Anagram and Copy Treatment Box for Aphasia

Anagram and Copy Treatment (ACT) is a type of treatment technique used to strengthen written communication skills in aphasia.  ACT incorporates a structured task hierarchy to elicit the correct spelling of functional words.  ACT has been shown to be beneficial for improving written naming skills.

photo 2

So…what’s the anagram box for?

An early step in the approach calls for the patient to arrange anagram letters to correctly spell functional target words.  Then the patient repeatedly copies the word in later steps, eventually writing the stimulus word with no visual model (that’s the ultimate goal!).

photo 1-1

Do I really need an anagram box?

Well, truthfully you don’t have to make one.  Anagram letters can be easily sketched out on paper or a notecard before or during the session, and then cut out.  But I found that the more I used this technique, the more tedious it became to cut them out over and over.  There is something to be said for having grab-and-go materials as a busy clinician.

Extra bonus?

Target visual organization at the end of the session by encouraging the patient to sort the letters back into their corresponding sections.

Check out more on ACT and variations of the technique


Communication Therapies for AdultsAnagram and Copy Therapy (ACT) & Copy and Recall Therapy (CART)

Tactus TherapyHow To: Anagram, Copy, and Recall Treatment for Writing


More Materials Related to ACT or variations of the technique:

Tactus Therapy Writing Therapy App

Honeycomb Speech Therapy Copy & Recall Training Packet

Example of Generic Tackle Box Found Here


Chapey, Roberta. “Cognitive Neuropsychological Approaches to Treatment of Language Disorders.” Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders, 4th ed., Wolters Kluwer, Lippincott Williams & Wilkins, 2001.

Ball, Riesthal, Breeding, Mendoza. (2011). Modified ACT and CART in severe aphasia. Aphasiology. Volume 25, 836-848.




1 comment on “Anagram and Copy Treatment Box for Aphasia

  1. Great post! These are easy and effective therapy techniques. If you don’t have access to letter tiles or photos, the app Writing TherAppy can help by providing both using the “Write What You See” activity. Just cover the letter options, have the patient write the word on paper, then uncover the letters if they need the next step of anagramming.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: