Problems

Client was a semi-retired physician specialist. Dr. Grant’s speech consisted of all real words, but incorrectly placed vocabulary. For example, when describing a photo of a man driving a car, the client said, “Except to say he does not have classroom, he should be able to find them breathing with that place”. Client frequently unaware that he was making these errors. When clinicians clarified with him, he would then substitute that word into his speech. For example, if asked “are you talking about a Chinese restaurant?”, he would say “yes, Chinese. The Chinese are performing sutures in the experiment with the Chinese”.

Client was not going to return to work. He was initially very apprehensive about intensive therapy because he did not like his previous speech therapy. However, after a few days he began to get up to arrive early each day. His previous speech therapist told his wife that he was inattentive and should get a prescription for ADD medication. We noted no issues with his attention.