Louisville, Kentucky — one clinician from intake through discharge. No handoffs.
Individualized aphasia therapy from home across Kentucky — one clinician from intake through discharge. Marina Coakley, M.S., CCC-SLP.
Louisville sits within a strong regional healthcare community. When you're ready for outpatient aphasia therapy centered in one ongoing relationship, I'm here — licensed in Kentucky, providing virtual care statewide, with sessions shaped around your priorities and daily life.
Affinity Therapy is intentionally small: you work with me at every session. Your evaluation, goals, and progress stay connected without losing context between visits. Aphasia care is often a longer arc, and continuity supports that work.
I've been drawn to aphasia since graduate school — its complexity, its humanity, and the real possibility of meaningful change over time. That focus shapes how I plan sessions and how I measure progress with each person.
If you're navigating a gap after rehab, returning to therapy after time away, or simply exploring options, a free consultation is a low-pressure place to talk through fit. There's no obligation to begin.
Wherever you are in your search, you can use a consultation to ask questions, describe your goals, and see whether one-to-one virtual care feels like the right next step.
Services Available in Louisville
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
Will I work with the same clinician at each visit?
Yes. Affinity Therapy is built around continuity: you work with me, Marina, at every session. Your evaluation, goals, and progress stay connected in one relationship — which matters for aphasia care that unfolds over months or longer.
How soon can new clients typically begin?
Timing varies by season and schedule; the free consultation is the simplest way to learn current availability and next steps. Because the practice is intentionally small, I can often offer starts within a few weeks for clients who are ready.
I've already done aphasia therapy elsewhere. Can Affinity Therapy continue where that left off?
Yes — and previous therapy is useful context, not a barrier. In the initial evaluation, I'll review what you've already worked on, what approaches were used, and what progress you made. That shapes what we focus on going forward. Continuing care after a gap, or picking up after therapy with another provider ended, is a common situation. There's no need to start from scratch.
What if my loved one is resistant to starting therapy again?
Resistance is common, and it deserves patience. Sometimes it follows discouraging earlier experiences; sometimes it connects to how aphasia affects motivation or insight. A consultation can include family as much as the client — often a low-pressure conversation about what therapy looks like helps people feel safer stepping in. We can outline what to expect before anything is scheduled.
How does private pay work, and what does it cost?
Affinity Therapy is a private-pay practice. Sessions are not billed directly to insurance. Pricing is discussed during the free consultation. A superbill is provided after each session for submission to your insurer for potential out-of-network reimbursement — many clients receive partial reimbursement depending on their plan. HSAs and FSAs are also accepted. The consultation is the right place to discuss specifics, including what a realistic session frequency looks like for your situation and budget.
What types of aphasia does Affinity Therapy treat?
All types — expressive, receptive, anomic, Broca's, Wernicke's, global, and primary progressive aphasia. Each type presents differently and responds to different approaches. The evaluation at the start of care identifies the aphasia profile and shapes the treatment plan accordingly. Apraxia of speech, which frequently co-occurs with aphasia after stroke, is also treated. If you're unsure what type of aphasia your family member has, that's something we can help clarify during the evaluation.
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