We do the first session in your home so we can fully evaluate your needs and get to know you. Next we determine how often you need treatments and get you set up with our easy to use video calls. All you have to do is click on the link we email or text you just 10 minutes before your scheduled session. We do follow up visits in person as  needed. 

Voice Disorders

There are many disorders that can affect the way the vocal folds come together, impacting your voice and/or the way that you swallow. We recommend you start with an ENT (Ear, Nose and Throat doctor) to better understand the cause and appropriate treatment options. After that, your ENT may recommend treatment with a Speech Therapist (that’s us!).

People with Parkinson’s often end up having difficulty with being heard when they speak. A well known program for this is LSVT Loud and is considered the gold standard among many Speech Pathologists for improving voice in people with Parkinsons. As the owner of Cobalt Therapy, I am personally certified with the LSVT Loud program and have seen great results with it!

For some, it just may be stress from over using the voice. This is particularly common for teachers, singers, and/or anyone that participates in public speaking events. There are exercises that can be performed to help strengthen the vocal folds, as well as identifying and reducing abusive behaviors that may be impacting healthy function.

Click Here To Learn More About LSVT.

Disorders from a stroke

Strokes can impair the way we communicate, think and even our ability to swallow food or drinks safely. The impairments can be life long disabilities. The first two years after a stroke are the most critical for optimal recovery. That is the time to make sure treatment is intensive and frequent. We take great care to ensure that you will be both challenged and working your brain every day for improved results. This means a home exercise program to go with your speech therapy treatment sessions. 

Understanding all the deficits can take a big toll on the caregiver. We also work to optimize the role of the caregiver in how they communicate and respond to the new challenges with their loved one. Difficulty finding their words (Aphasia), slurred words (Dysarthria), not being able to sequence the sounds of words correctly (Apraxia of Speech) and difficulty swallowing (Dysphagia) are all medical conditions that often occur after a stroke. 


Cognitive impairments

We offer training of various technology within your own home for increasing independence with acts of daily living for those with cognitive deficits. Cognitive deficits include difficulty with memory, attention and problem solving abilities which can significantly impact one’s ability to manage important areas such as finances and medications at home.

Adults with TBI (Traumatic Brain Injury) often suffer from PTSD (Post-Traumatic Stress Disorder), which can further impair their ability to return to work and engage appropriately with those around them. There are a variety of ways to better manage these difficulties so that you can feel in control again. The brain, much like a muscle, needs to be stimulated to work well. When we acquire an injury to our brain (such as a stroke, concussion, etc), it will need a good rehabilitation program to regain functions that were lost or impaired.

As we age, there is a normal decline with our cognitive abilities. For some people, they may not have an underlying disease or traumatic event, yet they still find themselves struggling to keep up with ever changing technology and rules to maintain their independence. I also offer non-skilled wellness services that are not covered by insurance to help create personalized goals to increase the ability to better manage life more independently.

For those with Dementia or Alzheimer’s, loved ones can feel lost in areas of management. While currently there are no cures, there are a lot of things we can do to decrease the rate of which the disease will spread as well as finding ways to compensate for cognitive difficulties.

Finding novel ways to stimulate the brain at the right intensity and frequency has been a proven method for improving brain function and when combined with effective compensatory strategies can decrease accidents cause by these deficits.

wellness plans

These are low cost affordable plans!

Are you already getting services for your communication or cognitive deficits and you feel you are just not getting enough visits? Or maybe you have been discharged from speech therapy due to no longer making progress? At this point, insurance is not going to cover anything more and this is a common complaint we hear about. We finally decided to do something about this by putting together a more affordable Teletherapy Wellness Plan.

How is this different from a skilled SLP service paid for by insurance? All Wellness Services are performed through video conferencing called Teletherapy. You just click on the link we either text or email you and the session begins. The testing is informal, meaning we do not use the more elaborate standardized tests that require comprehensive scoring. The SLP completes a checklist of concerned areas and puts together activity plans that will help stimulate impairments. Consider it a maintenance plan. It will help maintain current abilities, rather than progress to the next level. Skilled SLP plans are developed to progress your skills and will often change as you improve your abilities.

Key ingredients to success with progress are intensity and frequency. Skilled SLP plans target intensity. This is the level of difficulty for you to complete a task, and it should be challenging! Our Wellness Plans do not focus on intensity. They assist with frequency. This combination will help you achieve your goals quicker!


People who stutter have difficulties producing speech in a fluent manner. They may repeat parts of words (repetitions), stretch a sound out for a long time (prolongations), or have a hard time getting a word out (blocks).

Even more frustrating are the secondary behaviors that tend to accompany these disfluencies, such as tension and negative feelings about talking. People that stutter may avoid certain words or situations such as talking on the phone.

Stuttering can change from day to day. There may be times that are fluent and then times when stuttering occurs more. Stress or excitement can lead to more stuttering.

Accent Reduction

Is your accent getting in the way of being able to perform your job effectively? Or maybe making your day to day social interactions more frustrating than when you speak to someone in your native language?

On your evaluation day, we will collect a speech and language sample from you that contains all the sounds in the English language and record it. We will then analyze the sounds that are being distorted and why. This will determine your treatment program and with proper training we can decrease the errors in your sounds that are impacting your speech intelligibility when speaking English. This is not currently covered by insurance, however we do offer discounts when sessions are paid in advance.

Insurance & Costs

Cobalt Therapy is currently a Medicare B Provider and accepts all patients under original Medicare as well as those with insurance plans that cover out of network services. We do all of the billing for you and you only need to pay if you have a co-payment/co-insurance portion. The only requirement is that you can not currently be in a home health episode receiving benefits under your Medicare Part A benefits. If you are not covered by insurance, or are in need of a service that insurance does not cover, we do offer private pay options, affordable Wellness Plans and discounts if paid in advance. While a referral from your doctor is not required to get started, we will need a physician that is willing to sign off on the plan of care when we fax it over to them.

The Personal Care You Deserve, right in your home!

Please fill in the contact form below and we will call you to set up a Free Consultation to discuss your concerns and answer any questions you may have.  You can also call (352) 508-7789 or email Ann-Marie at with any questions, comments or scheduling inquiries you may have.