Speech Therapy
Losing words after a stroke, or losing the safety of swallowing after an illness, is scary in a way that is hard to explain. Speech therapy rebuilds both slowly, session by session, in a room without hurry — with a plan the family understands, and homework you can practise together.
What care includes
- Speech and language assessment — spoken and written
- Aphasia therapy — rebuilding word retrieval, sentence structure, and conversation
- Articulation therapy — for slurred or unclear speech after stroke or TBI
- Voice therapy — after prolonged intubation, vocal cord issues, or in Parkinson's
- Swallowing (dysphagia) therapy and safe-eating plans, coordinated with the kitchen
- Cognitive-communication therapy after traumatic brain injury
- Family coaching so home practice continues between sessions
Who this is for
Adults recovering from stroke, brain injury, Parkinson's, prolonged illness or intubation — and older adults whose swallowing has become unsafe.
Speech therapy in Kathmandu — from first word to safe swallowing
The two most common reasons families call us for speech therapy are aphasia after a stroke — where the words are somewhere inside but will not come out — and dysphagia, the swallowing difficulty that follows a stroke, a long hospital stay, or advancing dementia. Both are treatable, both need a proper assessment before therapy starts, and both are quietly urgent: unsafe swallowing is a leading cause of pneumonia in older adults.
A first session is an assessment, not a treatment. Our therapist listens to spoken language, checks reading and writing where relevant, and — if swallowing is a concern — observes a small trial meal with different textures and postures. From this we write a plain-language plan: what the goals are, how many sessions the first block will be, what home practice looks like, and how we will know it is working. We share this plan with the family, not just the referring doctor, because carryover between sessions is what makes the difference.
Sessions are one-on-one and typically 30–45 minutes, two or three times a week for an active recovery block, then tapering as gains hold. For aphasia and articulation, work is playful and structured — naming, describing, conversation practice, reading aloud, writing — pitched at whatever level the person is at, and adjusted week by week. For dysphagia we teach postures, textures, pacing, and safe cues; we coordinate with the Naman kitchen so meals are prepared the way therapy prescribes, not the way habit prescribes.
Speech therapy at Naman rarely stands alone. After a stroke it runs alongside physiotherapy and nursing; after a brain injury it often pairs with cognitive-communication work; in Parkinson's it complements medication timing. Both branches have therapy space, and residents receive sessions on-site; outpatients from the community are welcome by appointment — please tell us which branch is easier to reach when you call. Home visits are not part of our standard offering, but a family who cannot travel is welcome to WhatsApp us to discuss options.
Both branches offer this therapy — Pipalbot (Maharajgunj) and Bansbari. Please mention which branch is easier to reach when you get in touch.
Rooms & what’s included
General ward, private cabin, or High Care Unit — see the room categories and inclusions.
See room categories →Related services
Post-Stroke Rehabilitation Care
Structured stroke recovery care in Kathmandu — physiotherapy, speech therapy, and 24-hour nursing under one roof. Minutes from Gangalal Hospital.
Brain and Spine Rehabilitation Care
Rehabilitation care after brain or spinal injuries, disorders, or surgery in Kathmandu — 24-hour nursing, physiotherapy, and doctor support at two branches.
Physiotherapy
Physiotherapy for stroke recovery, orthopaedic rehabilitation, balance and mobility — for residents and outpatients in Kathmandu.
See all Naman Care Home services.
Common questions
How soon after a stroke should we start speech therapy?
Once your loved one is medically stable, the earlier the better — usually within the first weeks. Early assessment does not mean intensive therapy from day one; it means we know what is happening and can plan around the recovery window.
My father coughs when he drinks water. Is that a swallowing problem?
It can be. Coughing on thin liquids is a common sign of dysphagia and worth an assessment, because silent aspiration — swallowing badly without coughing — is more common than families think and can cause pneumonia. Call us and we will book a swallowing assessment.
Do you offer speech therapy in Nepali as well as English?
Yes. Sessions can be run in Nepali, English, or a mix — whichever is your loved one's first language and where their words are most likely to return.