PURPOSE: To enable patients to feed themselves orally in a practical and secure way; thus, reducing the risk of pulmonary complications and at the same time seeking to provide the best possible quality of life. CASE REPORT: This is a clinical, qualitative case study that is descriptive in nature. The material has been organized using clinical data from the speech therapy program of a patient with RASM, progressive supranuclear palsy. The patient was referred for speech therapy with complaints of voice (wet voice, weak, and severe loss) and swallowing (choking, difficulty swallowing liquids and solids) disorders. The sessions were held at the residence of the patient because the condition prevented their moving, this patient GTT, more than 3 months. Each treatment session lasted for 50 minutes and the frequency was twice a week. We sought to unveil the process of the relationship between the therapist, the patient, and their family. The techniques used were aimed at ameliorating dysphagia and the voice disorders and were appropriate to the case. CONCLUSION: After 8 sessions, the patient no longer gagged when presented with solid food, but liquid food still induced dysphagia. His quality of life has improved, even though he had a disease as debilitating as progressive supranuclear palsy.