Aphasia is a language disorder that can affect an individual’s ability to communicate. This can make it difficult for individuals to speak clearly or comprehend language, and also affect their ability to read and write.
Aphasia can develop when portions of the brain responsible for language are damaged. And while it’s most common in people middle-aged and older, it can affect individuals of all ages, including children.
As a parent, caregiver, spouse, or family member to someone with aphasia, it can be disheartening to watch a loved one struggle to communicate. However, there are effective treatments available, as well as many ways to get involved and help someone overcome their communication obstacles.
As with all speech and language challenges, educating yourself on aphasia is the best way to make informed treatment decisions. For that reason, we’ve put together this informational guide to answer common questions about aphasia, identify signs and symptoms, explain how aphasia is typically evaluated, diagnosed, and treated, and more.
As you may know, our brains have two halves - the left side and the right side. Our language skills typically take place and are developed on the left side, and when areas of this side of the brain are damaged, it can lead to an impairment of our language abilities.
Aphasia is a language disorder that occurs as a result of this damage. It can make it difficult for an individual to speak, understand, read, and write. The severity of aphasia can range dramatically - in some individuals, communication can be almost impossible, while in others, it can have very minor effects.
Additionally, aphasia can disrupt only a single aspect of language, such as the ability to coherently string words together in sentences or recall the names of people and objects. However, more commonly multiple parts of communication are involved. This can make it difficult for individuals to communicate with loved ones, navigate activities of daily living, socially connect with friends and family, or perform in the workplace.
It’s important to recognize that people with aphasia are not any less intelligent as they were before - they simply have trouble recalling information like they used to. While they may trouble using communication to express their thoughts and ideas - it is not the thoughts and ideas themselves that are disrupted. People with aphasia are just as smart as they once were, they simply need help with compensatory strategies to better communicate.
Different aspects of language take place in different parts of the brain. Over time, researchers have been able to identify and recognize different patterns of speech impairment that correspond to the location of the brain damage. Below are a few types of aphasia and common symptoms that can take place as a result.
There are several other types of aphasia. Diagnosis by a physician or speech-language pathologist can help isolate and determine the type of aphasia an individual may be experiencing, and recommend appropriate treatment options best suited to help.
While each of these conditions can affect an individual’s speech production and communication abilities, there are notable differences. Recognizing this distinction is important to make the most informed treatment decisions.
While many people have never heard of aphasia, it is actually quite common. According to the National Aphasia Association, approximately two million Americans have aphasia, with nearly 180,000 Americans diagnosed with the disorder each year. This makes it more common that Parkinson’s disease, cerebral palsy, and muscular dystrophy.
As mentioned, Aphasia is caused by damage to parts of the brain that are needed to use and develop language. Aphasia is most often the result of a stroke (with approximately 25-40% of stroke survivors acquiring aphasia). However it can be caused by any type of brain damage, including brain tumors, head injuries, brain disorders, or other neurological disorders like Alzheimer’s disease.
Aphasia can occur suddenly, such as after a stroke, or it can develop more gradually as a result of a brain tumor or neurological disorder.
As mentioned, the signs and symptoms of aphasia can vary based on which areas of the brain are affected, as well as the severity of the damaged areas. Aphasia can affect how a person talks, their ability to understand language and concepts, and their reading and writing abilities.
According to the American Speech-Language-Hearing Association (ASHA), below are some of the most common ways people can be affected.
Reading and Writing
Oftentimes, aphasia is first recognized by the healthcare practitioner that is treating the individual with a brain injury. There are a number of different clinical and diagnostic tests a physician will use that can help locate the precise area of the brain that may be damaged. This can include a magnetic resonance imaging (MRI) or a computed tomography (CT) scan.
If aphasia is suspected, the physician will typically test the individual’s speech and language abilities, including how they produce and understand language, answer questions, hold a conversation, and more. In many cases, the physician will refer the patient to a speech-language pathologist (SLP). Speech therapists are communication experts and the most qualified professionals to evaluate, diagnose, and treat speech and language issues associated with aphasia.
Some people will see natural improvements in their language and communication ability in the first few months following a brain injury, even without treatment. However, even after this recovery period, symptoms remain in many people. This can be affected by the cause and extent of the brain damage, as well as the age and health of the individual.
Speech-language therapy is used to help patients regain their ability to communicate. This can include finding ways to maximize their remaining language skills and restore as much language as possible.
Depending on a person’s speech, language, and social needs, speech therapists will work with the affected individual, as well as their family and caregivers, to develop an individualized treatment plan. The specific techniques your speech therapist uses, and the goals of their treatment, will depend on each person's unique circumstances. Here are a few examples of what a therapy session could look like:
For more severe cases, speech therapists will teach individuals alternative ways of communicating that don’t involve speech, such as using simple hand gestures, writing, pointing to letters and pictures, or using a computer or electronic devices. These forms of communication are collectively referred to as augmentative and alternative communication, or AAC.
Expressable matches individuals and families with a certified speech therapist trained to effectively evaluate and treat speech and language disorders related to aphasia. All therapy is delivered online via face-to-face video conferencing.
Based on the client’s age, communication difficulties, and speech and language goals, the speech therapist will develop a personalized treatment plan to help them meet their needs. Adult clients can choose to attend sessions by themselves, but are also welcome to bring caregivers or family members into the treatment sessions as well.
For toddlers, school-age children, and younger adults, Expressable speech therapists will use different strategies to interact with them through video chat capabilities and ensure parents and caregivers are actively involved:
Ages 0-3: Parents work directly with their speech therapist to learn cues and at-home strategies so they can confidently practice with their child outside the session and improve their communication. For more information on the importance of parental involvement in their child’s speech therapy, click here.
Ages 3-6: Parents attend video sessions alongside their child so they both learn valuable skills from their speech therapist. Reinforcing these lessons outside the session will continue to promote at-home skill building.
Ages 7 and Up: Most children attend video sessions independently but parents are kept in the loop with updates and tips during each session.
If you’re a parent, caretaker, spouse, or family member to someone with aphasia, the following tips can make it easier to both speak with and understand them.
Expressable is an online speech therapy practice committed to expanding access to quality services for everyone with a communication disorder. Expressable has pioneered a parent-focused care model that uses technology and education to integrate speech therapy techniques into children’s daily lives, improving outcomes and experiences.