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What is aphasia?

What is aphasia?

Aphasia (pronounced uh-FAY-zhuh) is a communication disorder. It is different for each person, but affects one or more parts of language:

  • talking
  • understanding others
  • reading
  • writing

Aphasia does not affect intelligence, it only affects the ability to process language.

What causes aphasia?

Aphasia occurs when parts of the brain that control language are impacted by brain injury or neurodegenerative disease.

There are two reasons someone would have aphasia:

  1. Brain Injury – aphasia may occur due to a stroke or other type of brain injury, such as a traumatic brain injury, brain tumor, etc
  2. Neurodegenerative Disease – Primary Progressive Aphasia is the term for the language disorder that results from a neurodegenerative disease.

What is apraxia?

Apraxia (pronounced uh-PRAX-ee-uh) is also a communication disorder, but is considered a motor speech disorder vs. a language disorder. It affects how the brain plans movements needed for speech. This can make it hard to:

  • start speaking
  • say sounds clearly and correctly
  • say words the way they want to
  • say the same word the same way each time

 In contrast to apraxia, dysarthria is a motor speech disorder due to speech muscles being weak or paralyzed.

A person with aphasia may also have apraxia and/or dysarthria. They may also have cognitive changes, but this would be due to their individual brain injury or dementia, NOT the aphasia itself.

How do I help my loved one with aphasia?

Find a speech therapist and other aphasia providers

Speech Therapy services generally begin upon diagnosis with a referral from a physician.  While you may be “assigned” a speech-language pathologist (SLP, often referred to more simply as a speech therapist), it is encouraged that you to find an SLP who specializes in aphasia and is a match for your particular needs. Speech therapy services can be found in hospitals, outpatient centers, private practices, and university clinics. Services can be found virtually or in person and in both individual and group settings. Whenever possible, try to attend speech therapy sessions with your loved one to help better understand their aphasia, and to help carry over strategies and activities between sessions.

The speech therapist may recommend communication supports and tools known as Augmentative and Alternative Communication (AAC) to support their communication. These may include technology and apps, or be as simple as a photo book or personalized notebook.

How long you will be able to engage in formal speech therapy will be dependent on your insurance, access/transportation and many other factors.  While participating in speech therapy, you should also look into additional community options, such as local community or university aphasia centers, or intensive aphasia programs.

To find a provider:

  • Search our Aphasia Provider Directory for services near you
  • Ask your doctor or neurologist to refer you for speech therapy. Request a speech-language pathologist with aphasia experience.
  • Ask your speech therapist for other community resources.

Use supportive communication strategies

Aphasia-friendly communication is good communication. The tips below offer guidance for communicating with clarity, patience, and respect – helping individuals with aphasia stay engaged and connected in everyday life.

  • Be patient and attentive
  • Reduce distractions in the environment
  • Speak slowly and clearly
  • Use visual supports and gestures
  • Ask yes/no or choice-based questions
  • Confirm what you understood the person express
  • Encourage participation; include the person in conversation
  • Ask their preferences; keep the communication person-centered

 

How do I take care of myself?

Aphasia doesn’t just impact the person with the aphasia diagnosis; it affects their loved ones too.

Learn more about aphasia and being a care partner

Connect with other aphasia care partners

The National Aphasia Association offers several virtual programs for care partners of people with aphasia:

woman caregiver giving a side hug to an elderly woman, , National Aphasia Association