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AARP’s Smart Guide to Nonverbal Communication

33 tips that will help you say a lot — without saying anything at all


A graphic illustration shows a megaphone with a smiley-face emoticon coming out of the horn
AARP (Shutterstock; Getty Images)

It’s said that a picture is worth a thousand words. When the canvas is the human body, a picture might be worth much more than that — especially for older adults, for whom nonverbal communication can make a meaningful difference in social and even medical interactions.

A 2023 U.S. and Israeli review of several studies, published in Current Opinion in Psychology, confirmed the power of nonverbal communication. Research shows that nonverbal cues can have a more immediate impact than verbal communication — for example, an apology is more effective if it’s accompanied by eye contact and open body language that indicates remorse.

Whether your goal is being better understood by family members, friends and caregivers; advocating more effectively for yourself in work or health care settings; or improving how you present yourself to form closer friendships, nonverbal communication — which includes the faces you make, what you do with your hands and how you orient your body, your breathing, your posture and even the pitch of your voice — can make a difference. We’ve gathered everything you need to know to master it.

The Basics of Nonverbal Communication

A woman at an outdoor dinner party is standing at the dinner table demonstrating to the seated guests how to make eye contact.
Eye contact “instantly communicates interest, trust and engagement,” says behavioral investigator Vanessa Van Edwards.
Getty Images

1. Make eye contact

“Eye contact is one of the most powerful nonverbal cues we have,” says behavioral investigator Vanessa Van Edwards, a Harvard University instructor and founder of Science of People, a research lab for human behavior. “It instantly communicates interest, trust and engagement. In fact, research has shown that people who make good eye contact are often perceived as more competent and likable.”

2. Focus on your facial expressions

The many small muscles in the human face can make dozens of different expressions across at least 21 distinct categories. They convey everything from happiness, surprise and sadness to fear, anger and disgust. “Our face is the billboard of our emotions,” Van Edwards says. “It communicates far more than our words ever could. A smile, for example, is a universal sign of warmth and friendliness.” Frowns and furrowed brows are universal signs of concern, worry and confusion; wide eyes are universal signs of surprise; and squinting is a universal sign of doubt or distrust.

Without these and other facial cues, interpersonal communication can come to a standstill, according to Valerie Manusov, a professor of communication at the University of Washington and coeditor of The Sage Handbook of Nonverbal Communication. She cites people with amimia, a medical condition common among older adults in which facial mobility is lost. “Their brains may be working totally well, but people start to ignore them — even people who are close to them — because they think that they’re absent or disengaged,” Manusov says. “If we’re not using facial animation, people don’t enjoy interacting with us as much.”

3. Micro expressions are not a small thing

The most difficult facial expressions to discern are “micro expressions” — brief, fleeting, typically involuntary looks that last only a fraction of a second.  According to retired behavior analyst Joe Navarro, a former FBI special agent and author of What Every Body Is Saying: An Ex-FBI Agent’s Guide to Speed-Reading People, examples of micro expressions include a wrinkled nose, which communicates dislike or disgust; compressed lips, which suggest anxiety or nerves; and a twitching eye, which indicates stress. On the positive side, there’s raised eyebrows, also called the “eyebrow flash.” “Arching the eyebrows is a gravity-defying behavior which communicates that you’re welcoming,” Navarro says. “Even babies as young as 2 weeks old recognize the eyebrow flash as something positive.”

4. Posture and space matter, too

The body can be just as expressive as the face, according to Van Edwards, who says posture — the body’s position, pose and orientation — reveals a lot about your feelings. “Before you even speak, the way you hold yourself is signaling confidence, openness or stress,” she says. Manusov agrees. “We make a lot of interpretations about what someone is like from their bodies,” she says. For example, if someone is hunched over, we tend to think that they’re unhappy. If we see someone standing up straight with their shoulders back, we tend to think that they’re powerful or confident.

It’s not just how you hold your body that sends a message. It’s also where you put it in relation to others. The distance you put between yourself and someone else, for example, can communicate intimacy, trust and respect — or the lack thereof. “Proxemics — how we use space — sends strong signals about our intentions and comfort,” Van Edwards says. “Standing too close can feel invasive, while standing too far can feel cold. The sweet spot varies culturally, but awareness is key.” People in Latin America, for example, tend to require less personal space, while people in the United States generally need more.

A photo shows a man in a blue suit finger tenting his hands, a way to express confidence nonverbally.
Steepling or finger tenting is one way to express confidence nonverbally.
Getty Images

5. Get a grip on body and hand gestures

Like personal space and proxemics, hand gestures vary across cultures. In the United States, for example, the thumbs-up and OK sign are generally positive gestures. In countries such as France, Germany, Russia and Greece, however, they can be the equivalent of the middle finger. But there are many universal hand and body gestures, Navarro says. In 1974, he conducted a study of children born blind and discovered that they made many of the same hand gestures as sighted people — for example, putting the fingertips of both hands together in front of their chest or face, otherwise known as “steepling” or “finger tenting.” “When we’re confident, we tend to steeple,” Navarro says. “Blind children have never seen this behavior before, and yet they’ll perform it when they’re confident about something.”

6. Get a feel for touch

Provided it’s appropriate and consensual — for example, hand-holding, a hug, or a light touch on the shoulder or back — human touch can be a compelling form of communication, according to Navarro. He cites funerals at which no one is speaking, yet everyone is embracing or putting their arms around one another. “Physical touch is the most powerful way to communicate that we care,” he says, adding that touch has been shown to stimulate the release of oxytocin, often referred to as the “bonding hormone.” “Oxytocin … is a very powerful chemical neuropeptide,” Navarro says. “It’s a hormone that makes us feel good.” Research shows that consensual physical touch improves both physical and mental well-being by reducing pain, anxiety, depression and stress.

7. Remember your tone of voice

Although spoken words are verbal, the quality of your voice when you speak them is an aspect of nonverbal communication, according to Judith Hall, a professor emerita of psychology at Northeastern University, where she dedicated her career to nonverbal communication. “If you’re a public speaker and you’re nervous, for example, your voice might reveal it,” says Hall, referring to the shaking, quivering voice that can affect people speaking to an audience.

8. Don’t forget your breathing

Even breathing can be a form of nonverbal communication, according to Stephen Furlich, associate professor of communication studies at East Texas A&M University and author of Nonverbal Epiphany: Steps to Improve Your Nonverbal Communication. “Breathing can be one piece of the puzzle and could tell someone else how relaxed or how anxious another person is,” he says. “If they’re breathing more, they might be more anxious. If they’re breathing less, they might be more relaxed.”

9. A word about sign language

Many people think that American Sign Language (ASL) is a form of nonverbal communication, but that’s actually not the case. According to the National Institute on Deafness and Other Communication Disorders, ASL “is a complete, natural language that has the same linguistic properties as spoken languages. ... It contains all the fundamental features of language, with its own rules for pronunciation, word formation and word order.”

That said, ASL does rely heavily on nonverbal communication to emphasize and amplify the hand gestures that constitute the language. This is done through raised eyebrows, widened eyes and other movements. Because of that, older adults who rely on ASL to overcome verbal communication problems caused by challenges like hearing loss can benefit from learning the principles of nonverbal communication. 

It’s important to note, however, that ASL is processed in the left side of the brain, which is where we decode spoken and written language, while the brain’s right side typically processes nonverbal communication like facial expressions. So if an older adult who is a sign language user suffers a stroke and aphasia, then their ability to use sign language is gone, says speech language pathologist Suma Devanga, assistant professor of communication disorders and sciences at Rush University Medical Center. She notes that aphasia — a language disorder caused by brain damage — typically results from injury to the brain’s left hemisphere. “They’re not able to use those signs anymore, because sign language is a language just like a spoken language,” Devanga says. “You are trying to provide therapy for sign language that is lost, and trying to help them recover signing, just like how we are helping them recover spoken language.”

How to Use Nonverbal Communication Effectively

10. Make eye contact (but not too much)

When you encounter someone on a busy street or in a crowded room, eye contact is “an invitation that you want to communicate or interact,” according to Furlich, who says maintaining eye contact requires a constant balancing act. “Eye contact for too long usually comes across as aggression, and too little eye contact often comes across as being disinterested,” he notes. For that reason, “aim for about 60 to 70 percent eye contact during conversation to strike a balance between interest and comfort,” Van Edwards suggests. To achieve just the right amount of eye contact, Furlich recommends the “triangle method.” “A person’s two eyes and mouth form a sort of triangle,” he says. “What you want to do is break down your eye contact and focus for just a few seconds at a time on each part of the triangle. This helps you maintain eye contact with the other person without overwhelming them.”

11. Stand up straight to project confidence

How you stand may impact how you feel. If you feel shy, anxious or intimidated, try standing up straighter. “Standing tall with your shoulders back and chest open can actually trigger physiological changes that make you feel more confident and in control,” says Van Edwards, who recommends doing a “posture scan” a few times a day. Focus on your shoulders in particular. “Maximize the distance between your ears and your shoulders. It’s the fastest way to signal — and feel — more at ease.”

12. Take up more space to assert yourself

Projecting confidence is one thing. To project power, however, you must do more than stand up straight, according to Furlich. “When you have a more expansive posture — for instance, you might have your hand on something, like a desk or a chair — it communicates power and authority,” he says. “And if you have your arms wider out or your legs wider out? Again, that indicates that you’re establishing more power and more authority.”  In fact, poses that make you appear taller and wider are known as “power poses.” 

“Think about Wonder Woman, when she has her legs a little bit farther apart, her hands on her hips and her elbows out. That’s an expansive type of posture,” continues Furlich, citing the work of Harvard Business School social psychologist Amy Cuddy. In her research, Cuddy found evidence that power poses stimulate hormonal changes like increased testosterone and reduced cortisol, which are associated with increased dominance and reduced stress, respectively. Although other researchers have questioned her findings, there’s ample evidence that expansive poses could influence how you feel about yourself and how others perceive you.

13. Make yourself appear more approachable

If you want to get along better with your neighbors, have stronger relationships with family or make new friends, the secret could be to appear more open and approachable. That requires you to literally open up your body. An example: “Want to show openness? Avoid crossed arms, and lean in slightly,” Van Edwards suggests.  Crossed arms are a barrier, and one key to projecting openness is to reduce obstacles between yourself and others. “Try not to stand behind a podium when you’re giving a presentation, or to sit behind a desk when you’re talking,” Furlich says. “Avoid having items in front of you. All those things create not only physical barriers but psychological barriers as well.”

14. Embrace people with your whole body

Appearing more open requires paying attention to your feet, too. “Pretend that you and I are talking in a hallway when someone else comes into view,” Navarro says. “If we’ve got a good conversation going and we don’t want anybody to join us, oftentimes we’ll rotate at the hip and wave at them. If we wanted them to join us, we would move our feet [to physically open the circle], because it’s our feet that welcome people.”  

But to truly engage with someone, move your entire body to face them, says Alan Crawley of Sin Verba, an education and consulting practice that provides training in nonverbal communication skills. “Body orientation is a simple thing that makes a huge difference,” he says. “Are you only turning your face to the person? Are you turning your whole trunk? Or are you turning your whole trunk, plus your legs? In my experience, that’s something small you can do to signal, ‘Hey, my attention is directed towards you.’”  

15. Keep a comfortable distance

When it comes to personal space, there’s no hard-and-fast rule. In most social situations, however, you should “aim for 1.5 to 4 feet of distance,” Van Edwards says. To find the sweet spot, let your conversation partner take the lead, advises Furlich. “During social interactions, it’s usually a good idea to stand in one place and let the other person establish what distance they feel more comfortable at,” he says.

16. Talk (carefully) with your hands

Talking with your hands is generally good, as long as you realize what you’re saying. “Gestures help you emphasize key points and keep your listener engaged. People who use purposeful gestures tend to be rated as more charismatic and trustworthy,” Van Edwards says. Use “illustrator” gestures to “draw” your thoughts, like showing size or direction with your hands. Avoid self-soothing gestures like touching your face or rubbing your neck, which can signal nervousness.  If you want your spoken words to have more impact, use your hands to help you speak more slowly and more clearly, Crawley adds.

“The voice and hand gestures are very tightly connected,” he says. “If I start moving my hands more quickly, I start to speak more quickly. But if I start moving my hands more slowly, I start to speak more slowly.”  Be especially careful with pointing, which can be seen as rude. To emphasize something, Furlich recommends “pinching” instead as you speak: “Basically, you take your thumb and your index finger and put them together like you’re pinching sand.” Some people hold the “pinch”; others slightly rub the thumb and index finger together. 

17. Smile — but only if you mean it

A photo shows a man gently touching a woman on the shoulder to help establish an emotional connection.
Gently touching someone on the shoulder can quickly establish an emotional connection.
Getty Images

Your face can send the wrong message even when it has no deliberate expression at all. “Be aware of your resting face — what your face looks like when you’re not actively speaking,” Van Edwards says. “A slight upward tilt in the lips can go a long way. Or using an eyebrow-raise to indicate interest.” While a smile is probably the most powerful and persuasive facial expression, don’t fake it. We subconsciously pick up on fake smiles as inauthentic, according to Van Edwards.

18. Strengthen bonds with touch

If it’s welcomed and appropriate, a gentle touch can show support for someone and establish an emotional connection. “A reassuring hand on the shoulder or a warm handshake can build an immediate connection, but it’s deeply contextual and cultural. The key is to be intentional and always respectful of boundaries,” Van Edwards says. “For those who are comfortable, a light touch on the arm during a moment of empathy or agreement can strengthen rapport. A firm — not aggressive — handshake is still a gold standard for trust-building. Pretend like you are squeezing a peach.” 

If you’re going to engage in physical touch, be purposeful about it. “A really brief touch still can have some effects, but usually it needs to have a little bit more length and intensity than that,” says Manusov. “If you touch someone on the arm, for example, you might leave your hand there for a few seconds.” Likewise with hugs: Research shows that most hugs last only 3 seconds, but hugs that last 5 or 10 seconds are more impactful.

19. Vary your voice to heighten interest

Crawley says vocal modulation is crucial to effective communication. “Monotone is an atomic bomb that can destroy your presentation, your speech or your conversation,” he says. “If you speak without any changes in cadence or volume or tone during an interaction, other people are going to interpret it as you being disengaged, bored or disinterested.” 

Crawley says to think of your voice as a roller coaster. “Sometimes your voice should go fast, and sometimes it should go slow. Sometimes it will rise suddenly, and sometimes it will fall suddenly,” he says — and sometimes it should stop altogether. “Use dramatic pauses strategically to emphasize your points.”  Another vocal pitfall is speaking with a high pitch, especially at the end of a sentence. It makes you sound hesitant or uncertain. “Avoid ‘uptalk’ — ending sentences like questions — if you want to sound confident,” Van Edwards says.

20. Practice active listening

A photo shows an older adult couple playfully dancing in their kitchen
Practice your nonverbal communication skills on a loved one — it can be educational and fun.
Getty Images

Active listening is a technique that lets someone know you’re engaged and present. Although there’s a strong verbal component — you should repeat what was said back to the person who’s speaking, for example — there are nonverbal parts, too. Consider a simple head nod, for example, or a subtle “hmm.” “It’s nice to send signals of feedback that say ‘This is important to me’ or ‘Yeah, that’s interesting,’” Crawley says.  Try tilting your head, too. “At about 3 months of age, babies will respond to a tilted head knowing that a person is more welcoming,” says Navarro.  

21. Manifest positive relationships using mimicry

If you want to build a better rapport with the people around you, mirror their nonverbal behaviors. “One of the biggest indicators of a healthy interpersonal relationship is mimicry. The more each person mimics the other person’s nonverbal behaviors, the more positive their relationship is,” Furlich says. Model friendly, open behaviors for others. 

There’s a good chance that their biological instincts will compel them to reflect those back to you. “There’s a huge body of research on mimicry where if you nod, I nod, or if you lean, I lean with you,” Hall says.

“It’s almost entirely unintentional. So, without even realizing it, our own behavior is producing other people’s behavior. If I smile a lot at you, you’re going to smile a lot at me. I’m going to think, ‘Oh, you’re such a nice person’ — but I made that happen, even if I didn’t realize it.”

Overcome Nonverbal Communication Challenges

22. Take a deep breath

If your body betrays you when you’re nervous, focus on your breathing. “Shallow, rapid breaths can make us feel, and look, anxious. Deep, slow breaths ground us, lower cortisol, and help project calm and confidence,” Van Edwards says. “Use box breathing — inhale four counts, hold four, exhale four, hold four — before high-stakes conversations to regulate your nervous system.” While you’re focused on your breathing, be mindful of breath-holding. “It’s a common response to stress and tension,” says Van Edwards.

23. Exaggerate your expressions as you age

Crawley says older adults may struggle with some aspects of nonverbal communication. Facial expressions — including smiling — can be especially challenging. “In time, the muscle tone of the face changes, which can make the face less expressive, and the increased presence of wrinkles and lines can make facial expressions less discernible,” explains Crawley, who says research shows that people tend to interpret older faces as more negative, even with neutral expressions. “That means that mature adults are more likely to be evaluated negatively and are at a disadvantage in terms of being …  understood.” With that in mind, Crawley says older adults should “be more purposeful about making positive expressions” and increase the intensity of those expressions. “You can increase the intensity of your smiles, for example, by raising your eyebrows higher … At first, it may feel forced or uncomfortable. But over time, you’ll realize that you’re giving signals with your face that are easier for others to understand, which hopefully will create positive results.”

24. Compensate for physical challenges

An aging body can impede nonverbal communication just as easily as an aging face, says speech language pathologist Adria Thompson, founder and CEO of Be Light Care Consulting, which provides education and training for dementia care. “Individuals who are older will experience changes in their body like increased weakness and incoordination in the arms, legs and other parts of the body,” Thompson observes. “The same thing can happen in our head and neck.” 

When you have trouble lifting or moving your arms, hand gestures become harder. And when you have trouble lifting your head or moving your neck, it also impairs eye contact and nodding. So you might need to compensate. For example, to make eye contact easier, try sitting instead of standing for conversations, or get closer to your conversation partner so you can communicate with gentle touch instead of exaggerated hand gestures. “There are people who cannot get by without a walker, so they’re always leaning forward and not making eye contact,” Navarro says. “If that’s you, something as simple as stopping when you hear someone coming down the hallway will allow you to look up and connect with others.”

25. Improve nonverbal communication with exercise

Navarro suggests that strength and fitness could be the key to overcoming physical barriers to nonverbal communication, or maintaining the nonverbal abilities you already have. He says the older adults in his community who get regular exercise are more agile and mobile than those who don’t — and more social as well. That means they have more opportunities to practice nonverbal communication — and stronger bodies that allow them to engage in it, he hypothesizes. Activities like dance, martial arts and pickleball could increase body awareness and control, while things like weight training and yoga can improve strength, flexibility, balance and posture — all of which could enhance your ability to communicate with your body.

26. Learn by watching others

If you struggle with any aspect of nonverbal communication, observe others’ nonverbal cues to help improve your own. “The first step is paying attention to what other people do,” says Manusov. “When you really enjoy communicating with somebody else, what are they doing as a communicator that makes you enjoy it so much? You might notice, for example, that they’re looking right at you, that they’re nodding their head as you speak or making attentive facial expressions. Make note of what they’re doing and how it makes you feel so you can be more like that yourself.”

27. Ask for feedback

Ask trusted family or friends for feedback about the nonverbal signals you send, Crawley suggests. “Ask them: ‘What faces do I make? How do you feel about the way I say hello? What about my handshake?’” he advises. “A good diagnosis from other people opens the doors to learning.”

28. Practice makes perfect

A photo shows a caregiver speaking to an older adult woman in an office waiting area
Nonverbal communication techniques can help caregivers reach older patients more effectively.
Getty Images

Van Edwards likens nonverbal communication to a muscle. “It gets stronger with use,” she says. “The great news is there are lots of creative, empowering ways to improve.” One of the most common is mirror practice. “Try out different facial expressions, eye contact and gestures to see how they feel,” suggests Van Edwards, who also recommends recording yourself with your phone or webcam. “Watch how you come across in video calls or presentations. Awareness is the first step to change.” 

Pay special attention to nervous cues. “How do you look when you are nervous? What does your voice sound like when you feel anxious? It is good to know how your body reacts in nervousness so you can counteract it. If you notice you put your hands in fists when nervous, focus on relaxing them. This will calm your entire system.”  Role-playing can also help. Before a family gathering, social visit, work function or medical appointment, for example, practice the body language, vocalics and facial expressions you’d like to use to communicate more effectively. Doing so might help you get what you want out of that specific interaction.

Nonverbal Communication Tips for Caregivers

29. When someone has hearing loss

Presbycusis, or age-related hearing loss, is extremely common and can make verbal communication difficult. When caregivers and loved ones engage with someone who is hard of hearing, it’s vital that they use nonverbal cues like hand gestures and facial expressions to supplement spoken language. Eye contact is also important, according to Thompson. “It’s not just making eye contact while you’re talking. It’s ensuring that you have eye contact before you even start talking, because they need to know that you are speaking to them,” she says. “When you make eye contact, you can assure that they are locked in before you attempt to give them any information.” 

The pitch of your voice also matters when you’re engaging someone with hearing loss. “With standard presbycusis, typically it’s high-pitched sounds that a person stops being able to hear as well,” Thompson says. “So, if we’re speaking to someone like that, we need to lower our pitch.” Because people who are hard of hearing often compensate by reading lips, pay attention to distance and body orientation. “When we’re communicating with someone who can’t hear, our natural response is to just get louder,” she says. “But research shows us that stepping back enough so that the person can see our mouth is way more effective.”

30. When someone has dementia

Dementia, including Alzheimer’s disease, is often centered in the temporal lobe on the left side of the brain. It’s the location of language, auditory processing and emotional regulation. Because of that, caregivers often must supplement the verbal communication that’s processed on the left side of the brain with nonverbal communication that’s processed on the right side, Thompson explains. That’s why visual cues like facial expressions, hand gestures and body language are important. “Visual processing happens in the occipital lobe, which is typically not impacted by dementia — especially at the beginning. And then there’s the parietal lobe, which helps us know where we are in space and helps us recognize familiar people,” says Thompson. “So when we use things like facial expressions and pointing gestures, we kind of circumvent the parts of the brain that are being most damaged by diseases of cognitive impairment.” 

The body can be a useful communication tool, but it’s important to move slowly. “The fight-or-flight response is still very much active in individuals with dementia, and sometimes overactive. So they can get startled really easily,” Thompson continues. “When we enter into a person’s field of view, we want to make sure that we are there for a few seconds before we engage with them. And when we’re walking up to someone, we want to do it slowly and, if they’re sitting, get down on their level by either squatting or sitting down next to them.”

31. When someone has had a stroke

Older adults who have had a stroke often experience one of two types of aphasia that can affect their communication. The first, expressive aphasia, impacts their ability to find the right words when they speak; they can understand speech but have trouble forming words and sentences. The second, receptive aphasia, impacts their ability to communicate coherently; they often have trouble understanding speech and may speak in ways that don’t make sense. For expressive aphasia, caregivers might need to be more attuned to hand gestures like pointing and pantomimes that can help people communicate when they can’t find their words, Thompson notes. For receptive aphasia, it helps to focus on context clues. “Instead of listening only to what the person is saying — the words — we need to listen to how they’re saying it,” Thompson says. “Listen to the tone of their voice and watch their facial expressions. Are they excited about something, or angry? Watch their eyes, too. What are they looking at when they’re talking?”

32. When someone has Parkinson’s

People with Parkinson’s disease often struggle with verbal communication — slurred speech is common — as well as nonverbal communication. They often suffer from tremors, for example, which can impact their ability to gesture with their hands. They sometimes have what’s known as a “masked face,” where their brain fails to communicate with their facial muscles, impeding their ability to create expressions. And they may have vision or motor impairments that make eye contact difficult. Given these challenges, look for context clues, and follow their gaze as you would with someone who has suffered a stroke. For many conditions — including dementia, stroke and Parkinson’s — visual supports also can be helpful, according to Devanga, who suggests using communication boards with letters, words or pictures. 

Or look for an augmentative and alternative communication (ACC) app that your loved one can use on their phone or tablet. These apps allow a person to communicate with those around them without speaking, typically by turning words or symbols typed on a keyboard into sounds. “There are options for generating text and using that to generate speech, which is especially great for things like ALS and Parkinson’s that affect speech output but not necessarily speech processing,” she says. Examples of these apps include Assistive Express, Patient Communicator and TalkTablet Pro.  

33. Consult a speech language pathologist

If you’re a caregiver who’s struggling to communicate with a loved one, a speech language pathologist might be able to help, says Thompson, adding that you can ask your primary physician for a referral. “Speech language pathologists are essential medical providers for individuals with any kind of communication deficits, whether it is verbal or nonverbal,” she says. “We have very skilled, evidence-based interventions that we can use to make people better and, a lot of times, recover skills.” These include speech and voice therapy to help strengthen the patient’s ability to speak, and language therapy to improve the patient’s ability to comprehend language and express it.

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