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How to Talk to Someone with Dementia

Six plain-language communication principles that reduce conflict and confusion.

Dementia changes how a person processes language, emotion, and memory. Adjusting how you communicate is one of the highest-leverage things a family can do.

1. Don't argue

Logic doesn't fix dementia symptoms. Arguing creates fear and shame without changing behavior.

2. Don't over-explain

Long explanations overload working memory. Use short sentences. One idea at a time.

3. Match the emotion, not the facts

If they're scared, reassure first. The accuracy of the underlying belief comes second — sometimes never.

4. Redirect gently

Instead of correcting ("Mom, Dad died in 2018"), redirect to a related comfortable topic.

5. Keep routines simple

Predictable days reduce confusion and reduce "behaviors."

6. Reduce noise

TV in the background, multiple people talking at once, and bright clutter all increase confusion. Calm the environment first.

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