Aphasia is a form of brain injury involving speech and cognitive understanding. Aphasia is manifested by the loss in ability to speak coherent ideas or understand spoken language. The different types of aphasia have different names:

Receptive Aphasia - difficulty understanding information

Expressive Aphasia - expressing thoughts through speech or writing

Aphasia problems result from complex injuries to large key brain areas. These injuries to the brain are usually located in the left hemisphere of the brain. The speech problems caused by aphasia (i.e., expressive aphasia) are typically accompanied by cognitive problems as well (i.e., expressive aphasia). Dysarthria is a another form of brain injury producing speech difficulties closely related to aphasia:   

Dysarthria - difficulty pronouncing or articulating words and phrases resulting from injured nerves in the brain that control the muscles involved in speech production.

Volume limitations in speaking, another brain injury speech difficulty, may result from subtle breathing problems and injuries to the nerves of the vocal cords. The general area of complex cognitive communications means the thinking part of speaking and listening. Trumatic brain injury affects how easily a person can find the words express a thought or to formulate strings or sequences of words to convey his or her intended meaning. Brain injury often results in subtle residual hesitations, more time needed to get a point across, or occasional confusion in understanding the spoken intentions of other people.


To cope with and adapt to speaking and listening difficulties caused by traumatic brain injury, a person can give himself or herself additional time and patience when communicating with other people. When appropriate, written communication can be used as a substitute for verbal communication to allow additional time for thoughtful composition and the organization of thoughts. Like any significant change brought about due to head injury, it is always a challenge to the brain injury victim to to make creative adjustments and adaptations.

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James Roswold
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James Roswold is a Kansas & Missouri personal injury, workers comp, and medical malpractice attorney.