A method and associated computer system and computer program product for monitoring the use of language of a patient that may enable the identification, analysis and reporting on of the natural progression of various neurological or speech disorders, is provided. The method includes obtaining a verbal response of the patient to a stimulus, converting the verbal response into text and the generating of verbal and textual response data by analyzing the verbal response and response text, respectively. A response vector may be formed base on the verbal and textual response data, which may then be used to determine a reply to the patient. Improved accuracy and consistency of monitoring the use of language associated with neurological and speech disorders is achieved, leading to a greater rate of success in the treatment of these conditions.