Personalized and evidence-based speech-language pathology services

At Optimal, we bring a unique kind of speech-language pathology to Casper – one that is personalized and evidence-based. Speech-language pathology services are most effective when they are individualized and combine your strengths with what you need to be at your highest level of functioning. Cookie-cutter therapy does not work. A one-size fits all therapy approach has been shown to be the least effective type of therapy. Your therapy plan will be guided by a professional who has been in the field for over 20 years, yet maintains relevancy by regularly attending continuing education classes, certification courses, teaching at hospitals and universities, and guest speaking at brain injury support groups. Our speech-language pathologist offers cutting-edge therapies not offered elsewhere in the state of Wyoming including being a certified brain injury specialist and providing myofascial release therapy. You are a partner in the therapy plan.

Speech-Language Pathology

Traumatic Brain Injury Sequelae

Concussion/Post-Concussion Syndrome

Expressive Language Deficits Due To Stroke

Receptive Language Deficits Due To Stroke

Motor Speech Disorders

Vocal Nodules, Polyps

Chronic Cough

Irritable Larynx Syndrome

Hoarse, Breathy, Strained Voice Symptoms

Oral Phase Swallowing Disorders

Oropharyngeal Swallowing Disorders

Symptoms Associated With Parkinson’S Disease, Multiple Sclerosis


Aphasia Therapy

Cognitive Rehabilitation Training

Apraxia & Dysarthria Therapy

Voice Therapy

Dysphagia Therapy Including Thermal Tactile Stimulation, Neuromuscular Stimulation, Oral-Motor Exercises

Dysfluency Therapy

Augmentative And Alternative Communication Services

Elyse Johnson


Elyse is a nationally certified and state licensed Speech-Language Pathologist (SLP). In addition, she is a Certified Brain Injury Specialist (CBIS).