Video of Conversation TherAppy v1.0. The latest version may look and behave slightly differently.


Set Up User Profiles: Touch the tab on the left side of the screen. Press “Add New User” to enter a user’s name, add notes (optional), and select the question types appropriate to that user. “Guest” is the default user and can be used for quick-play. By deselecting all question types, the pictures can be used without question prompts as flashcards with scoring.

Select User(s): The tab on the left side of the home screen will show you at quick glance how many users are selected. If the tab shows “(G)”, the guest user is selected. Touch the tab to select up to 4 names at a time to play. Press Start to begin.

Choose Your Categories: Select the topic areas you wish to discuss in this session. All categories are selected by default. Press the right arrow to continue.

Individual Play: Press any question icon to bring up the question text. Press one of the three scoring buttons to mark the answer as correct, approximate/cued, or incorrect, then select another question. Pressing a question icon again will remove the question text to reveal the question title; another touch will restore the question text. This will allow you to create your own question or activity during the session and still score answers. Each question can only be scored once, but the text can be seen at any time by returning to the icon. Questions that have been scored will appear faded. To move to the next picture, press the right arrow at the bottom of the screen. Press the home button to end the session. Select “Continue “ if you do not wish to exit, or press “Done” to return to the home screen. You can also “Email Results” from the session directly from this screen.

Group Play: If 2-4 users are selected, all names will appear at the top of the screen on individual tabs with scoring buttons. The questions selected for each user will appear when that user’s tab is selected. Should other group members answer the question when they are not the active user, their answers can be scored at any time. Even if a question is not part of a user’s profile, it can still be scored, allowing all users to feel their answers have been heard and recorded. All other features of play are as described above in Individual Play. At the end of a session, you will see data for each user. To obtain more detailed data on each user, select “Email Results.”

Quick Play: Press Start with the “Guest” profile selected to avoid entering user names. The Guest profile is only available for individual play.

Questions: There are 10 question types for each image in this app. They are as follows: {please insert icon thumbnails next to each bullet point}

  • Describe – “What do you see?” “What’s happening?” – a simple picture description can be elicited. Perfect for aphasia therapy to form simple sentences.
  • Define – “What is…?” – taking description a step further, describing the essential elements of more complex concepts. This is a high-level semantic exercise to come up with ways of describing a concept without using the name of the concept in the definition.
  • Remember – “When have you…?” – recall experiences from life and tell related stories, making the theoretical personal. Perfect for reminiscence therapy in dementia.
  • Decide – “Would you rather…?” “Is it better to…?” – take a stance and defend it. Start a friendly debate, or ask users to argue the side they didn’t pick for flexible thinking!
  • Feel – “How does she feel?” “How would you feel?” -thinking about the feelings of others is an important part of good social pragmatic skills. Developing a rich vocabulary around feelings helps all communicators tell others about their internal states more accurately. Only when we consider feelings can we empathize and sympathize with others.
  • Infer – “How do you know…?” “What makes you think…?” –we make assumptions and draw conclusions about things we see, but it’s important to recognize how we know what we know. Making inferences is critical to daily problem solving and pragmatics.
  • Predict – “What might happen next?” – take the scene a step further to predict what might happen in the future. Thinking about the future allows people to make better decisions in the present and anticipate the consequences of their actions.
  • Narrate – “Tell or write a story about…” – use these high-impact photos as story starters for any level of writing or narrative exercise. Use imagination to create a backstory on each topic or elaborate beyond the simple sentence or paragraph level.
  • Evaluate – “What are the advantages and disadvantages of…?” – these questions will require critical thinking skills and good organization of ideas to answer with well-formed responses. Evaluate questions are the hardest questions in the app.
  • Brainstorm – “Name at least 3….” – generative naming of items within a category requires semantic organization and search of memory to find related concepts and facts.

Each question can be customized using the Customize Content button on the Settings screen. Touch the pencil icon to edit any item. After an item has been customized, restore it to the default by pressing the Reset arrow icon. The minimum age level for each photo can also be adjusted on this screen.

Scoring: Three scoring options are available, along with 3 sound options for scoring. It is suggested that you set a goal for each client and score based on achievement of that goal. For example, when the app is used with a client practicing clear articulation or fluent speech in spontaneous sentences, the score will be based on their speech rather than a complete or correct answer to the question. Similarly, the app can be used to score eye contact when speaking, mean length of utterance greater than 3 words, use of word-finding strategies, or organizing thoughts prior to answering. Use the green checkmark to score a correct answer or that the client has met their goal with the response. The yellow button can be used to score an approximate response or to indicate a cued response. The red “x” button can be used to indicate the goal was not achieved or the answer was ill considered or incorrect. If you wish the scoring to be discrete, select “clicks” or “none” for Scoring Sounds on the Settings screen. The default sounds setting will play distinct sounds for each score button.


Language: Choose between English (North American), Dutch, Filipino, French, German, Italian, Portuguese, Spanish, and Zulu.

Number of Trials: Select the number of photos presented in a practice session.

Content: Select Child, Teen, or Adult to filter the content to the appropriate age level. Please note that this app is intended for older students and adults. Child mode does not mean the questions are at a child’s level, only that they will not see topics that are inappropriate for their age group (i.e. sexuality and violence).

Scoring Sounds: Default sounds are distinct for correct, cued/approximate, and incorrect. If this interrupts the flow of the conversation, select “clicks” to make all scoring buttons sound the same, or “none” to turn off scoring sounds.

E-Mail Results To: Enter the address of the SLP or other person monitoring progress.

Links: Turn this setting off to deactivate the links to outside sites on the home screen.

Customize Database: Access the database to turn items on/off or change the text.

Tips & Tricks

Are you using this app to its fullest potential? Do you know about every setting and feature? Take a few moments to read up on our tips for using the app better and tricks for getting more out of it. Then test your knowledge to see if you're aware of all the great things you can do with this app. If you have a tip or trick to share, please let us know!
  • Customize each users’ profile to include only the question types that are right for them.
  • Write the user’s goal in the Notes of their User Profile to know what you’re looking for when scoring.
  • If users are self-conscious when you score them, set Scoring Sounds to clicks or none.
  • Train family members or volunteers to use Conversation Therapy to give the user extra practice with different communication partners.
  • Select the text in a question and press Speak to hear it aloud using the Speak Selection feature.
  • Run a group session by selecting up to 6 users on the user tab.
  • Set Number of Trials to All so you can easily flip through all the topics to find one that’s of interest to the user.
  • If you don’t want to use the question shown, but don’t have time to edit it, simply tap the question button again to show the question type and hide the question.
  • Did you know you can rewrite any question in the app? Go to the Settings, click Customize Content, and then edit.
  • Did you know there’s not a single question that can only be answered with “yes” or “no” in this app?
  • Did you know that the content is filtered by age group? Select the age level of the person you’re working with in the Settings.
  • Did you know that Conversation Therapy is now available in 9 languages? Select the language track you want in the Settings.
  • Did you know that volunteers translated Conversation Therapy into most of these languages? If you would like to see your language featured, please contact us to volunteer.
We have said that Conversation Therapy can be used to target nearly any speech, language, or cognitive goal, but how is that possible? Find out more:

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