THE STARTING POINT for the work of the aphasia centre is the experience of living with aphasia. People who have aphasia describe the dramatic and often traumatic nature of its onset, the sense of bewilderment and fear which loss of language engenders, its impact on their lives, families and work, their day-to-day struggles with interaction, conversation and communication, and the profound and often long-term adjustments which must be made. The multi-faceted nature of aphasia demands a flexible, integrated approach to therapy and support.