Alexia Treatment: Discourse/Paragraph-Level Treatments

Author: Brett McCardel, MS, CCC-SLP

Treatment for alexia at the paragraph/discourse-level tends to emphasize metacognitive strategy use and environmental supports. โฃ
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Approaches you may consider using include:โฃ
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๐—”๐˜๐˜๐—ฒ๐—ป๐˜๐—ถ๐˜ƒ๐—ฒ ๐—ฅ๐—ฒ๐—ฎ๐—ฑ๐—ถ๐—ป๐—ด ๐—ฎ๐—ป๐—ฑ ๐—–๐—ผ๐—ป๐˜€๐˜๐—ฟ๐—ฎ๐—ถ๐—ป๐—ฒ๐—ฑ ๐—ฆ๐˜‚๐—บ๐—บ๐—ฎ๐—ฟ๐—ถ๐˜‡๐—ฎ๐˜๐—ถ๐—ผ๐—ป (๐—”๐—–๐—ฅ๐—ฆ):โฃ
-Patient reads passage aloudโฃ
-Patient reads passage again silently in 2-3 sentence chunksโฃ
-Patient provides short oral summaryโฃ
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๐—ฃ๐—ค๐—ฅ๐—ฆ๐—ง:โฃ
-๐˜—๐˜ณ๐˜ฆ๐˜ท๐˜ช๐˜ฆ๐˜ธ: Skim and scan the text to get the gistโฃ
-๐˜˜๐˜ถ๐˜ฆ๐˜ด๐˜ต๐˜ช๐˜ฐ๐˜ฏ: Ask yourself questions about what you have readโฃ
-๐˜™๐˜ฆ๐˜ข๐˜ฅ: Find the answers to your questions and read carefullyโฃ
-๐˜š๐˜ถ๐˜ฎ๐˜ฎ๐˜ข๐˜ณ๐˜ช๐˜ป๐˜ฆ: what you read in your own wordsโฃ
-๐˜›๐˜ฆ๐˜ด๐˜ต: yourself immediately and laterโฃ
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๐—ฆ๐˜‚๐—ฝ๐—ฝ๐—ผ๐—ฟ๐˜๐—ฒ๐—ฑ ๐—ฅ๐—ฒ๐—ฎ๐—ฑ๐—ถ๐—ป๐—ด ๐—–๐—ผ๐—บ๐—ฝ๐—ฟ๐—ฒ๐—ต๐—ฒ๐—ป๐˜€๐—ถ๐—ผ๐—ป:โฃ
-Focus on improving reading comprehension by incorporating aphasia-friendly text supports (drawings, personally relevant photos, reader-friendly format)โฃ
-Incorporate ๐˜“๐˜ช๐˜ฏ๐˜จ๐˜ถ๐˜ช๐˜ด๐˜ต๐˜ช๐˜ค ๐˜š๐˜ถ๐˜ฑ๐˜ฑ๐˜ฐ๐˜ณ๐˜ต๐˜ด such as headings and bolded textsโฃ
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If youโ€™re looking for resources to help with treatment planning, you may consider using @newsela or @readworks. There are fantastic sites that will provide weekly current events articles that can be scaled to multiple reading grade levels, ranging from Kindergarten to college-level. These sites offer multiple choice questions for all passages as well, and the best part is that these services are FREE to utilize!โฃ
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#aphasia #aphasiatherapy #neurorehabilitation #medslp #reading #alexia

Looking for speech therapy and aphasia therapy in the Seattle, WA area? Click here to learn more about the services we provide, or contact us at (206) 395-4259 / Brett@archwaysrehab.com