about us

Adult Speech Pathology is passionate, and purpose driven about the work that we do. Our services are focused on assisting adults and adolescents, so they are able to communicate and be understood clearly. Whether you are experiencing communication difficulties due to a stroke, traumatic brain injury, Parkinson’s disease, Multiple Sclerosis (MS), an intellectual disability, autism or learning difficulties, we work with you to assist you achieve your goals. We also help clients who are experiencing a change in their voice.

We are a small team of motivated professionals ready to help you live an enriched and meaningful life. Our team provides a personalised service so once you start seeing one of our qualified and experienced Speech Pathologists, you will remain with them until your goals are achieved.

about us Adult Speech Pathology team

Vanessa Sciacca

about us - Vanessa

Vanessa is the owner and principal Speech Pathologist at Adult Speech Pathology. She founded and built the business over 10 years ago through a strong referral base on the Central Coast with GPs, Ear, Nose and Throat (ENT) Specialists, Neurologists and NDIS Support Coordinators. With over 30 years of experience, she is a Certified Practising Speech Pathologist and is a member of Speech Pathology Australia (SPA).

Vanessa is committed to making a difference to the lives of her clients. With her strong clinical skills, she primarily works with clients who have had a stroke, traumatic brain injury, Parkinson’s Disease, Neurological conditions such as Multiple Sclerosis, Functional Neurological Disorders (FND), voice problems and chronic cough conditions. She has a clinic in Central Coast Neurosciences at Erina which is dedicated to seeing clients in person.

Vanessa is accredited to run programs including Lee Silverman Voice Therapy (LSVT ©) LOUD and SPEAK OUT! for Parkinson’s voice problems. These programs have proven to be effective through years of research.

Through referrals from a network of ENT specialists, Vanessa specifically assists clients diagnosed with voice disorders, chronic cough, laryngeal hypersensitivity and Exercise Induced Laryngeal Obstruction.

Rachel Howarth

About us - Rachel

Originally from Mudgee, Rachel has over a decade of experience in the disability sector working with people with different disabilities including autism, cerebral palsy, learning difficulties, hearing impairment and intellectual disabilities. She has the capability to work with clients with complex needs, varying stages of communication skills and knows Key Word Sign (KWS).

Rachel has extensive experience with Augmentative and Alternative Communication (AAC) and the functionality of alternative communication supports such as tablets, apps, communication devices and communication books. The benefits of using AAC include the ability to express yourself, understand and regulate emotion, access the community, increase social communication and enable you to live a more independent life. Rachel will recommend the most suitable AAC for you according to your needs.

Rachel supports workplaces and the community to become more accessible environments. She works part time at Adult Speech Pathology and undertakes outreach in rural and remote NSW.

Clare Donkin

About us - Clare

Having grown up on the Central Coast, Clare looks after the administration for the practice and provides support for our clients. She comes with a background of over 10 years of admin experience working in the medical industry in various roles.

Clare has a kind, caring and compassionate nature and priorities the individuals needs of clients. In her down time, Clare enjoys going to the beach and weekends camping with her young family.

Our Locations


In addition to our fully mobile service across the Central Coast we are proud to provide clinic appointments at the Central Coast Neurosciences office in Erina. We work alongside a number of neurologists in the practice to provide co-ordinated services for clients with neurological conditions such as stroke, Parkinson’s disease, MS, dementia or Huntington’s disease. We also see clients at the clinic wishing to access comprehensive services we offer including management and remediation of voice disorders, chronic cough or paradoxical vocal cord dysfunction, Functional Neurological disorders, swallowing difficulties (dysphagia) and other difficulties relating to speech, voice, communication or literacy. Parking is available underneath the building in Karalta Lane, including disabled parking and a lift up to level 2 where we are located within the Central Coast Neurosciences office.

Contact us to speak with our friendly and experienced Speech Pathologists.