ALS Diagnosis Brings Attention to a Critical Need: Speech Therapy & Communication Support

Actor Eric Dane recently shared his diagnosis of amyotrophic lateral sclerosis (ALS), a progressive neurodegenerative disease that impacts nerve cells in the brain and spinal cord. While public awareness of ALS often centers on physical decline, one aspect that is just as life-altering—but often less talked about—is the impact on communication.

As a speech-language pathologist specializing in adult neurorehabilitation, I’ve worked closely with individuals living with ALS, and I can confidently say: speech therapy can help.

When Speech Becomes a Struggle: Understanding Dysarthria in ALS

One of the most common symptoms of ALS is dysarthria, a motor speech disorder caused by weakened muscles used for speaking. This can make verbal communication increasingly difficult without support. Research shows that dysarthria has a drastic impact on quality of life for those living with ALS—affecting relationships, mental health, and the ability to maintain independence.

In a study investigating treatment approaches for ALS patients with dysarthria or anarthria (complete loss of speech), researchers found that while most individuals were offered speech therapy, communication devices were prescribed far less often. Interestingly, the study also revealed that:

• Speech therapy was helpful to many patients, especially in early stages, but

• The use of communication devices had a greater positive impact on mood and quality of life, including reduced depression and psychological distress.

  
  

The takeaway? Communication support—both through therapy and technology—is essential. And it needs to start early.

How Speech Therapy Can Help Individuals with ALS

At True Self Speech Therapy, we offer evaluations and individualized treatment for people living with ALS at any stage of the disease. Our work focuses on:

• Preserving natural speech for as long as possible through strengthening and compensation strategies

• Proactive planning for communication changes, including voice banking and device training

• Introducing augmentative and alternative communication (AAC) systems to support independence

• Providing emotional support and counseling around changes in communication, identity, and connection

  
  

Whether you or a loved one has just received a diagnosis or are already navigating speech changes, early intervention makes a difference. While there is no cure for ALS, maintaining the ability to communicate—whether through speech or technology—can stabilize mood, reduce isolation, and improve quality of life.

You’re Not Alone

Eric Dane’s story reminds us that ALS can affect anyone. But no one should have to face the communication challenges of ALS without support. If you're in Rhode Island or Southern New England and are looking for guidance, we’re here to help.

Contact us today to schedule an evaluation or to learn more about therapy and AAC options for ALS.