Virtual visits (zoom) are often ideal. as this reduces travel time and allows you to be in your own home. Even if you’ve never done this before, you only need a camera and mic (even using your smartphone or tablet). Kerry will explain how to set it up.

She also does home visits, if you within a 2 hour radius of Edmonton.

Kerry can provide general educational information regarding your situation but cannot offer clinical care if you are outside of Canda.

In Canada, Kerry is only licensed to provide virtual CLINICAL services to residents in British Columbia, Alberta and Saskatchewan.

Yes. Telepractice is often very effective, especially for individuals with ALS. It reduces physical burden and allows for continuity of care as mobility changes.

Kerry is very experienced when it comes to working with her clients over telepractice (zoom). She will assist you with using an app with voice output to use over zoom and/or help you use the chat box to type in your responses. Telephone and video conferencing does not have to be a barrier for you!

As early as possible - ideally soon after diagnosis. Early involvement allows for education, planning, possible EMST and voice cloning. Speech therapy for ALS is most effective when it is proactive rather than reactive.

Yes. Many important supports, including communication strategies, fatigue management, and early AAC planning, are most useful before speech declines. Early therapy helps individuals maintain control and avoid rushed decisions later.

Speech therapy does not alter disease progression. However, it can significantly improve quality of life by supporting communication, reducing frustration, and ensuring that individuals have effective ways to express themselves at every stage.

AAC (Augmentative and Alternative Communication) includes tools and strategies that support communication when speech becomes difficult. AAC is best introduced early, even when natural speech is still strong, so there is time to learn and personalize systems without pressure. We can assist you with low-tech AAC (like letterboards etc) and mid-tech AAC ( apps on phone or tablet) and can also refer you to local assistive technology centers for high-tech devices like eyegaze.

Not always. Many people continue using natural speech while also having AAC available as a backup or supplement. Having options reduces anxiety and preserves independence. For others, natural speech is just not effective and they do well with a communication device that has voice output and will replace their natural speech.

Muscles used for chewing and swallowing may weaken, leading to coughing, choking and/or fatigue with meals, or food feeling stuck. Swallowing changes often develop gradually and vary between individuals.

Speech-language pathologists can provide education, assessment, strategies, and monitoring related to swallowing changes in progressive neurological conditions. The focus is on safety, comfort, and quality of life, and on helping individuals make informed decisions as needs evolve.

EMST (expiratory muscle strength training) is a breathing exercise program using a handheld device to strengthen muscles involved in coughing, breathing, and airway protection.

For some individuals in the early stages of the disease, EMST may improve breathing, cough strength and airway protection. It is generally safe and feasible for select individuals when started early. It is not recommended in later stages of ALS, particularly when respiratory weakness is present.

Speech-language pathology services for those living with dementia focus on supporting communication - offering strategies to simplify communication, memory supports and safe eating and swallowing. There is an emphasis on education and caregiver coaching and environmental strategies.