Cognitive-communication disturbance following traumatic brain injury has historically been well characterized, along with recommendations for assessment and treatment. Approaches often focus on underlying disorders of attention, memory, and executive functioning and their impact on communication behaviors, especially in the chronic stages of recovery. However, another cognitive domain, core language, is often overlooked, and recommendations for the acute stage of neuro-rehabilitation are lacking, leaving clinicians in the inpatient rehabilitation setting at a loss for what to do. This session will review findings from a 3-year study investigating acute post-traumatic language disturbance (aPTLD) in an inpatient neuro-rehabilitation setting. Incidence of naming disturbance as determined by the Boston Naming Test, characterization of aPTLD relative to aphasia types, and evolution of aPTLD from admission to discharge will be presented.