Primary Progressive Aphasia – Navigating Life After the Diagnosis

Hello to all the brave individuals living with Primary Progressive Aphasia (PPA) and their tireless caregivers. Being handed a diagnosis like PPA can indeed be overwhelming, not just for the person receiving it but also for the family and friends who support them. But despite the gravity of the situation, there are ways to adapt, grow, and find joy in the journey that lies ahead.

Understanding Primary Progressive Aphasia

Unlike aphasia caused by a stroke, PPA is a neurodegenerative disorder, which means it tends to progress over time. Symptoms can include problems with language skills such as speaking, understanding spoken words, reading, and writing, while other cognitive functions remain relatively preserved, especially initially.

The Role of Speech Therapy: A Lifelong Partner

For a progressive condition like PPA, speech therapy offers an adaptive approach. The focus here is often on managing symptoms, learning new communication strategies, and improving the quality of life. Certified Speech-Language Pathologists (SLPs) specialize in creating tailored plans that adapt to the changing needs of the patient.

Personalized Therapy: A Heart-Centered Approach

The most effective therapeutic experiences are those that resonate with the patient. In light of this, a customized approach that incorporates what the patient loves can work wonders.

Real-World Application of Personal Interests

We’re not talking about simply discussing interests; we’re talking about diving into them during your therapy sessions. Here are some alternative indoor activities to think about:

  1. For the Movie Buff: Create a ‘film club’ atmosphere. After watching a movie, the SLP can engage you in discussing the plot, characters, and themes. The activity will stimulate both comprehension and expression, while the joy of cinema takes a bit of the ‘work’ out of the task.
  2. For the Gourmet: Instead of cooking, focus on food tasting. Discuss the flavors, textures, and memories associated with each food item. This can be a great sensory and conversational experience.
  3. For the Aspiring Writer: Writing doesn’t have to be off the table. Flash fiction or poetry can be an excellent medium for expressing emotion and practicing language skills, all under the guided supervision of the SLP.
  4. For the Tech Enthusiast: Explore interactive apps or video games that require strategic thinking or problem-solving. Your SLP can help guide you through the game, pausing to discuss strategy, rules, and decisions.

Why This Approach is Effective

Mixing therapy with what you love serves multiple purposes: it stimulates your cognitive functions, enhances emotional well-being, and makes therapy enjoyable.

Caregivers: The Unsung Heroes in the Battle Against PPA

For caregivers, your role in this journey is immeasurable. Here are a few suggestions on how you can contribute meaningfully:

  1. Consistent Support: Echo the exercises and practices used during the therapy sessions to create a seamless transition between the clinical setting and home.
  2. Session Involvement: Participate in some therapy sessions to get a hands-on understanding of the strategies, which can be incredibly beneficial for at-home practices.
  3. Sounding Board and Advocate: Your insights about daily progress or setbacks can help the SLP in adjusting the therapeutic strategies.
  4. Emotional Wellness: Being a source of emotional stability and encouragement can make a world of difference to someone grappling with PPA.
  5. Facilitate Communication: Use tools like communication boards or apps when verbal communication becomes too challenging, but ensure that you still engage in activities that stimulate language and cognitive functions.

A Journey of Continued Adaptation

Managing PPA is a long-term commitment. The goalposts will move as the condition progresses, requiring constant re-evaluation and adjustment of the treatment strategy. Coordination between you, the caregiver, and the healthcare team is crucial.

Final Thoughts

A diagnosis of Primary Progressive Aphasia is life-changing, but it doesn’t mean that life stops being worth living. Through specialized speech therapy that aligns with personal interests, you can continue to find purpose, joy, and meaningful communication.

Wishing you all the courage, resilience, and grace you need to walk this path. You are not alone, and you have more allies than you think.

Seth Koster M.S. CCC-SLP

Seth Koster M.S. CCC-SLP

Seth Koster graduated from Eastern Michigan University with his bachelors degree in Speech and Language Impairment in 2007 and graduated from Howard University with his masters degree in Communication Science and Disorders in 2010. He is licensed in multiple states and holds the national Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) through the American Speech-Language-Hearing Association ( and has been a guest speaker and taught courses at universities in the USA, Japan and Vietnam.
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