The place for all voices

My Expertise

Hello! I’m Pamela

Licensed Speech-Language Pathologist

My dynamic personality and warm approach, allows for immediate rapport and comfort. I not only consider the client, but also their family and will always include all that want to support and participate. Therapy with me is rewarding, successful and fun. Humor is a large part of my personality and typically is incorporated into a session. Each individual is treated with respect and is given the best attention that also includes learning an array of techniques and strategies.

More about me...

I am passionate about communication, inclusion, collaboration, and individuality. I will provide specific therapeutic techniques tying into your particular speech and or vocal needs, build your confidence and help you reach your goals. My expertise in vocal and gender affirming voice therapy as well as cognitive-linguistic and speech/language therapies, will lend itself to a variety of approaches that will be tailor-made for you, your child or a loved one. My services are delivered with compassion, creativity, and authenticity. I am excited to have YOU as a client and I will provide the support and recommendations all the way through this journey.

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“Pam, through her skilled interventions and compassion, remarkably helped our family member, Bob, recover from a severe hemorrhagic stroke.  Bob was unable to safely swallow, so he had to have a gastrostomy tube. His speech was severely affected and this caused so much sadness and frustration. Pam worked her magic and brought Bob back to life! Bob trusted her and worked hard to recover because she gave him hope.  It took time, but Bob learned to swallow safely and eat all his favorite foods. He no longer needed a feeding tube. His speech improved and fortunately he regained full communication. Bob and our family will be forever grateful to Pam.  Our daughter got her father back with their father/daughter talks, laughter, and frequent outings  to their favorite restaurants. Bob said the stroke was terrible, but through Pam’s care, his heart opened and he regained his confidence and ability to eat and speak. We were so fortunate to have such a dynamic, gifted, caring and skilled Speech Pathologist. Thank you Pam.” – Carol

“My son Daniel was in a horrific accident 7 years ago. He suffered a significant brain injury and couldn’t talk or swallow solid food. Speech Pathologist Pam Horenstein was the miracle worker who worked with him and advocated for him when we didn’t think he would ever talk or eat. Because of her persistence and guidance Daniel can eat anything he wants and he can talk! Pam was with us every step of the way when he had swallow tests and pushed for change in his diet which greatly improved his quality of life. Pam developed an amazing relationship with Dan and to this day, even though he has aphasia, he remembers her and asks about her. Pam also helped me with navigating the health system and was so very kind to me. It is hard to explain the huge impact she had on our lives! I am eternally grateful and Pam will always hold a special place in our hearts.” – Maura

“I immediately resonated with Pamela and her unique approach to authentic vocal therapy. Vocal range was more of a focus for me than pitch, and Pamela set me up for such success. I still use the exercises and techniques we covered in our sessions as I continue to pursue my authenticity through vocal warmups and play, on a daily basis. Pamela’s understanding and empathy made all the difference for me and my ability to access and explore this therapy outside the typical binary focused model within western medicine. I am truly grateful for her approach and encouragement as an equal and co-facilitator in this work, it has made all the difference to me and my progress and I am looking forward to working together again in the future! – Hollywood

Frequently Asked Questions

What is a Speech-Language Pathologist

A speech and language Pathologist evaluates and treats in the areas of communication, cognition, and voice. Treatment programs are designed to help coach the transgender, non-binary and gender fluid community in order to find communication and identity congruency via an intensive vocal coaching program. Also treatment programs include helping clients affected by stroke, brain injury, head and neck cancer, voice disturbances and other neurological disorders. Treatment also incorporates family/ caregiver training, support and participation as needed.

  • Voice and communication modification for the transgender, non-binary and gender fluid community:  Treatment includes, breath, pitch, resonance, intonation, rate, non verbal and articulation work.
  • Cognitive Impairment: treatment for memory, attention, problem-solving sequencing, and reasoning
  • Aphasia: treatment for understanding and/or expressing language following brain injury. Treatment includes speech/language tasks, word finding, strategies for expansion of both speaking and understanding in varied communication situations.
  • Apraxia: treatment for speech impairment related to the motor programming of articulation
  • Dysarthria: treatment for speech impairment related to the muscles of articulation
  • Voice disorders: treatment to improve vocal intensity, vocal quality, and/or vocal range.
What is a voice disorder and how might you sound and feel?

A voice disorder can come about when there is vocal overuse, singing for lengthy periods of time, yelling at a concert, or even constant clearing of the throat. It also can come from trauma, head injury, stroke that causes nerve weakness or damage to the vocal cords. Your voice may sound hoarse, harsh, breathy, shaky and you may feel like you can’t catch your breath when speaking, or that you run out of air. It can be scary for some and also quite emotional for others. Our voice is one of our stronger connections to the world.

What is gender affirming voice therapy coaching?

Therapy or coaching that helps align voice and communication with gender identity. Learning how to have and incorporate vocal variation that includes; pitch and resonance, articulation and other communication nuances.

When is it right time to begin gender affirming voice therapy?

Anytime after you have been cleared an ENT to assure that your vocal cords are healthy, we will be on the way to reach your vocal goals. What is needed You will need a cell phone or computer to download Apps for both measuring vocal range as well as for self practice.

Telepractice services

Teletpractice services are offered for convenience, comfort and safety during current times of social distancing. Consultation, evaluation and treatment services will be done via Zoom, a HIPAA compliant video communication platform. All you need is a phone, laptop, or computer with video/audio capabilities and a phone or internet connection.

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(510) 364-2992

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