LIFE Beyond Aphasia

LIFE Aphasia Academy® Genevieve Richardson

LIFE Beyond Aphasia helps stroke survivors and care partners rebuild communication, confidence, and connection after formal rehab ends. Founded by Genevieve Richardson, M.S., CCC-SLP, this podcast bridges the gap between hospital discharge and living fully again. Viewers learn practical strategies to make progress at home, strengthen relationships, and feel like themselves again. Watch new episodes every week and start building your life beyond aphasia today. Learn more at https://www.dolifespeechpathology.com/ 

  1. 16h ago

    7 Types of Aphasia: Which One Does He Have? | Aphasia Field Guide #222

    It's 2 AM. You type "what kind of aphasia does my husband have?" into Google and get back seven answers.   Download the free seven types of aphasia chart Genevieve uses in this episode and keep it next to you while you watch: https://www.lifebeyondaphasia.com/seven-types    Seven types of aphasia is a lot of labels, but you don't need to memorize all seven. You only need to know what to look for.   Watch how he follows the news, or his grandkids at the kitchen table. Ask him to repeat "the dog is barking." Listen to whether his words come out one at a time or flow with made-up words mixed in. Comprehension, repetition, and talking. Those three skills point you toward the pattern. Most people don't fit neatly into one type, and that's expected. The pattern is what helps you talk to each other again.   In this episode you'll learn: The difference between fluent and non-fluent aphasia Three skills to observe at home: comprehension, repetition, and talking The No More Guessing framework: observe, write it down, look for patterns, test it How to start a conversation with your person about aphasia   0:00 Introduction 0:39 Who This Is For 1:41 Why Understanding Aphasia Matters 3:01 Three Skills to Narrow Down Aphasia 3:15 Fluent vs. Non-Fluent Aphasia 4:04 Skill 1: Comprehension 5:16 Skill 2: Repetition 6:28 Skill 3: Talking 8:15 The No More Guessing Framework 10:24 Having the Conversation About Aphasia 11:58 What's Next   LIFE Speech Pathology works with stroke survivors living with aphasia and the care partners beside them, long after rehab ends. Get the free seven types of aphasia chart here: https://www.lifebeyondaphasia.com/seven-types    This episode is part of the Aphasia Field Guide. Watch the full series in order: https://youtube.com/playlist?list=PLLbQCBKSHkaE&si=oyssGWmodabmlr8t    @lifebeyondaphasia

  2. Oct 29

    Aphasia Field Guide: Why You Feel So Alone as an Aphasia Care Partner | #221

    Do you feel lonely from the minute you wake up? Aphasia care partners carry five heavy burdens, and this episode names every one.   Leaving would be easier, but you stayed for love. Build back what aphasia took: https://aphasiacarepartnercompass.com    Aphasia changed how your whole day flows, from how you say good morning to how you say good night.   In this first episode of the Aphasia Field Guide, I walk through the five burdens I hear from care partners over and over.   Daily routines, loneliness, an identity that shifts from partner to nurse, aphasia patterns that make no sense, and deep grief. You will also hear why holding it all together leads to burnout and a loss of closeness with your person.   Then I share the three foundations every aphasia care partner needs, and the one belief that decides whether you can rebuild.   Life Beyond Aphasia is built on one idea: a life with meaning, purpose, and joy is possible.   Next week we cover the seven types of aphasia, so subscribe to catch every episode in the series.   To see a survivor who rebuilt her life after a brain bleed, watch episode 207: https://youtu.be/aablJauz-48    0:00 Introduction 0:59 The Five Unspoken Burdens 3:32 A Story of Caregiver Burnout 5:15 Caregiver Mindsets That Hold You Back 6:38 The Trap of Holding It All Together 8:25 The True Consequences 8:53 Three Core Foundations 10:10 Shifting Your Mindset 11:50 The Aphasia Field Guide Series   Care partner? We help you live LIFE Beyond Aphasia. Start here: https://aphasiacarepartnercompass.com    @LIFEBeyondAphasia

  3. Oct 22

    When He Can't Tell The Doctor What's Wrong, Try This | #220

    When your person has aphasia and ends up in the hospital, who tells the doctor where it hurts? One app lets him say it himself, one tap at a time. Although leaving would be easier, you stayed for love. Build back what aphasia took: https://aphasiacarepartnercompass.com  People with communication barriers face three times the risk of adverse events in the hospital, and that risk has nothing to do with why they were admitted. Speech-language pathologist Hilary Sample joins me to show how MedConcerns gives doctors, nurses, and you a way to ask the usual questions with pictures he can point to and a quick yes or no check after every answer. She shares the story of a man who went to the ER three times with severe hip pain before anyone learned it was a broken hip, and what he could finally say once he had the right tool. You will also hear what the Life Participation Approach means at the hospital bedside, and the exact words to use when a provider keeps asking questions your person has no way to answer. Try MedConcerns Symptom AAC on the App Store: https://apps.apple.com/us/app/medconcerns-symptom-aac/id1604715254 TIMESTAMPS 0:00 Why Communication Barriers Raise Hospital Risk 1:50 Discovering the Communication Gap 3:03 Building MedConcerns 5:33 How the MedConcerns App Works 9:11 Systemic Barriers in Healthcare 10:35 The Interpreter Analogy 11:03 MedConcerns Pro for Hospitals 11:39 How a Doctor Uses MedConcerns 13:35 The Broken Hip Story 15:42 Adverse Events & Safety Risk 18:34 What is LPAA? 20:48 The PT Mobility Analogy 22:05 Your Right to Communicate 23:32 Where to Get MedConcerns Life Beyond Aphasia helps care partners and the people they love build a full life after stroke and aphasia. Start with the Care Partner Compass: https://aphasiacarepartnercompass.com  @lifebeyondaphasia

  4. Oct 15

    Relationship After Stroke: How to Rebuild the Closeness You Had | #219

    Brian started writing notes again for the gratitude vase by his front door. A few weeks later his wife was writing them too, and their kids were reading the notes out loud at Sunday dinner. Take the free Care Partner Compass: aphasiacarepartnercompass.com That vase was something they already had before his stroke, and bringing it back opened up a whole new level of conversation in their family. If you’re the spouse of someone with aphasia, the closeness between you two got buried somewhere between the hospital, rehab, and the quiet house after. Speech-language pathologist Genevieve Richardson walks through how that drift happens and how to rebuild your relationship after stroke one small step at a time. That might mean sitting beside him at dinner, resting your hand on his arm, or watching a show with your elbows touching the way they used to. In this episode you’ll learn why his distance can come from shame, where the disconnection between you two started, and how to reverse engineer the closeness you already had. 0:00 Introduction 1:42 Brian's Story: Shame, Not Indifference 3:58 The Gratitude Vase 6:35 How Disconnection Starts 8:28 How to Reconnect 10:22 Your Reflection LIFE Speech Pathology helps people with aphasia and the people who love them rebuild a real life after stroke. If you’re a care partner, start with the free Care Partner Compass to see where you are right now and what comes next. aphasiacarepartnercompass.com Join the LIFE Beyond Aphasia Facebook Group to connect with other care partners who understand what this is like. https://www.facebook.com/groups/lifebeyondaphasiaforcarepartners  @lifebeyondaphasia

  5. Oct 1

    Right Hemisphere Stroke and Personality Changes: What's Actually Happening | #217

    He used to hold every door open. Now he just walks right through them. Take the free Care Partner Compass: https://aphasiacarepartnercompass.com/ That's not him choosing to be different. Right hemisphere stroke and personality changes go together more often than people realize, especially for care partners of someone with aphasia. It can leave you feeling like you're living with a stranger. One wife spent hours making her husband's favorite lasagna. He ate it without a word. No thank you, no reaction, nothing. She sat there wondering if he even noticed the effort. He wasn't ignoring her on purpose. His brain simply wasn't registering the moment the way it used to. In this episode, you'll learn why right hemisphere strokes change personality and self-awareness, why these changes are not a personal choice, and specific ways to set boundaries, encourage self-awareness, and start rebuilding connection with the person in front of you. 0:00 — It's Still Them, Right? 1:34 — Understanding Personality Changes After Stroke 5:13 — Why It Feels So Personal 6:27 — Coping Strategies for Care Partners 13:40 — Can Emotional Awareness Be Retrained? 15:51 — Wrap Up & Resources LIFE Speech Pathology helps care partners of people with aphasia understand what's actually happening in the brain, so you're not guessing at the fix. Take the free Care Partner Compass to see exactly where you are right now and what to do next, link below. https://aphasiacarepartnercompass.com/ @LIFESpeechPathology

  6. Sep 24

    Fluent vs. Non-Fluent Aphasia: Why Communication Breaks Down (And What To Do About It) | #216

    She asked if he liked rocks in his soup. He said delicious. Book a free connection call here: https://dolifespeech.intakeq.com/booking?serviceId=dc1e232b-a9ed-46cb-aba3-cdbbb0fab97b That's what fluent aphasia can sound like, and it's easy to mistake for confusion or even disinterest, when what's actually happening is a breakdown between what he means and the words that come out. Then there's the other side. One husband points out the window and his wife has no idea if he means the neighbor's yard, a business across town, or something else entirely. He knows exactly what he's trying to say. His mouth won't cooperate. She has to ask yes or no questions just to find the thread. In this episode, you'll learn the difference between fluent aphasia (like Wernicke's) and non-fluent aphasia (like Broca's), what each one actually looks like day to day, and specific ways to respond to each one so you're not guessing at what just happened. 0:00 — Introduction 1:45 — Fluent (Vernicke's) Aphasia Explained 6:29 — Navigating Misunderstandings with Fluent Aphasia 10:06 — Prevention Through Education & Communication 12:25 — Non-Fluent (Broca's) Aphasia Explained 16:03 — Real-Life Example: Living with Broca's Aphasia 18:59 — Strategies for Non-Fluent Aphasia 21:13 — Comparing Fluent vs. Non-Fluent Aphasia 22:47 — Final Thoughts & Wrap-Up LIFE Speech Pathology helps care partners of people with aphasia understand what's actually happening in the brain, so you're not guessing at the fix. Grab your free Care Partner Compass to see exactly where you are right now and what to do next, link below. https://aphasiacarepartnercompass.com/ And if you think fluent or non-fluent aphasia is part of your story, book a free connection call so we can start building strategies here. @LIFESpeechPathology

  7. Sep 17

    What Happens After Rehab Ends? | #215

    Rehab ended and the paperwork said he was done improving. He wasn't. Take the Aphasia Strengths Compass and see exactly where to start rebuilding: https://findaphasiasupport.com Joey could still talk. He just couldn't get to the words that mattered anymore. And underneath that, he was ashamed to admit it was hurting his marriage. Six months out from his stroke, most of the paperwork said he was done improving. He wasn't. He'd just never been shown what happens after rehab stops. This episode breaks down what actually happens once formal therapy ends. Why progress doesn't stop when the appointments do. What it actually takes to keep building word finding, conversation, and connection years past discharge. And the exact red flags that mean it's time to find a different clinician. 1:07 — Joey's Story  3:13 — Why Nobody Prepares You for This 4:34 — Spontaneous vs. Dependent Recovery 7:25 — What Helps in Dependent Recovery 8:47 — The Care Partner's Rehabilitation 10:23 — Telepractice as an Option 10:59 — Why Families Stall in Recovery 12:54 — Red Flags & Finding the Right Clinician 13:23 — Reflection: What Are You Carrying Alone? 14:11 — Time to Step Up 14:42 — Gary's Guitar Story You're still in there. Let's find out where to start. Take the Aphasia Strengths Compass. It takes ten minutes and gives you a specific picture of where things stand across nine areas of life, so you know exactly where rebuilding starts. https://findaphasiasupport.com @LIFEBeyondAphasia

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LIFE Beyond Aphasia helps stroke survivors and care partners rebuild communication, confidence, and connection after formal rehab ends. Founded by Genevieve Richardson, M.S., CCC-SLP, this podcast bridges the gap between hospital discharge and living fully again. Viewers learn practical strategies to make progress at home, strengthen relationships, and feel like themselves again. Watch new episodes every week and start building your life beyond aphasia today. Learn more at https://www.dolifespeechpathology.com/