How to support communication when verbal skills decline

When verbal skills start to decline, whether due to aging, illness, or other conditions, supporting communication becomes essential to maintain connection and understanding. Here are some practical ways to help:

**Use simple and clear language.** Speak slowly and use short sentences. Avoid complicated words or long explanations. This makes it easier for the person to follow what you’re saying.

**Focus on nonverbal cues.** Eye contact, facial expressions, gestures, and body language can carry a lot of meaning when words are hard to find. Encourage the use of these signals both by you and the person communicating.

**Be patient and give extra time.** People with declining verbal skills may need more time to process information or respond. Don’t rush them; allow pauses in conversation so they can gather their thoughts.

**Minimize distractions in the environment.** A quiet space without background noise helps concentration on communication efforts.

**Use alternative methods like writing or pictures if helpful.** Sometimes writing down key words or using picture cards can bridge gaps when speech is difficult.

For children or adults who struggle with understanding spoken language (receptive difficulties), it helps if you look at them while speaking, confirm they understand instructions by asking simple questions, and repeat information as needed without showing frustration.

In situations where verbal expression is very limited—such as with certain speech disorders—augmentative tools like communication boards or speech-generating devices offer valuable support by giving a way to express needs without relying solely on spoken words.

Encouraging familiar routines that involve predictable conversations also builds confidence over time because repetition reduces anxiety about speaking.

Above all else: stay positive and compassionate during interactions. Showing respect for their effort encourages continued attempts at communication even when it’s challenging.

By combining these approaches—simplifying speech, using nonverbal signals, allowing extra time, reducing distractions, employing alternative tools when needed—you create an environment where meaningful connection remains possible despite declining verbal abilities.