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What Are the Three Golden Rules of Dementia? How to Communicate with a Loved One

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Key Takeaways

  • The three main rules are to avoid direct memory questions, listen to your loved one’s reality, and avoid correcting them.
  • Listening with empathy and responding to emotion helps build connection.
  • Avoiding correction or contradiction can reduce stress and maintain trust.
  • Simple strategies—like calm speech and body language—can ease communication.
  • Memory care may be helpful when safety or daily care becomes too difficult.

The 3 Golden Rules for Communicating 

When a loved one is living with dementia, even everyday conversations can feel unfamiliar. As memory, language, and emotional processing shift, your family will need to change your approach. Fortunately, you can still communicate with your loved one. It just involves changing your approach through the 3 golden rules of dementia communication.

The three golden rules for communicating with someone who has dementia are:

  • Avoid direct questions that rely on memory
  • Listen with empathy and respond to their reality
  • Avoid contradicting or correcting

These simple shifts can help create a more peaceful and supportive environment—for your loved one and for you.

How Dementia Changes Communication

Dementia affects more than just memory. It can change how a person finds words, processes language, follows conversations, and expresses emotion. These changes can make communication feel frustrating, both for the person with dementia and for those trying to connect with them. You may notice your loved one experiencing:

  • Difficulty finding the right words
  • Trouble keeping up with conversations
  • Changes in focus or attention
  • Expressing emotions in different ways

These changes aren’t intentional problems. They’re a result of an extremely complex condition affecting your loved one’s brain. And by learning why they’re experiencing these problems, you can better communicate with your loved one.

The 3 Golden Rules For Positive Communication

Small changes in how you speak and listen can ease frustration and help deepen your connection. These three communication strategies are simple ways to shift your approach and open up new ways to bond.

Rule 1: Avoid Direct Questions That Rely On Memory

Questions like “What did you do today?” or “Do you remember their name?” can feel stressful or disorienting. When memory is impaired, trying to recall details can lead to anxiety or withdrawal. Instead, you can try offering simple choices or making gentle suggestions. Rephrasing questions removes the challenge of remembering and makes decisions feel more manageable.

Try offering gentle prompts or choices:

  • Instead of asking, “What would you like to drink?” you could ask, “Would you prefer water or juice?”
  • Rather than saying, “Who do you want to visit?” you might suggest, “I was thinking we could call Sarah today.”

These kinds of suggestions remove pressure and offer a sense of comfort and control.

Rule 2: Listen To Your Loved One and Respond to Their Reality

Pay close attention to the feelings behind their words. Often, the emotion they are expressing is more important than the facts of the situation. Your goal is to help them feel heard and understood. Your validation shows them that their feelings are important to you. 

So, acknowledge what they’re feeling, even if you don’t fully understand the story behind it. You can use phrases such as:

  • “It sounds like you’re having a peaceful day.”
  • “That place must have meant a lot to you.”

Look for non-verbal cues, too. A smile, a furrowed brow, or a squeeze of the hand can speak volumes.

Rule 3: Avoid Contradicting or Correcting

Correcting a loved one or insisting on facts can lead to confusion, frustration, or even distress. In many cases, it’s more helpful to enter their reality and gently guide the moment toward calm and connection.

If they mention a person who is no longer around, you might say, “Tell me more about them. They sound wonderful.” This approach, sometimes called validation, helps build trust. It lets your loved one know you are on their side, and that preserves their dignity and trust.

An older adult leans on their cane and nudges their adult child while laughing and looking at photos together

How to Make Communication Easier When Dementia Is Involved

Dementia poses unique challenges. However, you can still communicate and bond with your loved one through small, mindful choices in how you speak, listen, and engage. It helps to:

  • Avoid saying: “Don’t you remember?” Try gently offering the detail instead.
  • Avoid saying: “You already told me that.” Try listening as if it’s the first time.
  • Use short, clear sentences.
  • Speak slowly and gently, with a reassuring tone.
  • Make eye contact and offer a warm smile.
  • Use gestures or visual cues (e.g., pointing to a cup while offering a drink).
  • Focus on shared emotions instead of correcting facts.
  • Create a calm, distraction-free environment during conversations.
  • Let silence be okay—sometimes just being present is enough.

Every moment doesn’t need to be perfect. What matters most is how your loved one feels in your presence.

When to Consider More Support Through Memory Care

Over time, a loved one’s needs may go beyond what can comfortably be supported at home. That’s entirely normal, and your family still has options. With the right memory care community, you can step back from being a caregiver and focus more on being a family.

If you’re not sure whether or not your loved one needs memory care, watch for:

  • Changes in daily routines, like difficulty with personal care, preparing meals, or remembering medications
  • Safety concerns such as wandering, frequent falls, or unsafe use of appliances
  • Caregiver burnout, like feeling overwhelmed, exhausted, or unable to keep up

Memory care communities are designed to offer compassionate support in a safe, engaging environment. This is a great way to give your loved one the professional support they need in their daily life.

Building Connection Through Compassionate Communication

When dementia is involved, the goal of communication shifts. It becomes less about sharing information—and more about sharing presence, safety, and kindness. By focusing on connection rather than correction, families can create peaceful and meaningful moments with a loved one.Here at Inspired Living at Ocoee, we’re here to support you through each step of the journey. If you’re exploring options for your loved one, our memory care community can help. Book a tour with us today, and let’s help your loved one—together.

Inspired Lifestyles

Assisted Living

Assisted living fosters independence by providing tailored support, ensuring residents can enjoy a comfortable lifestyle with care designed to meet their unique needs.

Memory Care

Person-first memory care programs provide individuals with Alzheimer’s disease or dementia the support they need to stay engaged, mentally active, and connected in their daily lives.

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