Communication difficulties following a stroke can take many forms. You may experience trouble finding the right word or have problems processing language that is directed at you – these conditions are commonly referred to as aphasia/dysphasia. When you struggle with speaking it’s referred to as productive aphasia and with understanding it’s receptive aphasia.
Aphasia and dysphasia are almost the same thing, except dysphasia is when you have partial access to language and aphasia is when you have none. Some individuals who have had a stroke find speaking difficult because of challenges with annunciation; this is called dysarthria. Speaking and breathing at the same time, or swallowing, may also be problematic with dysarthria.
It’s possible for paralysis, hemiplegia – one-sided paralysis - or hemiparesis - weakness on one side of the body following a stroke - to interrupt written modes of communication such as writing or typing. But just as every individual is unique, so is their recovery and it can be hard to put an exact estimate on the time it will take to regain communicative ability and/or how fully it will return.
Many people see the greatest gains in the first six weeks, as swelling in the brain goes down, and language processing areas which were temporarily affected come back online. However, it’s possible to see improvements for years after a stroke, particularly if an individual continues to receive speech therapy to strengthen and reinforce communication skills and confidence.