Communication Is The Essence of Human Life
Baby Sitting

Traditional speech therapy services offered for articulation, receptive and expressive language, pragmatics, and more.  Sessions are 40 minutes and can be scheduled weekly or biweekly to fit your needs. Call or text 503-654-4959

I understand Speech and Language Therapy is an investment of your time, energy, and money. My goal is to provide you and your family with the highest quality of speech therapy in Milwaukie, Oregon while making therapy sessions fun and engaging.

Pathway Speech Therapy also serves adults. LSVT Loud Voice therapy is one therapy option. LSVT is an intensive intervention designed to teach adults to use their voice at a more normal loudness level while speaking at home, work, or in the community. Key to the treatment is helping people “recalibrate” their perceptions so they know how loud or soft they sound to other people and can feel comfortable using a stronger voice at a normal loudness level.

While LSVT LOUD treatment has helped people in all stages of Parkinson’s Disease, the majority of research has been on those in moderate stages of the disease. LSVT LOUD has also helped people with atypical parkinsonisms, such as progressive supranuclear palsy (PSP), and has recently shown promise for adults with speech issues arising from stroke or multiple sclerosis and children with cerebral palsy or Down syndrome. Beginning your work with LSVT LOUD before you’ve noticed significant problems with voice, speech and communication will often lead to the best results, but it’s never too late to start. LSVT LOUD has the potential to produce significant improvements even for people facing considerable communication difficulties.

Call 503-654-4959.

Fluency Disorder/Stuttering
A Few Words About Stuttering
therapist working with a child on a correct pronunciation

We all have times when we don’t speak as smoothly as we would like. We may repeat a syllable or word, we might add “uh” or “you know” to what we say. All of these stuttering events or disfluencies are normal if they happen occasionally. When it happens a lot, or if it bothers the speaker, it may be stuttering.

Stuttering might make a person tense or struggle to talk. Stuttering may get in the way of how a person talks to others. Some may want to hide their stuttering and avoid certain words or refuse to talk in some situations. For example, a student may not want to be called on in class because that situation increases their stuttering.

People who stutter may have the following types of disfluencies:

  • Blocks– This happens when you have a hard time getting a word out.
    For example, “I want a …… cookie.”

  • Prolongations– You may stretch a sound out for a long time, like cooooooooooookie.
  • Repetitions– You may repeat parts of words, like co-co-co-cookie.


  • Stuttering can change from day to day.
  • Stress or excitement can lead to more stuttering.
  • There is no one cause of stuttering.

For more information 503-654-4959. You may also send a message Contact Us page.

Childhood Apraxia of Speech (CAS)
What is Apraxia and CAS?
speech impediment during therapy with specialist

Childhood apraxia of speech (CAS) is a neurological childhood speech sound disorder in which a child is having difficulties in making accurate movements when speaking. This is when the brain struggles to develop precise and consistent movements due to neuromuscular deficits. Treating CAS can often require intensive therapy to improve speech skills.

Call Lee DeCouteau CCC-SLP 503-654-4959.

Language Therapy
Language Connects Us
boy feeling happy because he made progress in speech lessons

Language therapy

Language refers to the content, structure, and organization of both written and oral communication. Language disorders can manifest as difficulty with finding the right words to say, confusing or disorganized message structure, using vague or unclear descriptions, or difficulty with grammar and sentence structure. The goal of language therapy is to help you process words effectively and speak in a concise, organized, easy-to-understand manner.

What is a language disorder?

Language disorders can have many causes and take many shapes and forms. Broadly speaking, there are two main categories of language disorders:

Receptive language disorders make it difficult to understand what other people are saying. It may be difficult to follow complex directions or catch all the details of a story or conversation. You may feel like you are often missing what others are saying, or have a hard time keeping up with verbally-presented information.

Expressive language disorders make it difficult to put your thoughts into words. You may struggle to find the right words (word retrieval), or your messages may often be disorganized or confusing to listeners. Organizing a thought into a cohesive, concise statement can be extremely challenging.

Often, language disorders are mixed, meaning there is difficulty with both the receptive and expressive aspects. Language disorders can impact reading and writing as well as listening and speaking.

What happens in language therapy?

Language therapy varies widely depending on the nature of the impairment (receptive, expressive, mixed) and its severity. Therapy will be highly structured with exercises based on real life situations, focusing on word-finding and processing speed. At times it may appear informal by practicing high-level narrative organization skills in conversation.

Language therapy is not limited to the spoken word. Language disorders often impact reading and writing skills, and these can be important areas for therapy. In some cases, written language may be more impaired than spoken language, in which case the bulk of therapy will be spent in this area. We will work together to determine how much focus is appropriate across listening, speaking, reading, and writing.