An initial speech therapy session for adults can often be a source of uncertainty and anxiety. However, understanding what to expect can alleviate these concerns and ensure that you make the most out of your therapeutic journey. Whether you’re dealing with a stutter, recovering from a stroke, or trying to mitigate a regional accent, this first encounter with a speech therapist is a significant step toward overcoming your communication challenges.

This article will provide you with a broad understanding of how the first speech therapy session for adults typically unfolds.


Before Your First Session

Before embarking on your first speech therapy session, there are a few things you can do to prepare. Familiarize yourself with the therapist’s credentials, approach, and overall philosophy towards speech therapy. This will help set your expectations accordingly and allow you to have a mental picture of what lies ahead. It’s also beneficial to jot down any questions or concerns you may want to address during your session.

What to Bring to Your First Session

On the day of your first appointment, remember to bring any relevant medical reports or a referral letter if you have one. The therapist might also need to review any diagnostic reports, especially if your speech challenges stem from a medical condition like a stroke.

If you have set communication goals that you want to achieve, bringing them along can help guide the therapy session. This first meeting is an opportunity to share your personal story, so anything that paints a comprehensive picture of your communication struggles can be beneficial.

During Your First Session

During this initial meeting, the speech therapist will lead you through a series of exercises to assess your communication strengths and weaknesses. This evaluation may involve various speech and language tests, conversations, and observations. The therapist will also take the time to learn more about your history, lifestyle, and specific speech-related goals.

The insights gained from this session will facilitate the creation of a customized therapy plan tailored to meet your unique needs. Remember, the goal of this first session is not to see immediate improvement, but to establish a baseline and plan for future progress.

After Your First Session

After the completion of your first speech therapy session, the therapist will typically provide you with a summary of the assessment findings and preliminary treatment strategies. This might include recommendations for exercises you can do at home, lifestyle adjustments, or follow-up appointments. It’s essential to remember that progress in speech therapy often requires consistent practice and patience. Don’t get disheartened if improvements aren’t immediate. Every step, no matter how small, is progress toward achieving your communication goals.

Understanding the Role of the Speech Therapist

A speech therapist is a trained professional who specializes in diagnosing and treating a variety of communication disorders. They possess the knowledge and skills to address a wide range of issues, including problems with speaking, listening, understanding language, reading, writing, social skills, stuttering, and using the voice. They use a range of strategies and tools to assist their clients in achieving their communication goals.

The role of a speech therapist goes beyond the therapy sessions, as they often provide advice and support to the client’s family and caregivers, educating them on how they can assist in the therapy process.

Considering the Importance of Regular Attendance

Regular attendance is crucial in speech therapy as progress is dependent on consistent practice. Missing sessions can often lead to stagnation or even regression in the therapy process. It’s important to schedule your sessions at a time when you can consistently attend and dedicate your full attention to the therapy process for optimal results.

Understanding the Role of Patience and Persistence

Speech therapy is a journey and not a quick fix. Patience and persistence are key components in achieving your communication goals. It’s important to remember that progress might be slow at times, but with consistent effort and a positive mindset, you can make significant strides toward improving your speech and communication skills.

Embracing the Role of Family and Friends in Therapy

Family and friends can play a significant role in the therapeutic process. They can provide additional practice opportunities outside of therapy sessions, offer emotional support, and help maintain a positive and supportive environment, which is crucial for progress in therapy. The involvement of loved ones can greatly enhance the effectiveness of speech therapy and contribute to a more enriching therapeutic journey.


Attending your first speech therapy session as an adult can feel intimidating, but it’s a crucial step toward improving your communication skills and achieving your goals. By preparing yourself beforehand, understanding the therapy process, and embracing the role of patience and persistence, you can make the most out of your first session and set yourself up for success in your therapeutic journey. Remember to communicate openly with your therapist and loved ones, as their support can greatly contribute to your progress. With dedication and consistent effort, you can overcome communication challenges and improve your overall quality of life.