116: Alexia: an Introduction to Assessment and Treatment with Brett McCardel, MS, CCC-SLP

Alexia is an acquired impairment of reading that can manifest in a variety of reading challenges, ranging anywhere from identifying single letters to reading text-length passages. In this talk, listeners will be introduced to a variety of assessment tools and treatment approaches they may consider using when working with clients with alexia.

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topics covered:

  • Unpack the model of reading known as the Dual Route.

  • How impairments to specific components of the Dual Route affect reading.

  • Assessments for reading at the

    • single word-level

    • sentence-level

    • paragraph-level

  • Treatment techniques for reading at the

    • single word-level

    • sentence-level

    • paragraph-level



Resources mentioned in the episode:

Arizona Battery for Reading and Spelling: https://aphasia.sites.arizona.edu/content/8

dive into the literature:

Beeson, P.M., Rising, K., Kim, E. & Rapcsak, S.Z. (2010). A treatment sequence for phonological alexia/agraphia. Journal of Speech, Language, Hearing Research 53, 450-468.

Brookshire, C. E., Conway, T., Pompon, R., Oelke, M., & Kendalll, D. (2014). Effects of intensive phonomotor treatment on reading in eight individuals with aphasia and phonological alexia. American Journal of Speech-Language Pathology, 23, S300-S311.

Johnson, J. P., Ross, K., & Kiran, S. (2019). Multi-step treatment for acquired alexia and agraphia (Part I): efficacy, generalisation, and identification of beneficial treatment steps. Neuropsychological rehabilitation, 29(4), 534–564. 

Purdy, M., Coppens, P., Brookshire Madden, E., Mozeiko, J., Patterson, J., Wallace, S., & Freed, D. (2018). Reading comprehension treatment in aphasia: a systematic review, Aphasiology, 33:6, 629-651.

more on brett mccardel:

Check out Brett’s website, full of great Aphasia resources: Archways Rehab

Connect with Brett on Instagram.


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Brett McCardel, MS, CCC-SLP, is the owner and founder of Archways - Aphasia Rehabilitation Services, a private practice based in Seattle, WA that specializes in providing speech and language services to people with aphasia. He has worked with people with aphasia across the continuum of care and across a variety of service-delivery models (including telehealth and intensive aphasia programs). He is passionate about aphasia advocacy and promoting a Life Participation Approach to Aphasia.


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