How to Communicate With Someone Whose Parkinson's Makes Speech Difficult

Parkinson’s may affect speech volume, clarity, speed, facial expression, and the ability to communicate quickly. Give the person time to respond, ask one question at a time, and avoid finishing their sentences unless they want help. Face-to-face conversation in a quiet environment can make communication easier.

Helpful tools may include a voice amplifier, speech-to-text app, communication board, or simple writing tablet for situations where speech becomes difficult. These products can provide another way to communicate without replacing the person’s ability to speak when they can.

The best approach is patience plus multiple communication options. If speech changes are becoming more noticeable, a speech-language pathologist can evaluate voice, articulation, and swallowing and recommend exercises or assistive technology.