Peter Carew is a Speech-Language Pathologist based in Melbourne, VIC, Australia.
Peter looks after people of different ages, from kids to adults, when speech, language, and communication feel tricky. In many cases, problems show up after a change in hearing, after delays in language, or when speech muscles don’t work the way they should. At times, communication can also be affected by neurological conditions, including different types of ataxia.
When it comes to hearing-related needs, Peter helps with things like infant hearing loss and hearing loss more broadly. Support can include practical ways to make speech and sounds easier to catch, plus help for families as they learn what to watch for at different stages of growth.
Peter also works with people who have speech and movement planning challenges. This can include apraxia, where it’s hard to plan the right sounds and order for speech. For some people, it may take time and lots of practice to build smoother and clearer speech.
For children, Peter supports developmental expressive language disorder. That usually means a child may find it hard to express thoughts with the right words, sentences, or the right pace for talking. The focus is often on building strong communication routines, using everyday situations, and finding ways to reduce frustration while skills grow.
For adults, Peter helps with conditions that can affect how speech sounds. Dysarthria is one example, where the muscles used for speaking can be weak, slow, or not as steady. The goal is not just clearer words. It’s also making conversations feel easier and helping people stay understood in day-to-day life.
Peter has also supported people living with conditions such as Friedreich ataxia, hereditary ataxia, and spinocerebellar ataxia. These can affect balance, movement, and how clearly speech comes out. Over time, therapy can focus on comfort, energy use, breathing support for speaking, and communication strategies that fit real life.
Speech and language needs can be different from person to person. Peter takes a calm, practical approach, working on what matters most for each individual—whether that’s understanding and being understood, improving day-to-day speech, or finding better ways to share messages.