Supporting Someone with Aphasia: A Guide for Carers

Aphasia affects the ability to speak, read, write, and understand—but it does not change the person’s intelligence or personality.

While you wait for your first appointment with a Speech and Language Therapist, use these strategies to help bridge the communication gap and reduce frustration at home.

2. How to Speak

• Slow Down: Speak at a natural pace but leave longer pauses between sentences.
• Keep it Simple: Use short sentences and “adult” language. Do not “talk down” to the person.
• Use Visual Cues: Use natural gestures (like pointing) or keep a notepad nearby to write down Key Words or draw simple pictures while you speak.
• Yes/No Questions: Instead of asking “What would you like for lunch?”, try “Would you like a sandwich or soup?” or questions they can answer with a nod or a shake of the head.

3. How to Listen

• Give Them Time: It can take 10–20 seconds for a person with aphasia to process a sentence and formulate a response. Resist the urge to finish their sentences for them.
• Confirm Understanding: If you aren’t sure what they said, be honest. Try: “I think you’re talking about the garden, is that right?”
• Encourage All Communication: It doesn’t have to be perfect speech. Encourage the use of hand signals, facial expressions, pointing to objects, or drawing.