The psychosocial consequences of aphasia represent one of the most significant effects of the condition since communication using language, especially speech, is one of the most fundamental of human behaviors. The effect of aphasia on the individual's sense of self, identity, and quality of life is considerable. The ability to initiate and maintain personal relationships, which are dependent on communication, often leads to social isolation for the person with aphasia. Generally, those with nonfluent disorders tend to be more aware, frustrated, and depressed than those with aphasia of the fluent type.
The psychological reactions to aphasia are believed to be influenced to some degree by premorbid personality, level of achievement, and values. As a result of its negative effect on interpersonal activity and quality of life, aphasia is frequently referred to as a social disability. By far the most commonly mentioned psychological reaction is depression. Difficulty in coping with being socially different, feelings of loss, grief, and lowered self-esteem are also pervasive. Family members also suffer from the effects of role changes, caregiving, the impact on the family's sources of gratification, and difficulties in communication.
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