Communicating with a Loved One with Dementia

Alzheimer’s and other forms of dementia can come on slowly but as the disease progresses, a spouse or other family members may find themselves struggling to communicate with the person. It is important to remember while symptoms vary and every person’s progression differs depending on the stage and type of dementia they have, a sad reality is many families have difficulty finding effective ways to communicate. 

Experts say the best piece of advice is to be “patient with ourselves as caregivers.” Like other challenges in life, it may require you to tailor your communication in a way that can help you connect with the person, while at the same time, respecting their dignity. However Carol Podgorski, a professor of psychiatry at the University of Rochester, warns, “Dementias are progressive and degenerative brain diseases that can last for over 10 years. Communication strategies vary by the stage of the disease as well as other factors, including language abilities, sensory function, relationship history with the person communicating, and even personality.”

Tips to more effectively communicate include speaking slowly and clearly; and then giving the person the time they need to reply back. Someone with dementia is much slower to process information as well as find the right words. Experts say conversation is best done in a quiet place without noises or distractions. 

Another thing to pay attention to is your body language. As you give them time to answer, look them in the eye and silently project encouragement with friendly facial expressions. Nod in agreement as they go along. If they say something that is not realistic such as wondering why a deceased parent doesn’t visit, experts say “join the journey.” Rather than explain the person is dead, show them a picture of the person and suggest you can help them write a letter to their parents. 

It is also easier to converse if you stay in the present than trying to ask them what they did this morning. In other words, don’t ask what they had for breakfast this morning but if they are hungry now. When the time comes that the disease has robbed them of speech, talk with them and not talk over them. 

If a loved one has been diagnosed with Alzheimer’s or another form of dementia, MorningStar of Littleton senior living wants you to know we are here to help. Along with assisted living, our senior living Littleton, CO community offers trusted holistic Alzheimer’s care within our dedicated Reflections Neighborhood. Here residents receive individualized care in a safe and supportive environment from our team of compassionate dementia care specialists. Contact us to set up a personalized tour. 

Source: aarp.org/caregiving/home-care/info-2025/talk-to-someone-with-dementia/