Communicating Effectively When Alzheimer's Is an Issue

Alzheimer's Disease Center

Tips for making a connection to someone with Alzheimer's disease

By Michele Bloomquist


Of all the effects of Alzheimer's disease, perhaps the most difficult is the way the illness changes the ability to freely communicate — both for the person affected by Alzheimer's and for those around them. And yet, no matter what the stage of the illness — early or progressed — there are simple steps you can take to help keep the lines of communication open.

"It's also important to keep in mind that what works for one person, may not work for another," says Erin Heintz, public relations associate director for the Alzheimer's Association. "So be open to learning — and it may take some trial and error — which techniques will work best for you." Some useful tips developed by the Alzheimer's experts include the following:

Know the Effects: Alzheimer's affects each person differently. Some common communication obstacles, however, include difficulty finding the right word or words, repeating words, losing a train of thought, difficulty with logic, reverting to a native language, using gestures in place of words, and an increased use of curse words. If these occur, it's important to remember that these changes are due to the illness, that they're beyond the person's control, and that they are not aimed at you personally.

Encourage Participation: While someone with mid-stage Alzheimer's may not be able to drive or handle their own finances, they may still be able to participate in some life decisions, such as how they'd like to spend their time or what they'd prefer when it comes to care. "Let them make as many decisions as they can," says Elizabeth Gould, MSW and director of the Quality Care Programs for the Alzheimer's Association. "They should be able to be as involved as they can be." Encouraging such participation, when possible, helps reduce the frustration caused by the loss of control and independence that the illness brings.