We present a system for automatically detecting and classifying phonologically anomalous productions in the speech of individuals with aphasia. Working from transcribed discourse samples, our system identifies neologisms, and uses a combination of string alignment and language models to produce a lattice of plausible words that the speaker may have intended to produce. We then score this lattice according to various features, and attempt to determine whether the anomalous production represented a phonemic error or a genuine neologism. This approach has the potential to be expanded to consider other types of paraphasic errors, and could be applied to a wide variety of screening and therapeutic applications.