Is there a way for you to do it in person? When I did speech therapy years ago it was at a university(Purdue, for those that want to know) and in person... I felt it helped a lot. I had similar issues with using the skills and techniques outside of therapy... So we did exercises at fast food restaurants and things like that, and it helped a ton. I feel like that would be much more difficult with Skype, but I know there may not be an opportunity to do so in person where you are.