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Words don’t just disappear; sometimes the path to them does. We explore what aphasia really is—evidence of brain injury—and why that framing changes everything for survivors, caregivers, and clinicians. Instead of waiting at a broken bridge, we focus on building new routes: consent-based support, yes/no prompts, two-choice options, functional descriptions, and shared signals that turn help into partnership. The result is less pressure, more access, and conversations that actually include the person who’s fighting to be heard.

We also dig into the messy truth of inconsistency. On one day, automatic phrases might show up on cue; on another, a simple sentence can stall. That doesn’t mean the thought is gone. Capacity rises and falls with fatigue, stress, speed, and noise. The wardrobe analogy makes it clear: the clothes are there, the drawers are jammed. So we shift the goal from perfect words to being understood—reframing success as clear meaning, not flawless speech. Along the way, we talk about when “take your time” helps and when it hurts, and how a quick reset like “let me say it another way” can unlock progress.

Caregivers and clinicians will find pragmatic guidance for protecting dignity while improving outcomes: pace the exchange, reduce choices, offer help with consent, and respect “never mind” as triage, not attitude. We name the emotional weight too—grief and depression that often travel with aphasia—and offer a way forward grounded in partnership. If you suspect aphasia after a stroke or head injury, seek an evaluation and bring these tools to your team. Subscribe, share this with someone who needs it, and leave a review to help more people find the conversation. Your support keeps this work moving and makes the path to language a little smoother for everyone.

www.aphasiaadvocates.com for Brain Friends Merch

https://www.cognitiverecoverylab.com/seles

https://aphasia.org/stories/announcing-the-davetrina-seles-gadson-health-equity-grant-program/

Our beloved colleague, Dr. Davetrina Seles Gadson, passed away January 11, 2025. Dr. Gadson was an extraordinary speech-language pathologist and neuroscience researcher who devoted her energy to studying health disparities in aphasia recovery. She was a fierce advocate for improving services for individuals with aphasia, particularly Black Americans. Her research transformed our understanding of these health disparities and shed light on how we can address them. We were privileged to have Dr. Gadson as a cherished member of our lab community for four years, first as a postdoctoral fellow and then as an Instructor of Rehabilitation Medicine. She was still a close collaborator and friend to many of us at the time of her passing. Dr. Gadson was an incredible person—compassionate, inspiring, and full of life. Her dedication to advancing equity in aphasia recovery and her profound impact on our community will never be forgotten. We are committed to honoring her memory by continuing to push our field forward and fight for equitable services for all people with aphasia.