In episode 55, “Frontotemporal Dementia and Speech Problems,” I introduced something known as primary progressive aphasias. Primary, because the speech problems happen first in the disease. “Progressive,” because the speech problems get worse over time. “Aphasia” is a medical word for difficulty speaking. Primary progressive aphasias affect 200,000 people in the United States and are considered “rare.” There is nothing rare about a disease when it affects you or a loved one. PPAs are associated with dementia; instead of memory problems happening first, speech problems happen first. Memory problems happen later. It is the speech problem that gets people to come to a neurology practice, where the specific speech problem is identified.

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