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LANGUAGE

What is Aphasia?

Aphasia is an acquired neurogenic language disorder that affects a person’s ability to speak, understand, read, or write. It typically occurs when areas of the brain responsible for language are damaged. However, it’s important to note that aphasia doesn't affect intelligence—those with aphasia are just as capable, even if finding the right words becomes a challenge.

What Causes Aphasia?

The most common cause of aphasia is a stroke, which occurs when blood flow to the brain is interrupted, causing damage to specific regions. Other causes can include traumatic brain injuries, brain tumors, brain surgery, and brain infections.

Types of Aphasia

Not all aphasia is the same. Here’s a quick look at its common forms:

  • Broca's Aphasia (Non-fluent): Effortful speech production, but often comprehension remains intact. For example, someone might say "want... coffee" instead of "I want a cup of coffee."
  • Wernicke's Aphasia (Fluent): Speech is more fluent but often very fast. Sentences may be confusing due to adding too many words, too few words or made-up words. Comprehension and overall awareness can also be impaired.
  • Global Aphasia: Severe impairment in both speech production and understanding, often seen in extensive brain damage.
  • Anomic Aphasia: A milder form where individuals struggle to find the right words, particularly nouns and verbs.

The Role of Speech Therapy

Effective treatment for aphasia focuses on rebuilding language skills and fostering communication through speech therapy. Here are a few general treatment options:

  • Restorative Approaches: Targeting word-finding techniques, role-playing activities, naming objects, creating scripts, and practicing conversations to build new brain pathways and restore language comprehension and production.
  • Compensatory Strategies: Using gestures, written and verbal cues, picture books, letter boards, charts, and communication boards/devices that can support communication.
  • Family/Friend Support and Training: Be patient and allow response time, use short clear sentences, implement compensatory strategies, and celebrate successes.  

Aphasia is a complex language disorder that requires understanding, patience, and support from both professionals and loved ones. By embracing restorative approaches, utilizing compensatory strategies, and fostering a strong support network, individuals with aphasia can work toward regaining confidence with communication. 

Keesha Sarman, M.S., CCC-SLP

Author

Keesha is a Speech-Language Pathologist who specializes in working with pediatric and adult clients to boost their memory and cognitive skills.

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