Communicating with a Loved One Living with Dementia
Caring for someone with dementia changes the way conversations unfold. Words that once flowed easily can now feel heavy with pauses, misunderstandings, or repetition. It can be deeply frustrating, but it is also a reminder that communication is about more than words. It is about connection, reassurance, and presence.
When a loved one struggles to find the right expression, it helps to slow down and give them space. Many carers find themselves tempted to fill the silence or correct mistakes, but often the most powerful act is patient listening. A gentle nod, steady eye contact, and a calm tone can ease anxiety and make a person feel safe even when the details get muddled.
Non-verbal cues become especially important. A reassuring hand on the shoulder, a smile, or sitting close enough to make someone feel they are not alone can mean more than an entire sentence. Many families discover that their loved one picks up more on tone and body language than on the words themselves.
It is also important to avoid treating adults with dementia as if they were children. Simplifying language helps, but dignity must remain intact. Use clear sentences, one idea at a time, but speak with respect. The person is still the same individual with memories, history, and identity.
When confusion or agitation rises, changing the subject can sometimes work better than insisting on correction. For example, if a loved one forgets the day or insists on something that is no longer true, redirecting gently toward a calming activity can preserve peace. A favourite song, a photo album, or even a cup of tea can shift the moment from distress to comfort.
Communication is never one-sided. Carers must also look after themselves. Feeling unheard or unappreciated by a loved one with dementia is painful, and acknowledging those emotions is not selfish—it is human. Support groups, counselling, or even casual conversations with others in the same position can provide perspective and strength.
At its heart, communication with someone who has dementia is about valuing the person, not the accuracy of their words. Conversations may not always make sense, but the feelings exchanged are real. When we respond with patience and empathy, we keep relationships alive even as the illness progresses.



