My most annoying issue was that from time to time, I would swap pronouns - he vs. she. It took several weeks of speech therapy. To this day - and I suspect not the only stroke survivor - every time I stumble over a word, I wonder: Was it the stroke, or just a simple error that anyone would have made?
One of those unanswerable questions.
The American Speech-Language-Hearing Association's Web site can answer other questions, though, or at least help in the search to find answers. Its brief explanation of aphasia:
What communication problems occur after a stroke?
After a stroke, some people experience language deficits ( aphasia ) that significantly impair their ability to communicate. These deficits vary depending on the extent and location of the damage. ...
* Difficulty sequencing thoughts together to tell a story
* Switching topics without warning, or seeming to "go off on tangents" without informing the listener
* Difficulty taking turns in conversation
* Problems maintaining a topic of conversation
* Trouble using an appropriate tone of voice
* Difficulties interpreting the subtleties of conversation (e.g., sarcasm, humor)
* Problems "keeping up" with others in a fast-paced interaction
* Reacting inappropriately; seeming overemotional (overreacting), impulsive, or "flat" (without emotional affect)
* Having little to no self-awareness of inappropriate actions or responses
(Image from the U.S. Department of Veterans Affairs. Click on the image for other resources.)
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