3. Reduced Speech Output – The Silent Symptom of Expressive Aphasia
Expressive aphasia is often marked by a significant decrease in the amount of speech produced, or reduced speech output. This symptom can range from less talkative to virtually mute in severe cases. This decrease in speech output isn’t due to a lack of desire or effort to communicate but rather the brain’s inability to orchestrate the complex process of speech production.
Those struggling with reduced speech output can still understand spoken and written language. However, formulating responses and initiating conversations can be incredibly challenging.
They might speak in short phrases or single words and often leave out “small” words such as “is,” “and,” and “the.” This leads to speech that sounds telegraphic or simplified.
Reduced speech output can be incredibly isolating. It creates barriers to social interaction, personal expression, and connection with others. Those affected may withdraw from social situations, feeling frustrated or embarrassed by their struggle to communicate effectively. (3)