Speech, reading, writing and cognitive rehabilitation

A sudden brain injury can feel like someone turned the volume down on your life. Words that once came easily become effortful, reading and writing feel unfamiliar, and everyday thinking, planning, remembering, following conversations becomes tiring. Recovery is possible, and targeted speech-language rehabilitation can restore much more than speech: it rebuilds independence, restores connections with loved ones, and brings back confidence and purpose.

Why specialised rehab matters

Stroke and traumatic brain injury (TBI) can affect language, voice, swallowing, reading, writing and cognition in different combinations. A tailored rehabilitation plan addresses the exact mix of difficulties a person faces, so therapy is efficient, meaningful and measurable. Early, intensive, and task-focused therapy speeds gains; therapy that targets everyday tasks transfers directly back into life at home, work and social settings.

What we work on, practical, person-centred goals

  • Speech and expressive language: Rebuilding clear speech and the ability to find and use the right words. Therapy uses repetition, cueing strategies and real-life conversation practice so gains are functional and automatic.
  • Reading and writing: From single-word retrieval to reading paragraphs and composing emails, therapy progressively rebuilds decoding, comprehension and written expression using graded, meaningful tasks.
  • Cognitive-communication skills: Attention, memory, problem-solving and organisation are trained using real-world activities, planning a trip, following recipes, or managing daily schedules, to improve independence.
  • Swallowing and voice: Where needed, safe swallowing strategies, airway protection and voice-strengthening techniques are integrated so that communication and nutrition recovery progress together.

How therapy works, evidence-informed, motivating routines

Therapy blends neuroscience with practical habits:

  • Functional practice: We focus on the activities that matter to you, phone calls, reading bills, joining family conversations, so progress is immediately useful.
  • Repetition with variety: Short, frequent practice sessions across different contexts reinforce new neural pathways faster than long, infrequent drills.
  • Compensatory strategies: Where recovery needs support, we teach tools, visual cues, keyword scripts, memory aids, and pacing techniques, so you can participate with confidence while skills rebuild.
  • Technology and teletherapy: Apps, recording tools and teletherapy expand practice opportunities between sessions and allow family members to be part of the process.

Simple exercises that have big impact

  • Word-finding box: Keep a small kit (photos, labelled objects, category cards). Spend five minutes daily naming items in a category, then describe one item in a full sentence.
  • Read-aloud routine: Read a short paragraph together each morning; discuss the main idea and pick one sentence to repeat aloud for clarity and pacing.
  • Life-list planner: Break tasks into three clear steps and use sticky notes or a phone reminder to guide completion; increase complexity slowly as confidence grows.
  • Conversation scripts: Prepare short scripts for common situations (ordering food, greeting a neighbour) and practise them until they feel natural.

Measuring progress and staying motivated

Therapy sets clear, functional goals (for example: “Make a phone call independently” or “Read and summarise a news article”) and tracks small wins along the way. Celebrating micro-progress, clearer phrases, reduced pauses, increased reading stamina, sustains motivation. Family involvement and homework that fits daily life are powerful accelerants to recovery.

Real-life success looks like this

  • A client who regained the confidence to call family members using keyword prompts and practiced scripts.
  • Someone rebuilding reading stamina by moving from headlines to short articles within a month.
  • A person returning to part-time work after progressive cognitive-linguistic training and workplace strategy planning.

How Laura Cramb Speech Therapy supports you

Therapy at our practice is practical, compassionate and designed around your life. We offer in-person and online sessions, flexible scheduling, and personalised programmes that combine speech, literacy and cognitive strategies so you can rebuild the skills you need most. Our goal is to make therapy meaningful, measurable and motivating, restoring communication so you can reconnect, live more independently and regain the activities that matter.

Ready to get started? Book an assessment to identify priorities, build a personalised rehabilitation plan, and take the first step toward reclaiming your voice, reading, writing and thinking with confidence.

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