Unlocking Communication, with Matthew Nakonesky

Matthew Nakonesky, Principal Speech and Language Therapist and founder of Speech Therapy Northeast, joins us to explore cognitive communication disorders and the power of group therapy in brain injury rehabilitation. With over two decades of experience, Matthew shares how cognitive impairments, such as memory loss and slowed processing, affect communication across every aspect of life.

He emphasises that therapy must extend beyond the clinic, adapting to real world environments where communication is spontaneous and context driven. From helping a client detect sarcasm while rock climbing to using soap opera clips to teach social cues, Matthew’s approach blends structured learning with practical application.

At Speech Therapy Northeast, two types of groups support recovery, one focused on skill development, the other on social connection. These groups offer safe, dynamic spaces for practising communication and receiving peer feedback, which often resonates more deeply than therapist input.

Inspired by Mark Ylvisaker’s philosophy, Matthew incorporates project based therapy, where clients create meaningful resources such as children’s stories and documentaries. These projects foster purpose, identity and community awareness.

Progress is tracked through video analysis and SMART goals, helping clients build confidence and recalibrate self perception. Group dynamics are carefully facilitated, with rotating leadership roles and space for authentic interaction.

This episode highlights how recovery is not just about regaining skills, it is about rediscovering purpose and connection through meaningful, community based care.