Effective Communication In Parkinson’s
Many people with Parkinson’s have communication challenges as a result of both motor and non-motor symptoms of Parkinson’s disease. Communication challenges can also occur during ‘on/off’ periods of medication use, which affect the person’s ability to function and interact with others. The purpose of this help page is to provide a general overview of communication challenges in Parkinson’s and provide you, the care partner, with some tips.
Symptoms of Parkinson’s that can cause communication challenges include soft speech, masked facial expression, and cognitive changes. With respect to cognitive changes, altered language skills, the ability to understand non-verbal cues, and slowness of thought (bradyphrenia) can cause a delayed and sometimes confused response in communication.
The following are some tips for communicating effectively with someone with Parkinson’s:
It is important to note that communication challenges may not necessarily mean that someone with Parkinson’s has or is developing cognitive problems. Conversely, when someone with Parkinson’s has cognitive problems, communication challenges, as mentioned above, may make their cognitive symptoms appear worse. The loss of communication skills due to Parkinson’s may hide cognitive changes. In order for health care professionals to determine the cause of someone’s communication challenges it can be very helpful for care partners to take notes of their observations.
Consider contacting a speech language pathologist for an assessment and suggestions for improving communication skills.
Dementia and Parkinson’s Information Sheet, Parkinson’s UK
How Parkinson's Disease Affects Nonverbal and Non-literal Forms of Communication (2010), McGill University,
Developed in collaboration with Parkinson Society British Columbia.