Abstract Background Talking Mats is a picture based standardised tool to support person-centred decision making for those with impaired communication (or cognition), which is a useful communication tool for Speech & Language Therapists (SLTs). The tool ensures our client’s voice is heard and that they are central to the decision making process. With the newly implemented Assisted Decision Making Capacity Act 2015 (ADMCA) in the forefront of our minds, we must consider our client’s will and preference thoroughly with facilitated discussions, to be fully compliant with this legislative framework, and always ensuring our client’s wishes/requests are central in the decision-making process. In this case example, Talking Mats were used with an 85 year old lady after her second stroke. After a primary stroke (2019), she presented with a mild receptive and moderate expressive dysphasia, impeded by Apraxia Of Speech. She previously communicated with a communication book, with written words. A second stroke (2023), resulted in a moderate–severe receptive and expressive dysphasia. Methods Discussions involved a ‘Talking Mat’ with pictures placed on it and the ‘Topic’ cue card. Along the top of the Talking Mat, a standard scale of ‘Yes’, ‘Maybe/unsure’ and ‘No’ icons. Picture cards have written words to assist comprehension. Talking Mats was used in therapy for communicating wishes and problem-solving around discharge planning. The scales used were ‘Managing’ to ‘Not Managing’ or ‘Coping with’/‘Not Coping with’. Results The qualitative data collated from the client and her family was very powerful, in helping the client make her wishes known for home, spontaneously she articulated “But not on my own!. Conclusion Talking Mats help people with communication difficulties have a greater understanding about the topic and ensures they are ‘directly involved in the process, is more in control, and can consider the options in his/her own time’.