Finding voice and purpose: A conversation with Lynette Holmes on healing, representation and legacy

Clinical pediatric speech-language pathologist Lynette Holmes interacts with a patient.  (Courtesy)
By April Eberhardt The Black Lens

When Lynette Holmes introduces herself, she does so with clarity and a touch of humor: “I’m Lynette Holmes – like Sherlock.” Beneath that wit lies a deep sense of purpose and a career anchored in science, compassion, and purpose.

As a clinical pediatric speech-language pathologist at Spaulding Rehabilitation Hospital in Boston, Holmes has spent more than three decades helping children reclaim their voices – literally and figuratively. Her journey is one of persistence, faith and legacy, grounded in the belief that healing is about more than medicine.

Holmes didn’t set out to become a speech-language pathologist. Her path was circuitous, rooted in an early dream of becoming a pediatrician.

“I always loved the medical setting,” she said.

That exposure began early, through her late mother – a dedicated rehabilitation nurse.

“I’ve always loved working with kids,” she shared. “And I’ve always loved the medical setting.”

After earning a degree in biology with minors in mass communication and chemistry from Chatham University, Holmes discovered speech-language pathology through various lab and clinical experiences. The University of Oklahoma offered her financial aid and a different route to medicine – one that combined her passion for children, communication, and science. It was there that she began to understand how language, brain development, and medical complexity intertwine. She completed her master’s degree and clinical fellowship, launching a career that has spanned more than 30 years at one of the nation’s leading rehabilitation hospitals.

Her work extends far beyond speech. Holmes supports children with cognitive challenges, voice disorders, language delays, and – critically – swallowing difficulties, a lesser-known but essential part of speech pathology.

“It’s not just about communication,” she said. “It’s about helping kids eat safely, manage oral secretions and regain functions we often take for granted.”

She added, “Most people think of speech therapists in the school setting. But I work in an inpatient acute rehab hospital. We’re treating medically complex cases – children who’ve had strokes, car accidents, brain tumors or swallowing disorders.”

Holmes recalls how she initially disliked her graduate class on swallowing, yet she would eventually specialize in it – particularly in pediatric cases.

“You never know where life is going to take you or where your gifts are going to shine,” she said.

In the world of inpatient rehab, where traumatic brain injuries are a common reality, Holmes often witnesses what she calls “tiny miracles” – children emerging from unresponsive states, slowly regaining their ability to speak, eat and engage with the world around them.

One of the most meaningful parts of her work? Telling her patients, “Come back and visit me.”

As a Black woman in a predominantly white field, Holmes knows that presence alone can be powerful – but her expertise also speaks volumes.

“When people say, ‘I don’t see race,’ I tell them, ‘Then you don’t see all of me.’ My Blackness isn’t something I hide – it enriches everything I bring to my work.”

Lived experience, she believes, is key to building communities rooted in empathy. She recalls an early and awkward interaction with a family: “I was the first Black professional a young patient had ever seen. That moment mattered – for him and his family.”

She continued, “Representation isn’t just about being in the room. It’s about how we treat people at every level–from patients to janitors.”

Over the years, Holmes has inspired not only patients, but also students, parents, and hospital staff – some of whom have pursued careers in speech-language pathology after witnessing her work.

She remembers how, early in her career, she often had to explain who she was. Before staff badges and branded clothing, people didn’t always recognize her as the clinician. Her epiphany in those moments was to let her work speak for itself–choosing to educate through action and focusing on the knowledge she could offer.

“I’m a Black woman who knows her stuff,” she said – and she stands confidently in that fact.

A long time member of Charles Street A.M.E. Church in Roxbury – one of Boston’s oldest Black congregations – Holmes sees her work as both profession and ministry.

“I used to think ministry had to happen inside the church walls,” she said. “But every child, every family teaches me something.”

Holmes has also taught at Massachusetts General Hospital’s Institute of Health Professions and guest lectures at Boston University and Northeastern. Since 2015, she has presented regularly at the International Pediatric Brain Injury Society (IPBIS) Conference, sharing research on school reentry after head trauma, disorders of consciousness in children, and innovative treatment activities like her therapeutic “Escape Room” concept.

At the most recent IPBIS Conference in Scotland, Holmes experienced a full-circle moment. A young Black woman – now a PhD candidate and presenter – approached her with excitement. She had been one of Holmes’ former graduate students.

“That reminded me just how much representation matters,” Holmes said. “We’re not just fighting for seats at the table – we’re building new ones for the people coming behind us.”

The conversation turned personal as Holmes reflected on how rarely Black families discuss health history – and how that silence can be harmful.

“It’s about changing patterns,” she said. “When we talk about it, we take away the fear. Genes talk. We just have to listen.”

She believes cultural connection is key to resilience. “We carry more than our history – we carry each other.”

Wellness in the Black community, Holmes emphasized, is holistic – it is cultural, encompassing the physical, emotional, spiritual and ancestral, interwoven across generations.

Lynette Holmes reminds us that helping others reclaim their voice begins with embracing your own purpose – and using it as a catalyst for others to discover theirs.