👀 You see the deficit. They don’t. Now what?


Ever had this happen?

"Hi, Mr. S, I’m a speech therapist. I can help with swallowing, memory, attention, problem solving… are you noticing any problems in those areas?"

"Nope, I’m fine."

…But you’ve read the chart. You know he had a TBI. You start testing, and he can’t recall items, struggles to find words, and doesn't have awareness of any of it. 🧐

The family might not see it either at first—because, well, he says he's fine...

Approximately 77–97% of people with TBI have limited awareness at discharge; 66–88% continue to show deficits in awareness in the subacute stage; 35–60% still have reduced insight 6–10 months later (Steward & Kretzmer, 2022)

If you work in brain injury or stroke rehab, you know how big a role awareness plays in recovery. Without it, there’s no buy-in for therapy, no strategy use, and no insight into safety risks. 😬

And we recognize when there's reduced awareness, but other than documenting the issue, how do we go about assessing it? And once we do, how do we treat it? 🤔

We've got you covered. Check out our NEW blog: What SLPs Need to Know: Awareness. 🤓


The Awareness Blog Includes:

  • Ways to Assess Awareness
    Let’s be honest—many of us skip this step. But formally assessing awareness gives you a solid starting point and helps track progress. Don’t worry—we make it easy with links to FREE tools.
  • 🧠 Models of Awareness
    Understand where your patient falls on the continuum—and how their awareness may change over time.
  • 🔍 Underlying Factors that Impact Awareness
    Personality influences and other underlying factors make treating awareness complex. We unpack it.
  • 🧩 Treating Awareness
    Learn Metacognitive Strategy Training (MST) & other evidence-based approaches to boost insight.
  • 🗣️ Patient & Family Education Tips
    Talking about awareness is hard. We offer strategies to approach it.

Thanks for doing the deep, thoughtful work of helping your patients not only improve, but understand why and how they need to.

Here’s to raising awareness about awareness. 😉

All the best,

Megan

P.S. Want to learn more about awareness? Check out our NEW blog here: https://tactustherapy.com/treating-awareness-after-brain-injury-slp/

Megan @ Tactus Therapy

I'm a speech-language pathologist & co-founder of Tactus. Tactus offers evidence-based apps for aphasia therapy and lots of free resources, articles, and education - like this newsletter. Sign up to get my updates 1-2 times a month.

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