Physical | Communication | Cognitive | Behavioural / Emotional |
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Communication deficits are often characterized by difficulty in understanding or producing speech correctly (aphasia), slurred speech consequent to weak muscles (dysarthria), and/or difficulty in programming oral muscles for speech production (apraxia). It may be an effort for individuals with ABI to understand both written and spoken messages; they may behave as if they are trying to comprehend a foreign language. They may also have difficulty with spelling, writing, and reading. Some individuals may also have difficulty in social communication, such as difficulty taking turns in conversation and problems maintaining a topic of conversation. Individuals with TBI may have little or no awareness of just how inappropriate their behaviours are.