This chapter briefly summaries the development of some of the approaches to aphasia therapy over the last 30 years as well as the current nature and availability of aphasia services in a country. Speech and language therapy students are less likely to have had training in the psycholinguistic approach to aphasia therapy, or if they have, are less likely to feel confident in applying it in the clinical context now compared with 20 years ago. From initial assessment in hospital to the point at which the PWA no longer chooses to have therapy, it emphasizes re-engagement in life and tries to empower the PWA to collaborate on their therapeutic treatments, with the aim of returning to an active life. The aphasia therapy workstation Cuespeak, however, provides a theoretically sound means of providing intensive therapy at home with support of a therapist and goes a considerable way to enabling higher doses of contextually relevant therapy to be accessed.