Speech Therapy and Voice Coaching for Adults

Breaking Barriers to Keep You Connected
Client Portal
Offers Telehealth
Accepting New


Hello and Welcome!

Breakthrough Speech provides services to adults who have experienced changes in communication, cognition, voice, and swallow safety. Whether from injury, disease, effects of medication or surgery, life transitions, pandemic isolation, or the normal aging process, we are here to help you overcome these obstacles to live life to the fullest. (Ph): 360.230.8010 (Fax): 866.418.0247 ___________________________________ SERVICES: SPEECH THERAPY targets improving communication, cognitive function, swallow safety, and vocal quality (due to a medical condition). Therapy addresses a variety of needs, typically resulting from neurological disorders such as stroke, dementia, or Parkinson's disease; traumatic injury; head and neck cancer; or simply the natural aging process. Based on thorough assessment, individual treatment plans are designed to meet the specific needs of each person. VOICE COACHING helps singers and speakers improve vocal quality, stability, and endurance to participate in hobbies and professions requiring voice use. Isolation due to COVID-19 has taken a toll on vocal fitness. As singers rejoin choirs, teachers return to classrooms, public speakers rediscover their live audiences, and friends and families gather together again, many people are having difficulty finding their voices, literally. Voice Coaching targets understanding the basics of the voice mechanism (anatomy and physiology) and how to produce and support optimal vocal usage, improving quality, stability, and endurance. We are also available for workshops and speaking engagements, including sharing with Support Groups. Speech Therapy services are available to individuals in Washington, Colorado, and Nevada, where we hold licenses. Voice Coaching, workshops, and speaking events are available to all, regardless of location. ___________________________________ SUPPORT GROUPS: All support groups meet on the 3rd Thursday of the month at Westminster Presbyterian Church (1300 9th St, Anacortes) in Classroom 3. Stroke: 1:00 - 2:30 pm. Open to stroke survivors and their loved ones. Early diagnosis of Parkinson's disease: 3:00-4:30 pm. Open to individuals with early symptoms of PD and their loved ones. Traumatic Brain Injury (TBI): 6:30-8:00 pm; Open to individuals living with TBI. ___________________________________ MEET OUR THERAPISTS LIBBY LEWIS, MEd, MA, CCC-SLP and Founder of Breakthrough Speech Libby earned her undergraduate degree in English from the University of Iowa and a Master of Education degree from Seattle University (2003) with a focus on adult education and teaching English to speakers of other languages (TESOL). After a career of teaching, she earned my Master of Arts degree in Communication Sciences and Disorders from Western Washington University (2013). Libby has taught English in five countries and has worked as a Speech-Language Pathologist in skilled nursing, memory care, home health, acute hospital and outpatient clinic settings. As a Voice Coach, she works individually with singers/speakers and collaboratively with Choir Directors and Public Speaking Instructors to establish the foundation of voice to support individual pursuits. Libby holds specialty certifications in LSVT-Loud voice therapy for individuals with Parkinson's disease; MBSImp swallow evaluation and VitalStim electrical stimulation swallow therapy; Montreal Cognitive Assessment (MoCA); PESL Accent Modification training; and Buteyko Breathing Method. When not working, Libby enjoys traveling with her husband, running with her dog, and curling up with a good book and her cat. LINDSEY LAIL, MS, CCC-SLP: Lindsey earned her undergraduate degree in Communication Sciences and Disorders from Western Carolina University (2017) and a Master of Science degree in Communication Sciences and Disorders from Western Carolina University (2019). She has worked as a Speech-Language Pathologist in assisted living, memory care, acute hospital, inpatient rehabilitation, and outpatient clinic settings. She holds specialty certifications in LSVT-Loud voice therapy for individuals with Parkinson’s Disease; Allied Team Training for Parkinson’s (ATTP); and Modified Barium Swallow Impairment Profile (MBSImP). When not working, Lindsey enjoys cooking and baking, listening to podcasts, working in her garden, and traveling with her husband. _____________________________________________________ AREAS OF SPEECH THERAPY ASSESSMENT & TREATMENT: ➤Speech Articulation: Speech fluency and intelligibility (ability for others to understand the speaker) ➤Expressive & Receptive Language Skills: Formulating and comprehending language, including speaking, listening, reading, and writing ➤Cognitive Communication: Cognitive skills such as orientation, memory, attention, executive functions, problem solving, reasoning, abstract thinking, etc. ➤Voice: Vocal quality, loudness, pitch range, endurance, stability (related to a medical condition) ➤Swallowing: Coughing, choking, pain, sticking sensation, or other difficulty when eating/drinking _____________________________________________________ TARGETS FOR VOICE COACHING: ➤Understand the anatomy and physiology of the voice ➤Use breath optimally to power the voice for stability, endurance, and projection ➤Practice exercises and techniques to improve ease and quality of vocal cord vibration with a broader pitch range ➤Apply strategies to achieve your desired resonance _____________________________________________________ If you’d like to schedule a consultation with us, please send an appointment request. We look forward to hearing from you!
Libby Lewis
Speech-Language Pathologist (SLP)


  • Stroke
  • Parkinson's Disease
  • Swallowing Disorders
  • Brain Injury/Concussions
  • Cognitive-Communication Disorders
  • Voice Modification Therapy
  • Communication Issues
  • Dementia
  • Language Disorders
  • Social Communication Disorders
  • Speech Disorders
  • Traumatic Brain Injury
  • Transgender Issues


  • Person-Centered
  • Neuro-Linguistic
  • Coaching
  • Behavioral Therapy
  • Biofeedback
  • Breathwork
  • Culturally Sensitive

Insurance Accepted

  • Medicare


“Libby was a foundational person on my care team after a brain injury. Her training helped me rebuild brain and cognitive functions and life skills to be self-sufficient again. She is professional, experienced, capable, straight forward, thoughtful, and kind.”

C.A., Orcas Island, WA

“Learning to manage a recent Parkinson's diagnosis, I rely on professionals to partner with me for treatment. Libby has been a true partner helping me with speech clarity, voice strength, facial expression and swallowing. She's a compassionate partner…the best.”

B.W., Langley, WA
Client Portal