
Speech Pathology Services For Adults
Speech Business Perth strives to empower clients to unlock their full potential. We use an approach that builds confidence, fosters collaborative progress, and supports clients in achieving their therapy goals.

Elena MacDonald
Certified Practicing Speech Pathologist B.A.Ed, M.Sc (Speech Pathology), MSPA
Elena MacDonald, Principal Speech Pathologist at Speech Business Perth, is a skilled clinician who has extensive expertise in empowering clients living with communication and swallowing difficulties to unlock their full potential. She is known for her strong interpersonal skills, innovative therapy approaches and dedication to clients’ long-term well-being.
Elena provides Speech Pathology Services (assessment, treatment and maintenance therapy) to adults living with stroke, traumatic brain injury, progressive neurological conditions and voice disorders.
Speech Pathology Services for Adults with Parkinson Disease (PD)
Elena has advanced knowledge and skills in treating voice, speech and swallowing disorders associated with Parkinson’s Disease. She was instrumental in creating a modified pacing board for individuals with PD who required external cues to slow down their speech.
While working at Fremantle Hospital Parkinson’s clinic at Moss Street, Elena initiated and ran a therapeutic Parkinson’s choir whose members had received intensive, PD-specific voice therapy. The initiative received strong positive feedback from clients and colleagues as a therapeutic and fun way to achieve goals as well as maintain meaningful social connections.​ ​​
Elena is certified in Lee Silverman Voice Therapy (LSVT LOUD) for people with PD. She is adept at providing Inspiratory Muscle Strength Training (IMST) ​and Expiratory Muscle Strength Training (EMST). EMST improves airway protection during swallowing, enhances breathing and cough function, and reduces drooling/dribbling. ​​
Services
Services are provided individually or in groups as needed, face to face or via telehealth if appropriate, to address difficulties with;
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Speaking clearly
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Projecting your voice
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Relieving vocal strain
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Understanding spoken words
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Recalling words or events
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Retelling events
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Swallowing food, drinks, or medications
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Coordinating breathing and talking (e.g., running out of breath in conversation)
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Coughing when eating, drinking, or talking
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Maintaining a conversation
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Making yourself understood when speaking on the phone or in a group
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​​Putting your thoughts into words
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Conveying the message clearly and concisely

To schedule an appointment, please contact us via:
For NDIS, private health insurance, or Chronic Disease Management Plans, ensure to check eligibility or referrals with your provider before booking.
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Is a referral required for speech pathology services?No referral is needed. At Speech Business Perth, our speech pathology services are available for all adults.
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What funding options are available?Private Services: Available through self-referral. A fee schedule is available upon request. Medicare: A GP referral is required to access subsidies through Chronic Disease Management Plans. NDIS : Self-managed and plan-managed clients can access services via self-referral. DVA: Clients are welcome to access services through Speech Business Perth. Private Health Insurance: Clients should check with their provider regarding eligible rebates.
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Does Speech Business Perth provide staff training?Speech Business Perth also provides staff training on request. Please email or phone us to discuss options.
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Is Speech Pathology intervention GST-free?Yes, Speech Pathology intervention is GST-free.