Other Progressive NEUROLOGICAL conditions

Some neurological conditions are progressive, meaning symptoms may change or increase over time. These conditions can affect communication, thinking, movement, and swallowing. Our staff has experience working with individuals and families living with less common neurological diagnoses, including Primary Progressive Aphasia (PPA), Progressive Supranuclear Palsy (PSP), Amyotrophic Lateral Sclerosis (ALS), Multiple Sclerosis (MS), and other progressive conditions.

Because needs can change over time, a strong care team and regular adjustments to therapy are essential. Our goal is to help you stay connected, safe, and independent for as long as possible.

Understanding These Conditions

What is Primary Progressive Aphasia (PPA)?

Primary Progressive Aphasia is a neurological condition that primarily affects language abilities. Unlike aphasia resulting from a stroke, PPA develops gradually and worsens over time.

People with PPA may experience:

  • Difficulty finding words

  • Trouble understanding spoken or written language

  • Challenges with reading and writing

  • Difficulty putting words together to express thoughts

Thinking, memory, and movement are often less affected early on, but communication becomes increasingly challenging.

What is Progressive Supranuclear Palsy (PSP)?

Progressive Supranuclear Palsy is a rare neurological condition that affects movement, balance, speech, swallowing, and thinking.

People with PSP may experience:

  • Slurred or slow speech

  • Changes in voice

  • Swallowing difficulties

  • Problems with attention, planning, or judgment

  • Reduced facial expression or eye movement difficulties

What is Amyotrophic Lateral Sclerosis (ALS)?

ALS is a neurological condition that affects the nerve cells that control muscle movement. Over time, muscles become weaker, including those used for speaking, swallowing, and breathing.

People with ALS may experience:

  • Slurred or weak speech

  • Changes in voice quality

  • Difficulty chewing and swallowing

  • Fatigue during communication

  • Need for alternative ways to communicate

Cognition may also be affected in some individuals.

What is Multiple Sclerosis (MS)?

Multiple Sclerosis is a condition in which the immune system affects the brain and spinal cord. Symptoms can vary widely and may come and go or progress over time.

People with MS may experience:

  • Slurred or slowed speech

  • Voice changes

  • Swallowing difficulties

  • Trouble with attention, memory, or processing speed

  • Fatigue that impacts communication

How Speech-Language Therapy Can Help

Speech-language pathologists (SLPs) play an important role in supporting individuals with progressive neurological conditions. At Aubin Aphasia Speech and Language Center, therapy focuses on maintaining skills, adapting to change, and maximizing quality of life.

We can help by:

  • Supporting speech clarity and voice strength

  • Addressing swallowing difficulties to promote safety and comfort

  • Strengthening language skills and teaching communication strategies

  • Introducing alternative and augmentative communication (AAC) when needed

  • Supporting attention, memory, and problem-solving skills

  • Adapting therapy goals as needs change over time

  • Educating and supporting family members and care partners

Our approach is proactive, flexible, and centered on what matters most to you.

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