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Speech pathologists: support for communication and swallowing

MT
Michael Tawdrous28 January 2026 · 3 min read
A Unify team member in conversation with two visitors

Communication support should help you take part in the activities and decisions that matter to you. A speech pathologist can assess your needs and discuss an approach that fits your goals.

What does a speech pathologist do?

Speech pathologists assess and support speech, language, literacy, voice, fluency and social communication. They also work with feeding and swallowing difficulties. Speech Pathology Australia explains their assessment role.

Communication includes more than speech

Communication may include spoken words, gestures, signs, pictures or devices. Augmentative and alternative communication (AAC) can support communication alongside or instead of speech. Ask which options fit your needs and how people around you can help. Read SPA’s communication guidance.

Visitors and a therapist chatting at the Robina open day
Visitors and a therapist chatting at the Robina open day.

Prepare for assessment

  • Explain your everyday communication goals and preferred ways to share information.
  • Describe what helps and which activities are difficult.
  • Ask about the practitioner’s relevant experience and appointment adjustments.
  • Confirm consent, assessment and report costs, and expected timeframes.

An assessment should explain the findings and recommendations. Agree how support will be reviewed; progress and the amount of support needed vary. SPA describes the assessment and reporting process.

Swallowing concerns need individual assessment

If swallowing is difficult, seek medical advice. Recommendations depend on the cause and assessment; do not choose exercises or change food and drink textures from this article. Healthdirect explains swallowing difficulties.

Check access and payment arrangements

Ask the provider about referrals, practitioner suitability, fees and funding before booking. Medicare or insurer requirements depend on the pathway; confirm any rebate and gap fee. Our NDIS speech guide covers questions about approved disability supports.

Your questions, answered

Is AAC only for people who do not speak?

No. It can support communication alongside speech as well as provide other ways to communicate. Ask a speech pathologist about assessment and suitable options.

How soon will I see results?

There is no guaranteed timeframe. Agree goals, review dates and how progress will be measured with the practitioner.

Can I choose home visits or telehealth?

Ask whether the provider offers these options and whether they are suitable for your assessment and goals. Check availability, fees and any technology or accessibility needs.

Ask about Unify’s options

Contact our team to check relevant practitioners, age ranges, delivery options and current availability. Guidance checked 4 October 2026.

This article is general information only. It is not clinical, legal or financial advice. Talk to your GP, practitioner or the NDIA about your situation, or call us on 1300 777 837.

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