Counselling is within the scope of practice of SLPs as long as it addresses mental health concerns related to communication difficulties. Otherwise, SLPs may perform a mental health screening and should refer PWA to mental health care providers when needed while ensuring they are able to support the communication of the PWA. Anxiety, depression and grief may negatively impact motivation and energy levels and consequently language recovery. Strategies recommended to SLPs include acknowledging the multiple dimensions of loss and grief associated with stroke and aphasia, encouraging social connections through therapy goals strengthening self-confidence, educating the patient and their caregivers, and using meditation in sessions to release tension. SLPs are also encouraged to advocate for psychological care for their patients.