Virtual Adult Speech Therapy Across Ontario
communication is the
bridge to connection
Empower your communication goals through collaborative and functional neurorehabilitative speech therapy
our services: functional neurological disorder • traumatic brain injury • concussion • stroke & aphasia • executive functioning • cognitive communication disorders • stuttering • professional communication
our services: functional neurological disorder • traumatic brain injury • concussion • stroke & aphasia • executive functioning • cognitive communication disorders • stuttering • professional communication
Cognicare Speech Therapy provides holistic speech-language therapy for stroke, brain injury, and neurodivergent adults, in Toronto and virtually across Ontario, integrating cognition, fatigue, and mood into every communication plan.
Communication goes beyond "just words." It’s the bridge that connects you with others.
It's what lets you crack a joke, get through a job interview, follow a lecture, present to colleagues, or simply catch up at the dinner table. Whether you're neurodivergent, recovering from a stroke or brain injury, or facing new or ongoing difficulties with communication, support is available.
Cognicare is led by Mariya Kika, a licensed, CASLPO-registered speech-language pathologist with training in clinical speech pathology, cognitive science, and psycholinguistics. Her approach is holistic, integrating communication with cognition, fatigue, and mood rather than treating it in isolation.
our approach
what does the process look like
Free consultation
15 minutes. No obligation. A chance to discuss your experiences and needs and ask any questions about speech therapy.
Assessment
A comprehensive interview, open dialogue, and objective testing to identify your strengths and goals. You'll receive a written summary and a customized treatment plan.
Treatment plan
Virtual speech therapy delivered straight into your home, targeting your personalized goals, with progress reviewed regularly.
Functional application
Strategies move from session into daily life through home programming. In-person community integration sessions, offered across the Greater Toronto Area, help you practice skills in the settings where they matter most.
Progress and taper
As you meet your goals, treatment frequency decreases to build your independence. You'll keep a personalized strategy toolkit and home program, and consultations remain available anytime.
Speech therapy should be accessible to adults across Ontario, regardless of location, schedule, mobility, or other limitations. Sessions happen over secure video, bringing personalized treatment straight into your home or office, with materials relevant to your daily life used right in session.
Research supports telepractice as an effective way to receive speech-language therapy, with outcomes and attendance comparable to in-person care. It's a genuine, evidence-based path to treatment.
With Cognicare:
No downloads or software subscriptions are required, just a link to your digital waiting room before each session
Scheduling is flexible, built around your energy and your day
Skills carry over into daily life through community integration sessions, offered in person across the Greater Toronto Area
why virtual speech therapy?
Direct Billing Available
Speech-language pathology is covered under most major insurance plans, and Cognicare direct bills over a dozen insurers, including Canada Life, Manulife, Desjardins, and Beneva.
Eligible WSIB claims are direct billed as well.
Frequently Asked Questions
Still have questions? Take a look at the FAQ or reach out anytime!
-
No, you don’t need a referral to start speech therapy!
Anyone can initiate speech therapy services at any time, without waiting for a referral or recommendation from another healthcare professional.
-
Yes, virtual speech therapy is just as effective as in-person therapy.
Multiple research studies indicate that the results of online sessions match those of in-person sessions. What’s more, many clients even find added benefits: practicing in a familiar home environment often boosts comfort and confidence, making it easier for skills to carry over into everyday life. Virtual sessions also offer terrific flexibility, fitting around school, work, and family schedules. This flexibility creates consistency, which is a key driver of real progress.
Virtual speech therapy isn't a compromise — it's a proven, high-quality path to meaningful, lasting communication gains!
-
We primarily work with adults and teens.
At Cognicare Speech Therapy, we support individuals navigating major life changes as they find their footing in an ever-changing world. Our focus is two-fold:
We help adults who've experienced loss or change due to injury or illness work through their new reality;
We support the transitional needs of teens and adults with neurodivergence as they navigate new environments — whether that's entering post-secondary, starting a new job, or simply better understanding their own communicative profile.
-
No, speech-language pathology services in Ontario are not covered by OHIP.
Many benefits plans include coverage for SLP under services labeled paramedical or allied health. Please review your plan and consult with your insurance company to find out how much you are covered for Speech Language Pathology annually.
Cognicare is please to offer direct billing to over a dozen providers.
Clients without coverage can pay out of pocket, explore alternate funding, or apply to our Community Spot.
Please visit our Rates page here for more information.
You don't have to rebuild communication alone
Reach out anytime with questions, or go ahead and book your free 15-minute consultation, there's no obligation to continue.