Clinique Passage
Speech-Language Pathologist for Adults in Quebec
Clinique Passage offers speech-language pathology services for adults across Quebec, in person in Val-d’Or, Montreal (Westmount and South-West) and Mont-Laurier, as well as through teletherapy throughout the province.
Our speech-language pathologists, all members of the OOAQ, evaluate, treat, and support working adults, patients in rehabilitation after a stroke or traumatic brain injury, as well as seniors with language, speech, voice, or other communication difficulties. No medical referral is required to book an appointment.
When to Consult a Speech-Language Pathologist as an Adult
Many adults have lived with communication difficulties for a long time without ever consulting. Others see their speech, voice, or language change after a stroke, a traumatic brain injury, or a neurodegenerative illness. An adult speech-language evaluation can clarify the picture and guide an appropriate speech therapy follow-up.
Signs That Warrant a Speech-Language Evaluation
The reasons adults consult are rarely dramatic, with the exception of laryngospasms, where the vocal cords lock and momentarily prevent the person from breathing. It is more often accumulated fatigue and the impact on social or professional life that prompt people to seek a speech-language evaluation:
- Stuttering, cluttering, or avoidance in meetings and professional calls
- A tired voice, dysphonia, or vocal cord nodules that hinder effective communication at work
- Difficulty finding words, language disorders, speech disorders, or poorly structured sentences
- Slow reading, dyslexia, or dysorthographia that complicate work or continuing education
- Accent modification or professional communication in French as a second language
- Difficulty swallowing, dysphagia, or throat-clearing during meals
- Social communication anxiety or the impact of the disorder on mental health and well-being
It is never too late to seek help. For younger people, see our page for children or our page for teens.
After a Stroke, a Traumatic Brain Injury, or a Neurodegenerative Illness
Acquired communication disorders arise in a specific medical context. A stroke can lead to aphasia that makes speaking, understanding, reading, or writing difficult. A traumatic brain injury can leave cognitive after-effects affecting memory and the organization of speech.
Neurodegenerative illnesses such as Parkinson’s disease, Alzheimer’s disease, or primary progressive aphasia transform everyday communication and quality of life. The public system provides post-stroke rehabilitation in the acute phase, then stops. Our speech-language pathologists take over to evaluate and support, remotely or in person.
Talk to a Speech-Language Pathologist on a Free Call
A free 15-minute call can clarify your situation. This call helps you decide whether an adult speech-language evaluation is the right next step.
How Our Speech-Language Pathologists Support Adults
Clinique Passage offers a complete range of adult speech therapy services, from initial screening to sustained follow-up to address each difficulty. Our speech-language pathologists evaluate, communicate a clear diagnosis, and design a personalized intervention plan based on your goals.
Adult Speech-Language Evaluation
The adult speech-language evaluation is a detailed assessment that analyzes your oral language, written language, voice, speech, and communication. It follows these steps:
- Gathering information about your medical, professional, and personal history
- Clinical interviews and observation of your communication in spontaneous contexts
- Tasks related to language, speech, voice, or cognitive functions
- Analysis, report, and intervention plan with prioritized goals
The complete assessment belongs to you. The speech-language diagnosis can be shared with your doctor, your employer, or a compensation program (SAAQ, CNESST, IVAC).
Personalized Follow-Up and Individual Therapy
Personalized adult speech therapy follow-up takes place in individual sessions of 50 minutes, in person or through teletherapy. Our speech-language pathologists use evidence-based practices: cognitive behavioural therapy, acceptance and commitment therapy, and avoidance reduction therapy for adults who stutter. Depending on needs, follow-up can also include other approaches such as voice therapy, manual therapy, motor therapies, and language therapies. Individual therapy combines targeted speech exercises, breathing techniques, and relaxation techniques.
Evidence-based practices suggest that tangible progress appears after 6 to 12 regular sessions.
Coaching for Caregivers
Acquired communication disorders rarely affect the person alone. Spouses, adult children, and friends often carry the burden of adapting. Our speech-language pathologists offer coaching for caregivers to equip families with concrete strategies to communicate better: slowing down the pace, simplifying instructions, using assistive technology. This approach reduces pressure on the patient living with aphasia or a neurodegenerative illness and preserves functional communication.
Book an Appointment With a Speech-Language Pathologist for Adults
A free 15-minute consultation to clarify your needs. The first appointment can be booked online or by phone, with no commitment.
The Difficulties We Treat in Adults
Our speech-language pathologists evaluate and treat adults with a variety of disorders, in French, in English, or bilingually. Four areas come up often in adult private practice, and Clinique Passage has developed expertise in each.
Stuttering and Cluttering in Adulthood
Adult stuttering is one of our flagship specialties. Many adults who stutter received little or no speech therapy in childhood and live with avoidance strategies that are costly to their quality of life: turning down promotions, avoiding the phone, letting others speak. Cluttering also deserves a precise speech-language evaluation by a qualified speech-language pathologist.
Our approach combines avoidance reduction therapy, fluency techniques, and support around shame, isolation, anxiety, frustration, and stress. See our page dedicated to stuttering and cluttering.
Acquired Disorders After a Stroke or Traumatic Brain Injury
Acquired language and speech disorders cover several clinical realities that our speech-language pathologists address in adult speech therapy:
- Aphasia: difficulty speaking, understanding, reading, or writing after a brain injury
- Dysarthria and acquired apraxia of speech: motor or articulatory programming impairments
- Neurocognitive communication disorders and primary progressive aphasia (PPA): impairments related to attention, memory, or a dementia affecting language
- Dysphagia: a swallowing disorder accompanying neurological after-effects
Our speech-language pathologists collaborate with your hospital rehabilitation team to continue post-stroke recovery and targeted exercises. The goal: to recover the ability to express oneself, to swallow safely, and to regain autonomy and self-confidence.
Voice, Accent, and Professional Communication
Voice disorders are common among working adults who use their voice at work. Dysphonia, vocal cord nodules, or a tired voice can compromise professional performance and self-confidence.
We also offer accent modification for non-francophone adults and professional communication coaching for presentations, job interviews, or returning to work. A solid voice supports social reintegration and effective communication.
Dyslexia, Dysorthographia, and Written Language in Adults
Many adults live with undiagnosed dyslexia or dysorthographia since school, which erodes self-esteem. An adult speech-language evaluation can name the difficulty, open access to accommodations in continuing education or in the workplace, and offer tools to read and write better in everyday life.
See our pages on speech therapy for dyslexia in Quebec and speech therapy for dysorthographia, as well as the populations we help.
A Speech-Language Pathologist Across Quebec, In Person or Online
Three in-person offices and a complete teletherapy offering cover the entire province of Quebec. This flexibility is essential for adults: work schedules, travel, and the reduced mobility of seniors should not prevent access to a qualified adult speech-language pathologist anywhere in Quebec, whether for a speech-language evaluation, rehabilitation follow-up, or professional communication coaching.
Three Offices to Meet an Adult Speech-Language Pathologist
Our speech-language pathologists welcome adults at Studio Anāhata in Val-d’Or, in Westmount (and in the South-West starting July 1, 2026) for our speech-language pathology clinic in Montreal, and at 475 rue de la Madone in Mont-Laurier. All three offices are accessible by public transit.
By arrangement, our speech-language pathologists can travel to institutional settings: rehabilitation centres, seniors’ residences, or workplaces.
Secure Teletherapy for Adults and Seniors
Teletherapy takes place on a secure video conferencing platform and offers therapeutic results comparable to in-person sessions. This telepractice is suitable for people far from major centres, with busy schedules, with reduced mobility, or for seniors and older adults looking for a speech-language pathologist for seniors without having to travel.
For seniors less familiar with technology, a caregiver can help facilitate the first session. A speech-language pathologist for seniors can intervene early on the first signs of cognitive disorders related to aging and support the ability to swallow safely.
Discuss Your Adult Speech Therapy Needs
A free 15-minute call to clarify your concerns. A speech-language pathologist will guide you toward the right format of adult speech therapy.
Why Choose Clinique Passage for Adult Follow-Up
Our specialized adult speech-language pathology team combines clinical rigour, a personalized approach, and accessibility to support the adult patient at every stage.
Team Members of the OOAQ
All of our speech-language pathologists are members in good standing of the Ordre des orthophonistes et audiologistes du Québec. Meet our team of speech-language pathologists, from adult stuttering to post-stroke rehabilitation, including voice disorders and persistent dyslexia.
Bilingual French and English Services
Adult speech therapy services are delivered in French, in English, or bilingually, based on the patient's preference. This flexibility benefits immigrants, anglophone adults, and bilingual individuals whose two languages have both been affected by a stroke or a neurodegenerative illness.
Humanistic and Evidence-Based Modalities
Beyond classic techniques, we integrate humanistic modalities adapted to adults: acceptance and commitment therapy (ACT), cognitive behavioural therapy (CBT), mindfulness-based therapy, and emotion-focused speech therapy. All are evidence-based practices.
These approaches are useful when a communication disorder is accompanied by anxiety, stress, isolation, or avoidance. To see the full range, visit our therapy modalities.
Fast Access, No Waiting List or Medical Referral
No prescription is required to consult an adult speech-language pathologist. The first appointment can be booked online or by phone, with no waiting list and no medical referral. Our flexible hours cover evenings and Saturday mornings for working adults.
Fees, Insurance, and Compensation Programs
Adult speech therapy services are privately billed in Quebec. An adult speech-language pathologist costs less than you might think when you combine private insurance and compensation programs.
Session and Evaluation Fees
Our main adult speech therapy fees:
- Speech-language pathologist rate: $165 per 50-minute session
- Language correction agent rate, supervised by a speech-language pathologist: $150 per hour
- Complete speech-language evaluation: $555 per session, including information gathering, analysis, results, and intervention plan
Speech therapy is a tax-exempt health service in Quebec.
Private Insurance, CNESST, SAAQ, and IVAC
Adult speech therapy is not covered by RAMQ, but many private insurance plans reimburse part or all of the fees. The clinic is compatible with Telus eClaims.
Several adults can also be reimbursed through a public compensation program:
- CNESST when the difficulty results from a workplace accident
- SAAQ after a road accident that caused a traumatic brain injury or a stroke
- IVAC in a case involving a victim of a criminal act
- The Supplement for Handicapped Persons from Retraite Québec and the benefit for handicapped adults
Every voice deserves to be heard, regardless of budget. We cannot guarantee results, but we do everything we can to ensure that adult speech therapy services have a positive impact on the patient’s quality of life.
Passage Clinic | Orthophonie au Québec
Frequently Asked Questions About Speech Therapy for Adults
Is It Too Late to Start Speech Therapy in Adulthood?
No. The adult brain retains significant plasticity, and evidence-based practices show that tangible progress is possible at any age. Many patients consult an adult speech-language pathologist for the first time in their fifties or sixties and see gains within a few months of personalized follow-up.
How Many Sessions Are Needed for Tangible Progress?
Evidence-based practices suggest 6 to 12 regular sessions for tangible progress in adults. For acquired post-stroke disorders, neurodegenerative illnesses, or severe aphasia, follow-up can extend over several months with ongoing adjustments.
Is Adult Speech Therapy Covered by Insurance?
Adult speech therapy is not covered by RAMQ, but it often is by private insurance plans, as well as by CNESST, SAAQ, or IVAC depending on the context. We provide receipts and the clinic is compatible with Telus eClaims.
Does Teletherapy Work for Seniors?
Yes. Many seniors and older adults find teletherapy more comfortable than travelling. A caregiver can help facilitate the first session. See our article on the advantages of hybrid approaches combining teletherapy and in-person sessions.
What to Do After Public Post-Stroke Follow-Up Ends?
Many patients see their public follow-up end while recovery from aphasia or dysarthria is still ongoing. Our speech-language pathologists take over to continue the work started in post-stroke rehabilitation, remotely or in person. No medical referral is required.
Book an Appointment With a Speech-Language Pathologist for Adults in Quebec
A first appointment with an adult speech-language pathologist in Quebec can mark a turning point in your communication. The team is available online or in our three offices, Monday to Saturday.