Guidance and hope for families facing PPA & aphasia
When someone you love is losing words, the hardest part is often not knowing what to do next. I work right alongside you, the person who's there every day, with practical, home-based ways to keep communicating and stay connected, even after traditional therapy has stopped.
Whether you've just heard the diagnosis or you've been told insurance won't cover any more sessions, there's still a path forward. And you don't have to find it alone.
How does speech therapy assist families managing PPA?
Speech-language pathologists specialize in Communication Partner Training (CPT) for primary progressive aphasia. Therapy equips caregivers with practical strategies, compensatory communication tools, and environmental modifications to preserve functional dialogue and connection throughout every stage of progression.
Communication Partner Training (CPT)
We teach caregivers tailored techniques to minimize frustration and bridge communication gaps, so connection holds even as words become harder.
Adaptive Communication Toolkits
Low-tech and high-tech AAC (letter boards, devices, scripts, and visual supports) customized to daily home routines and each stage of change.
Long-Term Continuity
Ongoing private care designed to pivot as needs evolve, including continuity when insurance discharges a loved one for “plateauing.”
Primary Progressive Aphasia (PPA)
Proactive, staged support for families facing a PPA diagnosis, building compensatory strategies and communication tools now, while banking connection for the road ahead.
PPA · logopenic · semantic · nonfluent/agrammatic variant · neurodegenerative
Learn morePost-Stroke Aphasia & Post-Insurance Continuity
For families told a loved one has "plateaued." Recovery doesn't expire when insurance stops paying, and we continue the work of rebuilding functional communication at home.
Stroke aphasia · post-insurance care · plateau · continuity of care
Learn moreCommunication Partner Training & Caregiver Coaching
Direct coaching for spouses, adult children, and caregivers on how to support communication at home: pacing, supported conversation, repair strategies, and staying connected through the hard moments.
CPT · supported conversation · caregiver coaching · environmental modification
Community & Connection Resources
Care doesn't happen in sessions alone. Marina can help connect your family with aphasia support groups, adaptive resources, and community networks, including Aphasia Recovery Connection (ARC) and other organizations that support long-term wellbeing.
Aphasia support groups · ARC · community resources · caregiver support
Why a specialist
Adult neurologic communication recovery is my specialty
After a stroke or brain injury, the person is still fully there. Their thoughts, their humor, their personality are all intact. What's changed is the bridge between thought and word, and that bridge can be rebuilt. Helping adults do that, after aphasia, brain injury, and stroke, is the work I trained for in skilled-nursing and outpatient rehab, and the work I care most about.
Credentialed and trained for it
M.S., CCC-SLP, licensed in four states, with clinical training in skilled-nursing and outpatient rehab supporting adults after stroke and brain injury.
Methods that fit you
Approaches with a track record, chosen for your goals and the life you want back.
Virtual across four states
Telehealth in Tennessee, Kentucky, California, and North Carolina, from home.
Ready to talk through where your family is?
Consultations are free and confidential. There's no commitment, just a conversation about your loved one and what support could look like.
Book a Family Strategy Consultation