Learning About Your Health

Speech Language Pathology: Tips for Improving Communication with Someone after a Brain Injury

If your loved one is having a difficult time communicating, it is important for you to understand some strategies that can help.

  • Be sure she/he can see your face


  • Stand between 2 and 5 feet away


  • Be sure she/he is sitting/lying/standing in a comfortable posture


  • Reduce distractions - TV, radio, other conversations, environmental noise


  • Approach him/her on the side which he/she prefers. (Later on you can try moving to the more neglected side, encouraging him/her to maintain attention)


  • Make sure to get his/her attention before you start talking


  • Speak slowly, simply and clearly


  • Talk about subjects that are of a personal nature, or of specific interest to the person


  • Stay on one subject at a time. Avoid jumping from one topic to another


  • Use short, complete sentences


  • Pause between sentences


  • Repeat and reword or rephrase


  • Use gestures and facial expression as well as words


  • Allow time for responses. Don't rush


  • Pay attention to his/her facial expression and body language. Is he/she interested, happy, bored, upset, sad, worried or impatient?


  • Treat him/her with respect. He/she is able to understand more than his/her ability to communicate indicates. Include him/her in your conversations


  • Allow for rest periods. Reduce stimulation/activity when he/she is tired