frankfort, Richmond, Georgetown, Danville, Winchester, and anywhere else in the state. The Kentucky license covers statewide telehealth practice.
What's the difference between a consultation and starting therapy?
A consultation is a free, no-commitment conversation — typically 20 to 30 minutes — where we talk through what's going on, what you're hoping to accomplish, and whether Affinity Therapy is a good fit. No assessment, no obligation. If it feels right, we schedule an evaluation, which is the formal first session where we assess communication abilities and set goals. Therapy sessions follow from there. You can schedule the consultation directly online — it's the lowest-stakes first step.
How do sessions work practically — what does my family member need to participate?
A device with a camera and microphone — a laptop, tablet, or smartphone works fine — and a reliable internet connection. That's it. I use a HIPAA-compliant video platform, so sessions are private and secure. If the person with aphasia has difficulty managing technology independently, a family member can set up the session and either step back or stay involved as a communication partner. We can walk through the setup before the first session to make sure everything works.
Let's get started right from home
The first call is free and there's nothing to commit to. I meet with people online all across Kentucky.
Schedule a Free Consultation