10 Supported Conversation Tips for People with Aphasia

by | Carers Support

Communication is a two-way street. These simple rules help “bridge the gap” when words are difficult to find.

1. One Idea at a Time

Don’t overwhelm the listener with long paragraphs.

  • The Rule: Say one thing, then pause.

  • Why it works: It gives the brain time to process one piece of information before the next one arrives.

  • Example: Instead of “Do you want tea or coffee and would you like a biscuit with that?”, try: “Would you like a drink?” (Wait). “Tea or Coffee?”

2. Draw While You Talk

You don’t need to be an artist to use a pen and paper.

  • The Rule: If you are talking about a “cat,” draw a quick sketch of a cat. If you are going to the “shops,” write the word SHOPS in big letters.

  • Why it works: Visual cues bypass the “speech” part of the brain and go straight to the “understanding” part.

  • Tip: Always keep a notepad and a thick black marker pen on the coffee table.

3. The 10-Second Rule (Wait!)

This is the most powerful tool in your kit.

  • The Rule: After you ask a question, count to ten silently in your head before you speak again.

  • Why it works: A brain with aphasia often needs extra time to “find” the answer. If you speak too soon, you “reset” their clock and they have to start all over again.

  • Try this: Watch the second hand on a clock. Ten seconds feels like a long time, but for someone with aphasia, it is often exactly what they need.

4. Use “Yes / No” Questions

Open-ended questions (like “How was your day?”) are very hard to answer.

  • The Rule: Ask questions that can be answered with a nod, a shake of the head, or a “Yes/No” thumb signal.

  • Example: Instead of “What do you want for lunch?”, try: “Do you want a sandwich?”

💡 Jonathan’s Advice for Partners

“Being a good communication partner isn’t about talking for someone. It’s about creating a quiet, patient space where they feel safe enough to try. If it doesn’t work the first time, don’t worry—just take a breath and try a different way.”

Watch the Aphasia Documentary

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