Case Study - Anomic Aphasia


Case Study

Anomic Aphasia

Age: 53

Time since stroke: 3 months


Problems

Cliff was a highly educated scientist who wanted to return to work as soon as possible. He'd sustained a head injury after losing consciousness and falling. He periodically became very discouraged by the difficulty of learning to read and write at a higher-level again. Like many people with aphasia, he had high expectations of himself and his progress.

  • Fluent speech but severe word-finding problems
  • Verbose and tangential
  • Little reading or writing
  • No awareness he wasn’t communicating effectively

Assessment

Using The Aphasia Center's testing protocols
  • "Talked around" word-retrieval issues
  • Speech fluent and tangential
  • Unaware of word substitutions
  • Difficulty following group conversations.
  • Around 64% of his speech was detailed and on topic
  • Needed help 50% of the time to say the target word
  • Understood one piece of information at a time

Treatment

He completed a 6-week program

and My Aphasia Coach software homework daily.


Results

Before
After
Listening
65%
85%
Naming
37%
62%
Sentence organization 6 words
28%
54%
Writing personal info
0%
28%

Outcome

  • Cliff became more self-aware and able to use strategies
  • Maintained topic 100% of the time independently.
  • Spoke in sufficient detail in conversation with 90% accuracy
  • Reading and writing improved from single words to sentences
  • He returned to work full-time as a director of a department within a few months