The inability to use speech to communicate may be very limiting! A person without a voice may find themselves unable to express their choices, interact socially, or obtain their basic needs and wants. They may feel closed off from the world in many ways. Most of us usually utilize speech, facial expressions, gestures, eye contact, writing, and typing when we are trying to communicate.
Since we are a speech-language clinic- we embrace communication however it manifests, in addition to a formal means of aided communication (e.g. use the sign for “bathroom”, “eat” and “drink”, tap on a person’s shoulder to get their attention, etc). You see communication itself is a fundamental characteristic of humanity.