Aphasia: Loss of Language, Not Loss of Intelligence

June is aphasia awareness month! Aphasia is a term quite familiar to speech language pathologists, but research shows that approximately 85% of Americans say they have never heard of aphasia. You know how people say no two snowflakes are alike? The same is true with aphasia- no two people with aphasia are exactly alike. So what is aphasia exactly?

Basics of Aphasia:

  • Aphasia is an acquired communication disorder that is caused by damage to the language centers of the brain 
  • Characterized by difficulty with expressive language (speaking/communicating ideas), receptive language (understanding/comprehending ideas), or both
  • Often affects reading and writing since these are also forms of language 
  • Ranges from mild to severe and presentation of communication difficulties varies with each person 
  • Presentation and type of aphasia typically corresponds to the area of the brain that was injured (for example, damage to Broca’s area in the brain leads to expressive aphasia)
  • A separate type of aphasia that is caused by neurodegenerative diseases is called primary progressive aphasia
  • Treatment for aphasia includes speech therapy to rehabilitate language skills and determine the most functional and effective communication tools

Causes of Aphasia:

  • Stroke (large majority)
  • Traumatic brain injury
  • Brain tumor
  • Brain infection
  • Other neurological conditions

Communication Tips for Interacting with a Person with Aphasia:

  • Be patient and give the person additional time to communicate ideas or understand what is being said
  • Do not “talk down” to the person
  • Enhance communication as needed with gestures, pictures, writing things down, use of technology, etc. 
  • Simplify communication if possible- use shorter/less complex sentences, emphasize key words, etc. 
  • Minimize environmental distractions
  • Continue to engage the person in conversations and social activities- just because a person has difficulty communicating doesn’t mean he/she wants to communicate less! 

This video from the National Aphasia Association provides a great summary:

Sources: 

National Aphasia Association: https://aphasia.org/ 

ASHA information page on aphasia: https://www.asha.org/public/speech/disorders/aphasia/ 

2 responses to “Aphasia: Loss of Language, Not Loss of Intelligence”

  1. […] I spoke at a brain injury and stroke support group a couple nights ago on the topic of aphasia and wanted to share this wonderful video from the National Aphasia Association as an additional resource for how to communicate with a person who has aphasia. For more information about aphasia, check out my previous post here. […]

    Like

  2. Tan Avatar
    Tan

    👍🏼👏🏼 loving this blog! Very informative, helping me understand my own communication and also great for better understanding a relative age 95 with cognitive decline.

    Like

Leave a reply to Tan Cancel reply

Bethany Emanuel,

M.Ed., CCC-SLP

I’m an ASHA certified speech-language pathologist passionate about providing care that is client-centered and empowering clients to meet their goals. I have been an SLP for over 11 years and have worked in a variety of settings such as skilled nursing, private practice, and most recently at a nationally-ranked rehabilitation hospital. I obtained my bachelor’s and master’s degrees in speech pathology from the University of Georgia (Go Dawgs!). I see adolescents & adults with acquired brain injuries or diagnoses such as TBI/traumatic brain injury, concussion, stroke, or multiple sclerosis and also provide executive function coaching services to teens & adults with ADHD. My area of expertise is in cognitive communication disorders and I treat areas such as memory, attention, executive functioning, expressive and receptive language, swallowing, voice, and speech production.

Let’s connect