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People with cognitive-communication disorders often have trouble participating in conversations. People with aphasia are likely to have difficulty with cognitive processes such as attention, short-term memory, working memory, declarative memory, and executive functioning. They should therefore be assessed with nonverbal measures (both formal and informal), which may include the following: People with aphasia, however, have trouble generating and/or understanding speech. Most standardized tests for cognitive functioning use language. If a person can’t speak, it’s important to determine whether the problem is aphasia or a cognitive-communication deficit.

Assessment of Language-Related Functional Activities (ALFA)Īfter assessing the client, the speech-language pathologist prepares a personalized treatment plan, targeting goals to meet the client’s functional needs.

Functional Assessment of Verbal Reasoning and Executive Strategies (FAVRES).

Scales of Cognitive Ability for Traumatic Brain Injury (SCATBI).

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Once cognitive-communication disorders are identified, a referral should be made to the speech-language pathologist for a full assessment.Īn assessment is likely to include several tools (both formal and informal), including some of the following:

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Cognitive-communication disorders can be identified using the Cognitive-Communication Checklist for Acquired Brain Injury (CCCABI), a free online screening tool. How Cognitive-Communication Disorders Are IdentifiedĪnyone who has suffered a brain injury or a stroke should be screened for cognitive and perceptual disorders. Someone with a mild deficit may simply have difficulty concentrating in a loud environment, whereas a person with a more severe impairment may be unable to communicate at all.

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An evaluation by a speech-language pathologist can determine where impairments exist & how to treat them.Ī person with a cognitive-communication disorder may have difficulty paying attention to a conversation, staying on topic, remembering information, responding accurately, understanding jokes or metaphors, or following directions.Ĭognitive-communication disorders vary in severity.

A problem with one or more cognitive functions can cause difficulty performing activities of daily living safely & efficiently as well as communicating effectively. These cognitive processes are not isolated abilities.

Metacognition (thinking about how you think).

Executive functioning (making a plan, acting it out, evaluating success, & adjusting).

Reasoning (logically thinking through situations).

Problem-solving (finding solutions to obstacles).

Processing speed (quick thinking & understanding).

Orientation (knowing where, when, & who you are, as well as why you’re there).Organization (arranging ideas in a useful order).Insight & judgment (understanding one’s own limitations & what they mean).Perception (interpretation of sensory information).Memory (recall of facts, procedures, and past & future events).Cognitive-communication disorders are problems with communication that have an underlying cause in a cognitive deficit rather than a primary language or speech deficit.Ī cognitive-communication disorder results from impaired functioning of one or more cognitive processes, including the following:

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