- Provides speech evaluations. Together, patients, graduate student clinicians, and their supervising speech-language pathologist work through a series of speech, voice, and cognitive exercises outlined in the Speak Out workbook. Sessions are arranged based on the client's schedule and can be at the clinic or through telehealth. - Upon completion of individual sessions, patients transition to group sessions. The program consists of weekly group sessions led by graduate student clinicians and the supervising speech-language pathologist. Group members provide support, encouragement, and accountability to one another as they perform the exercises.