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Christie DeLuca, CCC-SLP provides individualized voice and speech services through teletherapy. She specializes in voice, particularly in neurological voice through education (Facebook group with accurate education) and 1:1 direct treatment. Teletherapy offers a convenient way for individuals to receive services through a HIPAA compliant virtual platform.


Speech and voice therapy is currently provided via teletherapy to those who reside in California, Connecticut, New York, and Massachusetts. Please inquire directly about services to states/countries outside of these listed areas.

Neurological voice disorder support, trainings and education provided through Spasmodic Dysphonia Facebook page here



Changes in the way your voice sounds or feels when speaking can warrant voice therapy, as well as the desire to change your voice as part of transgender care. If you have any of the following click to learn more. For more information on specialized Spasmodic Dysphonia and neurological voice treatment click here

Voice breaks 
Hoarse voice
Strain and effort with speaking
Vocal fatigue 
Change in the sound of the voice due to neurological disorder
Difficulty being heard
Sore throat muscles, fatigue or discomfort when speaking
Chronic cough/chronic throat clearing
Vocal Cord Dysfunction

Transgender Voice Modification/Voice Affirmation

It is important to find a voice that matches your identity. You may currently experience that you are misgendered in person or on the phone due to your voice or speech or that you experience gender incongruence where your voice doesn't match your perceived identity. Whether you identify as male, female, non-binary, or on the gender spectrum we will work to find a voice that matches you as a person and a voice that you desire. 

We work on aspects of voice such as pitch but also vocal resonance, intonation, articulation, language use (direct and indirect), and non-verbal behaviors in a supportive, culturally sensitive, and motivating environment. Read more about transgender voice modification here

Motor Speech Disorders (Dysarthria & Apraxia)

Motor speech disorders can affect how speech sounds are produced. These disorders arise as a result of neurological insult, i.e. stroke or brain injury. It can cause individuals to have difficulty producing speech sounds. If you have any of the following symptoms below click here to learn more: 

Signs of Dysarthria

  • Speech sounds slurred

  • Less precise or uncoordinated production of sounds

  • . Fast, slow, or inconsistent rate of speech

  • Altered pitch or intonation

  • Change in vocal quality

  • Laborious speech

  • Difficulty being heard by others 


Signs of Apraxia 

  • Feeling like you have loss of control over your lips/tongue

  • Feeling like you stumble over your words stumble with your tongue/lips

  • Knowing the exact word and sounds you intend to say but having a different sound come out

Treatment is available for those who'd like to reduce the perception of his/her foreign accent. We provide training in perception and production of sounds of Standard American English so that you can be understood more clearly by others and feel more confident when communicating. To learn more click here. 

Some commonly reported speech symptoms for those seeking accent modification include: 

  • Feeling frustrated or embarrassed by your speech

  • Finding that others can't understand you

  • Being asked to repeat frequently 

  • Accent is affecting job or social life

  • Being perceived as less competent or intelligent due to one's accent

We take a structured approach with prompts such as the vowel chart, phonemic discrimination tasks, sentences, and progress into conversational speech. We will do a thorough sound analysis at each level of speech: words, sentences, and conversation and assess in different contexts (work, highly professional conversation, phone calls, presentations), as well as target speech in each of these contexts.

Aphasia is a language disorder resulting from a stroke or other neurological injury. Aphasia can affect expressive language (speaking and writing), receptive language (our ability to understand language), and sometimes both. This may include the symptoms listed below. Click here to learn more. 

  • Trouble finding or using intended words/names

  • Difficulty forming sentences or structuring sentences

  • Difficulty reading

  • Grammatical mistake

  • Trouble understanding words, sentences, and conversations (spoken and/or written).

  • Difficulty with numbers or telling time

Treatment includes functional evidenced-based approaches to get individuals back to communicating and participating in daily life activities. 

Some individuals may have been given worksheets in prior treatment, may be no longer motivated or may have been told that there is no more improvement to be had. We hope to prove differently; Not through worksheets or drills, but through communicating in real and personally meaningful situations. Want to record a birthday message for your sibling? Want to deliver that speech at your child's wedding? Want to be able to place your order at your favorite restaurant independently? We can help with those. We offer support to spouses and family members of those with aphasia. 


Stuttering can be impairing at any age. If you or your child stutters, it can affect every aspect of life and come with emotional effects, behavioral avoidances and changes in thought patterns or self-view. Perhaps you've been able to "get by" with your stutter up to this point, but maybe the stuttering gets in the way of presentations, work duties, or social activities as an adult. We take an approach where we look at the "Iceberg of Stuttering" to target not just getting "perfect" speech, which is often an impossible goal that leads to frustration, but to give tools for more smooth and easier speech while targeting the emotional, behavioral, and thought changes that come about with stuttering. 

If you or someone you know stutters you may know that stuttering comes with the following symptoms below.

  • Repetition of initial sounds of words, blocks, or unintended prolongations of words 

  • Emotions such as embarrassment, shame, anger, frustration, or sadness surrounding stuttering

  • Thought patterns such as thinking about what others are thinking when you speak, thinking more about the process of speech than what you want to say

  • Changes in how you view yourself

  • Negative thoughts about yourself or how you present to others

  • Word switching (or even switching your name) to get around a stutter

  • Avoiding certain situations, people, or places to avoid stuttering

  • You may hide your stutter from others or have not accepted the fact that you have a stutter

  • Secondary behaviors such as eye twitching, tapping, other odd body movements

  • You may wish for your speech to be "normal" and for your stutter to disappear 

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