Learn how speech therapy can help manage acalculia after brain injury. Discover practical number strategies for daily tasks and independence.

Pragmatic communication is what helps us navigate the flow of conversation. It’s how we know to pause and let others speak, when to give background information, or how to adjust how we speak depending on where we are and who we’re talking to. After a brain injury—especially one involving the frontal lobes or right hemisphere—these processes might work differently. A person may share personal stories freely, jump between topics, speak with more intensity, or miss some of the “unspoken rules” others expect. None of this makes the person “wrong”—but it may lead to communication breakdowns if their conversation partners don’t understand what’s happening.

Adults with ADHD may struggle to follow conversations, interrupt frequently, lose track of topics, or go off on tangents. These communication breakdowns can affect relationships at work, at home, and socially. For brain injury survivors with co-occurring ADHD, these challenges can be even more pronounced, especially when combined with memory issues or cognitive fatigue.

Strokes and concussions can disrupt once-automatic reading skills, but that doesn’t mean the door is closed. With support, repetition, and tailored strategies, many people with alexia rebuild their reading abilities—sometimes in new ways. An SLP can help identify the type of alexia present and guide families in choosing tools and approaches that work. The most important thing? Don’t give up on reading—it may look different now, but it’s still possible.

If you’ve ever heard a young child say “I goed there” or “two dog,” you’ve witnessed the fascinating process of language development in action. These “errors” are actually signs that your child is learning how to use morphemes—the smallest units of meaning in language.

After a concussion, it’s common to focus on headaches, dizziness, and fatigue—but many people overlook one of the most frustrating and long-lasting effects: cognitive communication difficulties. This term refers to how we use thinking skills to communicate clearly, efficiently, and appropriately. It includes things like organizing your thoughts, remembering what someone just said, staying on topic, and picking the right words for the situation. These skills are often impacted after even a mild traumatic brain injury (TBI), like a concussion, and can make everyday interactions more difficult than expected.

Kindergarten is an exciting time when children begin to lay the foundation for reading and writing. At this age, literacy development is closely tied to phonological awareness (the ability to hear and manipulate sounds in words) and phonics (understanding the connection between letters and sounds).