When Language Declines Slowly: Understanding Primary Progressive Aphasia

Send us Fan Mail Primary progressive aphasia is not the same as stroke-related aphasia, and the difference matters for diagnosis, treatment, and family planning. In this episode, Dr. Davetrina Seles Gadson breaks down the complexities of PPA, how it differs from other aphasia types, and why frontotemporal dementia is often part of the conversation. Angie Cauthorn adds plain language analogies that make the distinctions clear for anyone navigating this diagnosis. PPA is progressive, which means its impact on individuals, families, and communities does not stop at diagnosis. For stroke survivors, care partners, students, and health professionals who need to understand where PPA fits in the larger aphasia picture. Dr. Seles unravels the complexities of PPA versus other aphasia types and describes the difference between a stroke and frontal temporal dementia.Angie shares analogies highlighting the key differences from other forms of aphasia.The impact of PPA on individuals, their families, and communities is ongoing. This episode of Brain Friends is a must-listen for survivors,  students, and health professionals. https://aphasiaadvocates.com/ for Brain Friends Merchhttps://aphasia.org/event/ask-the-expert-february-2026/https://www.cognitiverecoverylab.com/seleshttps://aphasia.org/stories/announcing-the-davetrina-seles-gadson-health-equity-grant-program/Our beloved colleague, Dr. Davetrina Seles Gadson, passed away January 11, 2025. Dr. Gadson was an extraordinary speech-language pathologist and neuroscience researcher who devoted her energy to studying health disparities in aphasia recovery. She was a fierce advocate for improving services for individuals with aphasia, particularly Black Americans. Her research transformed our understanding of these health disparities and shed light on how we can address them. We were privileged to have Dr. Gadson as a cherished member of our lab community for four years, first as a postdoctoral fellow and then as an Instructor of Rehabilitation Medicine. She was still a close collaborator and friend to many of us at the time of her passing. Dr. Gadson was an incredible person—compassionate, inspiring, and full of life. Her dedication to advancing equity in aphasia recovery and her profound impact on our community will never be forgotten. ...