Struggling to connect with someone facing Alzheimer’s or dementia? You’re not alone. Communication can become challenging—but with the right approach, it doesn’t have to be frustrating.
Keep reading for simple adjustments that can make a world of difference.
Why Communication Changes Over Time
As dementia progresses, verbal skills tend to decline. You might notice:
- Trouble finding the right words
- Repeating phrases or stories
- Frustration during conversations
- Difficulty understanding questions or directions
These changes aren’t personal—they’re symptoms of a brain disorder. But you can still maintain a meaningful connection.
General Tips That Work at Any Stage
Whether your loved one is in the early stages or facing advanced dementia, these habits help:
- Speak slowly and clearly. Use short, direct sentences.
- Make eye contact. This builds trust and helps maintain focus.
- Avoid distractions. Turn off the TV or radio before speaking.
- Be patient. Give them time to respond—don’t rush.
Stay calm. Your tone and body language matter more than your words.
Specific Strategies by Stage
Communication needs change over time. Here’s how to adapt:
Early Stage Dementia
This is when frustration can build—because they know something is off. Help them feel supported:
- Use written reminders, calendars, and visual cues
- Ask one question at a time
- Let them finish thoughts—even if they pause or struggle
- Avoid correcting every mistake
Example: Instead of “You just told me that,” try “Yes, I remember you mentioned it.”
Middle Stage
Verbal ability is declining, but emotional connection is still strong.
- Offer choices (“Do you want coffee or tea?”)
- Use touch or gestures for reassurance
- Avoid open-ended questions—they’re confusing
- Reassure them often, especially when they seem lost
Late Stage
Words may fade, but emotions and facial expressions still communicate a lot.
- Smile, hold hands, or gently stroke their arm
- Use music or photos to stimulate comfort and recognition
- Say their name often—it helps anchor them
- Don’t force responses; just being present can speak volumes
Avoid These Common Pitfalls
Some habits can accidentally increase stress. Be mindful not to:
- Argue or contradict
- Use baby talk or talk about them as if they’re not there
- Ask “Don’t you remember?”
- Bombard them with information or instructions
- Take their frustration personally
Tools That Can Help
You don’t have to figure this out alone. Try:
- Memory books with labeled photos
- Calendars and visual schedules
- Soothing background music to reduce agitation
- Support groups for family caregivers
If Happier at Home is involved in your care journey, ask how our team supports communication between seniors and caregivers. It’s part of what we do every day.
Educating ourselves about Alzheimer’s and other forms of dementia is the best way to stay ahead of this progressive disease. By arming ourselves with knowledge, we can better take care of ourselves and our loved ones in hopes of preventing the disease. Happier at Home caregivers can be trained to help your loved one with dementia and Alzheimer’s. Call us today to enlist our help.
Published June 2024 • Updated August 2025
Reviewed by Debbie Marcello, Founder & CEO of Happier at Home
This content is for informational use only and does not replace medical advice.
