How stroke affects speech

Strokes affect everyone differently depending on the extent of the damage and the area of the brain affected. Damage to one of the language areas of the brain will often result in aphasia.

Affects

Challenges

How does damage to different sides of the brain affect you?

Left Hemisphere:

  • Speaking
  • Reading
  • Writing
  • Listening
  • Grammar
  • Number/Math skills
  • Computation skills
  • Analyzing information
  • Reasoning
  • Logic
  • Sequential thinking
  • Time awareness

Right Hemisphere:

  • Organizing information
  • Abstract meaning
  • Context
  • Spatial relationships
  • Visual information
  • Face recognition
  • Intuition
  • Emotion
  • Imagination
  • Detecting motion
  • Music and art awareness

What communication challenges can aphasia after a stroke cause?

Aphasia can affect both expressive and receptive (understanding) language as well as cognition. It is important to note that aphasia does not affect intellect.

Below is a list of communication challenges a person with aphasia may experience.

Expressive language

  • Difficulty with finding words
  • Slurred or unintelligible speech
  • Difficulty writing
  • Trouble using numbers or doing math

Receptive language

  • Trouble understanding spoken language
  • Trouble following directions
  • Difficulty reading

Cognitive problems

  • Difficulty maintaining attention
  • Memory loss
  • Trouble with reasoning or problem solving
  • Difficulty making judgments
  • Disorganization
  • Disorientation
  • Slow processing speed

In addition to aphasia, a stroke survivor may be diagnosed with apraxia of speech and/or dysarthria.

Resources

Articles

Explore expert insights, practical guidance, and real-world perspectives on living with and understanding aphasia.

Webinars

Informative aphasia-focused webinars that support education, shared understanding, and informed decision-making.

Aphasia stories

Personal stories, short films, and perspectives that show how people live, adapt, and communicate with aphasia.

Community

Join In Aphasia is a free online community that brings people together to connect and support one another on their aphasia journey.