ANACORTES, WA • TELEHEALTH NATIONWIDE
Specialized speech therapy for adults who want to live their best life.
Speech. Cognitive-communication. Voice. Swallow safety. Chronic cough. Fatigue management. Public speaking. Accent modification.
Medical speech-language pathology services for adults experiencing changes in clarity of speech, expressive or receptive language skills, cognitive communication (e.g., memory, attention, executive functions), voice, and/or swallow safety. In-person in Anacortes, with telehealth available anywhere in the state of Washington.
Specialized programs for Active Adults, Professionals, and Public Speakers who want concrete results in a defined timeline. Delivered in person in Anacortes, or virtually across the Pacific Northwest and beyond.
- Virtual services available nationwide
- In-person in Anacortes, WA
- 13+ years of specialized adult care; 5+ years in private practice
MEDICAL SPEECH-LANGUAGE PATHOLOGY
The clinical care this practice was built to provide.
Skilled speech, language, voice, cognitive-communication, and swallowing therapy — covered by insurance.
Breakthrough Speech started with a simple goal: make skilled, evidence-based speech-language pathology care accessible to adults who need it. We treat changes in speech clarity, language, cognitive-communication (memory, attention, executive function), voice, and swallow safety related to stroke, Parkinson’s disease, dementia, traumatic brain injury, head and neck cancer, and other neurologic or medical conditions. Following a comprehensive evaluation, we build a personalized treatment plan around each person’s goals.
- Comprehensive evaluation & personalized treatment plan
- Most major insurance accepted, including Medicare
- In-person in Anacortes, telehealth across Washington State
- Physician referral required
SPECIALIZED PROGRAMS
Targeted programs that solve specific problems.
Each program is structured, evidence-based, and designed for adults who want a clear path to results. You’ll know exactly what’s included, how long it lasts, and what to expect. No open-ended plans, no endless sessions.
COGNITIVE FITNESS
Brain Health Coaching
Keep your mind sharp.
For active, high-functioning adults who want to maintain peak cognitive performance. Personalized training designed for the New York Times crossword crowd, the active retirees, and the professionals who refuse to coast through life.
For those who have noticed early signs of change but no diagnosis driving the conversation. This is structured, evidence-based training, not generic brain games.
- Choose 1x or 2x weekly sessions
- Comprehensive evaluation & personalized binder
- Re-evaluation to measure your progress
- Ongoing membership available after program completion
Learn about Brain Health Coaching
FOR PROFESSIONAL VOICE USERS
Voice Coaching
For people whose voice is part of their career.
Speakers. Teachers. Singers. Choir directors. Executives. We help you protect, project, and preserve your voice so it works as hard as you do, without the strain, fatigue, or limits that are holding you back.
- Voice evaluation and analysis
- Diaphragmatic breathing techniques
- Vocal preservation and stamina strategies
- Virtual appointments available nationwide
Learn about Voice Coaching
FOR CARE PARTNERS
Care Partner Programs
Practical training for the people supporting others’ health.
Workshops and in-depth training on communication strategies, swallow safety, fatigue management, and more — for individuals, care partner groups, and organizations.
- Community presentations & in-depth training
- For individual, group, agency, and facility programs
- In-person or virtual
Learn about Care Partner Programs
CLARITY IN COMMUNICATION
Accent Modification
Speak with clarity and confidence in any setting.
Reduce your accent for clearer professional communication. Designed by a former ESL teacher with training in both languages and speech. For professionals who want to be understood the first time, every time.
- Pronunciation assessment
- Pronunciation assessment
- Practical workplace application
- Telehealth available nationwide
Learn about Accent Modification
MEET YOUR THERAPIST
Hi, I’m Libby.
I’m a speech-language pathologist with 13+ years in the field and 5+ years in private practice serving adults across the Pacific Northwest. Before becoming an SLP, I spent years as an ESL and university instructor. Two career paths, one constant: I love helping adults communicate at their full capacity.
My practice focuses entirely on adults who want concrete results from individualized, structured programs. Whether you have a medical condition or you’re a professional voice user, an active retiree, someone living with a chronic cough that won’t quit, or working on clearer professional communication, the work we do together is built around your actual life and your real goals.
Anacortes is my home and where I see clients in person. Many of my clients work with me entirely online from across Washington state and beyond.
CREDENTIALS
MEd, MA, CCC-SLP
BACKGROUND
Former ESL & Communication Instructor, College Level
SPECIALTY
Adult Medical SLP
HOW TO GET STARTED
01
Schedule a free 15-minute call.
We'll talk through what's going on, what you've already tried, and whether one of our programs is the right fit. No pressure, no commitment.
02
Complete your evaluation.
A comprehensive assessment to understand exactly what's happening and design a plan specific to your situation, your goals, and your timeline.
03
Work the program.
Structured sessions that move you toward your specific goals, with measurable progress along the way and a clear endpoint when you've reached them.
WHY BREAKTHROUGH SPEECH
Speech therapy built for adults.
Most speech therapy practices are built around children or large hospital systems. Breakthrough Speech is built entirely around adults: your goals, your timeline, your real life.
Specialized in adult care.
Adults are not big kids. Adult communication issues require specialized clinical knowledge, adult-appropriate teaching methods, and respect for the life you've built. Every program here is designed for that.
Telehealth + in-person.
Live in the Pacific Northwest or anywhere else? Most of our programs run beautifully online, so you can work with us from your home, your office, or wherever you actually live and work.
Structured programs, not endless sessions.
You'll know exactly what your program includes, how long it lasts, and what to expect. No open-ended caseload, no surprise invoices, no scope creep. Defined start, defined finish.
Real results in a defined timeline.
Our programs are designed to get results in weeks, not years. We measure progress, communicate clearly, and discharge when you've reached your goals. Your time is worth that much.
FREQUENTLY ASKED QUESTIONS
Questions adults always ask.
Do you take insurance?
Medical Speech Therapy services are billed to insurance — we accept Medicare, BCBS (Regence and Premera) Cigna, First Choice Health, LifeWise, and L&I. If you carry a different plan, we collect payment at the time of service and provide a superbill you can submit for reimbursement. Our Specialized Programs are private-pay, with no insurance billing or pre-authorization involved.
Can we do this entirely by telehealth?
It depends on the service. For Medical Speech Therapy, evaluations and select follow-up visits happen in person at our Anacortes office for quality data collection; many treatment sessions can move to telehealth across Washington State. Telehealth availability for our Specialized Programs varies by program — see each program page for details. Either way, you’ll need a reliable internet connection and a device with a camera and microphone for telehealth appointments.
How long does each program take?
Our Specialized Programs follow defined timelines — see each program for specifics. The timeline for Medical Speech Therapy is determined after your evaluation, based on your individual goals.
Do I need a doctor's referral?
A physician referral is required for Medical Speech Therapy. Our Specialized Programs do not require a referral.
Where are you located?
We see clients in person at our Anacortes, WA, location (1809 Commercial Ave., #206).
What if I'm not sure which program is right for me?
Schedule a free 15-minute consultation. We’ll talk through what’s going on and figure out whether one of our Specialized Programs or our Medical Speech Therapy services is the right fit.
Ready for your breakthrough?
Schedule a free 15-minute consultation. We'll talk through what's going on and figure out whether one of our programs is the right next step.