SPEAK OUT! typically consists of twelve individual speech therapy sessions conducted by a speech-language pathologist trained by Parkinson Voice Project. Together, the patient and the speech-language pathologist work their way through a series of speech, voice, and cognitive exercises outlined in a comprehensive workbook provided to every patient in the U.S. as a gift from Parkinson Voice Project. Each therapy session lasts 40-45 minutes. The primary goals of SPEAK OUT! are to strengthen the muscles used for speaking and swallowing and to teach patients how to speak with intent and deliberation.