Adult neurological
Aphasia Therapy
Aphasia is a language disorder that most often follows a stroke or brain injury. Therapy is built around rebuilding functional communication — talking with family, returning to work, navigating daily life.
Someone with aphasia may know exactly what they want to say but struggle to find the words. Others may have difficulty following conversations or produce speech that doesn't match their intended meaning. Aphasia is not a loss of intelligence — the thoughts, personality, and intentions remain intact. The pathway between thought and language has been disrupted and needs targeted rebuilding.
Aphasia can affect speaking, understanding, reading, and writing in different combinations and severities. Therapy focuses on restoring as much functional communication as possible through structured, evidence-based practice tailored to each person's specific language profile.
Most significant gains happen in the first months to years after a stroke or brain injury — but progress remains possible at any stage.
Recovery is possible at any stage
Recovery depends on the cause, severity, and how soon therapy begins. Many people make significant gains — especially with consistent therapy in the first months and years after a stroke or injury. But meaningful progress is still possible years later with structured speech therapy. It is never too late to benefit.
The role of family
Spouses and adult children are often the first to notice communication changes — and the most important partners in recovery.
Aphasia affects the whole family. Spouses, adult children, and close friends are often the first to notice changes in communication. They are also the people who will be part of daily conversations for years to come. We coach family members on strategies that reduce frustration for everyone — giving the person with aphasia time to speak, using visuals, asking yes/no questions when needed, and avoiding the temptation to finish sentences prematurely.
Our mother suffered a debilitating stroke at 63. Paralyzed and aphasic, she remained driven by encouragement and purpose. Working with Chelsea, a thorough evaluation and solid plan of care was established while keeping our family very much apprised of progress and home therapies.
A call to find out if therapy fits.
No pressure, no commitment. We listen to what's changed, answer questions about recovery timelines, and help you decide whether a full evaluation makes sense right now.
- Consultation — by phone, at a time that works for you
- Teletherapy — serving CA, TX, and ID
- Family welcome — bring a spouse or adult child to the call
Signs Aphasia therapy may help
- Difficulty finding the right words during conversation (anomia)
- Trouble understanding what others are saying
- Speaking in short or incomplete sentences
- Mixing up words or using related but incorrect words
- Difficulty reading material that used to be easy
- Trouble writing emails, lists, or notes
- Frustration or withdrawal from conversations
How ReImagine treats aphasia
Therapy begins with a comprehensive evaluation to identify which areas of language are most affected — and which strengths can support recovery. Sessions focus on rebuilding functional communication for the activities that matter most: conversing with grandchildren, returning to work, managing daily errands. Approaches may include word retrieval exercises, conversational practice, and compensatory strategies. Family members are coached on supportive communication techniques so conversations at home feel less stressful.