The background of this study is to describe and analyze the speech therapy intervention of a patient in sequelae stage of peripheral facial paralysis, with emphasis on psychosocial factors involved in the therapeutic process. It's a clinical case study, female subject, 52, in the sequelae stage of peripherical facial paralysis, assisted from March to July 2010. The clinical material was systematically recorded in writing and facial expressions were photographed regularly during the therapeutic process. The data were analyzed in a biopsychossocial aspects. The clinical of peripheral facial paralysis occurred 18 years ago in hemiface left with unknown etiology. During the period that began speech therapy, the subject had significant muscle contractures and synkinesis that made up the sequelae. It can be discuss that even after almost 20 years after the onset of peripheral facial paralysis, the patient reported in detail the psychological distress and social limitations imposed sequels that your routine. Complained: inability to express their emotions in the face communication situations. Listening therapy of psychological contents led to patient deal with these conflicts and, as such, seeks alternatives both functional and subjective to express herself in terms verbal and nonverbal safer and less anxiety. The therapeutic approach, which valued subjective aspects in the effectiveness of the method in the case studied speech. The theoretical basis provided subsidies for basic to intermediate technical interventions.