Editing Expressive aphasia (section)

==Prognosis==
In most individuals with expressive aphasia, the majority of recovery is seen within the first year following a stroke or injury. The majority of this improvement is seen in the first four weeks in therapy following a stroke and slows thereafter.<ref name='Bakheit' /> However, this timeline will vary depending upon the type of stroke experienced by the patient. Patients who experienced an ischemic stroke may recover in the days and weeks following the stroke, and then experience a plateau and gradual slowing of recovery. On the contrary, patients who experienced a hemorrhagic stroke experience a slower recovery in the first 4–8 weeks, followed by a faster recovery which eventually stabilizes.<ref>{{Cite book|title = Introduction to Neurogenic Communication Disorders|last = Manasco|first = M. Hunter|publisher = Jones & Bartlett Learning|year = 2014}}</ref>

Numerous factors impact the recovery process and outcomes. Site and extent of lesion greatly impacts recovery. Other factors that may affect prognosis are age, education, gender, and motivation.<ref>{{Cite journal|last=Thompson|first=Cynthia K.|date=2000|title=Neuroplasticity: Evidence from Aphasia|journal=Journal of Communication Disorders|volume=33|issue=4|pages=33 (4): 357–366|pmc=3086401|pmid=11001162|doi=10.1016/s0021-9924(00)00031-9}}</ref> Occupation, handedness, personality, and emotional state may also be associated with recovery outcomes.<ref name=":1" />

Studies have also found that prognosis of expressive aphasia correlates strongly with the initial severity of impairment.<ref name="Pedersen" /> However, it has been seen that continued recovery is possible years after a stroke with effective treatment.<ref name="Meinzer" /> Timing and intensity of treatment is another factor that impacts outcomes. Research suggests that even in later stages of recovery, intervention is effective at improving function, as well as, preventing loss of function.<ref name=":8">{{Cite journal|last=Raymer|first=Anastasia|date=February 2008|title=Translational Research in Aphasia: from Neuroscience to Neurorehabilitation|journal=Journal of Speech, Language, and Hearing Research|volume=51|issue=1|pages=259–275|doi=10.1044/1092-4388(2008/020)|pmid=18230850}}</ref>

Unlike receptive aphasia, patients with expressive aphasia are aware of their errors in language production. This may further motivate a person with expressive aphasia to progress in treatment, which would affect treatment outcomes.<ref name="Bakheit" /> On the other hand, awareness of impairment may lead to higher levels of frustration, depression, anxiety, or social withdrawal, which have been proven to negatively affect a person's chance of recovery.<ref name="Code">{{cite journal|last1=Code|first1=C|last2=Hemsley|first2=G|last3=Herrmann|first3=M|year=1999|title=The emotional impact of aphasia|journal=Semin Speech Lang|volume=20|issue=1|pages=19–31|doi=10.1055/s-2008-1064006|pmid=10100374|s2cid=260318407}}</ref>