Aphasia

Aphasia is an acquired communication disorder that impairs a person’s ability to process language, but it does not affect intelligence and is not related to a mental illness. 

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 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.

There are many types of aphasia. Some people have difficulty speaking or understanding, while others may struggle to follow a conversation. People with aphasia don’t necessarily have a physical disability. However, many of them have weakness or paralysis of their right leg and right arm.

1. How can I recognize/ know that a loved- one is having a stroke?

Stroke symptoms may develop gradually or occur suddenly. Recognizing the signs and taking immediate action can make the difference between life and death for someone you love.  The sooner the medical intervention, the lower the risks of developing serious brain damage. There are 3 main signs to watch out for:
  • Drooping of the face
  • Arm weakness
  • Slurred speech
If someone is experiencing the 3 above symptoms, it is urgent to call an emergency line or take him/her to the hospital immediately.

2. What Causes Aphasia?

Aphasia is caused by damage to the language-dominant side of the brain, usually the left side, and may occur suddenly, such as after:
  • A stroke (most common cause),
  • A head injury, 
  • A brain surgery.
It may also develop more slowly, as the result of: 
  • A brain tumor, 
  • A brain infection, 
  • A neurological progressive disorder such as dementia.

3. How common is Aphasia?

Aphasia is more common in middle-aged and older people but it can happen to anyone, regardless of age. In the United States, around 1 million people are living with aphasia. Furthermore, studies have found no significant differences in the incidence of aphasia in men and women.

4. How Long Does It Take to Recover from Aphasia?

Recovery time from Aphasia depends on many factors, such as:
  • Age
  • Early intervention
  • Cause of brain injury
  • Type and symptoms of aphasia
  • Position and size of the brain lesion
  • Psychological aspect of the patient and his caregivers/ family

Because of these factors, the recovery degree and speed is different from one person to another. 
Most patients with poststroke aphasia improve to some extent. Most improvement occurs within the first few months and plateaus after one year.

If a stroke is the original cause of aphasia, language abilities could return to normal within hours or days, in some cases. However, if the symptoms of aphasia last longer than two or three months after a stroke, a complete recovery becomes unlikely. 

It is also important to note that improvement is a slow process that typically involves both helping the individual and family understand the nature of aphasia and learning compensatory strategies for communicating. Some patients continue to improve over a period of years and even decades.

5. Can People Who Have Aphasia Return to Their Jobs?

Since most jobs require speech, language and communication skills, patients with aphasia can find their previous jobs challenging and might not be able to work efficiently or meet the job’s requirements. Patients with severe aphasia will most likely have to quit their jobs. Patients with mild or even moderate aphasia might be able to return to their jobs depending on their recovery.  This decision can be very frustrating for the patient and his/her family. The speech and language therapist can offer support in this area by balancing hope and reality.

6. Does Aphasia Affect a Person’s Intelligence?

A person with aphasia may have difficulty retrieving words and names, but the person’s intelligence is basically intact. Aphasia is not like Alzheimer’s disease; for people with aphasia it is the ability to access ideas and thoughts through language – not the ideas and thoughts themselves- that is disrupted.                                                                                                                              
But because people with aphasia have difficulty communicating, it is often confused with other conditions.

7. How will speech therapy help someone with aphasia?

Speech language therapy aims at helping the patient regain his communication abilities, and this requires significant one-on-one repetitive and regular therapy.
Typically the measurable progress can be made in the months immediately after a stroke, however it is possible for people to make advances even years after their episode. 

For people with aphasia, speech and language therapy aims to: 
  • Help restore speech and language as much as possible to reduce the impairment
  • Support communication skills to the best of the patient’s ability to increase activity and participation 
  • Find alternative ways of communicating by using compensatory strategies or aids.

After determining initial deficits, the speech and language therapist will begin to coach patients in pronouncing basic word sounds and to teach them ways to communicate nonverbally by pointing to pictures or words, for example.
Moreover, Speech Therapists rely on an assortment of techniques to revive speaking skills. Music, for example, has proved to be an effective means for people to remember words. Some aphasia patients can barely speak but they can sing entire songs. 

8. How do we communicate with a loved one who has Aphasia?

People with aphasia might feel isolated and burdensome. They might experience frustration, anxiety and even depression. 

Therefore, family involvement is a very important element of the aphasia treatment because it teaches you the best way to communicate with your loved one in an efficient way. Therefore, we encourage you to:  
  • Make sure you have the person’s attention before you interact with him/her.
  • Minimize or eliminate background noise (TV, radio, other people).
  • Keep your own voice at a normal level, unless the person has indicated otherwise.
  • Keep communication simple but maintain a natural conversational manner appropriate for an adult. Which means that you can simplify your own sentence structure, reduce your rate of speech and emphasize key words without “talking down” to the person with aphasia.
  • Give them time to speak. Resist the urge to finish sentences or offer words.
  • Communicate using drawings, gestures, writing and facial expressions in addition to speech.
  • Confirm that you are communicating successfully using “yes” and “no” questions.
  • Praise all attempts to speak and downplay any errors. Avoid insisting that each word be produced perfectly.
  • Engage in normal activities whenever possible. Avoid shielding people with aphasia from family or ignore them in a group conversation. Rather, try to involve them in family decision-making as much as possible. Keep them informed of events but avoid burdening them with day-to-day details.

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