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How to Talk To Someone With Dementia

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An adult child happily enjoys a face-to-face conversation with their parent with dementia over a cup of coffee.

Caring for a loved one experiencing dementia requires adjusting your techniques to caregiving as the condition advances. This means adapting your approach to conversation by making some small changes to communicate with your loved one effectively.

When talking to someone with dementia, consider implementing the following tips: 

  • Be supportive
  • Simplify your language
  • Use non-verbal cues
  • Chat face-to-face

How Dementia Affects Communication

Dementia isn’t one singular condition, rather, it’s a general term for a decline in cognitive function severe enough to interfere with daily life.

Dementia damages neural connections in the brain, leading to loss of cognitive functions over time. This deterioration affects the regions responsible for memory, judgment, language, and behavior. 

As the condition progresses, people may struggle to recognize familiar faces, recall names, or follow conversations. 

People with dementia may have difficulty finding the right words, following rapid speech, or understanding what’s being said to them. As this condition advances, communication concerns become more pronounced. 

These challenges can make interactions slightly frustrating, leading people to become more socially withdrawn as dementia progresses, further impacting their well-being. 

It becomes our responsibility to engage with our loved ones while navigating communication difficulties associated with cognitive decline. 

Tips for Talking to Someone With Dementia

Fortunately, by implementing certain strategies, we can communicate effectively with someone with dementia. It requires ongoing practice, patience, and understanding, but fosters encouragement for your loved one to continue engaging with others.

Remember, dementia affects everyone differently, and every day is different. What works today may not work tomorrow. Approach each day with positivity, flexibility, and an open mind. Don’t become discouraged. 

Any roadblock is an opportunity to refocus and try something. The key is to remain calm and gentle and foster a supportive environment for your loved one, so they continue to feel safe and comfortable as they learn to navigate these challenges. 

Don’t be afraid of silence. Even if the conversation falters, continue to be there. Sometimes, your very presence is enough. 

The goal of the conversation isn’t necessarily the quality of the language used, the direction it takes, or the information you gather. It’s about spending meaningful time with your loved one. 

Be Supportive

Creating a supportive atmosphere is key when communicating with someone who has dementia.

Give them extra time to respond, be encouraging, and don’t rush their thought process. Remember that frustration can develop quickly, so keep your tone calm and reassuring so as not to overwhelm your loved one.

Your tone of voice plays a significant role in how your message is received. Speak slowly and kindly, avoiding a condescending or impatient tone that can hinder communication.

Empathy and validation go a long way. Don’t dismiss their feelings. Instead, acknowledge how they’re feeling and reassure them. This helps build trust and encourages open communication.  

Offer encouragement and positive reinforcement to boost their confidence. Celebrate small victories and acknowledge their effort to communicate. 

Simplify Your Language

Use simple, direct sentences to convey yourself. Avoid complex questions or statements that may confuse someone. 

Break information into small, digestible pieces, and give them ample time to process what you’re saying before you move on to another topic.

For instance, instead of asking, “Would you like to take a stroll outside in the garden with me this afternoon while the weather is nice?” try asking, “Would you like to walk in the garden now?”. 

Using direct and simple language reduces complexity, is less wordy, and helps focus the conversation.

You don’t have to limit yourself to asking yes or no questions but continue to keep things simple. Instead of asking someone what they would like to drink, consider asking, “Would you like to drink water or tea?”

Give them an option, but don’t overwhelm them with choices. 

An adult child uses a photo album as a visual aid while talking to their parent with dementia.

Use Non-verbal Cues

Nonverbal communication can often speak louder than words. 

Gesturing with your hands is considered a natural extension of verbal communication and helps emphasize or clarify what’s being said.

Using visual aids like photos, drawings, or physical objects related to the topic at hand can provide further clarity and context and help bridge communication gaps.

Maintain good eye contact, use gentle facial expressions, and point and gesture to certain objects to reinforce what you’re saying. 

Chat Face-to-face

If possible, prioritize face-to-face communication, chat with your loved one at eye level, and keep distractions like TV and radio at bay. This helps encourage active listening on both ends of the conversation. 

Being present offers reassurance and a comforting presence, making the interaction more personal and meaningful. It also allows both your and your loved one to better gage the others emotional state and immediate needs. 

Active listening involves more than hearing words. It’s about understanding the underlying emotions and intent. Show that you’re engaged by nodding, making supportive sounds, or repeating key points back to them.

By being attentive, you can quickly adapt your approach based on your loved one’s responses, facilitating a smoother conversation. 

Face-to-face interactions also limit misunderstandings and help maintain a connection that transcends verbal communication hurdles, creating a stronger bond and a supportive atmosphere.

When to Consider Memory Care

Conversing with someone with dementia requires extra attention, care, and consistency. If there’s one thing you can count on, it’s staying positive, flexible, and being present for your loved one. 

Looking after a loved one with dementia includes remaining vigilant about providing them with the appropriate level of care they require. Sometimes, this means considering memory care.

Connect with our team at Bellevue Village at Neese Road & Woodstock to schedule a tour of our memory care community and learn how it supports loved ones and their families. 

Written by Angela Clark

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