Dysphasic adult following stroke< back to case studies
K was 42 when she had her stroke and at the time she held a high profile position in a major finance company. When K came to me the residual effects of the stroke was relatively minor. However because of the nature of Ks work her language skills were critical. Any ‘minor problems’ would present major problems in her ability to do her job, as well as to be able to think and respond on her feet as is so necessary in these hot house financial environments. Therefore the residual impairments were handicapping enough to mean she was at risk of losing her very highly paid job and her home if she could not make any further recovery.
So her aim was to get back into work. Fortunately her employers gave her a year’s trial, without pay. Her limited financial resources meant she could not fund ongoing sessions, so we had to work quickly. K was an intelligent woman and demonstrated remarkable insight into her language processing needs. So I exploited this already home grown resource to the max.
Enabling the client towards an understanding and insight into their needs is vital. Without this, progress is minimal and superficial.
K’s insight meant she was able to grasp the goal of therapy and track and oversee her own processing glitches, identifying strategies and implementing and practising the interventions we devised at each session.
Time, is a big factor and the mind needs time to heal, not just physically, but emotionally, following a stroke or any trauma. There are limits how much we can influence the pace of this recovery therapeutically. But given the urgency of Ks situation we had to find a way of creating time, which would allow the healing process to happen without pressure and without stress, whilst enabling her to find her feet again, within the hot house of the financial world.
K’s natural communicative and thinking style was rapid and immediate, so I worked with her on slowing ‘it’ down. Achieving this meant K had created time giving her the space she desperately needed for processing, thinking and communicating successfully, without undermining the ongoing background healing, that was ongoing.
After 1 year K, the therapy ended. A year later K wrote to me to let me know she was back at work as a paid part time employee and she added “I am getting there slowly thank you so much”.
What People Have Said About Geraldine Wotton ...
"Her advice and therapy is immensurable and I would recommend Geraldine to anyone whose child is struggling with speech and language. She supported me as a mother with a child with Autism and helped me to feel positive about the future for our son. She has helped him accomplish things I never thought possible."
Mother of child with autism
"Her years of experience mean she knows how to get the best from my at times very challenging daughter using praise, patience and humour. My daughter has been seeing Geraldine for 7 years and in that time made such progress with her that the difference is noticeable to children of a similar age. This progress is as a result of Geraldine’s skills."
Mother of Daughter with Down Syndrome
"Geraldine has worked with a variety students at North Hertfordshire College to ensure they receive the continued speech and language skills they require to access the curriculum, communicate with their peers and gain further independence skills in communication. The students related well to Geraldine and staff were able to use the strategies suggested throughout the week and feedback on their progress. Geraldine completed all reports and assessments in a timely and professional way and the students benefited from the feedback given. Parents/carers were able to use some of the strategies suggested in the home and reported that obvious improvements were being made by their son/daughter."
Course Co Ordinator for Adults with Learning Needs at North Herts College
"It was an absolute pleasure to see how Geraldine engages with her patients. The holistic and intuitive approach she adopts reflects the vast amount of experience Geraldine has in working with children and adults with a range of communication disabilities. I was inspired by the sheer joy and devotion she demonstrated in her work and it is no wonder her clients are so committed to her."