Welcome to Carolina Premier
Speech Therapy!

From college-aged students to senior citizens, our private practice is dedicated to providing high quality, evidenced-based services for adults with speech, language and cognitive difficulties.

Our mission is to improve communication and change lives!

View Our Services

Personalized

We collaborate closely with our adult clients and their families to create individualized and comprehensive treatment plans.

Accredited

We are nationally certified and N.C. licensed in speech-language pathology with more than 15 years of experience in treating communication disorders.

Flexible

Evaluation and treatment services are provided in the local community or our Garner office, conveniently located minutes from Raleigh.

Knowledgeable

Our evaluation and treatment plans cover a wide range of cognitive-communication disorders.

Provider

April Gibbs Scott, Ph.D., CCC-SLP

April Gibbs Scott, PhD, CCC-SLP is the owner of Carolina Premier Speech Therapy, PLLC. She is a nationally certified speech-language pathologist who holds the Certificate of Clinical Competence from the American Speech-Language-Hearing Association (ASHA) and is licensed by the N.C. Board of Examiners for Speech-Language Pathologist and Audiologist. She received advanced training as a Certified Brain Injury Specialist through the Brain Injury Association of America and is a member of ASHA’s Neurogenic Communication Disorders Special Interest Group.

Dr. Scott obtained a Bachelor of Arts from the University of North Carolina at Chapel Hill with a double major in Communication Studies and Spanish. She received her Master of Science in Speech and Hearing Sciences from UNC-CH before pursuing her doctorate degree at the University of Pittsburgh. She has co-authored chapters in student textbooks, published in scientific journals, presented research at numerous scientific conferences, guest lectured for area universities, and served as a clinical supervisor for speech therapy students.

Dr. Scott has an extensive clinical background in a variety of settings, including acute care, post-acute rehabilitation, outpatient, and long-term care. She has worked with adults who have strokes, traumatic brain injuries, dementia, voice disorders, and dysphagia, to name a few. She has particular expertise in the rehabilitation of receptive and expressive language skills, cognition and social pragmatic disorders.

Dr. Scott is married and the mother of three energetic boys. She is an avid learner who enjoys watching her sons play soccer, building forts, reading, writing, cooking, and attempting (and sometimes succeeding at) Pinterest projects.

Dr. April Gibbs Scott, CCC-SLP

Services

We evaluate and treat adults, (18 years and older), who have suffered a wide range of cognitive-communication disorders resulting from:

– Traumatic Brain Injury
– Stroke
– Dementia
– Huntington’s Disease
– Parkinson’s Disease

During the evaluation, formal and informal assessments are used to identify clients’ speech, language, and cognitive skills. Clients provide their medical history, areas of concern, and personal goals. The clinician will complete a written report and will discuss a plan of care with the client and/or caregiver. The following areas are evaluated:

Expressive Language

How someone gets thoughts, ideas, needs, and feelings across.

Receptive Language

Understanding words, sentences, and meanings of what someone says or reads.

Cognition

Remembering, paying attention, planning, organizing thoughts, solving problems.

Social Pragmatics

Following social rules when speaking and with actions; understanding emotions in other people accurately.

Speech

Producing sounds correctly or fluently (stuttering, cluttering).

We understand the importance of providing services that are based on scientific evidence and are meaningful to the client. Practical treatment goals increase the chances of success at work, school, and home. Therefore, our treatments are tailored to each client’s personal goals and may address the following:

Aphasia

Difficulty expressing and understanding language, including reading and writing.

– Example: incorrectly naming objects; calling a “dog” a “fish”
– Example: making up new words – calling a “table” a “parbet”

Apraxia of Speech

Difficulty planning and sequencing voluntary movements of the mouth or saying sounds and words.

– Example: someone can stick out their tongue when not asked but can’t when asked to do so.
– Example: when asked to repeat the word ‘umbrella’ it is repeated in different ways (bella; umella; brella; umbella)

Articulation Disorders

Difficulty pronouncing certain sounds that make up words.

– Example: saying “teletone” for “telephone”

Cognition

Remembering, paying attention, planning, organizing thoughts, solving problems.

Dysarthria

Weakness in the muscles used for talking and swallowing due to brain damage; may cause slurred speech, changes in voice, changes in how fast/slow one talks.

Expressive Language

How someone gets thoughts, ideas, needs, and feelings across.

Receptive Language

Understanding words, sentences, and meanings of what someone says or reads.

Fluency

Disruptions in the production of speech; stuttering, cluttering.

– Example: I’m going to b-b-b-b-bake cookies.

Social Pragmatics

Following social rules with actions and when speaking; understanding facial and vocal emotions correctly.

– Example: taking turns and staying on topic when speaking with someone; using appropriate language; recognizing facial emotions accurately

Carolina Premier Speech Therapy delivers high quality contract speech therapy services to meet temporary, short-term or long-term coverage needs at:

– Skilled Nursing Facilities
– Assisted Living Facilities
– Out-patient Agencies
– Employment Sites
– Post-Acute Rehabilitation Centers

Carolina Premier Speech Therapy provides consultation services to assist organizations, companies, and corporations in promoting the inclusion of employees with cognitive or communication disorders in two ways: educational sessions and training sessions.

See the section below for more details and FAQs.

Consulting Information

Carolina Premier Speech Therapy provides consultation services to assist organizations in promoting the inclusion of employees with cognitive or communication disorders in two ways: educational sessions and training sessions. Sessions are customized to your business’ needs and can be completed in-person, via phone, or a video call.

  • Providing educational information for management personnel and/or staff about specific disorders and strategies to facilitate communication amongst employees.
  • Employees who have a cognitive or communication disorder and wish to educate their co-workers about their specific disorder.
  • Teaching strategies to management personnel and their employees for more effective and efficient communication with employees who have cognitive or communication disorders and other employees.
  • Modifying workspaces to maximize productivity for employees with cognitive or communication disorders. Depending on the location, we can visit on-site to assist with environmental and administrative accommodations.

Consulting FAQs

What are some example scenarios where consultation services will help my employee who sustained a recent injury, resulting in cognitive and communication changes?

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My employee suffered a traumatic brain injury and now has difficulty multi-tasking, remembering details discussed in team meetings, and following conversations. As his supervisor, I want to learn more about his TBI so I can make sure he has the resources he needs to succeed at his job duties.
Scenario 2:
My employee had a stroke and is back at work. She has aphasia. I want to learn more about aphasia and how I can best help her communicate with me and others on the job.
Scenario 3:
I am a college student that suffered a concussion while playing soccer. Now I have having trouble planning my day, organizing my thoughts, and managing my time. I get overwhelmed more quickly and can’t concentrate in my classes.

What does the initial consultation entail?

The clients’ needs for services are discussed, including current obstacles preventing employees with communication disorders from reaching their maximum productivity at work.

I’ve completed my initial consultation and decided to have a training and educational session for my staff. Now what?

Please call the office to discuss a date of service. A formal letter of agreement will be signed and the Speech Therapist and the services will be provided.

How much are consulting fees?

The initial consultation is free of charge. Fees for educational and training sessions vary. Please contact us for more information.

Our Approach

Our client-centered, community-based approach emphasizes meaningful goals and personalized success.

  • 1. Evaluation

    Evaluations are used to identify speech, language and cognitive skills. Clients provide their medical history, areas of concern and personal goals.

  • 2. Plan Development

    The clinician will complete a written report and will discuss a plan of care with the client and/or caregiver.

  • 3. Treatment

    Practical treatment goals increase the chances of success. Treatments are tailored to each client’s personal goals.