top of page

Speech Problems in Dementia

Dementia is a term used to describe a wide range of diseases that impact memory and cognitive function. As the population ages, it is becoming increasingly common for adults to be diagnosed with dementia. This condition can lead to a variety of speech problems, which can be challenging for both the individual and their caregivers. In this blog post, we will discuss some of the most common speech difficulties associated with dementia, as well as strategies for addressing them.

In this article we will discuss:

What is Dementia?

Dementia is a term used when adults lose cognitive functions such as thinking, remembering, and reasoning. These abilities are important for daily life. Dementia affects people of all ages, but it is most common in older adults.

Dementia language loss

Dementia is not a normal part of aging. It is caused by damage to the brain from diseases, injuries, or other conditions. Alzheimer’s disease is the most common type of dementia. Common signs of dementia include:

  1. Memory problems

  2. Trouble finding the right words

  3. Changes in mood or behavior

  4. Problems with reasoning or judgment

  5. Loss of interest in favorite activities.

Dementia can make it hard for people to do everyday tasks, such as cooking and driving. It can also lead to changes in personality and behavior, which can be a challenge for caregivers and loved ones.

What is the difference between dementia and Alzheimer's disease

Dementia is a general term for a decline in mental ability severe enough to interfere with daily life. Alzheimer’s disease is the most common type of dementia. Alzheimer’s disease affects memory, thinking, and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks.

Looking for a speech therapist treating dementia?

Book a free speech consultation on dementia

What are the signs of dementia speech problems?

There can be lots of communication problems that people with dementia might have. Here are some signs that a person has trouble communicating:

  1. not be able to find the right words to say

  2. use a related word (for example, ‘table’ instead of ‘chair’)

  3. use substitutes for words (for example, ‘thing that you sit on’ instead of ‘chair’)

  4. no response since they cannot find any word at all

  5. Use words that have no meaning, or that are jumbled up in the wrong order

  6. go back to the first language they learned as a child. For example, if they learned English as a second language, they may forget how to speak it.

  7. have trouble understanding what other people are saying

  8. a short attention span for listening or talking

  9. get lost in the middle of a conversation and not know how to get back on track

  10. mispronounce words

What causes dementia speech problems?

The changes in thinking and memory that happen with dementia can lead to problems with speaking and understanding language. The most common type of dementia speech problem is aphasia, which is difficulty understanding or using words. Aphasia can make it hard to talk, read, and write. People with aphasia may have trouble naming objects, understanding what people say to them, or putting words together to form sentences. Dementia can also cause changes in a person’s ability to produce speech sounds correctly.

How can you tell if your loved one’s speech has changed due to dementia?

If you think that someone you know has a problem with communication, the first step is to talk to their doctor. The doctor will ask about the person’s symptoms and medical history. They will also do a physical exam and a neurological exam. The doctor may also recommend some tests, such as:

  1. a hearing test

  2. a cognitive test, such as the Mini-Mental State Examination (MMSE)

  3. blood tests

  4. imaging tests, such as an MRI or CT scan.

After the doctor has all of the information, they can make a diagnosis. If the person has dementia and speech problems, the doctor will work with the person and their family to come up with a treatment plan.

dementia speech

What are the treatments for speech problems in adults with dementia?

There is no one-size-fits-all approach to speech therapy for dementia. The best approach depends on the underlying cause of the problem. For example, if hearing loss is causing communication difficulties, then hearing aids may be recommended. If changes in the brain are causing speech problems, there is not currently any medication that can reverse those changes. However, there are some things that can help make communication easier, such as:

  1. simplifying messages

  2. using short sentences

  3. giving extra time for the person to respond

  4. speaking slowly and clearly

  5. using facial expressions and body language

  6. writing down key points

If you are having trouble communicating with someone who has dementia, there are some national and international organizations that can help. These organizations have information and resources for people with dementia and their caregivers.

Dementia speech problems can be a challenge for people with dementia and their loved ones. However, there are things that can be done to make communication easier. If you have any questions or concerns, talk to your doctor.

How can you help your loved one communicate more effectively with others?

If your loved one has dementia and speech problems, you may be worried about how they will communicate with others. Here are some tips that may help:

  1. Encourage your loved one to socialize with other people as often as possible. This can help them practice their communication skills and reduce frustration.

  2. Make sure that your loved one is getting enough sleep and eating a balanced diet. Fatigue and hunger can make communication more difficult.

  3. Create an environment that is conducive to communication. For example, make sure the room is well-lit and there is minimal background noise.

  4. Speak slowly and clearly when you are talking to your loved one. Use short sentences and simple words. Repeat yourself if necessary.

  5. Be patient when your loved one is communicating with you. Allow extra time for them to respond.

  6. Use nonverbal communication, such as facial expressions and gestures, to help your loved one understand what you are saying.

  7. Encourage habits at home. Creating routines can help your loved one feel more comfortable and reduce stress.

  8. Some people with dementia and speech problems may benefit from using communication aids, such as picture boards or apps. These tools can help your loved one communicate their needs more effectively.

If you are having trouble communicating with your loved one, there are national and international organizations that can help. These organizations have information and resources for people with dementia and speech problems and their caregivers.

Dementia speech therapy

What can speech-language pathologists do?

A speech-language pathologist (SLP) is a professional who specializes in communication disorders. SLPs can assess and treat a wide range of communication problems, including difficulties with speaking, understanding, and using language.

If you are concerned about your loved one’s communication skills, you may want to consider seeing an SLP. An SLP can assess your loved one’s abilities and identify any areas of difficulty. They can also provide therapy to help improve communication skills.

How can I find a speech-language pathologist?

The best way to find an SLP in your area is to ask your doctor for a referral. You can also search the American Speech-Language-Hearing Association’s website for a list of certified SLPs in your area.

Speech problems can be a challenge for people with dementia and their loved ones. However, there are things that can be done to make communication easier. At Better Speech, we offer online speech therapy services convenient for you and tailored to your child's individual needs. Our services are affordable and effective - get Better Speech now.


About the Author

Mikee Larrazabal

I am a Speech-Language Pathologist with 14 years of experience working with children and adults who have communication difficulties. I completed my Bachelor of Science degree in Health Science at Cebu Doctors' University and have been helping people overcome their communication challenges ever since.

I have worked with individuals of different ages, including toddlers, preschoolers, school-aged children, adults and seniors. I'm passionate about speech therapy and take great satisfaction in helping people overcome their communication challenges and improve their lives through better communication skills. In my spare time I like reading books, going hiking in nature and taking care of my dog Locas.

TrustPilot Beter Speech copy.jpg

by Patricia D. Myers

I'm not an English native speaker and I wanted to improve my speech. Better Speech onboarding process is AWESOME, I met with different people before being matched with an AMAZING Therapist, Christina. My assigned therapist created a safe place for me to be vulnerable and made all the sessions fun and helpful. Thanks to her, I received great feedback from my clients.

by John L. Wilson

Better Speech is a great program that is easy to use from home and anywhere online. Shannon was amazing at engaging our shy son - and building on their relationship each session! Her commitment to knowing him improved his confidence to speak and practice more. Truly appreciate her dedication. She cares for her clients.

by Christy O. King

Better Speech is an excellent opportunity to improve your speech in the convenience of your home with flexible scheduling options. Our therapist Miss Lynda was nothing short of amazing! We have greatly appreciated and enjoyed the time spent together in speech therapy. Her kind, engaging and entertaining spirit has been well received. She will surely be missed.

by Patricia W. Lopez

This service is so easy, i signed up, got a therapist and got to set up an appointment right away that worked with my schedule. so glad to see that services like speech therapy are finally catching up to the rest of the convenience age! therapy is great, i can't believe how many good tips, exercises and methods in just the first session. really recommend it!

bottom of page