Categories: Health

Expressive Aphasia: What to Know About Communication Disorders

Expressive aphasia is a language disorder that makes it difficult for people to talk clearly and effectively. It is commonly the results of a stroke but will also be attributable to other causes. This condition can range from mild, where an individual may omit small words of their speech, to severe, where many words are skipped.

People with expressive aphasia are frequently aware of their difficulty in speaking, which could be emotionally taxing. Fortunately, speech therapy is a worthwhile resource that may greatly improve communication skills and alleviate the impact of expressive aphasia on every day life.

This article will cover expressive aphasia, other aphasia types, symptoms, causes, diagnosis, and coverings.

Thierry Dosogne / Getty Images


What Is Expressive Aphasia?

Expressive aphasia is a language problem by which it’s hard for somebody to say or write their thoughts. It’s a sort of “non-fluent aphasia,” meaning that speaking is more difficult than understanding. People with this struggle might struggle to seek out the best words, form sentences appropriately, or speak and write easily.

Broca’s aphasia is a selected subtype of expressive aphasia. It is commonly attributable to damage to the brain’s left frontal lobe, impacting speech production but leaving comprehension intact.

A Word From Verywell

Expressive aphasia is one of the frustrating language deficits a patient can have because they know what they need to say but struggle to convey it to those around them. Adapting to a deficit after speaking freely all of your life could be a daunting task, but speech therapy and the patience and support of those around you may make a significant difference.

Other Types of Aphasia

Aphasia could be divided into two important categories: fluent aphasia and non-fluent aphasia. The big difference between the 2 is how well they’ll speak in comparison with how well they understand.

  • Fluent aphasia means people can talk easily but might use the incorrect words and have trouble understanding.
  • Non-fluent aphasiacorresponding to Broca’s, makes talking hard, but understanding is frequently okay.
  • Wernicke’s aphasiaalso referred to as “receptive” aphasia, is attributable to damage to the left hemisphere of the brain, specifically in the world referred to as Wernicke’s area. This condition results in difficulties in understanding language, each spoken and written. People with Wernicke’s aphasia often produce sentences that contain nonsensical or inappropriate words. They may have trouble realizing their language errors and should not fully comprehend what others are saying to them.
  • Global aphasiaessentially the most severe type of aphasia, affects each expressive and receptive language skills. It affects all features of communication, making it difficult to specific thoughts and comprehend language. This sort of aphasia typically occurs following extensive damage to language areas of the brain.
  • Anomic aphasia makes word retrieval and naming objects or concepts tougher. People with anomic aphasia may struggle to seek out the best words, resulting in pauses in speech as they seek for vocabulary. However, their overall language fluency and comprehension remain relatively intact in comparison with other sorts of aphasia.
  • Primary progressive aphasia (PPA) is a neurological condition where language abilities decline regularly, affecting speech, comprehension, and word finding. Unlike typical aphasia attributable to stroke, PPA progresses slowly and is commonly related to neurodegenerative disorders like Alzheimer’s disease.

Expressive vs. Wernicke’s Aphasia

Expressive aphasia is when someone struggles to talk fluently, like in Broca’s aphasia. They might speak briefly, broken sentences with limited words.

Wernicke’s aphasia makes it hard to know and use words appropriately. People with this sort of aphasia might say things that do not make sense or have trouble understanding others.

Expressive vs. Global Aphasia

While expressive aphasia affects the flexibility to supply speech, global aphasia is a more severe type of language impairment that affects each speech production and understanding. Global aphasia results in significant difficulties in communicating thoughts and understanding others.

Symptoms of Expressive Aphasia

People with expressive aphasia experience the next challenges:

  • Struggling to create complete sentences
  • Omitting common words like “is” or “the”
  • Forming sentences that do not make sense
  • Difficulty understanding spoken sentences
  • Making errors in following instructions involving spatial concepts like “left” or “right”
  • Using an analogous word as an alternative of the intended word, like saying “automobile” as an alternative of “van”

People with expressive aphasia often find speaking and reading tougher, but they often have a great understanding of spoken language and might read effectively.

What Causes Expressive Aphasia?

Several aspects can contribute to the event of expressive aphasia:

  • Stroke: A stroke affecting the left hemisphere of the brain, particularly within the frontal lobe or “Broca’s area”
  • Traumatic brain injury (TBI): Severe head injuries, corresponding to those from accidents or falls, can lead to wreck within the brain areas liable for language production
  • Brain tumors: Tumors situated in or near the language centers of the brain can interfere with language processing and production
  • Infections: Certain infections affecting the brain, corresponding to encephalitis or meningitis, can lead to expressive aphasia
  • Neurodegenerative diseases: Conditions like dementia can regularly impair language abilities, including expressive language

Causes of expressive aphasia in children may include:

  • Brain injury
  • Developmental disorder
  • Genetics
  • Other medical conditions, corresponding to brain tumors, traumatic brain injuries, or epilepsy (if the seizures affect the areas of the brain that process language)

How Is Expressive Aphasia Diagnosed?

Expressive aphasia is diagnosed through a comprehensive assessment process. Your healthcare providers typically follow these steps:

  • They may ask questions, engage in conversation, and assess the person’s ability to know and respond appropriately.
  • Conduct imaging scans corresponding to magnetic resonance imaging (MRI) or computed tomography (CT) scans to discover brain injuries and determine the affected brain areas.

If imaging reveals signs of aphasia, a speech-language pathologist or speech therapist performs additional assessments. These assessments evaluate the extent of brain damage’s impact on speech, reading, writing, and language comprehension. Based on the outcomes, your healthcare provider can recommend a treatment plan.

How Expressive Aphasia Is Treated

When it involves treating expressive aphasia, there are several approaches and techniques that might help improve communication skills and overall quality of life:

  • Speech-language therapy to enhance speaking and writing skills
  • Communication aides like picture cards or electronic devices to assist with communication
  • Practicing memory, attention, and problem-solving to enhance overall pondering skills
  • Group sessions to practice talking and socializing with others who’ve aphasia
  • Educate relations on the way to help and supply ongoing support and encourage including the person with aphasia in conversations

Can a Person With Expressive Aphasia Fully Recover?

While recovery from expressive aphasia varies for every individual, some people can regain a big amount of their language abilities through therapy and rehabilitation.

Consistent and dedicated speech-language therapy can improve speaking, understanding, and communication. It may take several months or years. However, complete recovery to pre-aphasia levels may not at all times be possible, and ongoing support and practice could also be needed for long-term management.

Summary

Expressive aphasia is a language disorder starting from mild to severe, affecting speech and writing production. This condition is attributable to aspects like stroke, traumatic brain injury, or neurodegenerative diseases, and diagnosis involves comprehensive assessments by a healthcare provider.

Treatment options corresponding to speech therapy, communication aids, and family support can significantly improve communication skills and quality of life, although full recovery may vary.


By Sarah Jividen, RN

Jividen is a contract healthcare journalist. She has over a decade of direct patient care experience working as a registered nurse specializing in neurotrauma, stroke, and the emergency room.

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