Communication Difficulties

The following services are suited for individuals with acquired communication disorders, such as:

  • Aphasia/ dysphasia - language difficulties which can affect understanding, expression, reading or writing. Aphasia occurs in one third of people who have a stroke. It can also occur in people who have a brain injury, dementia (e.g. Primary Progressive Aphasia), or brain tumours and/ or cancer. 

  • Dysarthria - speech difficulties which affect how clear a person's speech is. This can happen after a stroke, brain injury, brain tumours and/ or cancer or in progressive conditions (such as Parkinson's disease, Multiple Sclerosis, Motor Neuron Disease etc.).  


  • Apraxia of speech/ dyspraxia - speech difficulties caused by difficulties coordinating the sounds required. This often happens after a stroke or brain injury. 

  • Cognitive communication disorder - a person's style of communication changes which can make them a less effective communicator. This often occurs after a stroke or brain injury. 


Initial assessment (typically 60-120 minutes). 

An initial assessment includes a discussion of your strengths and difficulties and then completion of any required assessments. Your goals for therapy will be discussed. Normally therapy activities/ strategies will be trialled in the session too. You may also be sent some assessments such as reading and writing tasks or questionnaires for you to complete and return.

Prior to the session, you will be sent some forms to complete. This will help gather key information, such as your medical history, so that this can be discussed in the session. It is also helpful to bring any previous speech and language therapy reports to the session; this is so I can see what previous input you have had. This can be useful as if you did not like or find one approach useful, we can try alternatives. 

After the session, the assessments will be analysed and you will receive a report detailing your session and providing the therapy recommendations. Therapy recommendations may include activities for you to complete and any recommended resources (such as websites or apps). You will also be sent supportive therapy materials to help with your practise. 

Please note that assessments for individuals with aphasia and/or cognitive communication disorder typically take longer (usually 90 to 120 minutes). 

Therapy Plan (60 minutes)

After an initial assessment, an individualised therapy plan can be created for you. All of the activities will be explained and practised with you and significant others in a therapy session. After this session, you can practise the exercises yourself or you can book therapy sessions. 

Therapy Sessions (60 minutes)

Therapy sessions support you in your practise of your therapy plan. You can choose to involve your partner, children, parents, friends etc. The benefit of having therapy sessions is that activities can be easily adapted as you continue practising.  

Review Session (60-90 minutes)

After you have practised your therapy plan for an agreed amount of time, you will have a review session. This will involve: discussing how you found the therapy programme, reviewing your goals, re-assessing your communicative abilities and setting new therapy goals. A new therapy plan can then be created. With your consent, your GP may be sent a letter to update them regarding your progress. 


Training (variable)

Individualised training packages can be provided to others regarding how best to support the individual with the communication difficulties. You may want a group session for your whole family to have your loved one's communication difficulties explained and have the chance to ask any questions. Or you may want carers to receive training so that they are best supported for their role. 

Please get in contact for more details.  

Rachel Clare, Speech and Language Therapist

Speech Therapy Lincs Ltd

Company registered number: 11965293 

Registered in England

94 Hewson Road, Lincoln, Lincolnshire, LN1 1RX