Which Specialist to See for Persistent Speech Clarity Issues? - Otolaryngology

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Which department should I consult?


Hello doctor, I have a question.
If someone has had unclear speech since childhood, but their hearing is normal and their tongue can move properly, should they see a specialist? Is it sufficient to visit a clinic, or should they go to a larger hospital?

SOLA, 20~29 year old female. Ask Date: 2020/11/12

Dr. Ji Zhaoyun reply Otolaryngology


Hello, it is recommended to first consult with a neurologist and an otolaryngologist.
If further rehabilitation is needed, you will be referred to a rehabilitation specialist.
Wishing you peace and good health.

Reply Date: 2020/11/12

More Info


If you've been experiencing persistent speech clarity issues since childhood, it's important to seek the right kind of specialist to address your concerns. Given that you mentioned your speech difficulties have been ongoing and that your hearing and tongue movement are normal, the most appropriate specialist to consult would be a speech-language pathologist (SLP).
Speech-language pathologists are trained professionals who specialize in diagnosing and treating communication disorders, including speech clarity issues. They can assess your speech patterns, identify any underlying issues, and develop a tailored treatment plan to help improve your clarity of speech. This may involve various therapeutic techniques, exercises, and strategies designed to enhance your articulation and overall communication skills.

You can find speech-language pathologists in both private clinics and hospitals. If you prefer a more comprehensive evaluation, visiting a larger medical facility or a specialized speech therapy clinic might be beneficial. These settings often have access to a multidisciplinary team, including audiologists and other healthcare professionals, who can provide a more holistic approach to your speech concerns.

In addition to consulting an SLP, it may also be worthwhile to see an otolaryngologist (ENT specialist) if you have any concerns about your vocal cords or other anatomical structures that could be affecting your speech. However, since you indicated that your tongue movement is normal and you do not have hearing issues, starting with a speech-language pathologist would likely be the most direct route.

When you schedule your appointment, be prepared to discuss your speech history, any specific challenges you face, and how these issues impact your daily life. This information will help the SLP tailor their assessment and treatment plan to your unique needs.

In summary, for persistent speech clarity issues, the best course of action is to consult a speech-language pathologist. They will provide you with the expertise and support needed to improve your speech clarity and enhance your communication skills. If necessary, they can also refer you to other specialists for further evaluation. Don't hesitate to reach out for help; addressing these concerns can significantly improve your quality of life and confidence in communication.

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