This study reports the improvement of verbal interaction skills in a 27-year-old severely head-injured male who presented with an inappropriate attention-seeking circumlocutory conversational style. The patient was baselined on verbal response to three differing question forms, and then treated using combined cognitive behavioural methods on a daily sessional basis. Treatment resulted in a significant clinical change out of sessions, whilst the overall in-session improvement proved significant at the 005 level. Follow-up at 2 months indicated that the trend of improvement had continued beyond the treatment period.