Improving Conversation in Aphasia: What Is “ECoLoGiC-Tx” All About?

Presented by Sarah Baar and Marion Leaman

Improving Conversation in Aphasia: What Is “ECoLoGiC-Tx” All About?

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Speech Scope: Improving Conversation in Aphasia: What Is “ECoLoGiC-Tx” All About? (Episode 23)

Audio Runtime: 57 Minutes; Learning Assessment Time: 21 Minutes

Dr. Marion Leaman, PhD, CCC-SLP—an experienced clinician and leading researcher in conversation-level aphasia therapy—joins host Sarah Baar to share the story behind ECoLoGiC-Tx, the spontaneous, conversation-based treatment she developed with her PhD mentor, Dr. Lisa Edmonds. Sarah and Marion examine how this evidence-based approach facilitates language recovery in individuals with moderate to severe aphasia, diverging from traditional cueing or drill-based models. You’ll learn how this therapy framework centers on real conversation, respects adult autonomy, and achieves measurable impact to patient communication. Tune in to learn what makes ECoLoGiC-Tx both structured and radically human—and how you can start applying it in your sessions.

Learning Objectives
  • Analyze the evidence around ECoLoGiC-Tx for supporting conversational engagement in individuals with moderate to severe aphasia
  • Apply evidence-based, practical strategies to address conversational breakdowns and promote language complexity during spontaneous communication in aphasia therapy
  • Solve patient case scenarios involving the use of ECoLoGiC-Tx for goal writing, outcome measurement, and family engagement, especially with hesitant participants or stakeholders

This is an audio-only course. Additional materials are available for download within the course. To receive continuing education credit, complete the course and the accompanying quiz.

Meet your instructors

Person with shoulder-length hair and hoop earrings stands smiling in a room with a patterned wall, promoting medbridge.

Sarah Baar

Sarah Baar is a speech-language pathologist in Grand Rapids, Michigan. She has had the opportunity to work in many settings across the care continuum, including acute care, acute rehab, home and community, and outpatient therapy, and has been involved in various leadership projects. In 2016, she started the Honeycomb Speech…

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Marion Leaman

Marion Leaman has been a speech-language pathologist for 32 years. She worked clinically for 22 years before beginning her PhD with Lisa Edmonds in 2015. She entered the field with a passion for aphasia and worked in all levels of adult medical speech-language pathology, from private practice to acute care, home care, skilled…

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Chapters & learning objectives

Improving Conversation in Aphasia: What Is “ECoLoGiC-Tx” All About?

1. Improving Conversation in Aphasia: What Is “ECoLoGiC-Tx” All About?

Dr. Marion Leaman joins host Sarah Baar to introduce ECoLoGiC-Tx, a structured, conversation-based aphasia treatment that helps you support spontaneous language recovery while moving beyond traditional cueing approaches.

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