Communication changes after a stroke or brain injury can feel isolating, but targeted therapy rebuilds more than speech, it restores participation, relationships and confidence. This post outlines practical steps adults can take immediately, and what to expect from rehabilitation.
Start with achievable goals
Set short-term, meaningful goals that matter to you: ordering a coffee, making a phone call, or joining a family conversation. Therapy that focuses on real-life tasks speeds progress and keeps motivation high.
Daily strategies to rebuild communication
- Use a communication routine. Begin each day with a short, structured conversation practice: name three things you did yesterday, describe a photo, or read a paragraph aloud. Repetition strengthens language networks.
- Chunk and simplify. Break messages into short, clear phrases rather than long sentences. Use gestures or written keywords to support spoken words.
- Practice restful breathing and pacing. Controlled breath supports voice volume and clarity, practice speaking on the exhale for short phrases.
- Leverage technology. Record yourself, use speech-to-text apps, or practise with teletherapy tools to increase practice opportunities between sessions.
Cognitive-linguistic exercises to try
- Word retrieval drills: name items in a category for 60 seconds and track improvement.
- Sentence building: start with two-word phrases, gradually add descriptive words.
- Memory supports: use sticky notes, labelled photos and short checklists to reduce cognitive load and support conversation
What professional rehab looks like
Speech-language therapy after stroke is tailored, evidence-based and practical, focusing on swallowing safety, speaking clearly, reading and writing, and cognitive-communication skills. Teletherapy options increase access and can be used together with in-person sessions for continuity of care.
If speech or swallowing changed after a medical event, a specialist assessment can identify priorities and design a rehabilitation plan. We provide adult rehabilitation for post-stroke and brain injury needs, with experienced clinicians who create realistic, person-centred programmes and offer online sessions for flexible access. Contact the practice to discuss an assessment and next steps.
