Under optimal conditions, providing language therapy to persons with aphasia (PWA) is an intensive and dynamic process which results in improved verbal communication and greater participation in everyday life. However, due to cuts in health care spending, PWAs are not receiving the necessary amount of language therapy to achieve significant gains in language abilities. Recent developments of computerized language programs and virtual reality applications are promising as they enable a PWA to attain an adequate dosage of language therapy. In this paper, challenges of integrating face-to-face therapy with computerized and virtual applications will be exemplified by the ELA® Virtual House.