Understanding Our Professions

How Speech-Language Therapists and Audiologistss Can Help You

Communication and hearing are fundamental to connecting with the world around us. Whether you're concerned about a child's speech development, experiencing hearing difficulties, or recovering from a stroke, South Africa's speech-language therapists and audiologists are here to help.

Not sure which professional you need? Read on to understand what each specialist does and how they can support you or your loved ones.

Speech-Language Therapists (Speech Therapists)

What They Do

Speech-language therapists assess, diagnose, and treat communication and swallowing disorders. They work with people of all ages to help them speak clearly, understand language, communicate effectively, and swallow safely.

Who They Help

  • Babies and toddlers with feeding difficulties or delayed speech development

  • Children who struggle with pronunciation, stuttering, or understanding instructions

  • School-aged children with reading and writing challenges linked to language

  • Adults recovering from stroke, brain injury, or living with neurological conditions

  • People with voice problems (hoarseness, vocal strain)

  • Anyone with swallowing difficulties that affect eating and drinking safely
     

Common Conditions Treated

  • Speech sound disorders (difficulty pronouncing words clearly)

  • Language delays and disorders (trouble understanding or using words)

  • Stuttering (fluency disorders)

  • Voice disorders (chronic hoarseness, vocal nodules)

  • Swallowing difficulties (dysphagia)

  • Communication challenges related to autism, cerebral palsy, or Down syndrome

  • Speech and language problems after stroke or head injury

  • Accent modification (for professional or personal reasons)
     

When to See a Speech-Language Therapist

  • Your child isn't talking by age 2 or is difficult to understand

  • Your child struggles to follow instructions or express their needs

  • You or a loved one has difficulty swallowing food or liquids

  • Speech has changed after an illness, injury, or surgery

  • Persistent hoarseness or voice strain affects daily life

  • Stuttering impacts confidence or communication

Audiologists

What They Do

Audiologists are healthcare professionals who specialise in hearing and balance disorders. They assess hearing function, diagnose hearing loss, fit and manage hearing devices, and provide rehabilitation to help people hear and communicate better.

Who They Help

  • Newborns and infants needing hearing screening and early intervention

  • Children with hearing loss affecting speech and learning

  • Adults experiencing hearing difficulties in conversations or noisy environments

  • Older adults with age-related hearing loss

  • People with tinnitus (ringing or buzzing in the ears)

  • Anyone with balance or dizziness problems

  • Workers exposed to occupational noise needing hearing protection and monitoring
     

Common Conditions Assessed and Treated

  • Hearing loss (congenital, age-related, noise-induced, sudden)

  • Tinnitus (ringing, buzzing, or humming sounds in the ears)

  • Balance disorders and vertigo

  • Ear infections affecting hearing

  • Processing difficulties (trouble understanding speech in noise)

  • Ear wax management

  • Custom hearing protection for musicians, industrial workers, swimmers


Services Provided

  • Comprehensive hearing assessments (adults and children)

  • Newborn hearing screening

  • Hearing aid selection, fitting, and ongoing management

  • Cochlear implant assessment and mapping

  • Tinnitus management programs

  • Balance and dizziness assessments

  • Custom hearing protection and earplugs

  • Hearing conservation programs for workplaces
     

When to See an Audiologist

  • You or your child didn't pass a hearing screening

  • You frequently ask people to repeat themselves

  • You struggle to hear conversations in restaurants or group settings

  • Family members complain the TV volume is too loud

  • You experience ringing, buzzing, or other sounds in your ears

  • You have dizziness, vertigo, or balance problems

  • You've been exposed to loud noise and notice hearing changes

  • You want to prevent hearing damage (custom ear protection)

Hearing Aid Acousticians

What They Do

Hearing aid acousticians are specialists trained in selecting, fitting, and maintaining hearing aids and assistive listening devices. They focus on ensuring you get the most appropriate hearing technology for your lifestyle and hearing needs, with ongoing support and adjustments.
 

Who They Help

  • Adults with hearing loss needing hearing aid devices

  • People seeking affordable hearing solutions and device maintenance

  • Anyone wanting hearing aid repairs, adjustments, or upgrades

  • Individuals needing assistive listening devices for TV, phone, or specific situations


Services Provided

  • Hearing assessments for hearing aid fitting

  • Hearing aid selection and recommendations based on lifestyle

  • Precise hearing aid fitting and programming

  • Ongoing adjustments and fine-tuning

  • Hearing aid repairs and maintenance

  • Custom ear moulds

  • Assistive listening devices (TV streamers, amplified phones)

  • Battery supply and accessories

  • Hearing aid cleaning and servicing
     

When to See a Hearing Aid Acoustician

  • An audiologist has recommended hearing aids and you want fitting options

  • Your current hearing aids need adjustment, repair, or replacement

  • You want a second opinion on hearing aid options

  • You need ongoing hearing aid maintenance and support

  • You need accessories or assistive devices to complement your hearing aids

 

The Difference Between Audiologists and Hearing Aid Acousticians

Both professionals can assess hearing and fit hearing aids. Audiologists have broader diagnostic capabilities including balance testing, cochlear implants, and medical audiology. Hearing aid acousticians specialise specifically in hearing aid technology and fitting. Many people see an audiologist for initial diagnosis and may work with either professional for hearing aid fitting and ongoing care.


Finding the Right Professional for You 

All SASLHA members are registered with the Health Professions Council of South Africa (HPCSA).
 

How to Choose

  1. Search our member directory by location, specialisation, or language

  2. Check their areas of expertise - many professionals specialise in specific age groups or conditions

  3. Contact them directly to discuss your needs and ask about:

    • Experience with your specific concern

    • Assessment and treatment approaches

    • Fees and medical aid coverage

    • Appointment availability
       

What to Expect at Your First Appointment

  • Discussion of your concerns and medical history

  • Assessment using specialised tests appropriate for your age and condition

  • Clear explanation of findings in language you understand

  • Recommendations for treatment, therapy, or devices if needed

  • Treatment plan outlining goals, frequency, and expected duration

  • Questions answered - don't hesitate to ask anything!
     

Ready to Take the Next Step?

Whether you're seeking help for yourself, your child, or a family member, South Africa's speech-language therapists, audiologists, and hearing aid acousticians are ready to support your communication and hearing health journey.
 

Find a Professional