Aphasia - Complications 

Complications of aphasia 

Depression

Because losing the ability to communicate can be a devastating experience, depression is a common complication of aphasia.

In addition, many of the conditions that are associated with aphasia, such as stroke or Alzheimer’s disease, may change the chemistry of a person’s brain, making them more vulnerable to depression.

Research suggests that as many as 8 out of 10 people with aphasia will experience at least one episode of depression.

Due to the obvious communication problems, it may be difficult for someone with aphasia to let others know that they are feeling depressed. Possible signs that a person with aphasia may be feeling depressed include:

  • lack of energy
  • little interest or enthusiasm in speech and language therapy
  • lack of appetite
  • weight loss
  • withdrawing from social contact with others
  • insomnia (difficulty sleeping at night)

If you are concerned that someone you know with aphasia may be depressed, if possible, encourage them to communicate how they feel and whether they think they may benefit from treatment for depression. You should also make your concerns known to a member of their care team.

The type of anti-depressant known as selective serotonin reuptake inhibitors (SSRIs) have proved to be moderately effective in treating depression in people with aphasia.

See the Health A-Z topic about Depression for more information and advice. 

  • show glossary terms
Depression
Depression is when you have feelings of extreme sadness, despair or inadequacy that last for a long time.

Last reviewed: 23/02/2011

Next review due: 23/02/2013

Catastrophic reaction

Many people with aphasia experience repeated episodes of what has been called a catastrophic reaction. This is where a person suddenly experiences overwhelming feelings of frustration, anger, depression or a general feeling that they cannot cope with their immediate situation.

Signs of a catastrophic reaction include:

  • anxiety
  • aggression
  • crying or laughing uncontrollably
  • screaming
  • stubbornness

A catastrophic reaction is often triggered when a person with aphasia becomes acutely aware of their communication difficulties. Therefore, it can occur at the start of a course of speech and language therapy.

If someone in your care experiences a catastrophic reaction, you should remain as a calm as possible and try to reassure them that these feelings will pass and that everything will be alright.