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I just discovered this site and don't know if this has been discussed, but I've found great help with LSVT, a particular kind of voice exercise for Parkinson's patients. It was recommended by my neurologist early on (I'm 75 now and was diagnosed a couple of years ago), I took it and greatly benefited. LSVT (for Lee Silverman Voice Training, named for the first person helped by the procedure) involves a month of daily work with a speech therapist, essentially singing. Holding long, loud notes is stressed, followed by sounding pitches at stated intervals (4th's octaves, double octaves), followed by reading at a high decibel level. I found a trained LSVT therapist in Poughkeepsie, NY, not far from where I live, but they are pretty widely available, I think. See, for starters, http://www.ncvs.org/research/lsvt-history.html. The point is, this training improves communication skills, which in turn enhances social skills, reduces the sense of isolation and generally improves morale. I can't say enough for it. Follow-up is 10-15 minutes a day. And, yes, Medicare paid for it. Alf ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn