Blog

January 22, 2021

Supporting someone with aphasia

Introduction
Aphasia is one of the most challenging effects of stroke—not just for the survivor, but for those who care for them. It can affect a person’s ability to speak, understand, read, or write. This sudden loss of communication can lead to frustration, isolation, and emotional strain on both sides. But with the right tools, strategies, and support, meaningful connections are still possible. Here's how to support someone with aphasia in a way that reduces stress, builds confidence, and strengthens your relationship.

Create a Calm, Focused Environment

The brain needs clarity to process and respond.

  • Turn off TVs, radios, or background noise
  • Ask others to keep voices low during conversations
  • Choose quiet, familiar settings when possible

Overstimulation—too many sounds, images, or movements—can make it significantly harder for a stroke survivor to focus and respond.

Be Generous With Time

Aphasia affects word-finding and sentence formation. Don’t rush.

  • Give the person time to find their words
  • Resist the urge to finish their sentences
  • Stay calm and attentive, even if there are long pauses

Silence may feel uncomfortable, but your patience is a form of support.

Ask Yes/No Questions

Simplify conversations to make communication easier.

Instead of:
“What would you like for dinner?”
Try:
“Do you want pasta tonight?”

Yes/no questions reduce pressure and allow the person to express themselves more easily.

Use Visual Tools

When words aren’t working, pictures and gestures can speak volumes.

  • Offer pen and paper for writing or drawing
  • Create a binder with pictures of common needs (food, emotions, people, places)
  • Use hand gestures or point to objects around the room

These tools can restore a sense of autonomy and reduce daily frustrations.

Keep Them Involved

Aphasia doesn’t mean someone should be left out of conversations or decisions.

  • Involve them in meal planning, daily routines, and small choices
  • Encourage participation in games, puzzles, or group activities
  • Ask for their input, even if the reply takes a while

Participation builds confidence and helps stimulate cognitive recovery.

Be Kind—Every Step of the Way

Stroke recovery is unpredictable and emotionally draining. Your support matters more than you know.

  • Stay encouraging, even on hard days
  • Celebrate small wins, like successfully communicating a word
  • Reassure them that you're in this together

Your patience and compassion can help rebuild hope.

Explore Professional and Online Resources

Aphasia is treatable—and recovery takes a team.

  • Work with a speech-language pathologist for personalized therapy
  • Explore tools and worksheets online
  • Visit aphasia.org for free resources and guidance

If you're a caregiver, know that you are not alone. There are resources for you, too.

Final Thoughts

Supporting someone with aphasia isn’t just about communication—it’s about connection. With small adjustments and a lot of heart, you can help your loved one find new ways to express themselves and feel understood.

For Caregivers
Rehabilitation
January 22, 2021
Written by
The Stroke Foundation
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