This chapter looks at some of the suggestions in current circulation for effective aphasia therapy approaches, and critically analyze them through the lens that a systemic approach would offer. Aphasia United is made up of experts in aphasia and has developed best practice recommendations for healthcare and community services involving people with aphasia. PWA and their families would reap rich rewards from a fresh approach to aphasia therapy. Supported conversation is a dynamic process, and the individuals involved in any one conversation are all different. Low mood has consistently been shown to affect quality of life and the ability to live successfully with aphasia. The majority of people with aphasia will have depression. Recently many friends and family had said they couldn’t believe how much progress Angus had made recently.