Many people who have aphasia cannot grip a tiny pencil. A common adaptation to a pen, pencil, or artist's paintbrush is to fatten it up to make it easier to grip. This 40mm x 150mm cylinder has a 9mm hole in the middle to hold a standard "Bic" pen. It has a 1/4"-20 hole for a set screw that can be used to secure the pen at the correct depth in the tube. There is a 45 degree angle on the cylinder to allow the patient to steady the holder it against the table if they have tremors.