Skip to main content
Submitted by PatientsEngage on 3 April 2018
Image: Stock image of two people communicating with each other but the words in the speech bubbles are jumbled

After a stroke nearly 20-40 per cent patients develop communication problems or aphasia, the inability to comprehend and formulate language because of damage to specific language areas in the brain. Dr Sujata Gandhi, Speech Therapist, Nanavati Hospital, advises that speech and language therapy is the best way to restore normalcy and quality of life.

How does a stroke or ‘brain attack’ affect speech and communication?

A stroke causes damage to the Speech and Language areas of the brain. For most people, these are parts of the Left Hemisphere of the brain. Aphasia occurs suddenly often as a result of a stroke or head injury but may develop slowly in case of a brain tumour.

What happens when a stroke affects speech?

The difficulties of people with aphasia range from occasional trouble finding words to losing the ability to understand, speak, read or write. Intelligence, however, is not affected. Aphasia may occur with speech disorders such as Apraxia or Dysarthria.

Listen to a stroke survivor talk about her recovery from global aphasia

 

 

What is Aphasia?

Aphasia is a Communication disorder. It is the inability to comprehend and formulate language because of damage to specific language areas in the brain.

What causes Aphasia?

  1. Stroke
  2. Brain Tumours
  3. Brain Infections
  4. Head Injuries
  5. Dementia

What are the symptoms of Aphasia?

Main symptoms are:

  • Trouble to speak or slurring in speech.
  • Struggling with finding correct words or terms.
  • Using strange or inappropriate words.
  • Inability to comprehend Speech.
  • Difficulty in reading and writing.

What per cent of stroke survivors are affected by Aphasia?

According to the National Aphasia Association, 20-40% of stroke survivors have Aphasia.

Are there different types of Aphasia?

  1. Expressive / Non Fluent / Broca's Aphasia - Expression in form of speech or writing is affected.
  2. Comprehension / Fluent / Wernicke's Aphasia - Person cannot understand commands, spoken words. Their speech remains fluent. His answers will not connect to the questions.
  3. Global Aphasia - This affects all aspects of language. Both comprehension and expression are affected.
  4. Anomic Aphasia - Person has difficulty in naming objects.

How is Aphasia treated?

Speech and Language Therapy is the most essential and common treatment for Aphasia.

Can speech be recovered after a stroke?

Speech and language can be restored by Therapy. It depends on the extent of damage to the areas in the brain. Generally, therapy gives good results except in Global Aphasia where prognosis is poor.

Related Reading: Healing the mind after a Stroke

What does speech and language therapy involve?

Speech and Language Therapy involves in bridging the communication deficit. The patient needs to attend Speech Therapy sessions which may range from half hour to forty five minutes twice a week or more frequently. Regular sessions and follow up at home with the family members results in good prognosis.

What the general guidelines for communicating with people with Aphasia?

  1. Family members should understand the problem that the patience faces.
  2. Respect the patient’s age - do not treat or speak to them like a child.
  3. Do not ridicule or laugh at the errors or mistakes that they make.
  4. Speak slowly and clearly. Do not shout.
  5. Be patient and encouraging.

 

Dr Sujata Gandhi, Speech Therapist, Nanavati Hospital,

Changed
08/Jun/2026

Stories

  • Brain Tumor Prevention
    Prevention of Brain Tumour
    Prevention of Brain Tumours: We cannot prevent brain tumours/cancer, but we can reduce our risk of having them. Like any other cancer, brain cancer risk can also be reduced by: Avoid/Limit your exposure to Harmful Substances The toxins in our environment and pollutants can have unfavourable effects on the brain. Pesticides, industrial chemicals, and air and water pollutants, and even indoor pollutants are known to contribute to the development of brain tumours as per the scientific literature.…
  • Brain Tumor Management
    Management of Brain Tumour
    Management of Brain Tumour Role of palliative care: Palliative care helps in improving the quality of life of not just the patient but the families and caregivers of patients with cancer. It has many roles: Symptom Management: Palliative care helps to mitigate and manage many symptoms due to cancer and the related treatment like pain, nausea, fatigue, loss of appetite, and breathlessness. It combines several modalities like use of medications, physiotherapy, counselling etc. Emotional and…
  • Brain Tumor Treatments
    Treatment of Brain Tumour and Brain Cancers
    Treatment for brain tumour and brain cancer: The treatment plan is usually decided based on the physical assessment of the patient, age, advice of the Neuro-oncologist (specialist for brain cancer) and the oncology team or Neurosurgeon (if the brain tumour is benign) and is usually based on factors like: Type of Tumour: Depends on whether the tumour is cancerous or benign, and the specific type of tumour. Grade of tumour: Tumours may range from low-grade to high-grade and the…
  • Brain Tumor Tests Diagnosis
    Tests and Diagnosis of Brain Tumour
    Brain Tumour Diagnosis Process : Initially the doctor (typically a neurologist) will take a detailed history to understand the duration and intensity of the symptoms. They may inquire about past and current health issues, current and past medications, surgical and family history etc. This will be followed by a general physical exam and a neurological examination (neurocognitive and neuro-ophthalmological) to check for: Balance and coordination. Mental status/Awareness/Ability to follow simple…
  • Brain Tumor Types and Grades
    Types and Grading of Brain Tumour
    Types of Brain Tumour: Primary and Secondary Malignant and Benign Primary and Secondary Tumours that start in the brain tissue itself are known as primary brain tumours. Primary tumours are further categorized by clinicians as glial (composed of glial cells in the brain) or non-glial (developed on the brain or the structures of the brain like nerves, blood vessels, and glands). If the tumour has started elsewhere in the body and then spread to the brain; it is termed as secondary brain…
  • Brain Tumor Signs Symptoms
    Symptoms of Brain Tumour
    Symptoms of Brain Tumour: Headache or a feeling of pressure in the head that is: Worse in the morning. Persistent or frequent and seem severe. Feel like tension headaches or migraines. May be associated with nausea and/or vomiting. Issues with vision like blurring, double vision, or diminishing sight on the sides (peripheral vision). Loss of sensation or movement in the legs or arms. Issues with balance. Speech issues like slurring, incoherent speech. Excess tiredness. Confusion in matters…
  • Brain Tumor Causes Risk Factors
    Causes and Risk Factors of Brain Tumour
    Causes of Brain Tumour: For most brain tumours, the cause is not known. Genetics are associated with less than 5% of brain tumours, these are rare conditions passed down in families, where certain genes are mutated from birth, significantly increasing the risk of developing brain and other types of tumours. Some inherited conditions are known to increase the risk of developing tumours which are: Neurofibromatosis- Causes tumours on nerves throughout the body, including the brain and spinal…
  • Brain Tumor Overview
    Overview of Brain Tumour and Brain Cancer
    Brain and spinal cord together are known as the central nervous system (CNS). Brain tumour is an overgrowth of cells, either within the brain or near it in places like nerves, the pituitary gland, and the meninges (sheet like membranes that cover the surface of the brain). Tumours can be benign (non-cancerous growth or lumps that generally do not spread to other organs/tissues) or malignant (made up of cancerous cells that multiply and spread to neighbouring tissues and organs and sometimes…
  • A woman reading a book and holding her head in pain with text overlay on a blue strip Types of Headaches
    सिरदर्द को कब गंभीरता से लें?
    बच्चे हों या बड़े /वयस्क, हमारे जीवन में कभी न कभी सिरदर्द होना आम बात है। दैनिक जीवन को बाधित करने वाले लक्षणों में यह सबसे आम लक्षण है, और विश्व भर में दर्द निवारक दवाओं के दुरुपयोग/ अति-उपयोग के सबसे आम कारणों में से एक है। इस लेख में जानें कि सिरदर्द के प्रकार और कारण क्या हैं, सिरदर्द को गंभीरता से कब लें, और स्वास्थ्य सेवा पेशेवर से इस के लिए कब मिलें। सिरदर्द दुनिया भर में शरीर में दर्द के सबसे आम कारणों में से एक है। सिरदर्द ज़्यादातर मस्तिष्क, रक्त वाहिकाओं, नसों या कान, नाक और गले की…
  • A woman reading a book and holding her head in pain with text overlay on a blue strip Types of Headaches
    When To Take Headaches Seriously
    It is quite usual for us to experience headaches at some point in our lives as a child or adult. It is of the most common prevailing symptoms that hampers our daily life and is one of the most common causes of abuse of pain killers around the world. This article focuses on types and causes of headaches, when to be concerned about it, and when to visit a healthcare professional. Headache is one of the most common causes of pain in the body around the world. Headaches are mostly caused by…