ABSTRACT

Aphasia is usually a long-term condition, despite excellent recovery for some clients. The end of aphasia therapy interventions can be challenging to negotiate for the clinician, the client and the family. The problems associated with discharge relate directly to the way, the people embark on aphasia therapy from the outset. Clients and families expect a ‘prescription’ when they see the speech and language therapists, in line with the medical model of health service in which the people operate. The word ‘discharge’ means to release in medical terms but it also means to dismiss, get rid of, set aside or annul. Learning to manage uncertainty for the clinician, the client, as well as the client’s family can be liberating when the people consider different types of certainty. Validation of one another’s struggles, achievements and personalities is invaluable in the adjustment of PWA to living with aphasia.