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Lee Silverman Voice Treatment (LSVT) and SPEAK OUT!

Evaluation and therapy in the early stages of the disease ― even when symptoms are mild or not noticeable — can help to maintain function.

Two evidence-based approaches to help address speech changes are:

  • Lee Silverman Voice Treatment (LSVT) LOUD®
  • Parkinson Voice Project SPEAK OUT!®

How the Programs Works

LSVT LOUD focuses on improving vocal loudness. The goal of SPEAK OUT is stronger, clearer speech.

You will participate in individual speech therapy through LSVT LOUD or SPEAK OUT!. Then, we encourage you to continue daily exercise to maintain progress you made in therapy.

If you have completed SPEAK OUT, you can attend a SPEAK OUT! group, also known as LOUD Crowd. These groups meet once a week. They offer opportunities for vocal practice, social interaction, support, and accountability.

  • LSVT LOUD includes individual therapy, four times per week, for four weeks. Then, you will practice at home every day. You can return for “refresher” sessions as needed.
  • SPEAK OUT includes individual therapy, three times per week, for four weeks. You can then attend SPEAK OUT group sessions one time per week for as long as you want.

If needed, LSVT also offers a treatment program called LSVT BIG led by physical and occupational therapists.

Where to Get Treatment

Many Northwestern Medicine speech therapists are certified to provide LSVT LOUD or SPEAK OUT therapy. The following outpatient rehabilitation locations offer one or both of the programs.

Offered at the following locations:

Crystal Lake
Sycamore Midlands

Offered at the following locations:

Lake Forest

  • In-person: Thursdays -10:30 am
  • In-person and virtual: Wednesdays-11:00 am
  • Call for information or to register: 630.933.1500

  • Northwestern University

  • Virtual: Mondays - 4:30 pm
  • Virtual: Tuesdays - 4:00 pm
  • Virtual: Thursdays - 1:00 pm
  • Call for information or to register: 312.926.3705

  • Central DuPage Hospital

  • In-person: Thursdays - 9:30 am
  • Call for information or to register: 312.926.8400
  • How to Schedule an Appointment

    If you notice changes in speech, voice or swallowing, ask your physician for a referral to speech therapy. The speech therapist will conduct an evaluation to determine which treatment approach best fits your needs. You can notify your therapist at the evaluation if you are interested in one of the programs.

    Please call 630.933.1500 for more information.

    Locations & Contact Information