Speech Therapy

at Smith County Memorial Hospital

Helping you speak, swallow and connect, close to home

The way we talk, eat and share a meal with the people we love is easy to take for granted until something changes. A stroke, a Parkinson’s diagnosis, a head injury, or a child who is slow to find their words can make everyday moments feel hard. Our speech therapy program helps patients of all ages get those moments back, without driving hours for specialized care.

Photo of Vickie Vandament, Speech Therapist
Vickie Vandament with Occupational Therapist Erin Tharnish

Meet Vickie Vandament, MA, CCC-SLP

Vickie grew up in Osborne and earned her Master’s degree in Communication Disorders from Fort Hays State University in 1981. She began her career in the Smith County schools, helping children build the speech and language skills they needed in the classroom. Many families here have known her for years.

Today, Vickie brings advanced training to patients facing some of the most complex communication and swallowing challenges:

  • LSVT LOUD® for Parkinson’s disease. Parkinson’s often makes a voice softer and harder to understand, sometimes so gradually the person doesn’t notice. LSVT LOUD is an intensive, research-based program that retrains the voice to be stronger and clearer. Vickie specializes in this treatment.
  • Swallow studies. Vickie works alongside our radiologist to perform swallow studies, which use X-ray imaging to see exactly what happens when you swallow. The results guide a treatment plan built for you.
  • Chronic cough management. For a cough that lingers long after other causes have been treated, Vickie has advanced training in therapy techniques that can help bring it under control.
  • Myofascial Release (MFR). A gentle, hands-on technique that eases tension in the muscles of the face, jaw and neck, which can affect voice and swallowing.

Our Services

Swallowing

  • Dysphagia (swallowing difficulty). Coughing or choking during meals, food that feels “stuck,” or trouble with pills can all be signs. Treatment improves safety and helps make mealtimes enjoyable again.
  • Coordination of respiration, swallowing and phonation. Breathing, swallowing and voice all share the same pathway. We help these systems work together smoothly and safely.

Voice

  • Voice disorders. Hoarseness, vocal strain, a weak or breathy voice, or losing your voice by the end of the day.
  • LSVT LOUD® for Parkinson’s disease

Brain Injury and Neurological Rehabilitation

  • Aphasia. Trouble finding words, understanding others, reading or writing, often after a stroke.
  • Apraxia. Knowing what you want to say but having difficulty getting your mouth to form the words.
  • Traumatic brain injury rehab. Rebuilding communication and thinking skills after a fall, accident or other injury.
  • Cognitive-linguistic therapy. Strengthening memory, attention, problem-solving and organization, the thinking skills behind clear communication.
  • Dementia. Strategies that help people living with dementia stay connected and independent longer, along with support and guidance for their families.

Speech and Language for Children and Adults

  • Articulation disorders. Difficulty producing certain sounds clearly.
  • Developmental language delays. For children who are behind in understanding or using words. Early help makes a real difference.

Is Speech Therapy Right for You or Someone You Love?

Consider talking with your provider if you or a family member:

  • Coughs, chokes or clears the throat often while eating or drinking
  • Has a voice that has become quieter, hoarse or strained
  • Struggles to find words or follow conversations after a stroke or injury
  • Has noticed changes in memory or thinking that make daily life harder
  • Has a child who is difficult to understand or slow to start talking

Get Started

Ask your provider about a referral to speech therapy, or call Rehab Services at (785) 686-3120 to learn more.