Hi @sclatt, Speech therapy is such a great help for stroke recovery. Check out this discussion with about aphasia with other members:
- Let's "Talk" About Aphasia https://connect.mayoclinic.org/discussion/june-is-national-aphasia-month/

It is really hard to be the sole caregiver. I can understand your wife's fear of your leaving even though deep down, she's know you're there for the long haul. She probably worries about being a burden and at the same time wants you around all the time. That's a tough one and makes it really hard on you.

I learned this tip from another caregiver once. Her mom never wanted to be alone. If she had to run an errand or just wanted to go out in the garden for a brief moment alone, she would leave a specific stuffed animal on a chair that her mom would see up waking. If the stuffie was there, the mother knew her daughter would be back and not grow anxious coming out of her nap.

This may not mirror the situation with your wife exactly, but I share the story in the hopes that it might give you some ideas.

Have you been able to find a speech therapist or physical therapist near you?