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Bruce--re: speech therapy. It can be helpful to some folks, and a few in our support group have used the Speech & Hearing Clinic at the local university. Could you find such a resource? The local hospital also has a speech therapist ,and that might be something for you to check on where you are. There are slo devices for extreme loss of speech, where you can type in/preprogram ona small portable electronic board. In a post on Mar.23,1995 here Nancy Solomon discussed the efficacy of speech therapy, and said that new techniques may be helpful. She urged that the questioner " have a thorough speech evaluation by a speech-language pathologist", adding that if speech cannot be improved,they"can help develop alternate methods of communication" . You might also check the PD archives for other messages on the subject. "Stay connected "--Camilla Flintermann, CG for Peter,76/6, Oxford,OH