Agraphia Treatment: Single Word-Level Treatments

Author: Brett McCardel, MS, CCC-SLP

What are your go-to treatment approaches for writing at the single word-level? ๐Ÿ“โฃ
โฃ
Though the specific treatment technique used will depend on your clientโ€™s individual needs, itโ€™s helpful to be familiar with a variety of approaches so that youโ€™ll always be ready to go at a momentโ€™s notice! ๐Ÿ™Œ๐Ÿผ๐Ÿ‘Š๐Ÿผโฃ
โฃ
Here are 3 different approaches that youโ€™ll want to have in your clinical toolbox:โฃ
โฃ
๐—”๐—ป๐—ฎ๐—ด๐—ฟ๐—ฎ๐—บ, ๐—–๐—ผ๐—ฝ๐˜†, ๐—ฎ๐—ป๐—ฑ ๐—ฅ๐—ฒ๐—ฐ๐—ฎ๐—น๐—น ๐—ง๐—ฟ๐—ฒ๐—ฎ๐˜๐—บ๐—ฒ๐—ป๐˜ (๐—”๐—–๐—ฅ๐—ง): This is a lexical treatment designed around spelling a word via letter tiles, copying the word via handwriting, and then reproducing the word again once letter tiles and models are removed. Check out @tactustherapy for an in-depth step-by-step guide to this treatment! โฃ
โฃ
๐—œ๐—ป๐˜๐—ฒ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐˜ƒ๐—ฒ ๐—ง๐—ฟ๐—ฒ๐—ฎ๐˜๐—บ๐—ฒ๐—ป๐˜: This approach guides clients to use phonological skills and orthographic knowledge to generate plausible spellings and to then detect and correct spelling errors (link to resource for this approach in comments)โฃ
โฃ
๐—–๐—ผ๐—บ๐—ฏ๐—ถ๐—ป๐—ฒ๐—ฑ ๐—Ÿ๐—ฒ๐˜…๐—ถ๐—ฐ๐—ฎ๐—น ๐—ฎ๐—ป๐—ฑ ๐—ฆ๐˜‚๐—ฏ๐—น๐—ฒ๐˜…๐—ถ๐—ฐ๐—ฎ๐—น ๐—ง๐—ฟ๐—ฒ๐—ฎ๐˜๐—บ๐—ฒ๐—ป๐˜: This treatment emphasizes working on all aspects of the writing process in order to strengthen both lexical retrieval and phoneme-grapheme correspondence. Be on the lookout for a guide to this treatment from Archways soon!โฃ
โฃ
Though these 3 approaches differ in what processes they target, for each of them youโ€™ll want to be sure to select target words that are functional and meaningful to your client. ๐Ÿ‘Š๐Ÿผโฃ
โฃ
Family member names and favorite activities are some common categories that target words often come from. Work with your client to determine what words they want to get back to writing again! โœ๐Ÿผ โฃ