True North Neuro
Adult Cognitive | Speech | Language | Communication Neurologic Rehabilitation
Executive Function (EF) Coaching
Communication and Cognitive support for neurodegenerative conditions
Support to find your bearings -
whether you’re recovering, adapting, or redefining
Services
Adult Cognitive Rehabilitation
Cognition is the active thought processes in the brain that span memory, different types of attention, executive functions (planning, prioritizing, task initiation, self-monitoring, strategic behavior, goal-directed persistence, etc.), as well as thought-related aspects of language and visuospatial functions.
Adults may acquire a cognitive disorder from brain-based injury or disease. It may be subtle or spanning all the way to significantly impacting functioning .Cognitive rehabilitation holistically addresses cognitive disorders; sometimes with an aim to improve underlying cognition; sometimes to develop a toolbox and adaptive strategies, or a combination.. Palliative interventions are also available to people with chronic or degenerative conditions to provide troubleshooting and optimize quality of life.
Executive Function Coaching
Executive functions (EF) are a set of brain-based skills that support goal-directed behavior for just about everything in the world that we do on purpose. Examples of EFs are task initiation, freedom from distraction, productivity, organization, short-term memory, self-monitoring, organization, prioritization, and cognitive flexibility. EFs are heavily involved in daily life (“adulting”), work, academics, and personal relationships.
EF coaching is often recommended for adults with ADHD, but is available to anyone interested in improving EF skills. Everyone has EF strengths and weaknesses! Coaching involves uncovering your unique EF skill profile, goal-setting, development of a customized “toolbox”, mindset and psychological factors that maximize tool use, and the most important outcomes of incorporating tools into busy lives.
Adult Speech-Language Therapy & Coaching
Adults may experience changes in speech or language from a variety of neurological conditions. Neurological diseases such as ALS, Parkinson’s disease, Multiple Sclerosis, and others may affect one’s speech clarity, volume, breath support, or vocal quality. Sudden onset conditions such as stroke, brain injury, or brain surgery may similarly affect one or more speech subsystems. Beyond the act of speech, neurological conditions may impact one’s ability to communicate in terms of word finding, formulating sentences, conveying ideas across conversation, as well as to comprehend what others say. Rehabilitation and adaptive services aim to improve communication skills, whether the onset was recent or chronic.
ADHD/”ADD”
Brain tumors
Brain surgery
Seizure disorders
Neurological diseases (e.g., ALS, PD, MS, HD…..)
Long COVID/neuroinflammation
Age-related cognitive concerns
Mentoring for Clinical Professionals
Speech Pathology graduate school covers a broad range of topics in which specialty education is often impossible. Once out working, clinicians may be overwhelmed with meeting the complex needs of patients with neurological cognitive, speech, and language based conditions. 1:1 private mentoring empowers clinicians with assessment, treatment, critical thinking, and “soft” clinical skills to serve the adult neurological population with confidence and competency.
Support for neurological conditions & neurodivergent brains
Cognitive and Communication needs associated with:
Stroke
Concussion/”mild TBI”
Cancer-Related Cognitive Impairment (“chemobrain”)
Traumatic Brain Injury (moderate-severe)
Dementias
Functional Neurological Disorders
Executive Functions challenges (secondary to life!)
Meet Audra
Meet Goose
Audra Yetter M.S., CCC-SLP, BC-ANCDS, ADHD-CCSP has been in clinical practice for 16 years. She is the only clinician in a 5-state region holding rigorous board-certification in neurogenic communication disorders through the Academy of Neurologic Communication Disorders and Sciences. She has specialized in the neurological cognitive and communication needs of adults for the majority of her career, serving adults in hospital outpatient, inpatient, and private practice settings. Cognitive neuroscience has been her strongest interest since undergraduate studies in the early 2000s, leading to both specializing in cognitive rehabilitation for medical conditions, and executive function coaching to support neurodivergent individuals. Audra combines unending love for the brain and all things neuroscience with humor, compassion, and commitment to her clients.
Education
B.S., Psychological Science. Montana State University
Post-baccalaureate, Speech & Hearing Sciences. Washington State University
M.S., Medical Speech-Language Pathology. University of Washington
Select Presentations
Yetter (2025) Confidently Navigating Off-Trail in Adult Neurogenic Language and Cognitive-Communication Disorders: Seeing the Big Picture to Inform Precise Care. Montana Speech-Language-Hearing Association annual conference.
Eichorn, Keegan, & Yetter (2024) Elevating Critical Thinking and Clinical Decision-Making in Neurogenic Communication Disorders. American Speech-Language Hearing Association annual conference.
Yetter (2024). Upgrading Clinical Aphasia Management: Using Psycholinguistic Approaches to Inform Precise Care. Texas Speech-Language Hearing Association annual conference.
Yetter (2024). Wrapping your brain around the frontal lobes: Thinking outside the box for effective management of
cognitive-linguistic disorders in ABI. Texas Speech-Language Hearing Association annual conference.
Utianski, Anderson, & Yetter (2022). Academy of Neurologic Communication Disorders and Sciences Board Certification: Demonstrating Resiliency Through Motor Speech Cases. American Speech-Language Hearing Association annual conference.
Goose Yetter is 4-time employee of the year. He provides unwavering support behind the scenes of True North Neuro and a provides both a goofy and compassionate presence in sessions. He has an uncanny ability to know the exact minute it is dinnertime and also has an impressive vocal range of nonverbal communication. When not working, he can be found lying in any body of water possible, crushing hikes, playing with his human sibling, and taking epic naps.
Book a free consultation
I would love to hear more about your interest in therapy or coaching! I offer 20 minute consultation videoconference or phone calls to discuss your needs, services I offer, and a chance to see if it feels like a good fit. Click below to arrange a time to meet. You can also call or e-mail me:
(406) 213-5272
audra@neurospeechmt.com
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