|
In today's world, written communication is a huge part of social participation. We text friends to grab coffee, send life updates via email, and post our thoughts, stories, and questions to social media. 📲 In fact, when researchers asked people with aphasia about writing, one said: Participants also described writing as deeply tied to their confidence, independence, and staying connected with the people in their lives (Thiel & Conroy, 2022). Writing is important for life participation. But how do you work on it? Where do you start? Let's review some writing tasks together. Writing Tasks & What They Target(Save or print for easy reference! 📌) Copying letters or words provides orthographic exposure, but no spelling demand. What's left is the output itself: getting the letters onto the page, either by hand or keyboard. Filling in a missing letter is a small step up from copying. Most of the word is already there, so the demand is low: the patient supplies a single letter. Unscrambling letter tiles works on spelling knowledge and sequencing. Because the letters are provided, the patient arranges rather than retrieves them. They may rely on sounding it out, whole-word knowledge, spelling patterns, and/or trial and error. Copy-and-recall adds memory to copying: copy the word, then reproduce it without the model. It's the core of well-established treatments like CART and T-CART. Writing single words requires full spelling retrieval and output. Be conscious of your stimuli: from a picture, you're adding in word retrieval; from a spoken word, you're adding auditory comprehension and working memory. Writing sentences to dictation expands to the sentence level, but doesn't rely on the patient to build their own syntactic framework. Because the target is fixed, your patient can't avoid writing the hard words. This can make it easier to see what types of errors are happening – and why. Open-ended writing has no set target and relies on the patient for word retrieval, syntax, spelling and more. You often lose the ability to pinpoint exactly where a breakdown happened, but you gain the most functional practice: real, self-generated writing. Writing Treatment Made EasyWant to skip the prep? All of these writing treatments are ready to go in the Virtual Rehab Center. Get interactive exercises for any writing level, plus: 📊 Difficulty that auto-adjusts based on patient performance 💬 Built-in cues to help your patients when they get stuck 🏋 Unlimited home practice (free for your patients!) If you're new to the Virtual Rehab Center, I'd love to give you 3 weeks free to try it out! You'll have access to everything – treatments, handouts, flashcards, homework, and more. 🤩
Let's start with one letter today, and build toward those texts and emails that help your patients stay connected. ♥️ Happy treating, P.S. For a deep dive, check out What SLPs Need to Know: Agraphia. This free article includes types of agraphia, assessment and treatment options, and links to research & resources. P.P.S. We're working on a new treatment for the fall that focuses on writing notes as a memory strategy. Cognition: ✅. Language: ✅. Functional: ✅. |
We're a speech therapy software company making evidence-based treatment for adults with stroke, brain injury, and other conditions more accessible.
A few weeks ago, I started answering a question I hear from lots of SLPs: "What do I actually *do* for cognitive therapy?" So far, I've covered executive function and my simple formula for cognitive therapy. Today, I'll break down attention. Let's get into it. 👇 Attention: A Step-by-Step Guide ⚠️ Always start here Before you do anything else, help your patient identify external distractions (noise, clutter, their phone, the environment) and internal distractions (pain, fatigue, hunger,...
Recently, I asked SLPs who use the Virtual Rehab Center about their adult neuro caseloads. I wanted to know how they spend their time, what materials they reach for, and what makes their job easier. A few of the answers surprised me, and I thought you might find them interesting too. 👇 I heard from SLPs across settings: inpatient, SNF, outpatient, private practice, acute, and more. Before signing up for the Virtual Rehab Center, they had the same frustrations: • Not enough prep time • Lack of...
Last week's email about executive functioning got a lot of positive feedback. Many of you asked for the step-by-step version of attention and memory too. My answer is a resounding yes! Those are coming. We'll also continue to add to the What SLPs Need to Know series But first, let's talk about a formula I use for all cognitive therapy, because I think once this clicks, every domain gets less overwhelming. A quick review: Restorative approaches: improve or restore the impaired underlying...