Speech and Language Help After a Stroke
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In short: Speech and language therapists help with communication problems such as aphasia, and with swallowing problems, after a stroke. NHS stroke teams usually arrange this. Some people also see a private speech and language therapist, for example when NHS therapy ends. Always check the HCPC register.
Please read. This is general information, not medical or professional advice. We are a directory: we don’t provide therapy or recommend any practitioner, and we’re not a crisis service. In an emergency call 999. Services change, so check the official websites linked here.
What can change after a stroke
A stroke can affect understanding, speaking, reading or writing (aphasia), the muscles used for speech (dysarthria), and swallowing (dysphagia). The NHS stroke recovery page explains these and how speech and language therapy helps.
Through the NHS
Speech and language therapy is usually part of NHS stroke rehabilitation, in hospital and then at home or in the community. If you are not sure what is planned, ask the stroke team or GP. If problems appear later, ask your GP about a referral.
Private speech and language therapy
Some people choose private therapy alongside NHS care or after it ends. Ask the therapist about their stroke and aphasia experience, whether they visit at home or work online, and the full cost before you book. Tell your NHS team if you are seeing someone privately.
Check the register
Speech and language therapist is a protected title. Check their name on the HCPC register. We check this before any listing goes live.
Related: Therapy after a stroke · How to find a speech and language therapist.
See also: Aphasia Help in the UK: Speech and Language Therapy and Support
Common Questions
Who helps with speech problems after a stroke?
A speech and language therapist. They assess and treat communication problems such as aphasia and dysarthria, and swallowing problems.
Can I get private speech therapy after a stroke?
Yes. You can contact a private speech and language therapist directly. Check they are on the HCPC register and ask about their stroke experience and fees.
What is aphasia?
Aphasia is difficulty with language, such as understanding, speaking, reading or writing, often caused by a stroke. It does not affect intelligence.
What if NHS speech therapy has ended?
Ask the stroke team or GP whether more NHS therapy is possible. Some people continue with a private speech and language therapist or local support groups.
More help guides: Slurred or unclear speech (dysarthria)
Free trusted help: Stroke Association: aphasia · Stroke Association · ASLTIP (independent speech and language therapists)