For adults · 100% online
Speech therapy for adults, from the comfort of home.
Online, one-on-one sessions with a licensed, ASHA-certified speech-language pathologist for adults across New York, New Jersey, California, and Washington. If you’re recovering your speech, working on clarity and confidence, or refining how you communicate at work, I can help.
- ASHA-certified CCC-SLP
- Medicare accepted in NY & NJ
- Evening sessions
- No waitlist

Melisa Gaygusuz, M.S., CCC-SLP
Speech-language pathologist
Adult services
How I work with adults
Accent modification & communication confidence
Speak English clearly and confidently in meetings, presentations, and everyday conversation, without losing who you are.
Speech clarity (articulation)
For adults who are hard to understand because certain sounds are tricky. Together, we work toward you being understood more easily.
Stuttering & fluency
For adults who stutter: practical strategies to speak with more ease and confidence, at work and in everyday life.
Social communication
Building confidence in conversations, relationships, and everyday social situations, including support for adults with autism, Down syndrome, or other developmental differences.
Speech & language recovery
Help with aphasia, slurred or effortful speech, word-finding, and cognitive-communication after a stroke, brain injury, or neurological change.
How online sessions work
What sessions look like
- 1
Start with a free consultation
A no-pressure, no-cost conversation to talk through your goals.
- 2
Meet one-on-one over secure video
No travel and no waiting rooms. Join from home or the office.
- 3
On a schedule that fits your life
Including evenings, so sessions work around your job and your week.
Research shows that online speech therapy can be as effective as in-person sessions for many people.
Payment
Simple, straightforward payment
Strategic Speech Solutions is a private-pay practice.
Accent & communication coaching
An elective service, paid out of pocket, so there are no insurance hoops.
Medically necessary therapy
For therapy like speech recovery after a stroke, I’m an enrolled Medicare provider in New York and New Jersey and accept Medicare for covered services. I also provide superbills for out-of-network reimbursement.
Case managers & care coordinators
I welcome referrals and make it easy to arrange online speech therapy for your client. Call or text (917) 426-7007 and I’ll take it from there.
Free consultation
Let’s talk about your goals
Request a free consultation. No pressure, no cost. Online speech therapy for adults across New York, New Jersey, California, and Washington.

Melisa Gaygusuz, M.S., CCC-SLP
Speech-language pathologist
Prefer to talk now? Call or text (917) 426-7007