Communication disorders can arise as a consequence of right hemispheric brain injury due to, for example, stroke. These disorders can comprise language comprehension, language production and pragmatic language use. If these problems are not recognised in time, treatment will probably focus on behavioural problems, which would lead to further deterioration of the patient due to an escalation in interaction. We present a patient in whom this situation occured. However, by addressing her underlying communication problem, we were able to improve her quality of life.