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Psychosomatics 48:258-264, June 2007
doi: 10.1176/appi.psy.48.3.258
© 2007 Academy of Psychosomatic Medicine
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Case Report

Aphasia: Associated Disturbances in Affect, Behavior, and Cognition in the Setting of Speech and Language Difficulties

Szofia S. Bullain, M.D., Lyvia S. Chriki, B.A., and Theodore A. Stern, M.D.

Received March 1, 2006; revised May 26, 2006; accepted June 8, 2006. From the Depts. of Neurosurgery and Psychiatry, and the Psychiatric Consultation Service, Massachusetts General Hospital, and Harvard Medical School. Send correspondence and reprint requests to Szofia S. Bullain, M.D., Massachusetts General Hospital, EDR 410, 70 Blossom St., Boston, MA 02114. e-mail: SBullain{at}Partners.org
© 2007 The Academy of Psychosomatic Medicine

Patients with disturbances in affect, behavior, and cognition present a variety of challenges to healthcare providers; their evaluation and treatment becomes especially problematic in the setting of speech and language difficulties. The authors present the case of a man who sustained a left-side cerebrovascular accident with aphasia and discuss the approach to his diagnosis and treatment. Moreover, since a variety of speech and language problems can arise after stroke and since patients and their treaters can become frustrated by impaired communication and diagnostic uncertainties, authors review the clinical manifestations, timing, and treatment of such conditions so that treatment can be improved.







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