Strength & Growth at Every Stage of Life.

Life brings unexpected changes—career shifts, health challenges, relationship transitions, or major life adjustments. Whether you're working to improve communication, regain independence in daily tasks, or process difficult emotions, support is available.

speech-Language Therapy & psychology services for Adults in Edmonton & St. Albert​

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We understand that adults need therapy that values their perspectives, addresses their functional goals, and fits within their schedules.

Our therapists provide evidence-based, personalized support designed specifically for adults.

How We Support Adults

  • Regain your voice, rebuild communication skills, and reclaim confidence after stroke, injury, or illness.

    Service Overview:

    Our Speech-Language Pathologists provide comprehensive assessment and treatment for adults experiencing:

    • Post-Stroke Communication Challenges (aphasia, apraxia, dysarthria)

    • Brain Injury Recovery (traumatic brain injury, concussion)

    • Progressive Neurological Conditions (Parkinson's disease, ALS, MS, dementia)

    • Voice Disorders (vocal cord dysfunction, hoarseness, professional voice concerns)

    • Fluency Disorders (stuttering in adults)

    • Cognitive-Communication Disorders (memory, attention, problem-solving)

    Delivered By:

    • Registered Speech-Language Pathologists (SLPs)

    • Therapy Assistants (TAs)

    Coverage:

    • Typically covered by extended health insurance plans, for sessions with an SLP

    Service Options:

    • In-person at our St. Albert location or virtual therapy from your home

  • Psychology Assessments for Adults

    Gain clarity, access support, and understand your unique cognitive and developmental profile.

    Service Overview

    Our Registered Psychologists provide comprehensive assessments for adults seeking:

    • Psychoeducational Assessments (learning disabilities, ADHD, cognitive processing, academic accommodations)

    • Autism Spectrum Assessments (ASD diagnosis, understanding social communication differences, accessing services)

    Delivered By

    • Registered Psychologists

    Coverage

    • Typically covered by extended health insurance plan

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Why Adults Choose Ruby Therapy Services

What We Work On Together

speech &

Language

  • Stroke is a leading cause of communication difficulties in adults. Our SLPs specialize in post-stroke rehabilitation to help you regain language, speech, and communication abilities.

    Common Post-Stroke Communication Challenges:

    Aphasia (Language Disorder):

    • Difficulty finding words or forming sentences

    • Trouble understanding spoken or written language

    • Challenges with reading or writing

    • Frustration with communication despite intact thinking

    Apraxia of Speech (Motor Planning Disorder):

    • Difficulty coordinating the movements needed for speech

    • Inconsistent speech errors

    • Effortful, slow speech

    • Better automatic speech than intentional speech

    Dysarthria (Motor Speech Disorder):

    • Slurred or unclear speech

    • Weak or imprecise articulation

    • Changes in voice quality (hoarse, breathy, strained)

    • Difficulty controlling volume or rate of speech

  • Stuttering can persist into adulthood or re-emerge due to neurological conditions or psychological factors. It can impact professional and social communication.

    What It Looks Like:

    • Repetitions of sounds, syllables, or words

    • Prolongations of sounds

    • Blocks (getting stuck, unable to produce sound)

    • Physical tension during speech

    • Avoidance of speaking situations

    • Anxiety about speaking, especially in professional or social settings

    How We Help:

    • Our SLPs use evidence-based fluency therapy tailored to adults. We teach fluency strategies, address the cognitive and emotional aspects of stuttering, and work on reducing avoidance behaviors. You define your goals—whether that's speaking more fluently, stuttering more comfortably, or building confidence in professional communication.

  • Progressive conditions like ALS (Lou Gehrig's disease), Multiple Sclerosis (MS), and dementia can gradually affect communication and swallowing.

    Common Challenges:

    ALS (Amyotrophic Lateral Sclerosis):

    • Progressive speech and voice changes (dysarthria)

    • Swallowing difficulties (dysphagia)

    • Need for alternative communication methods as speech declines

    Multiple Sclerosis (MS):

    • Slurred speech (dysarthria)

    • Cognitive-communication challenges

    • Voice changes

    Dementia:

    • Word-finding difficulties

    • Difficulty following or participating in conversations

    • Memory and cognitive-communication challenges

    • Swallowing difficulties in later stages

    How We Help:

    • We provide ongoing support throughout disease progression, including speech therapy to maintain intelligibility as long as possible, training in alternative communication methods (AAC devices, communication boards), as well as caregiver education and support.

  • Cognitive-communication disorders affect the thinking skills that underlie communication, such as memory, attention, organization, and problem-solving. These can result from brain injury, stroke, dementia, or other neurological conditions.

    What It Looks Like:

    • Difficulty following conversations or remembering what was said

    • Trouble organizing thoughts or staying on topic

    • Challenges with problem-solving or decision-making

    • Attention difficulties affecting communication

    • Difficulty understanding complex information

    • Struggles with multi-tasking or managing multiple pieces of information

    How We Help:

    • We provide cognitive-communication therapy to improve underlying cognitive skills and teach compensatory strategies. We work on attention, memory, executive functioning, and functional communication in real-life contexts. We also provide training in the use of memory aids, organizational tools, and communication strategies.

  • Brain injuries can affect communication, thinking, memory, and social interaction. Our SLPs provide cognitive-communication therapy to address these challenges.

    What It Looks Like:

    • Difficulty with memory or attention

    • Trouble organizing thoughts or following conversations

    • Word-finding difficulties

    • Slower processing speed

    • Challenges with problem-solving or decision-making

    • Social communication difficulties (reading social cues, taking turns in conversation)

    • Frustration or personality changes affecting communication

    How We Help:

    • We provide cognitive-communication therapy targeting attention, memory, executive functioning, language, and social communication. We teach compensatory strategies, provide training in the use of memory aids and organizational tools, and work on functional communication in real-life contexts.

Submit a Referral

Therapy that fits

your life & focuses on what matters to you.

Submit a Referral

Starting therapy can feel uncertain.

Here's what the process looks like.

  • You, a family member, or a healthcare provider can submit a referral through our website. No doctor's referral is required to access our services, though some insurance plans may require one for coverage.

    What Happens:

    • Submit a brief online form with contact information and a description of communication or swallowing concerns

    • Our team contacts you within 1-2 business days to discuss your needs and schedule an assessment

  • Your first appointment is a comprehensive assessment (typically 60-90 minutes) where your Speech-Language Pathologist evaluates your communication, and learns about your goals for therapy.

    What the Assessment Includes:

    • Case history and discussion of your concerns, medical background, and goals

    • Standardized assessments of speech, language, voice, cognition, and/or swallowing (as appropriate)

    • Functional communication observation

    • Discussion of findings and preliminary recommendations

    Family Involvement:

    • Family members or caregivers are welcome and encouraged to attend (with your consent).

  • Following the assessment, your SLP will discuss the results with you, provide a diagnosis (if applicable), and develop a personalized treatment plan.

    You'll Receive:

    • Clear explanation of assessment findings

    • Diagnosis and clinical impressions

    • Recommended frequency and duration of therapy

    • Individualized therapy goals aligned with your priorities

    • Written report for your records, physicians, and insurance

  • Therapy sessions are typically 45-60 minutes and occur weekly or more frequently, depending on your needs and the nature of your condition.

    What Sessions Look Like:

    • Targeted exercises and activities designed to improve speech, language, voice, cognition, or swallowing

    • Practice using functional, real-life communication scenarios

    • Education about your condition and strategies for success

    • Home practice activities to accelerate progress

    • Progress monitoring and data collection

    Flexibility:

    • In-person at our St. Albert location or virtual sessions from your home

    • We also have options to work with a Therapy Assistant

  • Your SLP continuously monitors your progress, adjusts therapy goals and approaches as needed, and keeps you informed every step of the way.

    Ongoing Support:

    • Regular progress updates

    • Adjustments to therapy based on your response and changing needs

    • Collaboration with physicians and other healthcare providers (with consent)

    • Family education and caregiver training as appropriate

Youth & Adult

Stuttering Workshop

Does stuttering hold you back from speaking up at work or in social settings? Are you ready to develop practical techniques that give you more control over your communication?

Registration opening soon!
  • This group program, led by speech-language pathologists, is designed to help teens and adults who stutter gain practical skills and confidence in their communication. The group creates a supportive environment where participants learn evidence-based techniques while connecting with others who share similar experiences.

    • Speech strategies: Learn fluency shaping techniques (like gentle onset, breath management) and stuttering modification methods (such as pull-outs, voluntary stuttering) to gain better control over your speech. Practice these strategies in progressively challenging speaking situations from reading aloud to spontaneous conversation.

    • Emotional and cognitive work: Address the thoughts, feelings, and anxiety that often accompany stuttering through discussion activities and cognitive-behavioral approaches. Build awareness of physical tension patterns and learn relaxation techniques to manage speaking anxiety.

    • Group practice activities: Participate in structured speaking exercises including role-playing, video analysis, and conversational practice where you can apply strategies in a safe, supportive setting. Group discussions allow you to share experiences and learn from others who stutter.

    • Education: Understand the nature of stuttering, the normal speech process, and how your specific stuttering pattern works. Learn to identify your individual triggers and develop personalized strategies.

    • Starting on Jan. 5, 2025, group runs on Monday evenings, 5:45-6:45pm.

    • Session structure: Each session typically will include welcome and introductions, individual check-ins about speech goals, 2-3 structured activities alternating between speech practice and discussion, and wrap-up with feedback and self-evaluation. Sessions balance direct instruction, independent practice, and group interaction.

    • The cost is $50 per session.

    • Receipts can be submitted to your extended health benefits plan where applicable. Check your coverage for “Speech Therapy” To see if this may be covered under your plan.

    • The group is appropriate for teens 16+ and adults who have age-appropriate language skills and are motivated to work on their communication.

    • A complimentary pre-workshop screening is offered to ensure the program matches your needs and goals.​ This will be conducted on the phone or as a video call.

    • Teens are welcome to have a parent join them if they'd like.

    • Certain sessions are targeted towards parents or partners also attending for education around stuttering and to learn how they can best support their partner. We will let you know ahead of time if this week is a Parent & Partner week!

    • Active participation: You'll be expected to speak in front of the group, practice techniques in real-time, and complete homework assignments between sessions. The group environment is intentionally more challenging than one-on-one therapy to accelerate progress.​

    • Individualized goals: While working in a group, you'll set personal speech targets and receive feedback on your specific performance. The workshop format allows you to learn from others' experiences while addressing your unique stuttering pattern.​

    • Long-term strategies: Beyond immediate techniques, you'll develop skills for ongoing management including how to handle different speaking situations and reduce avoidance behaviors.​

    • Building relationships: We're here to connect and support one another. Take it at your own pace and just know that you are in a group of people who understand your challenges and effort you have already put forward to take these steps and work on your communication!

Adult aphasia group

Adult Aphasia Group in Edmonton and St. Albert

Communication is essential to connection, independence, and quality of life. Whether you're recovering from stroke, living with aphasia, or working on your communication skills, you don't have to navigate this journey alone.

Coming Soon! January, 2025