Time Since Stroke: 18 months
Assessment: Russell may not seem to be a good candidate for treatment. His depression had not been disclosed prior to his acceptance, but typically depression lessens while at the program. Once a client begins to see that he can make progress in his speech, he tends to have more hope about the future. He stopped taking his medication during the program, but began taking it again by the 4th week. He maintained strong support from loved ones. His cognitive skills were relatively good, but his speech was severely apraxic.
Treatment: 6 week program. After extensive counseling during his treatment, he agreed to participate fully in the program. Daily goals helped him see his progress more frequently and easily. His treatment focused largely on speech production and compensatory strategies to help him feel more success.
Results: Amazingly, he made rapid progress once he chose to fully participate.