Speech Therapy and Primary Progressive Aphasia

The online world is abuzz with discussions about a celebrity who has recently been diagnosed with frontotemporal dementia and primary progressive aphasia. Surprisingly, in the past few years, two prominent celebrities have vulnerably revealed having this diagnosis, which unfortunately ended their careers. But what is primary progressive aphasia? Is it the same as aphasia?

What is primary progressive aphasia?

Primary progressive aphasia (PPA) is a progressive loss in language abilities and is caused by an underlying degenerative brain disease. In other words it is a type of dementia, but instead of affecting memory it affects communication skills. It’s usually caused by frontotemporal dementia, however it could also be caused by Alzheimer’s disease. PPA may come on gradually, but it gets worse over time.

Is aphasia the same as primary progressive aphasia?

No, not exactly. Aphasia refers to difficulty speaking, understanding, reading or writing. However, it is a sudden onset of language difficulties and is usually caused by a stroke. Aphasia can also be caused by other types of brain injury. It does not get worse over time.

Does speech therapy help people with PPA?

You might wonder whether speech therapy for individuals with PPA is effective, knowing that the condition will worsen over time. The definitive answer is "yes" speech therapy can help a person with PPA. Here are some ways a speech therapist can help:

  1. Work together with the primary care doctor, neurologist, and neuropsychologist to conduct tests essential for diagnosing PPA.

  2. Inform and support both the patient and their family about potential changes in communication skills following a PPA diagnosis.

  3. Offer therapy to assist individuals with PPA in maintaining their ability to communicate during a variety of activities for as long as possible.

  4. Provide training to family members and caregivers on helpful strategies to use when communicating with a loved one who has PPA.


Treatment for PPA is not considered rehabilitative because its purpose is not to restore language function. The purpose of treatment is to support the highest quality of life possible for the person with PPA and their family. This type of therapy can be covered by insurance, and training a family member in communication strategies can also be covered by insurance.


If you have any questions about a primary progressive aphasia diagnosis within your family, please reach out to us. We are here to help guide you through the next steps.

Afiyah Dunbar, MA, CCC-SLP

Afiyah Dunbar is a board certified speech-language pathologist. She is the founder and owner of Bright Speech, where she specializes in neurological rehab for adults and seniors. Her approach to therapy yields results that help people participate in their favorite life activities once again.

https://www.mybrightspeech.com
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