Do you want to see improvements in communication, so that you can maximise your independence and quality of life?

People with a brain injury often have communication and cognitive (thinking) problems that affect their ability to live independently.

There maybe difficulties finding the words they need to express an idea or explain themselves through speaking and/or writing. It may be hard to understand written and/ or spoken message; there may also be. difficultiies with writing, and reading. Communication can be very frustrating and unsuccessful.

Social communication may be affected:

  • Taking turns in conversation
  • Maintaining a topic of conversation
  • Using an appropriate tone of voice
  • Interpreting subtleties of meaning in conversation
  • Responding to facial expressions and body language
  • Keeping up with the conversation

In addition to all of the above, muscles of the lips and tongue may be weaker or less coordinated after a TBI. There may be  difficulty speaking clearly, or loudly enough to be able to participate effectively.

Cognitive difficulties are also very common;  problems can include an awareness of one’s surroundings, attention to tasks, memory, reasoning, problem solving, and executive functioning (e.g., planning, initiating, self-awareness, self-monitoring.

There may be specific communication impairments including:

  • Aphasia
  • Apraxia
  • Cognitive Communication Difficulties
  • Dysarthria


I am an experienced speech and language therapist, with my own private practice in central London who has helped many people to improve their communication after a brain injury. Please contact me if you have any questions, or if you would like to discuss any issues.